Bone Cancer and Cushing Disease Treatment Quiz
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Questions and Answers

What is the most common surgical approach for treating bone cancer?

  • Palliative surgery
  • Stereotactic surgery
  • Full limb amputation
  • Limb sparing surgery (correct)
  • What is the purpose of using neoadjuvant chemotherapy in bone cancer treatment?

  • To reduce tumor burden before surgery (correct)
  • To eliminate residual tumors after surgery
  • To prevent secondary cancers
  • To manage pain postoperatively
  • Which of the following is NOT an adverse effect of chemotherapy?

  • Risk of secondary leukemia
  • Pancytopenia
  • Acute respiratory distress (correct)
  • Nausea and vomiting
  • In which scenario might rotationplasty be utilized?

    <p>When there is a need to improve mobility after lower leg amputation (A)</p> Signup and view all the answers

    What is the role of radiation therapy in treating bone sarcomas?

    <p>It targets tumors and can be used preoperatively or post-operatively (B)</p> Signup and view all the answers

    What is a common physical manifestation of Cushing disease?

    <p>Central obesity (C)</p> Signup and view all the answers

    Which diagnostic method is part of the therapeutic management for Cushing disease?

    <p>Physical exam (D)</p> Signup and view all the answers

    What is the primary goal of hypophysectomy in the treatment of Cushing disease?

    <p>To remove the tumor (D)</p> Signup and view all the answers

    Which type of surgery for tumor removal in Cushing disease involves endoscopy?

    <p>Transsphenoidal (B)</p> Signup and view all the answers

    What type of therapy may be needed after surgery for patients with Cushing disease?

    <p>Hormone replacement therapy (C)</p> Signup and view all the answers

    Which of the following is NOT a warning sign of cancer as outlined by CAUTION US?

    <p>Increased energy levels (C)</p> Signup and view all the answers

    What does the 'N' in the TNM cancer staging system represent?

    <p>Nodal involvement (D)</p> Signup and view all the answers

    What is the significance of the Absolute Neutrophil Count (ANC) in cancer treatment?

    <p>It indicates the level of myelosuppression. (D)</p> Signup and view all the answers

    What is the recommended frequency for Pap smear testing in women aged 21 to 65?

    <p>Every 3 years (D)</p> Signup and view all the answers

    In performing breast self-examinations (BSE), when is the best time for women to do so?

    <p>7-10 days after menses (B)</p> Signup and view all the answers

    What are appropriate precautions to take for infection prevention in patients with low white blood cell counts?

    <p>Wear a mask in crowded areas. (C)</p> Signup and view all the answers

    What drug type is administered 24 hours after chemotherapy to help stimulate growth in patients with low ANC?

    <p>Colony stimulating factors (A)</p> Signup and view all the answers

    What is the main difference between malignant and benign tumors?

    <p>Malignant tumors can spread to other tissues or organs. (C)</p> Signup and view all the answers

    Which condition is considered an oncologic emergency related to neutropenia?

    <p>Febrile neutropenia (D)</p> Signup and view all the answers

    What is the lowest point of blood levels after chemotherapy referred to as?

    <p>Nadir (D)</p> Signup and view all the answers

    What precaution should be taken with a patient who has had a mastectomy?

    <p>Avoid invasive procedures on the affected arm (B)</p> Signup and view all the answers

    Why must a patient's weight be monitored at every treatment?

    <p>Since many drugs require weight or BSA for dosing. (A)</p> Signup and view all the answers

    What is the first step in confirming a cancer diagnosis?

    <p>Conduct a biopsy (D)</p> Signup and view all the answers

    What is the nadir in relation to ANC?

    <p>The lowest point of ANC. (B)</p> Signup and view all the answers

    How can infection risks be minimized for patients undergoing chemotherapy?

    <p>Limit exposure to pets and children. (D)</p> Signup and view all the answers

    Which of the following is NOT a symptom that may interfere with regular activities during chemotherapy?

    <p>Increased energy levels (A)</p> Signup and view all the answers

    What is a necessary safety precaution regarding chemotherapy administration?

    <p>Independent double check at both preparation and administration stages (D)</p> Signup and view all the answers

    Which side effect is NOT typically associated with chemotherapy?

    <p>Increased energy levels (C)</p> Signup and view all the answers

    Which of the following is an oncology emergency?

    <p>Febrile Neutropenia (C)</p> Signup and view all the answers

    What should caregivers do after chemotherapy exposure?

    <p>Wear two sets of gloves while handling waste (C)</p> Signup and view all the answers

    Which action is critical for patient education regarding chemotherapy?

    <p>Discuss the importance of infection prevention practices (A)</p> Signup and view all the answers

    What is the primary reason for checking pre-infusion labs?

    <p>To assess eligibility for infusion and monitor kidney function (C)</p> Signup and view all the answers

    Which of the following best describes the role of chemotherapy?

    <p>To eliminate or control abnormal cells (C)</p> Signup and view all the answers

    What is a potential socioeconomic impact of cancer treatment?

    <p>Economic strain due to treatment costs (D)</p> Signup and view all the answers

    Which treatment is often used for NSCLC in Stage III & IV?

    <p>Palliative surgery along with medical treatment (C)</p> Signup and view all the answers

    What factor is NOT typically considered when determining a chemotherapy plan?

    <p>Public opinion on treatment (D)</p> Signup and view all the answers

    Which of the following is a modifiable risk factor for prostate cancer?

    <p>Diet high in vegetables (B)</p> Signup and view all the answers

    Which screening method is suggested to begin at age 45 for average-risk colorectal cancer patients?

    <p>Colonoscopy every 10 years (B)</p> Signup and view all the answers

    What is a common presenting symptom of testicular cancer?

    <p>Painless lump in the testicle (D)</p> Signup and view all the answers

    What is the main reason why screening for colorectal cancer is necessary?

    <p>Early detection significantly improves survival rates. (C)</p> Signup and view all the answers

    What characterizes palliative medicine in cancer care?

    <p>Providing symptom management and quality of life (A)</p> Signup and view all the answers

    Which type of breast cancer is known for affecting the lobules?

    <p>Invasive lobular carcinoma (B)</p> Signup and view all the answers

    What is a significant prognostic factor in colorectal cancer?

    <p>Stage at diagnosis greatly influences life expectancy (D)</p> Signup and view all the answers

    Which treatment is common for metastatic testicular cancer?

    <p>Standard chemotherapy protocols (D)</p> Signup and view all the answers

    What is a potential long-term effect of hormonal therapy for prostate cancer?

    <p>Fatigue and impotence (C)</p> Signup and view all the answers

    Which factor is least likely to be monitored during chemotherapy?

    <p>Social media engagement (C)</p> Signup and view all the answers

    What is a common recommendation for patients diagnosed with testicular cancer prior to treatment?

    <p>Consider sperm banking (A)</p> Signup and view all the answers

    Flashcards

    Febrile neutropenia

    A serious condition where a patient has a fever and low white blood cell count.

    Absolute Neutrophil Count (ANC)

    A measure of neutrophils, a type of white blood cell, in the blood.

    Nadir

    The lowest point of the ANC (absolute neutrophil count).

    Colony Stimulating Factors (CSFs)

    Drugs that stimulate white blood cell production.

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    Myelosuppression

    Suppression of bone marrow function, leading to lower blood cell counts.

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    Low-WBC Precautions

    Steps taken to prevent infections in patients with low white blood cells.

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    Infection Prevention

    Actions to stop or limit infections in patients especially with low WBC.

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    Toxicities

    Unwanted side effects of treatments that may affect various parts of the body.

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    Cancer Warning Signs

    CAUTION US: Change in bowel/bladder habits, A sore that doesn't heal, Unusual bleeding/discharge, Thickening or lump, Indigestion or swallowing problems, Obvious change in mole, Nagging cough or hoarseness, Unexplained anemia, Sudden unexplained weight loss.

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    Cancer Diagnosis Confirmation

    All cancer diagnoses must be confirmed by a biopsy (or histologic examination).

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    Cancer Staging

    Classifying cancer by its extent (TNM). Stage 0: carcinoma in situ; Stage I: local; Stage II: limited spreading; Stage III: regional; Stage IV: metastasis to other organs.

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    Mitosis

    Normal cell division for growth and repair, where DNA replicates and each of the 2 new daughter cells has a genetically identical copy of parent cell’s DNA.

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    Apoptosis

    Programmed cell death.

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    Benign vs. Malignant

    Benign tumors do not spread to other tissues or organs; malignant tumors do. Malignant tumors grow quickly, cause death, and spread.

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    Testicular Self-Exam

    Men should perform monthly self-exams, preferably after a warm shower.

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    Breast Self-Exam (BSE)

    Women should perform monthly breast self-exams, performed 7-10 days after menses.

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    Chemotherapy Symptom Management

    Treating side effects like nausea, fatigue, and mucositis during chemotherapy.

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    Chemotherapy Safety Precautions

    Important steps to prevent infection and complications from chemotherapy, like double-checking meds, proper disposal of materials, and wearing gloves.

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    Tumor Lysis Syndrome

    A potentially life-threatening complication of cancer treatment where the rapid destruction of cancer cells releases dangerous substances.

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    Graft-vs-Host Disease (GVHD)

    A complication following a bone marrow transplant where the new bone marrow cells attack the recipient's body.

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    Cancer Cellular Regulation

    Cancer starts from single abnormal cell. Chemotherapy targets those cells to control their growth.

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    Patient Education in Oncology

    Crucial for successful cancer treatment. Includes infection prevention strategies and medication adherence.

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    Radiation Therapy Overview

    Treatment of cancer using high-energy radiation to damage or destroy cancer cells.

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    Bone Cancer Treatment

    Surgery is the main treatment for bone cancer. It often involves limb-sparing surgery, but sometimes amputation is necessary. Chemotherapy and radiation are also used to kill cancer cells and prevent recurrence.

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    Rotationplasty

    A type of surgery where the heel of the amputated leg is used as a new knee joint, improving mobility.

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    Neoadjuvant Chemotherapy

    Chemotherapy given BEFORE surgery to shrink the tumor.

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    Adjuvant Chemotherapy

    Chemotherapy given AFTER surgery to eliminate any remaining cancer cells and prevent recurrence.

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    Cellular Regulation and Cancer

    Cancer happens when genes mutate, causing cells to grow and divide uncontrollably.

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    Cushing's Disease

    A hormonal disorder caused by prolonged exposure to high levels of cortisol, often due to a tumor in the pituitary gland.

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    Transsphenoidal Hypophysectomy

    A surgical procedure to remove a tumor from the pituitary gland through the nose.

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    Stereotactic Radiosurgery

    A non-invasive treatment that uses high doses of radiation to destroy a tumor from multiple angles.

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    Dopamine Receptor Agonists

    Medications used to treat Cushing's disease by slowing down the production of prolactin.

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    Somatostatin Analogues

    Medications that slow down the production of growth hormone, helping manage Cushing's disease.

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    Symptom Management in Lung Cancer

    Managing symptoms like shortness of breath, pain, nausea, and chemotherapy side effects.

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    Lung Cancer Treatment Types

    Treatment is multimodal (various methods), determined by cancer type (NSCLC, Oat Cell, etc.) and stage (I, II, III, IV).

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    Chemotherapy for Lung Cancer

    Using drugs to kill cancer cells, treatment plan length depends on patient tolerance and response.

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    Prostate Cancer Risk Factors

    Factors increasing a man's chances of getting prostate cancer, some preventable, others not.

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    Prostate Cancer Screening

    Methods used to detect prostate cancer, often involving blood tests and patient history.

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    Prostate Cancer Treatment Modalities

    The ways prostate cancer is treated, including surgery, chemotherapy, radiation, and hormonal therapies.

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    Testicular Cancer Risk Factors

    Factors that increase a man's risk of getting testicular cancer, including age and family history.

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    Colorectal Cancer Screening

    Procedures and tests used to detect colorectal cancer, like colonoscopy and stool tests.

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    Colorectal Cancer Treatments

    Surgery is the main treatment for colon and rectal cancer.

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    Breast Cancer Types

    Different types of breast cancer, including lobular, ductal, and inflammatory.

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    Breast Cancer Location

    Breast cancer can be invasive (spreads) or non-invasive (stays within the breast tissue).

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    Coping with Cancer

    The psychological and emotional reactions to cancer diagnosis, often impacting families.

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    Smoking Cessation Importance

    Stopping smoking is critical during and after cancer diagnosis, especially for those using home oxygen.

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    Fertility & Cancer

    Cancer treatments can impact fertility. Discussing options like sperm banking is essential.

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    Study Notes

    Oncology Nursing Points

    • Warning signs of cancer (CAUTION US) include changes in bowel pattern, a sore that does not heal, unusual bleeding, thickening of breast, testicle, skin, indigestion, changes in moles, nagging cough, unexplained anemia, or unexplained weight loss.
    • All cancer diagnoses require biopsy and/or histologic examination.
    • Cancer staging is done using TNM (Tumor, Node, Metastasis) scoring.
    • Stage 0: carcinoma in situ—cancer is localized
    • Stage 1: local tumor growth
    • Stage II: limited spreading
    • Stage III: regional spreading
    • Stage IV: metastasis to other organs
    • Examples of TNM scoring (Tis, NO, MO) indicate that cancer is localized.
    • Mitosis is normal cell division.
    • Apoptosis is cellular activity that involves programmed cell death.
    • Benign tumors do not spread to other tissues or organs.
    • Monthly testicular self-examination is important for early detection.
    • Cervical cancer screening, including Pap smears, should be performed regularly.
    • Women over 40 should have annual mammograms.
    • Men over 50 should have regular prostate examinations.
    • Removal of the prostate gland (TURP) can be achieved via various methods.
    • Chemotherapy precautions include awareness of nadir (lowest blood levels).
    • Chemotherapy is administered by nurses with specialized training.
    • Avoid exposure when handling chemo.
    • Neutropenia (low WBC- neutrophils), Leukopenia (low WBC- granulocytes), and thrombocytopenia (low platelet count) are potential complications.
    • Radiation can cause skin burns, requiring hydration.
    • Monthly breast and testicular self-exams are crucial for early detection.

    Chemotherapy

    • Antineoplastic chemotherapy is used to kill cancer cells.
    • Chemotherapy can be given before (neoadjuvant), during, or after (adjuvant) surgery.
    • Staff and patients should follow infection prevention practices.
    • Blood counts are important to track.
    • Effective coping is key to patient well-being.

    Radiation Therapy

    • Radiation therapy destroys cancer cells with high-energy particles, beams, or waves.
    • Treatment is often given daily, over a period of time to avoid damaging healthy cells.
    • There are different types of radiation therapy (e.g., fractionated, hypofractionated, hyperfractionated).
    • Treatment has side effects.
    • Fatigue, skin irritation, site-specific issues can occur.

    Other Cancers

    • Cervical cancer is a sexually transmitted infection and is directly linked to HPV. -Vaccination available for those 26 and younger -More common worldwide than in U.S. -Treatment and survival rates vary based on stages.
    • Lung cancer is the most common cause of lung cancer related death. -Screening is important, but smoking cessation is the best prevention.
    • Prostate cancer- the second most common cancer in males.
    • Treatment depends upon staging and varies vastly.
    • Stomach Cancer- four most common form of cancer. -Often asymptomatic in the initial stages. -Treatment depends on staging.
    • Liver cancer- Often develops as a consequence of other cancers, or as a response to liver disease. -Screening should be considered for certain high-risk patients. -Early detection and treatment are important.
    • Kidney cancer- is most common in older adults. -More common in men than women. -Treatment typically involves surgery, chemotherapy, or radiation, depending on the stage.
    • Thyroid cancer is divided by the type of cells involved. -The majority are well differentiated.
    • -Treatment: often surgery, and potentially radioiodine.
    • Multiple myeloma- involves malignant plasma cells.
    • Treatment focuses on supportive care and alleviating symptoms.
    • Melanoma- can develop from any skin lesion and is the deadliest skin cancer. -Can develop in any tissue, but begins at skin level first most commonly.
    • Bone cancer- rare occurrence in adults. -Typically metastasis from another cancer is the more common cause of bone cancer in adults. -Treatment usually involves surgery, and potentially other modalities. -Bone is frequently involved by metastasis.
    • Ovarian cancer is common, though is difficult to diagnose because symptoms might not be clear initially. -Treatments frequently involve surgery and chemo for disease that has advanced.
    • Brain tumors can originate in the brain or spread to it from other areas of the body.
    • Treatment approaches vary depending on tumor type, location, and patient characteristics.

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    Description

    Test your knowledge on the treatment approaches for bone cancer and Cushing disease. This quiz covers surgical methods, chemotherapy, radiation therapy, and diagnostic techniques relevant to these conditions. Evaluate your understanding of the key aspects of managing these serious health issues.

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