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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