Urothelial (Bladder) Cancer Quiz
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Questions and Answers

What is the purpose of irrigating the neobladder after surgery?

  • To ensure the ureter opening is brought to the skin
  • To maintain tissue integrity
  • To make sure the pouch is patent (correct)
  • To promote emotional well-being

    • What is the main concern for nursing care in the first weeks after surgery?

  • Extreme weight loss (correct)
  • Social problems
  • Tissue integrity and diet management
  • Emotional and body image issues

    • What is the lining of transitional cells in the kidney, renal pelvis, ureters, urinary bladder, and urethra called?

  • Urothelial cells
  • Fibroblast growth factor receptors
  • FGFR3 protein
  • Urothelium (correct)

    • What is the purpose of BCG in intravesical chemotherapy?

    <p>To stop or delay bladder cancer growth</p> Signup and view all the answers

    What type of conduit is created during surgery?

    <p>Ileal conduit</p> Signup and view all the answers

    What is the primary symptom of urothelial cancer?

    <p>Painless hematuria</p> Signup and view all the answers

    What is the function of the FGFR2 protein?

    <p>Supporting bone growth during embryonic development</p> Signup and view all the answers

    What is the role of the large intestine in creating a neobladder?

    <p>It is used to create a pouch</p> Signup and view all the answers

    What is the purpose of cystoscopy with biopsy?

    <p>To diagnose urothelial cancer</p> Signup and view all the answers

    What is the purpose of a cystoscopy?

    <p>To inspect the bladder and take a biopsy</p> Signup and view all the answers

    What is the term for the growth pattern of multifocal tumors in the bladder?

    <p>Multifocal</p> Signup and view all the answers

    What is the significance of a functioning urethra in neobladder creation?

    <p>It is necessary for the neobladder to function</p> Signup and view all the answers

    What is the main goal of tertiary prevention in bladder cancer?

    <p>To reduce the severity of symptoms</p> Signup and view all the answers

    What is a risk factor for urothelial cancer?

    <p>Exposure to chemical dyes</p> Signup and view all the answers

    What is the purpose of genetic testing in secondary prevention?

    <p>To identify individuals at high risk of developing urothelial cancer</p> Signup and view all the answers

    What is the reason for avoiding gas-producing foods in the diet after surgery?

    <p>To prevent incontinence</p> Signup and view all the answers

    What is a primary prevention strategy for urothelial cancer?

    <p>Reducing exposure to chemicals, gas, and diesel fuel</p> Signup and view all the answers

    What is the benefit of low-grade urothelial cancer?

    <p>It is less likely to grow, spread, and return after treatment</p> Signup and view all the answers

    What is the primary goal of transurethral resection of bladder tumor?

    <p>To excise small tumors</p> Signup and view all the answers

    What is the benefit of using BCG in intravesical chemotherapy?

    <p>It delays the growth of bladder cancer</p> Signup and view all the answers

    Why is it necessary to avoid gas-producing foods in the diet after surgery?

    <p>To prevent incontinence</p> Signup and view all the answers

    What is the role of the ureter opening in neobladder creation?

    <p>It brings urine to the skin</p> Signup and view all the answers

    What is the purpose of maintaining tissue integrity in nursing care?

    <p>To promote wound healing</p> Signup and view all the answers

    What is the purpose of cystoscopy in bladder cancer diagnosis?

    <p>To visualize the bladder and take a biopsy</p> Signup and view all the answers

    What is the benefit of neobladder creation?

    <p>It creates a continent reservoir for urine</p> Signup and view all the answers

    What is the primary goal of radiation therapy in bladder cancer treatment?

    <p>To kill cancer cells</p> Signup and view all the answers

    How often should the neobladder be emptied after surgery?

    <p>Every 2-5 hours</p> Signup and view all the answers

    What is the main function of the FGFR3 gene?

    <p>Providing instructions for making a protein involved in bone cell formation</p> Signup and view all the answers

    What is the characteristic of low-grade urothelial cancer?

    <p>It is less likely to grow, spread and return after treatment</p> Signup and view all the answers

    What is the primary test used for the definitive diagnosis of urothelial cancer?

    <p>Cystoscopy with biopsy</p> Signup and view all the answers

    What is the risk factor for urothelial cancer represented by the letter 'C'?

    <p>Chemical exposure</p> Signup and view all the answers

    What is the term used to describe the lining of transitional cells in the kidney, renal pelvis, ureters, urinary bladder, and urethra?

    <p>Urothelium</p> Signup and view all the answers

    What is the benefit of smoking cessation in the prevention of urothelial cancer?

    <p>It reduces the risk of developing urothelial cancer</p> Signup and view all the answers

    What is the characteristic of multifocal urothelial cancer in the bladder?

    <p>It is more than one tumor arising from one original tumor</p> Signup and view all the answers

    What is the purpose of genetic testing in the prevention of urothelial cancer?

    <p>To identify individuals with a high risk of developing urothelial cancer</p> Signup and view all the answers

    What is the first symptom of urothelial cancer?

    <p>Painless hematuria</p> Signup and view all the answers

    Study Notes

    Urothelial (Bladder) Cancer

    • Malignant tumors of the urothelium, the lining of transitional cells in the kidney, renal pelvis, ureters, urinary bladder, and urethra.
    • Also known as bladder cancer, as most of these cancers occur in the bladder.

    Characteristics

    • Low grade: less likely to grow, spread, and return after treatment.
    • Multifocal in bladder: more than one tumor arising from one original tumor.

    Risk Factors

    • CEE S F:
      • Chemical exposure (hair dyes, rubber, paints, etc.).
      • Exposure to gas and diesel fuel.
      • Excessive alcohol.
      • Smoking.
      • FGFR2 and FGFR3 genes.

    FGFR2 and FGFR3 Genes

    • FGFR2 protein: supports bone growth, particularly during development before birth (embryonic development).
    • Signals certain immature cells in the developing embryo to become bone cells and form the head, hands, feet, and other tissues.
    • FGFR3 gene: provides instructions for making fibroblast growth factor receptor 3 (protein).

    Signs and Symptoms

    • Painless hematuria: first symptom.

    Primary Prevention

    • SAR:
      • Smoking cessation.
      • Alcohol cessation.
      • Reducing exposure to chemicals, gas, and diesel fuel.

    Secondary Prevention

    • Genetic testing.
    • Cystoscopy with biopsy: definitive test.
    • Cystoscopy: procedure to look inside the bladder using a thin camera called a cystoscope.

    Tertiary Prevention

    • Surgery:
      • Can excise tumor.
      • Types:
        • Ileal Conduit: transurethral resection of bladder for small tumors.
        • Involves Cystectomy: complete bladder removal.
        • Creates Neobladder: continent reservoir; intestinal graft.
        • Made from large intestines sewn together to form a pouch.
        • Requires functioning urethra.
        • Ureter opening brought to skin.
        • Will have a drain.
        • Irrigate to be sure it’s patent.
        • Patient will not feel bladder fullness.

    Nursing Care

    • Concern over extreme weight loss first weeks after surgery.
    • Maintain tissue integrity.
    • Diet:
      • Avoid gas-producing foods to prevent incontinence.
    • How to use pouches, adhesives, and emptying (usually q 2-5 hrs.).
    • Emotional, body image, sexual issues, and social problems.

    Treatment Options

    • Radiation therapy.
    • Chemotherapy.
    • Intravesical chemotherapy: first treatment.
    • Bladder instillation of BCG (live virus compound).
    • BCG: helps to stop or delay bladder cancers growing back or spreading into the deeper layers of the bladder.

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    Related Documents

    Urothelial (Bladder) Cancer PDF

    Description

    Test your knowledge of urothelial cancer, its risk factors, and characteristics. Learn about the lining of transitional cells, low-grade and multifocal tumors, and more. Take this quiz to become an expert on bladder cancer!

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