Question 1

An individual diagnosed with breast cancer is presenting with additional tumors in other parts of her body. What is the correct term for these tumors?&#10;A) Benign&#10;B) Malignant&#10;C) Metastases&#10;D) Melanoma

Accepted Answer

Metastases are secondary tumors that spread to a different part of the body from where the cancer originated. In this case, the breast cancer has metastasized to other parts of the body, making the secondary tumors malignant. Benign tumors are non-cancerous and do not spread to other parts of the body, and melanoma refers specifically to a type of skin cancer.

Question 2

An OTA is working with a client diagnosed with neutropenia secondary to his cancer diagnosis. What is most important for the OTA to be aware of when working with this client?&#10;A) The client will be immunocompromised.&#10;B) The client will have difficulty weight-bearing.&#10;C) The client will be at risk for seizures.&#10;D) The client will have heat sensitivity.

Accepted Answer

Neutropenia is a condition where there is a decrease in the number of neutrophils, which are white blood cells that play a crucial role in fighting infections. As a result, the client will have reduced immunity and will be at a higher risk for infections. It is important for the OTA to implement appropriate infection control measures and educate the client and caregivers on ways to prevent infections.

Question 3

A client has been diagnosed with a tumor that is currently staging at grade III. What should the OTA take into consideration when reviewing this client's chart?&#10;A) The tumor can grow rapidly and spread.&#10;B) The cancer cells resemble typical cells.&#10;C) This type of cancer is less aggressive.&#10;D) The client may soon receive hospice care.

Accepted Answer

Grade III tumors are moderately differentiated and can grow rapidly and spread to nearby tissues. This makes it important for the OTA to be aware of the potential for the tumor to change and to monitor the client's condition closely. Options B, C, and D are not accurate for grade III tumors.

Question 4

An OTA is working with a client who has been diagnosed with a spinal cord tumor. What can the OTA do to assist this client while she is undergoing radiation?&#10;A) Provide pain management techniques as needed.&#10;B) Address the client's gait pattern as she gains strength.&#10;C) Suggest adaptive equipment immediately to compensate for motor loss.&#10;D) Only schedule therapy on days when she is not receiving radiation.

Accepted Answer

The OTA can provide pain management techniques as needed to assist the client with managing any pain or discomfort associated with the spinal cord tumor and radiation treatments. This may include techniques such as breathing exercises, relaxation techniques, or positioning and pressure relief strategies. Addressing the client's gait pattern and suggesting adaptive equipment may also be important interventions, but these should be done in conjunction with the client's overall treatment plan and in consultation with the client's healthcare team. Additionally, it may be necessary to adjust therapy schedules to work around radiation treatments, but this should be done in coordination with the client and healthcare team.

Question 5

An OTA is working on a strength-training program for a cancer survivor. Which rate would most likely benefit this individual?&#10;A) One to two times per week&#10;B) Two to three times per week&#10;C) Three to four times per week&#10;D) This is not an appropriate treatment in this case.

Accepted Answer

Strength training is important for cancer survivors, as it can help improve physical function and overall quality of life. The American College of Sports Medicine recommends cancer survivors engage in strength training at least two to three times per week, with weekly progression in volume and intensity. This frequency will allow for adequate recovery time while still promoting the necessary muscular adaptations for strength gains. Option A may not be enough to see significant improvements, while option C may lead to overtraining and potential injury. Option D is incorrect as rehabilitation and exercise are important components in cancer survivorship care.

Question 6

An OTA is working on a rehabilitation team with an individual diagnosed with cancer. The OTA is addressing pain associated with chemotherapy-induced neuropathy. Which category would this most likely fit under?

A) Restorative
B) Preventative
C) Palliative
D) Compensatory

Accepted Answer

The answer of An OTA is working on a rehabilitation...

Question 7

An OTA is working with a client who is currently undergoing treatment for cancer. The client would like to continue working at her job, and the OTA is helping the client to problem solve possible accommodations for her workplace while undergoing chemotherapy. Which category would this most likely fit under?

A) Preventative
B) Supportive
C) Restorative
D) Ergonomic

Accepted Answer

The OTA is providing support to the client by helping her problem solve possible accommodations for her workplace while undergoing chemotherapy. This is an example of supportive intervention.

Question 8

An OT practitioner is working with a client diagnosed with neuroblastoma. During treatment, the client is complaining of no longer having an appetite. What should the OT practitioner initially do with this information?

A) Contact the oncologist.
B) Encourage smaller meals.
C) Discuss how the appetite has changed.
D) Teach healthy smoothie recipes.

Accepted Answer

Loss of appetite can be a symptom of neuroblastoma progression, and contacting the oncologist is necessary to ensure the client's physical health and medical management. The other choices may be appropriate interventions, but they should be implemented after consulting with the oncologist.

Question 9

A client who is currently undergoing radiation is complaining of fatigue. Which energy-conservation technique would most likely assist this client?&#10;A) Eat three large meals per day.&#10;B) Complete all activities in the morning.&#10;C) Refrain from sitting in low, soft chairs.&#10;D) Push through the fatigue.

Accepted Answer

Refraining from sitting in low, soft chairs can help conserve energy by making it easier for the client to get up without using excessive energy, which is important for someone experiencing fatigue due to radiation therapy.

Question 10

A client who has been diagnosed with cancer is referred to occupational therapy to begin a strengthening program. Why would strengthening be important during this phase in the client's diagnosis?&#10;A) To decrease anxiety and depression&#10;B) To assist the body to fight the tumor&#10;C) To increase the likelihood of survivorship&#10;D) To help tolerate chemotherapy

Accepted Answer

Strengthening can help improve the client's physical condition, making it easier to tolerate the side effects of chemotherapy, which can be physically demanding.

Deck 29: Oncological Care and Treatment