Deck 31: Central Nervous System Neoplasms

Question 1

A physical therapist assistant (PTA)is providing intervention for a client in the intensive care unit of a hospital.The patient has recently undergone surgical excision of a brain neoplasm.The PTA notes an ICP of 20 mm Hg.What should the PTA do upon learning this information?

A) increase level of intervention
B) decrease level of intervention
C) continue at the same level of intervention
D) contact the nurse or physician

Answer 1

contact the nurse or physician

Question 2

Which of the following is a primary central nervous system (CNS)malignant tumor?

A) astrocytoma
B) meningioma
C) neurinoma
D) hemangioblastoma

Answer 2

astrocytoma

Question 3

What type of radiation therapy involves placing the radiation source within the tumor for a period of several days?

A) stereotactic radiosurgery
B) linear accelerator based
C) synchrocyclotron proton beam therapy
D) brachytherapy

Answer 3

brachytherapy

Question 4

The physician decides to use corticosteroids for emergency treatment of elevated intracranial pressure (ICP).When will the physician begin to see the results of this medication?

A) seconds
B) minutes
C) hours
D) days

Question 5

Astrocytomas in children often present with which of the following symptoms first?

A) expressive dysphasia
B) lack of concentration
C) unilateral ataxia
D) nausea and vomiting

Question 6

What type of tumor in the CNS originates from myelin-producing cells?

A) astrocytoma
B) meningioma
C) ependymoma
D) oligodendroglioma

Question 7

The majority of pituitary adenomas _______________.

A) are nonsecreting
B) are usually found in children
C) are usually fatal
D) are functional

Question 8

Which of the following is considered the most effective brain imaging tool?

A) magnetic resonance imaging (MRI)
B) computed tomography (CT) scan
C) Plain film radiograph
D) positron emission tomography (PET) scan

Question 9

Which type of tumor is most common in adults?

A) meningioma
B) glioblastoma
C) astrocytoma
D) hemangioma

Question 10

What is the typical frequency and duration of radiation therapy following a brain tumor?

A) 2 times a week for 23 to 25 weeks
B) 5 times a week for 23 to 25 weeks
C) 2 times a week for 34 to 36 weeks
D) 5 times a week for 34 to 36 weeks

Question 11

What is the most common malignant primary CNS tumor in children?

A) ependymoma
B) medulloblastoma
C) astrocytoma
D) oligodendroglioma

Question 12

Which type of neoplasm is associated with infection by the Epstein-Barr virus?

A) dermoid tumors
B) hemangioblastoma
C) primary central nervous system lymphoma (PCNSL)
D) pinealoma

Question 13

More than 60% of all CNS tumors are ______________.

A) midline tumors
B) infratentorial
C) spinal cord tumors
D) supratentorial

Question 14

What is the most common symptom of cancer metastasis to the spinal column?

A) decreased deep tendon reflexes
B) pain
C) loss of sensation below the level of the lesion
D) loss of motor innervation below the level of the lesion

Question 15

A brain tumor in Broca's area will produce what signs or symptoms?

A) receptive dysphasia
B) hydrocephalus
C) sixth cranial nerve involvement
D) motor dysphasia

Question 16

Primitive neuroectodermal tumors are frequent in which of the following patient populations?

A) children
B) middled-age men
C) middled-age women
D) elderly

Question 17

Mitoses are very rare in what type of astrocytoma?

A) grade I
B) grade II
C) grade III
D) grade IV

Question 18

At what point on the Karnofsky performance status scale is a patient considered disabled?

A) 80%
B) 70%
C) 40%
D) 20%

Question 19

What type of tumor will provoke a local osteoblastic response?

A) pituitary adenoma
B) neuroma
C) meningioma
D) astrocytoma

Question 20

Which of the following is not a common symptom of craniopharyngiomas?

A) cerebellar hypotaxia
B) pituitary hypofunction
C) visual difficulties
D) severe headaches