Deck 6: Oncology

Question 1

Which of the following is most likely to result in profound muscle loss in patients diagnosed with cancer?

A) nausea, vomiting, and retching (NVR)
B) pain
C) anorexia/cachexia
D) tumor necrosis factor

Answer 1

anorexia/cachexia

Question 2

Which of the following is an example of tertiary prevention of cancer?

A) low-dose aspirin and NSAID intake
B) obtaining a person's own tumor cells, irradiating them to inactivate the tumor cells, and then reinfusing them into the body
C) minimizing disability associated with cancer
D) use of the drug tamoxifen to prevent breast cancer

Answer 2

minimizing disability associated with cancer

Question 3

A cancerous tumor at the hip joint most often refers pain to what part of the body?

A) lower and upper back
B) sacroiliac joint and knee
C) knee and foot
D) lumbar area and foot

Answer 3

sacroiliac joint and knee

Question 4

What type of tissue biopsy takes a slice of the lesion but does not attempt to remove the entire pathologic structure?

A) fluid aspiration
B) incisional biopsy
C) needle biopsy
D) excisional biopsy

Question 5

Weakness in what part of the body is often associated with small cell carcinoma paraneoplastic syndrome?

A) proximal upper extremities
B) distal upper extremities
C) proximal lower extremities
D) distal lower extremities

Question 6

Why is metastasis more likely to occur via veins as opposed to arteries?

A) Cancer cells prefer deoxygenated blood.
B) Cancer cells cannot survive in arteries.
C) Cancer cells cannot pass through the heart and lungs.
D) Cancer cells cannot penetrate the arterial wall.

Question 7

A patient is considered in partial remission of cancer if __________.

A) the primary tumor has been reduced to 50% or more of its original size.
B) the disease is gone and there is no sign of it reappearing for 5 years.
C) all signs of disease have disappeared immediately after treatment.
D) the size of the primary tumor has been reduced 0% to 40% of its original size.

Question 8

Which of the following is the correct order for alteration of cellular DNA through the process of carcinogenesis?

A) hyperplasia, metaplasia, dysplasia, carcinoma in situ, invasive carcinoma, metastatic carcinoma
B) metastatic carcinoma, invasive carcinoma, carcinoma in situ, dysplasia, metaplasia, hyperplasia
C) hyperplasia, carcinoma in situ, metaplasia, dysplasia, invasive carcinoma, metastatic carcinoma
D) metaplasia, dysplasia, hyperplasia, carcinoma in situ, metastatic carcinoma, invasive carcinoma

Question 9

Increased dietary intake of which of the following food groups will decrease the risk for most epithelial tumors?

A) complex sugars
B) preserved food
C) fresh fruits and vegetables
D) dairy products

Question 10

Which of the following is indicated for treatment directly over a tumor?

A) ultrasound
B) diathermy
C) ice pack
D) hot pack

Question 11

What are abnormal growths of new tissue that serve no useful purpose?

A) hyperplasia
B) tumors
C) differentiation
D) all of the above

Question 12

Excessive alcohol consumption is associated with cancer of all of the following structures except which one?

A) stomach
B) mouth
C) pharynx
D) larynx

Question 13

Particle radiation __________.

A) targets cellular RNA
B) damages more normal tissues than cancer cells
C) is rarely used in today's medicine
D) produces less skin irritation than ionizing radiation

Question 14

A cancerous tumor that is characterized as stage 1 can be defined as _______.

A) premalignant
B) early stage
C) increased risk of spreading because of tumor size
D) cancer has spread to other sites

Question 15

Which of the following is not a location of primary metastases of bone cancer?

A) pancreas
B) lungs
C) liver
D) central nervous system

Question 16

Which of the following is a benign tumor of the epithelium?

A) squamous cell carcinoma
B) basal cell carcinoma
C) adenocarcinoma
D) adenoma

Question 17

What is often the first symptom of pulmonary metastases?

A) shortness of breath
B) chest pain
C) productive cough
D) dry, persistent cough

Question 18

Prolonged use of estrogen hormone replacement has been linked with increased rates of what type of cancer?

A) ovarian cancer
B) breast cancer
C) lung cancer
D) pancreatic cancer

Question 19

A client with a diagnosis of stomach cancer is beginning a general strengthening program at outpatient physical therapy.Weight training has been prescribed by the supervising physical therapist.Which of the following is an appropriate program for this patient?

A) low repetition, high weight with an RPE of 14 or above
B) high repetition, low weight with an RPE of 14 or below
C) low repetition, high weight with an RPE of 14 or below
D) high repetition, low weight with an RPE of 14 or above

Question 20

A physical therapist assistant (PTA)begins intervention for a patient diagnosed with liver cancer.Which of the following choices is a normal complication of liver cancer and would not require the PTA to contact the referring physician or the supervising physical therapist?

A) chest pain
B) unusual pain
C) night pain
D) shoulder pain