Deck 16: Oncology and Hematology

Question 1

Which of the following was NOT identified as a potential contributor to the disruption of the relationship between parents and children in the area of food and nutrition?

A) Side effects of cancer therapy (e.g., nausea, vomiting, taste alterations) cause the child to lose the pleasure of eating
B) Parents' feeling of loss of control as RDN provides guidance for new eating habits, patterns, and food choices
C) Loss of child's comfort food and mealtime rituals and routines
D) All of these were identified as contributors

Answer 1

D

Question 2

Which of the following was NOT identified by the article as a contributor to malnutrition in childhood cancer?

A) Decreased immune function and increased risk of infection
B) Increased metabolic demands from the disease or treatment-related factors
C) Pain, nausea, vomiting, and mucositis that interfere with an adequate protein and energy intake
D) All of these were identified as contributors

Answer 2

A

Question 3

The primary objective of nutrition intervention for children and adolescents with cancer is:

A) Prevent the need for enteral or parenteral nutrition
B) Identify food choices and patterns to minimize cancer risk
C) Increase toleration of the cancer treatment by maintaining body stores slightly above ideal weight, especially during intensive treatment
D) Increase toleration of the cancer treatment by maintaining body stores as close to the ideal weight as possible and minimizing muscle wasting

Answer 3

D

Question 4

Most of the adverse effects associated with which of the following therapies stem from damage to rapidly proliferating cells, including the epithelial cells of the GI tract:

A) Chemotherapy
B) Radiation therapy
C) Immunotherapy and biotherapy
D) Hematopoietic cell transplantation

Question 5

Which of the following was NOT identified as a nutritional complication of radiation therapy?

A) Xerostomia
B) Pancreatitis
C) Nausea and vomiting
D) Mucositis and esophagitis

Question 6

Which of the following was identified as an indicator that a patient may be a candidate for enteral tube feedings?

A) BMI falls to or below the 25th percentile
B) Interval or total weight loss of >5% of pre-illness body weight (usual weight)
C) Interval or total weight loss of >5%, or 15% if the child was obese at diagnosis
D) Weight for height reaches 95% of ideal weight for height, adjusted for height and age

Question 7

Corticosteroids may be used as treatment for which of the following childhood cancers:

A) Leukemias
B) Renal tumors
C) Brain and CNS tumors
D) Non-Hodgkin lymphomas

Question 8

In general, recommended intake of protein for an 8-year old with childhood cancer is:

A) 1.5 - 1.8 g/kg/day
B) 2 g/kg/day
C) 2.5 -3 g/kg/day
D) 3 -3.5 g/kg/day

Question 9

Which of the following was suggested as a strategy to manage dysgeusia (impaired taste)?

A) Avoid caffeine
B) Try tart foods like oranges or lemonade
C) Try club soda, hot tea with lemon or beverage with citric acid
D) Offer moist foods (stews, casseroles, canned fruit) and liquids

Question 10

Which of the following is contraindicated for a child who is immunosuppressed?

A) Aseptically packaged tofu
B) Luncheon meats heated until steaming
C) Refrigerated smoked seafood (e.g., lox, fish jerky)
D) All forms of commercial fruit and vegetable juices