Approach To Patient With Cancer

Question 1

What s the most significant risk factor for all cancer?

Answer 1

Age

Question 2

At what percent does man has risk for developing cancer

Answer 2

44%

Question 3

What percent does woman has risk for cancer

Answer 3

38%

Question 4

It is the second leading cause of death next to heart disease

Answer 4

Cancer

Question 5

At what age does cancer overtake heart disease as one of the leading cause f death?

Answer 5

<85 y.o

Question 6

What is the most common cancer and the most common cause of death?

Answer 6

Lung cancer

Question 7

Second most common cancer

Answer 7

Breast cancer

Question 8

What are the top 8 common cancer

Answer 8

1. Lung
2. Breast
3. Prostate
4. Colorectal
5. Liver
6. Cervical
7. Esophageal
8. Stomach

Question 9

Cancer common in more developed countries

Answer 9

Lung, breast, prostate, and colorectal CA

Question 10

Cancer common in less developed countries?

Answer 10

LEC

Live, Cervical and esophageal CA

Question 11

More common in asia than north America or Africa

Answer 11

Stomach CA

Question 12

Common ON africa

Answer 12

LIVER, CERVICAL AND BREAST CA

Question 13

What diagnosis of CA relies most heavily on?

Answer 13

Invasive biopsy

Question 14

MOST COMMON SE of chemotherapy

Answer 14

Nausea with or without vomiting

Question 15

Most common side effects of treatment a

Answer 15

Nausea and vomiting
Febrile neutropenia
Myelosuppression

Question 16

Appearance of all evidence of dx

Answer 16

Complete response

Question 17

> 50% reduction in the sum of the products or the perpendicular diameters of all measurable leasions

Answer 17

Partial response

Question 18

Appearance of new lesions or inc number >25% of the sum of products of perpendicular diameters of all measurable lesions

Answer 18

Progressive disease

Question 19

Tumor shrinkage or growth that does not meet any of these criteria

Answer 19

Stable disease

Question 20

What are the recommended follow up of px with cancer

Answer 20

Every month in 6-12 mon
Every other month for a year
Every 3 months for a yr
Every 4 months for a yr
Every 6 mo for a yr 
Annually

Question 21

What is the major determinant of life

Answer 21

Supportive care

Question 22

What is the major cause of pain in cancer

Answer 22

Invasion of tumor in bone, nerves, BV

Question 23

20% of pain is due to what

Answer 23

Chemoradiation injury, surgical or invasive injury

Question 24

What type of emesis that occurs Within 24 h of tx

Answer 24

Acute emesis

Question 25

Emesis that occur 1-7 days after tx

Answer 25

Delayed emesis

Question 26

What emesis that occurs before the chemotherapy

Answer 26

Anticipatory emesis

Question 27

What is the tx for delayed emesis

Answer 27

Dexamethasone and meticlopramide

Question 28

Mikd and moderate ematogenic agents

Answer 28

Prochlorperazine 5-10 mg po

Question 29

What type of cancer has the side effect of pleural effusin

Answer 29

Lung, breast and lymphoma

Question 30

What is the tx for pleural effusion if symptomatic

Answer 30

Thoracocentesis

Question 31

Tx when the effusion recur for 2 weeks

Answer 31

Chest tube drainage

Question 32

Drug of choice in effusion

Answer 32

Doxycycline

Question 33

Target of the chest tube drainage

Answer 33

<100 ml in 24 hr

Question 34

Major complications of pericardial effusion

Answer 34

Fol
Fluid overload
Occlusion
Leakage

Question 35

What drug that improve nutritional status

Answer 35

Megestrol acetate

Question 36

Most common causes of death in patients with cancer

Answer 36

Infection
Respiratory failure
Hepatic and renal failure

Question 37

Treatment for symptomatic pericardial effusion

Answer 37

Creating a pericardial window or by stripping the pericardium