Cancer Flashcards

1
Q

What is cancer?

A

A group of diseases caused by uncontrolled division, growth, and spread of abnormal cells

Often referred to as “CA” in medical records.

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2
Q

What is the significance of cancer in the United States?

A

Second leading cause of death, with over 1.3 million diagnosed annually and 560,000 deaths each year

Incidence is higher in men, people over 65, and in industrialized nations.

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3
Q

What are the early warning signs of cancer according to the CAUTION acronym?

A

C: Change in bowel/bladder habits
A: A sore that does not heal
U: Unusual bleeding
T: Thickening or lump in the breast
I: Indigestion
O: Obvious change in warts
N: Nagging cough and hoarseness

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4
Q

What are the three levels of cancer prevention?

A
  • Primary: Reducing risk through health promotion
  • Secondary: Screening and early detection
  • Tertiary: Monitoring for recurrence and second malignancies
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5
Q

What is the difference between benign and malignant tumors?

A
  • Benign: Do not metastasize, may not require removal
  • Malignant: Metastasize to other tissues, require treatment
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6
Q

What does the T-N-M staging system stand for?

A
  • T: Tumor size
  • N: Node involvement
  • M: Metastasis
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7
Q

What is the goal of treatment in cancer care?

A
  • Cure: Patient free of disease
  • Control: Treatment to manage cancer
  • Palliation: Relief of symptoms and quality of life
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8
Q

What are common treatment modalities for cancer?

A
  • Surgery
  • Radiation
  • Chemotherapy
  • Biological response modifiers (BRM)
  • Alternative therapies
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9
Q

What is brachytherapy?

A

A form of internal radiation therapy where radioactive materials are implanted directly into the tumor or body cavity

Commonly used for prostate and gynecologic cancers.

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10
Q

What are some side effects of radiation therapy?

A
  • Fatigue
  • Anorexia
  • Bone marrow suppression
  • Skin reactions
  • Pulmonary effects
  • Gastrointestinal effects
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11
Q

Fill in the blank: Cancer cells are described as _______ due to their uncontrolled growth.

A

[malignant]

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12
Q

What types of cancer are categorized as myeloplastic cancers?

A

Cancers of blood and lymph

Cannot be surgically resected.

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13
Q

What is the purpose of a biopsy in cancer diagnosis?

A

Definitive means of diagnosing cancer

Involves the removal of tissue for examination.

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14
Q

True or False: Anorexia during cancer treatment is solely due to psychological factors.

A

False

It is a reaction to the treatment.

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15
Q

What is the role of T cells in the body’s defense against tumors?

A

Cytotoxic T cells kill tumor cells

Part of the cellular immunity system.

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16
Q

What is the grading system for tumors based on?

A

Pathologic classification that defines the type of tissue and the degree of differentiation

Ranges from Grade I (well differentiated) to Grade IV (poorly differentiated).

17
Q

What is the significance of the HPV vaccine Gardasil?

A

Recommended for girls aged 11 to 12 to prevent cervical cancer caused by HPV strains

Part of routine immunization.

18
Q

Fill in the blank: The term _______ refers to the excessive growth of cells.

A

[hyperplasia]

19
Q

What are the typical goals of chemotherapy?

A

Reduce the number of cancer cells in primary and metastatic tumor sites

Achieved through combination drug therapy.

20
Q

What are alkylating agents?

A

A class of chemotherapy drugs that includes Busulfan, Cisplatin, and Cyclophosphamide

Used to treat various types of cancer.

21
Q

What is 6-mercaptopurine?

A

A chemotherapy agent used in cancer treatment

It is a purine analog that interferes with DNA synthesis.

22
Q

Name two antitumor antibiotics.

A
  • Bleomycin
  • Dactinomycin

Antitumor antibiotics are used to treat various cancers by interrupting DNA synthesis.

23
Q

What are the effects of chemotherapy on normal tissues?

A

Chemotherapy agents cannot differentiate between normal and cancer cells

This leads to side effects when normal cells are destroyed.

24
Q

List the most common side effects of chemotherapy.

A
  • Nausea
  • Vomiting
  • Fatigue
  • Stomatitis
  • Diarrhea
  • Bone marrow suppression
  • Alopecia

These side effects are usually temporary.

25
Q

What is the purpose of antiemetics in chemotherapy?

A

To control nausea and vomiting

Commonly used medication is Zofran, though it may not work for everyone.

26
Q

Fill in the blank: The three types of bone marrow transplants are _____, _____, and _____.

A

[autologous], [syngeneic], [allogeneic]

Autologous uses the patient’s own stem cells, syngeneic uses identical twin’s stem cells, and allogeneic uses stem cells from a relative or unrelated donor.

27
Q

True or False: Protective isolation is important for patients undergoing chemotherapy.

A

True

It helps protect patients from infections due to compromised immune systems.

28
Q

What is the role of biologic response modifiers?

A

To bolster the patient’s immune system

Examples include interferons, interleukins, and monoclonal antibodies.

29
Q

What is Keytruda (pembrolizumab) used for?

A

It helps the immune system recognize and attack cancer cells

It is approved for various cancers including lung, head and neck, and Hodgkin lymphoma.

30
Q

What are the two methods for collecting donor stem cells?

A
  • Bone marrow harvest
  • Leukapheresis

Bone marrow harvest is a minor surgery, while leukapheresis involves separating stem cells from blood.

31
Q

What are alternative therapies in cancer management?

A

Spiritual, psychological, herbal, nutritional, and psychic approaches

The use of complementary or alternative therapies is growing.

32
Q

What factors predict how a patient will cope with cancer?

A
  • Ability to cope with stress
  • Spiritual well-being
  • Family and social support
  • Ability to express feelings
  • Body image disruption
  • Pre-existing conditions
  • Financial resources
  • Overall attitude

These factors can significantly affect the patient’s coping mechanisms.

33
Q

What is the primary focus of hospice care?

A

To provide support and assistance for patients facing death

It aims to rehumanize the dying experience and manage pain effectively.

34
Q

What nursing diagnosis is associated with cancer management?

A
  • Imbalanced nutrition: less than body requirements
  • Altered oral mucous membranes
  • Fatigue
  • Ineffective coping
  • Body image disturbance
  • Altered family processes
  • Risk for infection
  • Risk for injury

These diagnoses address the multifaceted challenges of cancer care.

35
Q

What is the significance of monitoring WBC counts in chemotherapy patients?

A

To assess the risk of infection and the patient’s immune status

Low WBC counts can indicate a compromised immune system.

36
Q

Fill in the blank: In severe pain management, the first choice of medication is _____.

A

[Morphine]

Morphine is commonly used for severe pain in cancer patients.

37
Q

What should be avoided to manage bleeding in patients with thrombocytopenia?

A
  • Frequent IM injections
  • IV catheterization
  • Rectal procedures
  • Hard toothbrushes
  • Sharp razors

These precautions help prevent unnecessary bleeding.