Cancer assessment and intervention

Question 1

How is the impact of tumor on the nutrition status? (3)

Answer 1

1. host response
2. presence of tumor
3. anti-cancer Tx

Question 2

def. NUTR screening

Answer 2

process of identifying characteristics associated with nutritional problem

Question 3

def. NUTR assessment

Answer 3

• process to assess body compartment - - and analysis of structure and function of the organs
• and their effect on metabolism

Question 4

what’s the most powerful independent variable that can measure the mortality?

Answer 4

% Wt loss

Question 5

what’s the prime clinical manifestation of cachexia?

Answer 5

% Wt loss

Question 6

how to tell the classification of cachexia based on the Wt loss in 6 m.o.

Answer 6

moderate > 5%
severe >10%
very severe >15%

Question 7

when a Pt with excessive fluid loads, what should we consider during assessment?

Answer 7

Weight correction

Question 8

what is the most common way to assess muscle loss in clinic

Answer 8

MAMA

Question 9

T/F clinics use DXA to test loss of muscle mass

Answer 9

F, it is not accessible

Question 10

T/F <50 percentile consider in low MAMA

Answer 10

F, < 15

Question 11

How to use DXA identify sarcopenia?

Answer 11

AMM/Ht^2: < 7.2 (M); <5.45 (F)

Question 12

What functional test is best predictive marker of morbidity and mortality?

Answer 12

Gait speed

4-m walk test, cut-off= 0.8 m/s

Question 13

if the pt has a high ca level, it associates with what CA?

Answer 13

parathyroid cancer

Question 14

T/F if the pt has a high ca level, decrease Ca and Vitamin D intake

Answer 14

F, no limit on ca intake, but decrease vitamin D

Question 15

T/F if the pt has a low folate level, catch it up by folate supplementation

Answer 15

F, supplementation is not useful, unless the dietary intake is not sufficient

Question 16

give 5 indicators of dehydration as blood test

Answer 16

high albumin
high creatinine
CBC: hematocrit
high blood urea nitrogen
high urine specific gravity

Question 17

how to evaluate inflammation in blood test (2)

Answer 17

C-creative protein (CRP)

albumin

Question 18

what is GPS score, and what is it based on

Answer 18

Glasgow Prognostic Score

based on;
CRP : low < 10 mg/L or high> 10 mg/L
albumin low < 35g/l or high >35 g/L

Question 19

what tool is use to assess and screen oncology Pts?

Answer 19

PG-SGA

patient generated subjective global assessment

Question 20

what are the 4 parts included in PG-SGA patient’s part?

Answer 20

Wt, food intake, activities and function, symptoms

Question 21

what are the 5 worksheets included in PG-SGA healthcare professional’s part?

Answer 21

1. Scoring Weight
2. Disease and Ir-relation to nutritional requirement
3. Metabolic Demand
4. Physical Exam
5. PG-SGA categories

Question 22

for the Pts with Cancer, 7 things have to be measured at least

Answer 22

1. muscle strength
2. physical exam
3. body composition: MAMA
4. biochemical data
5. PG-SGA
6. Wt loss Hx
7. Dietary Assessment