Cancer Pain Management

Question 1

Acute RUQ pain with history of HCC suggests

Answer 1

hemmorhage into tumor; May need emergent CTA with embolization or surgery.

Question 2

Management of pathologic fractures of long bones

Answer 2

surgical stabilization if consistent with goals of care

Question 3

management of vertebral collapse from pathologic fracture

Answer 3

Pain management;

Vertebroplasty only in select patients with neurologic imparement.

Question 4

Radiation therapy for pathologic fractures?

Answer 4

Consider for all fractures from metastatic disease; achieves multiple weeks of pain control.

Question 5

Dosing of palliative RT for bone mets?

Answer 5

8 Gy in single fraction achieves pain control; may need repeat dosing.

Question 6

Noninfectious mucositis: definition

Answer 6

Oral ulcers; most common after bone marrow transplant and H&N RT

Question 7

Chemotherpy (5) most associated with neuropathy:

Answer 7

Cisplatin
Paclitaxel
Oxaliplatin
Thalidomide
Bortezomib

Question 8

Which is more painful, RT plexopathy or tumor invasion plexopathy

Answer 8

tumor invasion

Question 9

Treatment for Painful gynecomastia during anti-androgen therapy for prostate cancer

Answer 9

Radiation; typically preemptive as this side effect is common

Question 10

Evaluation of new-onset severe pain in lymphedemetous limb

Answer 10

Rule out infection or a second malignancy (Stewart -Treves)