Chapter 3

Question 1

1. Weight loss of as little as \_\_\_\_ predicts a reduced response to oncology treatment, reduced survival and a reduced quality of life.
A. 6%
B. 12%
C. 18%
D. 20%

Answer 1

A. 6%

Question 2

When pursuing modest weight loss during treatment, for example, in an overweight or obese early breast cancer patient, what is considered modest weight loss?
A. Less than 1 lb per week.
B. Less than 2 lbs per week
C. Less than 3 lbs per week
D. Less than 5 lbs per week

Answer 2

B. Less than 2 lbs per week

Question 3

What validated screen tool for use with oncology patients is designed for the inpatient setting only?
A. PG-SGA
B. MST
C. MSTC
D. ABC-O

Answer 3

C. MSTC

Question 4

The following are true of loss of subcutaneous fat except:
A. Can lead to sarcopenic obesity
B. Shortest survival times are found among obese patients with sarcopenia
C. If cachexia is present, lipolysis may occur even in the setting of adequate calories
D. Reduced muscle mass is an independent predictor of loss of independence, immobility, and mortality.

Answer 4

D. Reduced muscle mass is an independent predictor of loss of independence, immobility, and mortality.

Question 5

The oncology RD evaluates the immediate NIS and also incorporates the following oncology specific variables into a nutrition assessment.
A. Health at time of diagnosis
B. Effects of the cancer itself upon digestion, absorption, and utilization of nutrients.
C. Treatment strategies (surgery, chemo, radiation, biological)
D. Timing of the treatment
E. Tolerance of the treatment
F. Resilience of the patient and family to adapt the nutrition plan as each barrier to nutrition occurs
G. All the above

Answer 5

G. All the above

Question 6

Toxicity from radiation treatment can lead to unplanned treatment breaks that results in lower loco-regional control and survival rates in patients with head and neck cancer. In these patients, tumor control rate is reduced \_\_\_\_% for everyday that the radiation therapy plan is interrupted.
A. 1%
B. 2%
C. 4%
D. 6%

Answer 6

A. 1%

Question 7

The benefits of good nutrition during cancer treatment include all but one?
A. Weight loss
B. Fewer complications
C. Better quality of life
D. Ability to tolerate full treatment as prescribed

Answer 7

A. Weight Loss

Question 8

Weight loss of ?% predicts a reduced response of oncology treatment, reduced survival & reduced quality of life?
A. 10%
B. 2%
C. 15%
D. 6%

Answer 8

D. 6%

Question 9

70 y.o. Pt. With colon cancer receiving chemo therapy. Anthropometrics: 74” 178lbs, UBW: 195lbs a month ago. Noted during physical exam that pt. Clavicles were visible. Based on the characteristics of malnutrition, should this pt. Have a Nutritional diagnosis of malnutrition? Y or N

Answer 9

Yes

Question 10

Cancer Cachexia is indicated as a factor in the cause of death in \_\_\_ of all cancer patients
A.	10%
B.	20-30%
C.	30-50% 
D.	60-80%

Answer 10

C. 30-50%