CNS Tumors

Question 1

Primary tumors originate where?

Answer 1

CNS

Question 2

Secondary tumors originate where?

Answer 2

sites outside the CNS

Question 3

Benign tumors key facts

Answer 3

slow growing
does not spread
does not invade

Question 4

Malignant tumors key facts

Answer 4

fast growing
spreads
invades tissue

Question 5

Grade 1

Answer 5

benign
slow growing
long term survival

Question 6

Grade 2

Answer 6

benign or malignant
slow growing, low proliferation (can occur as high grade later)
survive more than 5 years

Question 7

Grade 3

Answer 7

malignant
radiation and chemo
2-3 years survival

Question 8

Grade 4

Answer 8

aggressive malignant, reproduces
active disease
fatal

Question 9

Which three diagnostic tests show tumor behavior?

Answer 9

PET scan- glucose
fMRI- 02 consumption
MRS- metabolic changes

Question 10

Gold standard for diagnosing?

Answer 10

MRI

CT scan is ok but not as detailed

Question 11

What diagnostic test is done before resection?

Answer 11

angiography to show blood supply

Question 12

Triage for inpatient vs. outpatient?

Answer 12

expected function
tolerance for therapy
discharge disposition

Question 13

PT considerations with therapy?

Answer 13

don’t increase ICP
no valsalva
fragile immune system

Question 14

Dietz 4 phases

Answer 14

1. preventative
2. restorative
3. supportive
4. palliative

Question 15

Outcome measures to use?

Answer 15

FIM

Karnofsky