Oncology

Question 1

Role and responsibilities of family doctor with oncologic patient (4)

Answer 1

1. prevention, patient education, health promotion
2. early diagnosis
3. treatment and coordination of care
4. palliative care

Question 2

What are some ways we can prevent or educate patients?

Answer 2

carcinopma of the cervix screening
skin cancers and sun exposure
smokin cessation

Question 3

describe carcinoma of the cervix screening

Answer 3

Has become uncommon cause of death in countries with effective screening

early treatment is very effective

totally preventable in theory

annual Pap test X 3 years, then every 2-3 years to age 70 (sexually active women)

Question 4

when to preform mammography

Answer 4

age 50-69, every 1 or 2 years increases life expectancy

Question 5

is digital rectal exam reliable for screening of prostate cancer?

Answer 5

no , but it gives an immense sexual satisfaction

Question 6

List components of treatment and co-ordination of care (5)

Answer 6

1. Prescribing, administering and monitoring of chemotherapy
2. co-ordination of specialty care
3. interpreter
4. advisor
5. advocate

Question 7

components of palliative care (5)

Answer 7

Symptom control
supportive care
counseling
family care
grief counseling and care of family after death

Question 8

components of symptom control (4)

Answer 8

Pain
nausea and vomiting
constipation
anxiety, fear, depression

Question 9

Pain control principles (4)

Answer 9

1. Don’t wait for pain to happen
2. regular and adequate dosage of most appropriate drug
3. use co-analgesics: NSAIDS for bone pain, amitriptyline/carbamazepine for neural pain, anxiolytics or anti-emetics.
4. Opiates also relieve dyspnea

learn a few and get familiar with their use