Oncology Flashcards

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1
Q

What are some risk factors for cancer

A

African American over the age of 60 who is immunosupresed due to AIDS, has been smoking and drinking as a coping mechanism. He lives in a warm climate and his work involves croping a farm that grows cruciferous vegetables. With his veges he eats carrots, beef and for lunch his wife makes him roast beef sandwich with orange juice

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2
Q

Sunscreen and no smoking are examples of what preventative measures

A

Primary prevention

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3
Q

Screening and detecting cancer are examples of what preventative measures

A

Secondary prevention

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4
Q

When should females start self-breast exam

A

age 20

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5
Q

When and how often should females have clincial breast exams

A

20-39 and every 3 years

After 40 and every year

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6
Q

How often should one have a pap smear

A

every 3 years

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7
Q

What should a female avoid prior to a pap

A

no douche or sex

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8
Q

When and how often should females start mammograms

A

at age 40 and yearly after that

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9
Q

When and how often should anyone have a colonoscopy

A

at age 50 and 10 years after

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10
Q

Should males perform monthly self-breast exam

A

yes

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11
Q

How often should men go for a digital exam and PSA

A

Yearly after age 50

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12
Q

What does Internal radiation do?

A

Placing radioactive substance inside the client

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13
Q

What are the types of internal radioactve

A

unsealed and sealed

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14
Q

What does unsealed radioactive do

A

it emits radiation and is radioactive for 24-48 hours in a patient.
IT can be given IV or PO

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15
Q

What does sealed radioactive do

A

This is when the client emits radiation and the implant is close to tumor

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16
Q

What is the difference between sealed and unsealed

A

Unsealed - the body fluid emit radiation

17
Q

Do radiation implants emit radiation to environment

A

Yes

18
Q

This client should be in a what kind of room

A

Private room

19
Q

What are some precaution measures

A
Private room
Restrict visitors
Limit time to 30/day
No visitors younger than 16
visitors must stay 6F from source
No pregnant visitors/nurse
mark room with instructions for specific isotope
wear gloves with risk of exposure to body fluids
20
Q

How do you prevent dislodgment

A

Keep client on bedrest
Decrease fiber
Prevent bladder distention

21
Q

Side effects of external radiation

A
Altered tast
Erythema
Fatigue
Shedding of skin
Pancytopenia (all blood components decreased)
22
Q

Can you wash away markings and use lotions on markings

A

NO

23
Q

How long do you protect the site from the sun after completion of therapy

A

For one year

24
Q

How does chemotherapy work

A

It works on a cell cycle

25
Q

When is chemo usually scheduled

A

Every 3-4 weeks

26
Q

side effects of chemo are?

A
Alopecia
N/V
Anemia
Immunosuppresion
Mucositis
thrombocytopenia
27
Q

What is a vesicant?

A

Type of chemo

28
Q

What test helps diagnose cervical cancer

A

Pap smear

29
Q

What tests help diagnose uterine cancer

A

CA-125 to r/o ovarian involvemnt

D&C dilationa nd curettage and endometrial biopsy

30
Q

Tests to evaluate metastasis

A
CXR
IVP (intra venous pyelogram)
BE (Barium enema)
CT
Liver and bone scan
31
Q

Tests to help diagnose lung cancer

A
Bronchoscopy
Sputum specimen
CXR
CT 
MRI
32
Q

Tests to help diagnose Laryngeal Cancer

A

Laryngeal exam

MRI

33
Q

Tests to help diagnose Colorectal Cancer

A

Screening

Colonoscopy

34
Q

Test to help diagnose bladder cancer

A

Cystoscopy

35
Q

Tests to diagnose prostate cancer

A
Lab work: 
PSA increase
Alkaline phonsphate increase
Acid phosphatase increase
Biopsy
36
Q

Tests to diagnose stomach cancer

A

Upper GI, CT, EDG (esophagogastroduodenoscopy)