Oncology

Question 1

Woman clinical breast exam

Answer 1

every year over 40, 20-39 every 3 years

Question 2

Woman pap test

Answer 2

every 3 years

Question 3

CAUTION

Answer 3

C: change in bowel or bladder movements
A: a sore throat that won't go away 
U: unusual bleeding/ discharge
T: thickening/ lump in breast
I: indigestion or difficulty swallowing
O: obvious change in wart or mole
N: nagging cough or hoarseness

Question 4

If radioactive implant dislodges itself…

Answer 4

Gloves, forceps, lead-lined container

Question 5

Can onco patients have raw fruits and veggies?

Answer 5

No

Question 6

What kind of water can onco pt have?

Answer 6

Fresh (less than 15 min out)

Question 7

Dx uterine cancer

Answer 7

CA-125 to rule out ovarian involvement,
endometrial biopsy
dilation and curetage

Question 8

Hysterectomy: avoid what position post op

Answer 8

high fowler

Question 9

Apart from hysterectomy,radio and chemo, for uterine cancer…

Answer 9

estrogen inhibitors

Question 10

can post-op hysterectomy wear girdles?

Answer 10

no

Question 11

signs and sx lung cancer

Answer 11

chest pain, hoarseness, pleuritic pain on inspiration, dyspnea, diminished endurance, hemoptysis, cough

Question 12

Dx lung cancer

Answer 12

bronchoscopy, sputum specimen, CT, MRI

Question 13

Bronchoscopy, watch for

Answer 13

respiratory dep, hoarseness, dysphagia, sub-cut emphysema.

Question 14

Total laryngectomie:

Answer 14

epiglottis, thyroid cartillage, vocal cords

Question 15

Total laryngectomie: position post-op:

Answer 15

mid-fowler

Question 16

Total laryngectomie: post-op care

Answer 16

NG feeding to protect suture line, watch for carotid artery rupture, frequent mouth care

Question 17

most frequent site for metastasis colorectal cancer

Answer 17

liver

Question 18

risk colorectal cancer

Answer 18

genetic, inflammatory bowel diseases, refined carbs, red meat, low finer, high fat, chronic constipation, fried and broiled foods

Question 19

screening colorectal cancer

Answer 19

occult blood testing (50)

Question 20

risk bladder cancer

Answer 20

smoking

Question 21

sx bladder cancer

Answer 21

hematuria

Question 22

dx bladder cancer

Answer 22

cystoscopy

Question 23

post-op ill conduit

Answer 23

hourly output, may be impotent, 2000-3000 cc/day flush out conduit, mucus is normal, change appliance AM

Question 24

2 lab tests to see if metastasis to the bones

Answer 24

alkaline and acid phosphatase

Question 25

TURP, absolutely need to make sure kidneys don’t clog up

Answer 25

continuous bladder irrigation

Question 26

what is a orchiectomy

Answer 26

take out testicles

Question 27

post-op TURP

Answer 27

no sitting, driving, strenuous exercise, solace, increase fluids to flush blood, att urine retention, temporary incontinence is expected.

Question 28

risk stomach cancer

Answer 28

h pylori, achlorhydria, pernicious anemia, picked foods, salted meat/ fish, salt, billroth II, tobacco, alcohol

Question 29

gastrectomy what position post-op

Answer 29

fowler

Question 30

test for b12 anemia

Answer 30

schillings (urinary)

Question 31

why pt anemic gastrectomy?

Answer 31

no stomach = no intrinsic factor= can’t absorb PO b12= can’t make good rbc= anemia