Oncology, Transplant and Burns

Question 1

TNM System

Answer 1

Primary Tumor
Lymph Node Involvement
Presence of Absence of Metatasis

Question 2

PT considerations for oncology

Answer 2

• nausea and vomitting
• nutritional status..toxicity of chemo
• vital signs
• lab values (platelet, RBC, WBC)
• neutropenic precautions-isolation
• surgical incisions

Question 3

PT Breast Cancer Considerations

Answer 3

• muscle transfer
• UE ROM restrictions
• post-operative drains
• lymphedema
• equipment needs for self care

Question 4

Head and Neck Cancer considerations

Answer 4

• impairment of the pulmonary system
• secretion management
• nutrition challenges
• communication challenges

Question 5

A

Answer 5

asymmetry

Question 6

B

Answer 6

border/size

Question 7

C

Answer 7

Color

Question 8

D

Answer 8

diameter (greater than 6mm)

Question 9

E

Answer 9

Elevation

Question 10

Goals for oncology PT

Answer 10

• optimize function
• minimize or prevent CRF
• prevent joint contractures/skin breakdown
• prevent post-operative pulmonary complications
• dedicated equipment
• infection control

Question 11

Kidney

Answer 11

must be kept above 110mmHg systolic pressure

Question 12

Liver

Answer 12

deep breathing to decrease atelectasis

lumbar lordosis may be in excess

Question 13

Lung transplant PT considerations

Answer 13

Coughing techniques: Re-education
Breathing techniques 
Suctioning to remove secretions
Vibration/Percussion
Incentive spirometry
Chest and upper extremity mobilization

Question 14

PT considerations for transplant recipients

Answer 14

Schedule coordination with nurses
Daily lab value assessment
Infection control
Early mobilization if medically stable
Vital signs/RPE
Standardized outcome measures appropriate for population being treated

Question 15

What are the two types of burns?

Answer 15

thermal

electrical

Question 16

Thermal burn

Answer 16

heat, team, chemical,

-usually top down

Question 17

Electrical burn

Answer 17

entry and exit (through burn)

-fractures and nerve damage

Question 18

Considerations for PT with burn patients

Answer 18

Infection control
Body temperature maintenance
Pain Management
Post-surgical considerations
-grafting
-positioning

Question 19

How often should aerobic exercise be done for patient with CRF?

Answer 19

3-5 days per week

Question 20

How often should resistive exercise be done for patients with CRF?

Answer 20

2-3 days per week with 48 hours between sessions

Question 21

How often should flexibility exercises be done for patients with CRF?

Answer 21

more than 2 days per week

Question 22

How long should aerobic exercise be for patients with CRF?

Answer 22

20 mins

Question 23

How long should resistive exercise be for patients with CRF?

Answer 23

1-2 sets of 8-12 repetitions of 8-10 exercises of all muscle groups
Fatigued: 1 set w/increased repetitions of 12-15 for muscular endurance

Question 24

How long should flexibility exercises be for patients with CRF?

Answer 24

4 repetitions of 10 to 30 second hold of slow static stretches, focusing on cancer treatment deficits or functional needs of patient

Question 25

What is the function of the integument system?

Answer 25

1. temperature regulation
2. protection
3. sensation
4. excretion
5. immunity
6. blood reservoir
7. Vitamin D synthesis

Question 26

What is the portion after a burn that is irreversibly injured

Answer 26

zone of coagulation

Question 27

What is nonviable tissue referred to as?

Answer 27

eschar