Paulson ONC EXAM I

Question 1

TNM stands for

Answer 1

Tumor, nodes, mets

Question 2

TX:

Answer 2

tumor cannot be measured

Question 3

TO

Answer 3

tumor cannot be found/just starting our

Question 4

Tis

Answer 4

tumor in situ, only in the most superficial layer of tissue

Question 5

N1-N3

Answer 5

describes the size, location and number of lymph involved

Question 6

Mo

Answer 6

no mets

Question 7

M1

Answer 7

there are distant mets

Question 8

Most common bone mets

Answer 8

PT Barnum Loves Kids. Prostate, thyroid, breast, lung, kidney

Question 9

you can be hyper/hypo calciemic with bone mets

Answer 9

hypercalciemic

Question 10

Along with being hypercalciemic, you might have high______

Answer 10

ALP (LFTS)

Question 11

Bone mets tx:

Answer 11

opoids, bisphosphonates (boniva), external beam radiation, Sterotattic body radiotherapy (SBRT), Surgery

Question 12

External beam radiation therapy is helpful in _________ as well, we see this in about %

Answer 12

pain reducation, 50-80%

Question 13

Brain mets most common

Answer 13

LBK color, melanin
Lung, breat kidney, colorectal, melanoma

Question 14

Most common mechanism of speard

Answer 14

hematogenous

Question 15

Dx brain mets

Answer 15

MRI with contrast

Question 16

Brain mets tx:

Answer 16

1) surgical ressection 2 SRS (up to 10) 3) WBRT multiple large tumors 4) steroids

Question 17

WBRT can lead to brain atrophy and deterioration…. what can we prophalactily treat these people with?

Answer 17

namenda

Question 18

Pulm mets is commonly spread through vascual, lymphatic or direct spread

Question 19

Canvers that mets to the lungs

Answer 19

almost all

Question 20

Pulm mets tx

Answer 20

surgical ressection, Sterortatic body SRS, PluerX catheter, radioablation, cryotherapy

Question 21

Elements of quality end of life care (5)

Answer 21

sx and personal care, being prepared for death (having affairs in order), achcieing a sense of completion, being treated as a whole person, relation to family/society/care providers/transcendent

Question 22

Pain in death is treated with ____

Answer 22

Opoids (short activng PO or SL_, liquid morphine (roxanol), O2

Question 23

Nausea in death tx:

Answer 23

zofran, compazine, haldol

Question 24

Anxiety in death tx:

Answer 24

ativan, haldol

Question 25

Xeostomia in death tx:

Answer 25

glycerine swab, biotene, pilocarpine

Question 26

SEcretions in death tx:

Answer 26

atropine eye drops, scopolamine patch, glycopyrrolate

Question 27

Anoxeria in death tx:

Answer 27

Megace, glucocortocoids…. there is no evidence that a feeding tube will help.

Question 28

typleically we do not use megace in _______ but is indicated in cancer anoxeia

Answer 28

dementia