Quizes for Mod 8 Flashcards
All of the following are characteristic symptoms of bony metastasis EXCEPT
A. Deep, but eases at rest
B. Pain may begin without trauma
C. Unpredictable exacerbation of pain
D. Pain unresponsive to most medicine
A. Deep, but eases at rest
Peripheral neuropathic symptoms associated with chemotherapy are
A. More likely to be motor and sensory
B. More likely to occur bilaterally
C. Are likely to present in a dermatomal pattern
B. More likely to occur bilaterally
An exercise program for a pt with cancer should aim for 50-70% of their
A. HR reserve
B. Target HR
C. Maximal HR
C. Maximal HR
A pt has been instructed to exercise 3x weekly. During a follow-up visit, her exercise log shows she has been exercising daily for a couple of weeks but feels her fatigue levels are unchanged. She would be instructed to
A. Decrease back to 3 sessions/week
B. Decrease to 4-5 sessions/week
C. Maintain daily exercise and reassess
B. Decrease to 4-5 sessions/week
A PT should only use the term “cancer-related fatigue” if the symptoms begin _______ cancer treatment.
A. Before or during
B. During or after
C. Before, during, or after
D. After completing
B. During or after
**Malaise is before- helps to get diagnosed. “Cancer-related fatigue” is termed after the cancer treatment begins.
Cancer related fatigue is more common side effect of cancer treatment than lymphedema
True
False
True
Anemic cancer patients should not be exercised until their hemoglobin improves to normal
True
False
False
Your prostate cancer pt who has LE lymphedema, poor endurance (ambulation limited to 100 feet due to mild SOB), bilateral gluteal weakness and very tight hip flexors has very low platelet levels. Which type of exercise is LEAST appropriate to include in his treatment today bc of his platelets levels?
A. Hip stretching
B. Compression bandaging
C. Hip strengthening
D. Progressive ambulation
A. Hip stretching
Your cancer pt has significantly increased fatigue. How might his lab values help suggest a possible source of his fatigue
A. Very high platelets might suggest he is fighting an infection which could cause fatigue
B. Very low hematocrit suggests that he is unable to effectively transport oxygen so he may feel more tired
C. Very low hemoglobin suggests anemia which would make him more easily fatigued
D. They don’t; cancer-related fatigue doesn’t change in response to changes in lab values
C. Very low hemoglobin suggests anemia which would make him more easily fatigued
In the younger patients, tissues are elastic so multiple cycles of edema and treatment are not necessarily going to create lasting problems as long as the size reduces with treatment
True
False
False
PT’s in the US mostly treat primary lymphedema.
True
False
False
Effective PT can resolve (cure) lymphatic dysfunction
True
False
False
Lymphedema can predispose one to infection, and infection can predispose one to lymphedema.
True
False
True
Aggressive massage can trigger lymphedema for two reasons. What are they?
1- hyperemia
2-push fluid into the lymph vessels
3- supposed to decrease the pressure; aggressive massage will increase the pressure
4- causing inflammation from damaging soft tissue
There are 3 common medical procedures that would not be performed on the arm at risk for lymphedema. What are they?
1- BP
2- IV
3- Injections/ blood drawn/ glucose/ immunizations
A pt can notice lymphedema developing before limb size changes noticeably.
True
False
True
Lymphedema bandaging should be done only with caution in the pt with venous insufficiency
True
False
False
Manual lymph drainage is like effleurage in that both force fluid out of the tissues.
True
False
False
Short stretch bandage how low working pressure but high resting pressure.
True
False
False
Pneumatic compression pumps have several drawbacks that render them problematic for the pt with lymphedema. Name these drawbacks.
1- cuff works distal to proximal
2- the pump does not go up far enough- can cause swelling at the trunk/ groin/ axillary
3- can easily be put on wrong
4- squeeze to hard throughout/ more likely to squeeze in place instead of moving proximally
5- can create a fibrotic ring at the top of the ring
Pts at risk for lymphedema need pt education. Name some things you would teach them.
*the 18 steps of prevention
In lymphedema, compression garments are effective _____________.
A. To prepare the limb for later bandaging
B. For preventing return of swelling
C. For reducing limb volume
D. Replacements for bandaging
B. For preventing return of swelling
Why aren’t diuretics likely to produce lasting improvement in pts with lymphedema?
It doesn’t remove proteins. The proteins are just going to draw the fluid right back
Tissue fibrosis is
Reversible with appropriate treatment
Irreversible
Irreversible
For the pt with lymphedema, pitting edema suggests a more chronic condition than non-pitting edema.
True
False
False
Which of the following is NOT generally true of lymphedema bandaging?
A. Bulky and limit ADLs
B. Exercise should accompany wearing
C. Should be removed at night
D. Use short stretch bandages
C. Should be removed at night
Manual lymph drainage should always occur in the direction of normal lymphatic flow.
True
False
False
Manual lymph drainage seeks mainly to
A. Push fluid out of the limb
B. Re-route lymphatic fluid
C. Stimulate blood flow
B. Re-route lymphatic fluid
