Test Questions Flashcards
What might the dietitian recommend be given with Cisplatin to reduce renal toxicity?
a. Magnesium
b. Mannitol
c. Phenobarbital
d. Mesna
b. Mannitol
At what creatinine level would Cisplatin be held?
a. 1.0 mg/dL
b. 1.5 mg/dL
c. 2.0 mg/dL
d. 2.5 mg/dL
b. 1.5 mg/dL
Adriamycin is often given with this treatment for breast cancer.
a. Cytoxan
b. Tamoxifen
c.Femara
d. Herceptin
b. Tamoxifen
Which treatment may cause Symptom of Inadequate Diuretic Hormone (SIADH)?
a. Xeloda
b. Carboplatin
c. Cytoxan
d. Taxotere
d. Taxotere
Which treatment may cause hepatic toxicity, GI ulcerations, and myelosuppression at high levels?
a. Bleomycin
b. Cytarabine
c. Bendamustine
d. Methotrexate
d. Methotrexate
GI perforation, hypertension, and CHF are common side effects of this anti-angiogenic treatment.
a. Torisel
b. Avastin
c. Velcade
d. Arimidex
b. Avastin
Which of the following treatments is it recommended that you not take with dairy-containing foods?
a. Pemetrexed
b. Sorafenib
c. Mercaptopurine
d. Tamoxifen
c. Mercaptopurine
What is the most common side effect of Femara?
a. Constipation
b. Nausea/Vomiting
c. Hair Loss
d. Diarrhea
b. Nausea/Vomiting
A person with Hodgkin’s Lymphoma is starting ABVD. What treatments comprise this regimen?
a. Adriamycin, Bleomycin, Velban, Dacarbazine
b. Adriamycin, Bevalzumab, Velban, Doxorubcin
c. Aromasin, Bevaclzumab, Vincristine, Doxorubicin
d. Aromasin, Bleomycin, Vincristine, Dacarbazine
a. Adriamycin, Bleomycin, Velban, Dacarbazine
A patient with prostate cancer is most likely to experience which long term complication?
a. Weight gain
b. Xerostomia
c. Impaired bone health
d. Fatigue
c. Impaired bone health
This protein-targeted therapy for renal cell cancer may cause fluid retention and decreased appetite.
a. Torisel
b. Velcade
c. Tarceva
d. Gleevec
a. Torisel
A patient receiving overnight PEG feedings complains of poor sleep due to acid reflux overnight and subsequent inadequate oral intake throughout the day. Which of the following would be a recommendation you would offer to correct this issue?
a. Use small bore feeding tube
b. Consider change to post-pyloric tube feeding
c. Elevate head of bed 30-45 degrees
d. A and C only
d. A and C only
Curcumin supplementation has been found to promote to efficacy of which chemotherapy?
a. Cisplatin
b. Vincristine
c. Carboplatin
d. Herceptin
a. Cisplatin
Though green tea may have pro-apoptotic effects in addition to anti-metastatic properties, _____________ green tea may not be as effective.
a. Decaffeinated
b. Caffeinated
c. Cold
d. Hot
a. Decaffeinated
Immune modulating mushrooms include all of the following except:
a. Maitake
b. Reishi
c. Turkey tail
d. None of the above
a. Maitake
Which nutrition screening tools are validated in the INPATIENT setting?
Malnutrition Screening Tool (MST)
Malnutrition Screening Tool for Cancer Patients (MSTC)
Malnutrition Universal Screening Tool (MUST)
Form
Which nutrition screening tools are validated in the OUTPATIENT setting?
Malnutrition Screening Tool (MST)
Short Form Patient-Generated Subjective Global Assessment
NUTRISCORE (identifying malnutrition risk in adult oncology patients)
Nutrition Risk Index (NRI)
Short Nutritional Assessment Questionnaire (SNAQ)
Hydration is given with which 2 chemos for urological protection?
Cisplatin
Ifosfamide / Ifex
Mesna is given with when 2 chemos to reduce hemorrhagic cystitis?
Ifosfamide / Ifex
Cyclophosphamide / Cytoxan
What 2 supplements are helpful to take with Alimta (pemetrexed)?
Vitamin B12
Folic acic
Which 2 chemo agents should be taken on an empty stomach and 1-2 hours before eating?
Erlotinib / Tarceva
Temozolomide / Temodar
What micronutrient deficiency is common with Erbitux and Vectibix?
Low magnesium
Which chemo most often causes hair depletion?
Sunitinib
Proteinuria occurs in up to 33% of patients on this treatment
Avastin / Bevacizumab
Xeloda (capecitabine) and Cytoxan (cyclophosphamide) can interact with which type of medication?
Anticoagulants
T/F CAR-T therapy uses another person’s healthy immune cells to treat cancer?
False; uses pt’s own cells
Elevated cholesterol is common with which hormone therapy?
Letrozole (an aromatase inhibitor)
Which drug can have altered absorption if taken with a high fat meal?
Regorafenib
Which vitamin can reduce the incidence/severity of hand/foot syndrome?
V6/pryidoxine
What labs to monitor with cisplatin?
Lytes (magnesium, calcium, sodium, potassium)
What is a common hormone therapy drug used to treat breast cancer? Side effects?
Tamoxifen citrate (Novaldex); hot flashes, sweating, nausea, vomiting, fluid retention, weight gain
TBI - bone marrow
Acute: anemia, neutropenia, pancytopenia, hemorrhage, infection
Late: secondary heme cancers
TBI - brain/CNS
Acute: confusion, meningitis
Late: cognitive changes, memory loss
TBI - GI tract
Acute: dry mouth, mucositis, esophagitis, nausea, vomiting, diarrhea, lyte imbalances, acute GVHD
Late: radiation enteritis, chronic GVHD, denudation of villi of small intestine
TBI - skin
Acute: erythema, hyperpigmentation
Late: fibrosis, delayed wound healing, increased risk of basal cell cancer
TBI - other
Acute: fatigue, fever, hair loss
Late: secondary malignancies, growth/development changes in pediatrics, osteopenia, osteoporosis, infertility
Brachytherapy - Breast
No side effects
Brachytherapy - GYN
Acute: nausea, diarrhea, painful urination
Late: diarrhea, bladder irritation
Brachytherapy - Esophagus
Acute: esophagitis, dysphagia, odynophagia
Late: esophageal ulcerations, stenosis, fibrosis
Brachytherapy - Prostate
Acute: painful urination, diarrhea, cramping, bloating, flatulence, proctitis
Late: urinary stricture, incontinence, diarrhea
Brachytherapy - Tongue
Acute: mucositis, dry mouth, taste changes
Late: dry mouth, mucosal fibrosis, ulcerations
ERBT is also known as
Teletherapy
What type of radiation is most common with HCT?
Total body irradiation (TBI)
CTCAE Grading
Grade 1: mild, no intervention
Grade 2: moderate, intervention
Grade 3: severe, hospitalization indicated
Grade 4: life threatening, hospitalized, urgent intervention
Grade 5: dead
What medications are best for anticipatory nausea?
Benzos like ativan
Medications for acute nausea?
Zofran
Aloxi
Anzemet
Kytril
Medications for CINV?
Dexamethasone
Zofran
Emend
Rezonic
NOT compazine
Medications for diarrhea?
Loperamide
Octreotide
Cholesytramine
Attapulgite
What dose of ginger to recommend for nausea?
0.5-1.0 gram
Budwig Diet
Nautral/organic foods
Oleolux (spread made from flaxseed oil and coconut oil mixed with garlic and onion)
Cornerstone of the diet is cold pressed flaxseed oil and quark cheese (german cottage cheese) used to make Budwig muesli.
PT is consuming 6-7 Tbsp flaxseed daily (4 Tbsp is upper limit)
Bill Henderson Protocol
Based on Budwig Diet
Foundation: raw fruits/veg, GF whole grains, legumes, cottage cheese & flaxseed oil mixture
Foundation: 1 cup cottage cheese blending with 6-8 Tbsp flaxseed (split into 2 servings)
Recommends multiple vitamins and herbal supplements. Up to 46 pills daily.
Gerson Therapy
Originally used for tuberculosis in the 1930s
Coffee enemas are recommended
15-20 lbs of fruits/veg daily
Must drink 13 glasses of juice made from raw carrots, apples, green leafy vegetables
No sodium or fat
No animal products
Dietary supplements: pancreatic enzymes, thyroid hormone, potassium, B12
Gonzalez Regimen
Coffee enemas BID
Includes 10 basic diets with 95 variations
Take up to 150 pills daily (animal glandular products as a source of pancreatic enzymes, vitamins/minerals, food concentrates)
Livingston-Wheeler Therapy
Vegetarian diet
75% of diet is raw fruit/veg
BCG vaccine (derived from pt’s own blood or urine)
Enemas: coffee, lemon juice, hot water
Recommends antibiotics and vitamins
Macrobiotic Diet
Primarily vegetarian diet (some versions are vegan and some allow fish)
Specific portions of foods are recommended
Alkaline Diet
80% alkaline foods (veggies, low sugar fruits, legumes)
20% acid foods (beef, poultry, dairy, eggs, coffee, sugar, alcohol)
Difference between the budwig diet and bill henderson?
Budwig diets prohibited list of foods is much longer
Budwig diet uses enemas, breathing techniques, and essiac tea
Aloe
Good for constipation and radiation dermatitis
Black cohosh interferes with what drug?
Tamoxifen
* may increase toxic effects of doxorubicin and docetaxel
Curcumin enhances the effect of which 2 chemos?
5FU
Cisplatin
DIM and IC3 enhances the effect of which chemo?
Paclitaxel
Flaxseed may inhibit growth of which 2 cancers?
Breast
Prostate
Ginkgo biloba enhances tumor reduction with which chemo?
Tamoxifen
Green tea interferes with which 2 chemos?
Erlotinib
Pazopanib
Neutrophil Count (neutropenia labs)
Mild 1000-1500
Moderate: 500-1000
Severe: < 500
Hemoglobin
Men 13.2-16.6
Women: 11.6-15.0
Quercetin may decrease absorption of?
Iron
Vitamin B6
May help with hand/foot syndrome associated with 5FU, Xeloda
Folate/folic acid
Take with MTX as rescue drug
Take with Alimta/pemetrexed (and B12)
Avoid with Xeloda (capecitabine)
Consider B12 when supplementing folic acid
Beta carotene
Increases lung cancer especially with smoking
May decrease colorectal cancer risk
Melatonin
May benefit those taking Tamoxifen for breast cancer
Selenium
May benefit those taking Taxol
Calcium
Increased risk of prostate cancer if >1500 mg consumed
Decreased risk of colorectal cancer is <1500 mg consumed
Vincristine
Severe constipation
Take a stool softener with it
Part of RCHOP
Zometa
Take calcium/vitamin D supplement
Which drugs contain lactose?
Exjade, TasignaW
Which drug should dairy be avoided with when taking?
6MP-Purinethol (Mercatopurine)
Oxaliplatin
Cold sensitivity (minimize cold foods 5 days s/p infusion)
Vitamin B6 to reduce risk of hand/foot
Symptoms: anorexia, weight loss, taste changes, nausea, vomiting, abdominal pain
