Week 5 - Cancer

Question 1

Symptoms of colorectal cancer:

Answer 1

• Rectal bleeding
• Change in Bowel habits
• Anaemia
• Abdominal Pain
• Unexplained weightloss

Question 2

Modifiable risk factors for colorectal cancer:

Answer 2

• Diet
• Obesity
• Alcohol
• Physical activity

Question 3

Syndromes that increase risk of colorectal cancer:

Answer 3

• FAP and HNPCC

Question 4

Principal screening test for colorectal cancer:

Answer 4

Faecal occult blood test (FOBT)

• if positive, colonoscopy to investigate bleeding, full blood examination, rectal examination

Question 5

What staging tools are used for colorectal gal cancer?

Answer 5

ACPS and pTNM.

Question 6

Stage A/1 cancer:

Answer 6

• Localised within the bowel

* 88% 5-year survival

Question 7

Stage B/2 cancer?

Answer 7

• Penetrates bowel wall

* 70% 5-year survival

Question 8

Stage C/3 cancer:

Answer 8

• Regional nodal involvement

* 43% 5-year survival

Question 9

Stage D/4 cancer:

Answer 9

• Distant metastasis

* 7% 5-year survival

Question 10

Supportive care needs for colorectal patients:

Answer 10

• Psychosocial patient support

Question 11

Colorectal patient goals on initial diagnosis:

Answer 11

• Remove cancer
• Manager cancer and treatment related symptoms
• Improve lifestyle factors

Question 12

Nursing and collab interventions after diagnosis:

Answer 12

• Surgery
• Chemotherapy
• Pain management
• Patient education

Question 13

WBC range

Answer 13

3.7-9.5 x 10^9/L

Question 14

Neutropenia patients:

Answer 14

Fever considered medical emergency due to systemic compromise and can cause septic shock.