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CSO Exam 2023 > Test Questions > Flashcards

Test Questions Flashcards

1
Q

What might the dietitian recommend be given with Cisplatin to reduce renal toxicity?
a. Magnesium
b. Mannitol
c. Phenobarbital
d. Mesna

A

b. Mannitol

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2
Q

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

A

b. 1.5 mg/dL

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3
Q

Adriamycin is often given with this treatment for breast cancer.
a. Cytoxan
b. Tamoxifen
c.Femara
d. Herceptin

A

b. Tamoxifen

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4
Q

Which treatment may cause Symptom of Inadequate Diuretic Hormone (SIADH)?
a. Xeloda
b. Carboplatin
c. Cytoxan
d. Taxotere

A

d. Taxotere

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5
Q

Which treatment may cause hepatic toxicity, GI ulcerations, and myelosuppression at high levels?
a. Bleomycin
b. Cytarabine
c. Bendamustine
d. Methotrexate

A

d. Methotrexate

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6
Q

GI perforation, hypertension, and CHF are common side effects of this anti-angiogenic treatment.
a. Torisel
b. Avastin
c. Velcade
d. Arimidex

A

b. Avastin

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7
Q

Which of the following treatments is it recommended that you not take with dairy-containing foods?
a. Pemetrexed
b. Sorafenib
c. Mercaptopurine
d. Tamoxifen

A

c. Mercaptopurine

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8
Q

What is the most common side effect of Femara?
a. Constipation
b. Nausea/Vomiting
c. Hair Loss
d. Diarrhea

A

b. Nausea/Vomiting

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9
Q

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

a. Adriamycin, Bleomycin, Velban, Dacarbazine

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10
Q

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

A

c. Impaired bone health

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11
Q

This protein-targeted therapy for renal cell cancer may cause fluid retention and decreased appetite.
a. Torisel
b. Velcade
c. Tarceva
d. Gleevec

A

a. Torisel

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12
Q

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

A

d. A and C only

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13
Q

Curcumin supplementation has been found to promote to efficacy of which chemotherapy?
a. Cisplatin
b. Vincristine
c. Carboplatin
d. Herceptin

A

a. Cisplatin

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14
Q

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

a. Decaffeinated

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15
Q

Immune modulating mushrooms include all of the following except:
a. Maitake
b. Reishi
c. Turkey tail
d. None of the above

A

a. Maitake

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16
Q

Which nutrition screening tools are validated in the INPATIENT setting?

A

Malnutrition Screening Tool (MST)
Malnutrition Screening Tool for Cancer Patients (MSTC)
Malnutrition Universal Screening Tool (MUST)
Form

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17
Q

Which nutrition screening tools are validated in the OUTPATIENT setting?

A

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)

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18
Q

Hydration is given with which 2 chemos for urological protection?

A

Cisplatin
Ifosfamide / Ifex

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19
Q

Mesna is given with when 2 chemos to reduce hemorrhagic cystitis?

A

Ifosfamide / Ifex
Cyclophosphamide / Cytoxan

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20
Q

What 2 supplements are helpful to take with Alimta (pemetrexed)?

A

Vitamin B12
Folic acic

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21
Q

Which 2 chemo agents should be taken on an empty stomach and 1-2 hours before eating?

A

Erlotinib / Tarceva
Temozolomide / Temodar

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22
Q

What micronutrient deficiency is common with Erbitux and Vectibix?

A

Low magnesium

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23
Q

Which chemo most often causes hair depletion?

A

Sunitinib

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24
Q

Proteinuria occurs in up to 33% of patients on this treatment

A

Avastin / Bevacizumab

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25
Q

Xeloda (capecitabine) and Cytoxan (cyclophosphamide) can interact with which type of medication?

A

Anticoagulants

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26
Q

T/F CAR-T therapy uses another person’s healthy immune cells to treat cancer?

A

False; uses pt’s own cells

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27
Q

Elevated cholesterol is common with which hormone therapy?

A

Letrozole (an aromatase inhibitor)

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28
Q

Which drug can have altered absorption if taken with a high fat meal?

A

Regorafenib

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29
Q

Which vitamin can reduce the incidence/severity of hand/foot syndrome?

A

V6/pryidoxine

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30
Q

What labs to monitor with cisplatin?

A

Lytes (magnesium, calcium, sodium, potassium)

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31
Q

What is a common hormone therapy drug used to treat breast cancer? Side effects?

A

Tamoxifen citrate (Novaldex); hot flashes, sweating, nausea, vomiting, fluid retention, weight gain

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32
Q

TBI - bone marrow

A

Acute: anemia, neutropenia, pancytopenia, hemorrhage, infection
Late: secondary heme cancers

33
Q

TBI - brain/CNS

A

Acute: confusion, meningitis
Late: cognitive changes, memory loss

34
Q

TBI - GI tract

A

Acute: dry mouth, mucositis, esophagitis, nausea, vomiting, diarrhea, lyte imbalances, acute GVHD

Late: radiation enteritis, chronic GVHD, denudation of villi of small intestine

35
Q

TBI - skin

A

Acute: erythema, hyperpigmentation
Late: fibrosis, delayed wound healing, increased risk of basal cell cancer

36
Q

TBI - other

A

Acute: fatigue, fever, hair loss
Late: secondary malignancies, growth/development changes in pediatrics, osteopenia, osteoporosis, infertility

37
Q

Brachytherapy - Breast

A

No side effects

38
Q

Brachytherapy - GYN

A

Acute: nausea, diarrhea, painful urination
Late: diarrhea, bladder irritation

39
Q

Brachytherapy - Esophagus

A

Acute: esophagitis, dysphagia, odynophagia
Late: esophageal ulcerations, stenosis, fibrosis

40
Q

Brachytherapy - Prostate

A

Acute: painful urination, diarrhea, cramping, bloating, flatulence, proctitis
Late: urinary stricture, incontinence, diarrhea

41
Q

Brachytherapy - Tongue

A

Acute: mucositis, dry mouth, taste changes
Late: dry mouth, mucosal fibrosis, ulcerations

42
Q

ERBT is also known as

A

Teletherapy

43
Q

What type of radiation is most common with HCT?

A

Total body irradiation (TBI)

44
Q

CTCAE Grading

A

Grade 1: mild, no intervention
Grade 2: moderate, intervention
Grade 3: severe, hospitalization indicated
Grade 4: life threatening, hospitalized, urgent intervention
Grade 5: dead

45
Q

What medications are best for anticipatory nausea?

A

Benzos like ativan

46
Q

Medications for acute nausea?

A

Zofran
Aloxi
Anzemet
Kytril

47
Q

Medications for CINV?

A

Dexamethasone
Zofran
Emend
Rezonic
NOT compazine

48
Q

Medications for diarrhea?

A

Loperamide
Octreotide
Cholesytramine
Attapulgite

49
Q

What dose of ginger to recommend for nausea?

A

0.5-1.0 gram

50
Q

Budwig Diet

A

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)

51
Q

Bill Henderson Protocol

A

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.

52
Q

Gerson Therapy

A

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

53
Q

Gonzalez Regimen

A

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)

54
Q

Livingston-Wheeler Therapy

A

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

55
Q

Macrobiotic Diet

A

Primarily vegetarian diet (some versions are vegan and some allow fish)
Specific portions of foods are recommended

56
Q

Alkaline Diet

A

80% alkaline foods (veggies, low sugar fruits, legumes)
20% acid foods (beef, poultry, dairy, eggs, coffee, sugar, alcohol)

57
Q

Difference between the budwig diet and bill henderson?

A

Budwig diets prohibited list of foods is much longer
Budwig diet uses enemas, breathing techniques, and essiac tea

58
Q

Aloe

A

Good for constipation and radiation dermatitis

59
Q

Black cohosh interferes with what drug?

A

Tamoxifen
* may increase toxic effects of doxorubicin and docetaxel

60
Q

Curcumin enhances the effect of which 2 chemos?

A

5FU
Cisplatin

61
Q

DIM and IC3 enhances the effect of which chemo?

A

Paclitaxel

62
Q

Flaxseed may inhibit growth of which 2 cancers?

A

Breast
Prostate

63
Q

Ginkgo biloba enhances tumor reduction with which chemo?

A

Tamoxifen

64
Q

Green tea interferes with which 2 chemos?

A

Erlotinib
Pazopanib

65
Q

Neutrophil Count (neutropenia labs)

A

Mild 1000-1500
Moderate: 500-1000
Severe: < 500

66
Q

Hemoglobin

A

Men 13.2-16.6
Women: 11.6-15.0

67
Q

Quercetin may decrease absorption of?

A

Iron

68
Q

Vitamin B6

A

May help with hand/foot syndrome associated with 5FU, Xeloda

69
Q

Folate/folic acid

A

Take with MTX as rescue drug
Take with Alimta/pemetrexed (and B12)
Avoid with Xeloda (capecitabine)
Consider B12 when supplementing folic acid

70
Q

Beta carotene

A

Increases lung cancer especially with smoking
May decrease colorectal cancer risk

71
Q

Melatonin

A

May benefit those taking Tamoxifen for breast cancer

72
Q

Selenium

A

May benefit those taking Taxol

73
Q

Calcium

A

Increased risk of prostate cancer if >1500 mg consumed
Decreased risk of colorectal cancer is <1500 mg consumed

74
Q

Vincristine

A

Severe constipation
Take a stool softener with it
Part of RCHOP

75
Q

Zometa

A

Take calcium/vitamin D supplement

76
Q

Which drugs contain lactose?

A

Exjade, TasignaW

77
Q

Which drug should dairy be avoided with when taking?

A

6MP-Purinethol (Mercatopurine)

78
Q

Oxaliplatin

A

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

79
Q
A

CSO Exam 2023 (12 decks)

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