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aa Orgo > 409 Final 12 CA > Flashcards

409 Final 12 CA Flashcards

(50 cards)

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1
Q

Ductual carcinoma in situ means

A

non invasive Breast CA. It doesn’t mets at this stage

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2
Q

Lobular carcinoma in situ is

A

also a non invasive breast CA

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3
Q

breast CA: infiltrating ductal carcinoma is

A

invasive; it goes from the mammary ducts into the epithelial cells

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4
Q

breast CA: infiltrating ductal carcinoma: It grows

A

irregularly, a poorly defined mass

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5
Q

breast CA: Fibrosis occurs around the tumor, which causes

A

dimpling

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6
Q

The number 1 factor in breast CA is

A

age

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7
Q

Other breast CA factors include

A

nulliparity
and
first pregnancy after 30

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8
Q

breast CA: Options for high risk women; in addition to masectomy there is

A

ovary removal

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9
Q

Whats the point of studying lymph nodes

A

detect mets

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10
Q

dx: changes in calcium levels could mean

A

mets to bone

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11
Q

Before removing JP drain, give

A

pain meds

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12
Q

breast CA: after surgery exercise should be

A

light, nothing that stresses the incision site

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13
Q

reconstructed breast: MRI and mammography

A

aren’t recommended because if there’s a recurrence you can just palpate it

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14
Q

breast CA: rad therapy:

A

body fluids and items touched by the patient are not radioactive but you should still limi visitors

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15
Q

breast CA: hormone therapy: some decrease

A

all estrogen, so it can cause menopause.

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16
Q

breast CA: SERMs

A

are good because they’re specific in what they target

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17
Q

breast CA: recovering at home: dressings

A

you can change them if soiled

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18
Q

breast CA: recovering at home: a little bit of leaking around the drains

A

is ok

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19
Q

breast CA: recovering at home: empty the drain ___ a day

A

twice

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20
Q

breast CA: recovering at home: you can shower

A

after the drain is removed

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21
Q

breast CA: recovering at home: you can do more strenuous exercise

Study These Flashcards
A

after the drain is removed

22
Q

breast CA: recovering at home: usually you won’t need pain meds after

23
Q

breast CA: recovering at home: numbness and tingling in the area

24
Q

breast CA: recovering at home: if you had a lymph node dissection

Study These Flashcards
A

elevate that arm on a pillow for 30 min per day

25
Colon CA: when you turn 40
you want to start taking to your provider about colon CA, but if you're only at average risk, you only need the average screening which starts at 50
26
Colon CA: The average screen includes colonoscopy
every 10 years starting at 50
27
Colon CA: The average screen includes FOBT and
sigmoidoscopy every 5 years
28
Colon CA: The average screen includes double barium enema
every 5 years
29
Colon CA: H and H values
may be decreased if there's bleeding
30
Colon CA: before an FOBT don't have red meat, __ or ___
vit C or NSAIDs
31
Colon CA: the first choice tx is
surgery
32
Colon CA: patients who have minimally invasive surgery will not need
an NGT
33
Colon CA: empty colostomy bag
when it's around 1/3 or 1/2 full
34
Lung CA: tends to have a poor prognosis and a lot of times its just about
palliative care
35
Lung CA: the main categories are
small cell and non small cell
36
Lung CA: non small cell includes squamous cell, adenocarcinoma, large cell. They're grouped together because
they have similar tx
37
Lung CA: can be complicated by paraneoplastic syndromes, which are ___ issues
hormonal
38
Lung CA: Warning signs can be anything that indicates hypoxia, like
finger clubbing
39
Lung CA: secondary screening: a good method for at risk people is
annual CT scan
40
Lung CA: hemoptysis is a __ finding
later
41
Lung CA: sputum: you may or may not have cancer cells present. the best chance to find them is
checking in the morning
42
Lung CA: lesions are most commonly identified on a ___, then confirmed with
x ray, then CT scan
43
Lung CA: cure is unlikely at stage
3 and 4
44
Lung CA: usually the first choice tx is
chemo
45
Lung CA: oral care is important, don't
use floss
46
chest tube: the water seal chamber will have bubbling when
the patient exhales
47
chest tube: if the bubbling stops it could mean
air from the pleural space has been removed (a good thing) or it could mean the tube is kinked
48
chest tube: too much bubbling could mean
air leak
49
chest tube: if tidaling stops
it could mean the lung re expanded, or could be the tube is kinked
50
chest tube: notify provider if collections are more than
100 ml per hour

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