Introduction

Question 1

Role of the PCP in Cancer

Answer 1

Prevention
Screening
Diagnosis
Management of symptoms (treatment or CA)

Question 2

Prevention of Cancer

Answer 2

Tobacco cessation
Nutrition
Physical activity
Moderate alcohol consumption
Weight management
Decrease sun exposure
Decrease medical radiation

Question 3

Most Common Cause of Preventable Cancer Death

Answer 3

Tobacco

Question 4

What lowers the risk of several GI cancers?

Answer 4

Fruits & vegetables

Question 5

High intake of what is associated with an increased risk of colon cancer?

Answer 5

Red meat

Question 6

Cancers & Type 2 Diabetes

Answer 6

Increased risk in liver, pancreas, & endometrium CA
Lower increased risk of colon, breast, & bladder CA
Decreased risk of prostate CA

Question 7

Increased Physical Activity can Decrease Risk of What Cancers

Answer 7

Liver
Pancreas
Stomach
Endometrial
Prostate
Breast
Colon

Question 8

How Exercise Decreases CA Risk

Answer 8

Decreased insulin levels
Improved immune function
Altering levels of hormones, growth factors, prostaglandins, & build acid metabolism

Question 9

Excessive ETOH Increases Risk of what CA

Answer 9

H&N
Esophagus
Liver

Question 10

Obesity & Cancers

Answer 10

Breast
Uterine
Colorectal
Esophageal
Renal

Question 11

Medical/Ionizing Radiation

Answer 11

Effects cumulative

Majority from CT scans

Question 12

Define Ionizing Radiation

Answer 12

Causes electrons to detach from subatomic particles forming free radicals

Question 13

Problems with Free Radicals

Answer 13

Interfere with chemical bonds
DNA mutation or cell death
Damage to essential cellular enzymes

Question 14

Radiation Induced Cancers

Answer 14

Myeloma
Leukemia
Lung CA
Thyroid CA
Breast CA
Bone CA
Skin CA

Question 15

How to protect patients from medical radiation?

Answer 15

Protect patients from medical imaging studies must be limited & medically justified

Question 16

What does UV radiation cause?

Answer 16

Genetic mutations & interferes with the body’s ability to reject abnormal cells

Question 17

Define Neoplasia

Answer 17

Abnormal proliferation of cells in a tissue or organ

Question 18

Define Hyperplasia

Answer 18

Proliferation of cells within an organ that may result in gross enlargement in response to a physiological stimulus
Remains under normal regulatory control

Question 19

Define Hypertrophy

Answer 19

Increase in cell size

Question 20

Define Dysplasia

Answer 20

Early form of pre-cancerous transformation detected in a biopsy or Pap-smear

Question 21

Define Carcinoma “in situ”

Answer 21

“cancer in place”
Cells have lost their tissue identity, growth is rapid & without regulation
Not invasie

Question 22

Define Invasive Carcinoma

Answer 22

Invading beyond the original tissue layer or location

May metastasize

Question 23

Define Metaplasia

Answer 23

Changes in response to chronic physical or chemical irritation that causes the mucus secreting ciliated epithelium to be replaced by simple squamous epithelium

Question 24

Cancer Management Team

Answer 24

Medical oncologist
Radiation oncologist
Surgical oncologist
Palliative care
Dietitian
Social work
Research nurse
Gastroenterologist
Pulmonologist
Surgeons
Dentist
Radiologist
Pathologist

Question 25

Define Oncologist

Answer 25

Physician who specialize in the treatment of malignancies

Question 26

Surgical Oncologists

Answer 26

``` H&N surgeons Orthopedic oncologists Gyn-oncologists Neuro-surgical oncologists Colorectal surgeons Thoracic oncologists Ocular oncologists Oral surgeons ```

Question 27

Other Specialists Multidisciplinary Management of Cancer

Answer 27

``` Neurologists Maxillofacial specialists Physiatrists-Physical medicine Psychiatrists Pain Management Pathologists ```

Question 28

Pharmacists in Cancer Care

Answer 28

``` Chemotherapy Pain management Immunotherapy Toxicity management Research drugs ```

Question 29

Nurses in Cancer Care

Answer 29

``` Oncology nurses Med/Surg & ICU Ostomy nurses Wound care specialists Pain management specialists Home care nursing Hospice nursing ```

Question 30

Support Personnel in Cancer Care

Answer 30

``` Social work Psychologists Neurobiologist & psychometrics Wig fitters Prosthetist Mastectomy Fitters Speech pathology Physical therapy Nutrition Integrative medicine specialists ```

Question 31

Define Palliative Care

Answer 31

Interdisciplinary care of the patient & family Focus on relieving suffering, improving QOL Pain & symptom management Bereavement support

Question 32

Most Common Cancer in Women

Answer 32

Breast

Question 33

Most Common Cancer in Men

Answer 33

Prostate

Question 34

Cancer that Causes Most Deaths in Men & Women

Answer 34

Lung