Quizes for Mod 8

Question 1

All of the following are characteristic symptoms of bony metastasis EXCEPT

A. Deep, but eases at rest
B. Pain may begin without trauma
C. Unpredictable exacerbation of pain
D. Pain unresponsive to most medicine

Answer 1

A. Deep, but eases at rest

Question 2

Peripheral neuropathic symptoms associated with chemotherapy are

A. More likely to be motor and sensory
B. More likely to occur bilaterally
C. Are likely to present in a dermatomal pattern

Answer 2

B. More likely to occur bilaterally

Question 3

An exercise program for a pt with cancer should aim for 50-70% of their

A. HR reserve
B. Target HR
C. Maximal HR

Answer 3

C. Maximal HR

Question 4

A pt has been instructed to exercise 3x weekly. During a follow-up visit, her exercise log shows she has been exercising daily for a couple of weeks but feels her fatigue levels are unchanged. She would be instructed to

A. Decrease back to 3 sessions/week
B. Decrease to 4-5 sessions/week
C. Maintain daily exercise and reassess

Answer 4

B. Decrease to 4-5 sessions/week

Question 5

A PT should only use the term “cancer-related fatigue” if the symptoms begin _______ cancer treatment.

A. Before or during
B. During or after
C. Before, during, or after
D. After completing

Answer 5

B. During or after

**Malaise is before- helps to get diagnosed. “Cancer-related fatigue” is termed after the cancer treatment begins.

Question 6

Cancer related fatigue is more common side effect of cancer treatment than lymphedema

True
False

Answer 6

True

Question 7

Anemic cancer patients should not be exercised until their hemoglobin improves to normal

True
False

Answer 7

False

Question 8

Your prostate cancer pt who has LE lymphedema, poor endurance (ambulation limited to 100 feet due to mild SOB), bilateral gluteal weakness and very tight hip flexors has very low platelet levels. Which type of exercise is LEAST appropriate to include in his treatment today bc of his platelets levels?

A. Hip stretching
B. Compression bandaging
C. Hip strengthening
D. Progressive ambulation

Answer 8

A. Hip stretching

Question 9

Your cancer pt has significantly increased fatigue. How might his lab values help suggest a possible source of his fatigue

A. Very high platelets might suggest he is fighting an infection which could cause fatigue
B. Very low hematocrit suggests that he is unable to effectively transport oxygen so he may feel more tired
C. Very low hemoglobin suggests anemia which would make him more easily fatigued
D. They don’t; cancer-related fatigue doesn’t change in response to changes in lab values

Answer 9

C. Very low hemoglobin suggests anemia which would make him more easily fatigued

Question 10

In the younger patients, tissues are elastic so multiple cycles of edema and treatment are not necessarily going to create lasting problems as long as the size reduces with treatment

True
False

Answer 10

False

Question 11

PT’s in the US mostly treat primary lymphedema.

True
False

Answer 11

False

Question 12

Effective PT can resolve (cure) lymphatic dysfunction

True
False

Answer 12

False

Question 13

Lymphedema can predispose one to infection, and infection can predispose one to lymphedema.

True
False

Answer 13

True

Question 14

Aggressive massage can trigger lymphedema for two reasons. What are they?

Answer 14

1- hyperemia
2-push fluid into the lymph vessels
3- supposed to decrease the pressure; aggressive massage will increase the pressure
4- causing inflammation from damaging soft tissue

Question 15

There are 3 common medical procedures that would not be performed on the arm at risk for lymphedema. What are they?

Answer 15

1- BP
2- IV
3- Injections/ blood drawn/ glucose/ immunizations

Question 16

A pt can notice lymphedema developing before limb size changes noticeably.

True
False

Answer 16

True

Question 17

Lymphedema bandaging should be done only with caution in the pt with venous insufficiency

True
False

Answer 17

False

Question 18

Manual lymph drainage is like effleurage in that both force fluid out of the tissues.

True
False

Answer 18

False

Question 19

Short stretch bandage how low working pressure but high resting pressure.

True
False

Answer 19

False

Question 20

Pneumatic compression pumps have several drawbacks that render them problematic for the pt with lymphedema. Name these drawbacks.

Answer 20

1- cuff works distal to proximal
2- the pump does not go up far enough- can cause swelling at the trunk/ groin/ axillary
3- can easily be put on wrong
4- squeeze to hard throughout/ more likely to squeeze in place instead of moving proximally
5- can create a fibrotic ring at the top of the ring

Question 21

Pts at risk for lymphedema need pt education. Name some things you would teach them.

Answer 21

*the 18 steps of prevention

Question 22

In lymphedema, compression garments are effective _____________.

A. To prepare the limb for later bandaging
B. For preventing return of swelling
C. For reducing limb volume
D. Replacements for bandaging

Answer 22

B. For preventing return of swelling

Question 23

Why aren’t diuretics likely to produce lasting improvement in pts with lymphedema?

Answer 23

It doesn’t remove proteins. The proteins are just going to draw the fluid right back

Question 24

Tissue fibrosis is

Reversible with appropriate treatment
Irreversible

Answer 24

Irreversible

Question 25

For the pt with lymphedema, pitting edema suggests a more chronic condition than non-pitting edema.

True
False

Answer 25

False

Question 26

Which of the following is NOT generally true of lymphedema bandaging?

A. Bulky and limit ADLs
B. Exercise should accompany wearing
C. Should be removed at night
D. Use short stretch bandages

Answer 26

C. Should be removed at night

Question 27

Manual lymph drainage should always occur in the direction of normal lymphatic flow.

True
False

Answer 27

False

Question 28

Manual lymph drainage seeks mainly to

A. Push fluid out of the limb
B. Re-route lymphatic fluid
C. Stimulate blood flow

Answer 28

B. Re-route lymphatic fluid