Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

(3) PT in Special Conditions > S2L4: Cancer Rehabilitation > Flashcards

S2L4: Cancer Rehabilitation Flashcards

1
Q

Patients with CA live longer due to:

A. Late detection
B. A limited selection of treatment options
C. Better medical management
D. All of the above

A

C

Early detection
A broad selection of treatment options

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

2nd leading cause of death in the US and the Philippines

A

ca

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

ca is 2nd leading cause of death where (2)

A

US and the Philippines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Most common cancers include:

A

Breast,
lung,
colorectal,
liver, and
prostate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

_ of every_Filipinos are afflicted with cancer

A

189, 100K

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

ca is the _ most common cause of _

A

13th, self-reported disability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

TorF Throughout the years, detection and treatment
of cancer has already progressed; many survived

A

T

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Patients diagnosed with cancer tend to live shorter now than before
TorF

A

F, LONGER

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Rehabilitation goals are:

A

○ Restorative
○ Supportive
○ Preventive
○ Palliative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

goals THAT are for chronic or life-limiting illnesses

A

Supportive and Palliative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

rehab goal: aim to return patients to a previous level of function

A

restorative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

rehab goal: attempt to prevent avoidable deterioration in function
related to disease or treatment process (e.g., weakening, LOM)

A

preventive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

rehab goal: focus on maximizing functioning, independence
and participation in meaningful activities alongside disability

A

supportive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

rehab goal: involve supporting people to adapt to and
come to terms with irreversible changes in function
and associated losses or to ‘habilitate’ to their new reality

A

palliative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

rehab goal: (e.g., can’t walk causing further
frustration or tiredness; can give w/c)

A

palliative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

rehab goal: Patient has good potential to regain
sufficient strength and balance to transfer independently

A

restorative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

rehab goal: Patient is at risk of deconditioning and
further weakness arising from inactivity

A

preventive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

rehab goal: Patient is unable to manage the stairs and
will not regain this level of function

A

palliative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

rehab goal: Patient has insufficient balance to walk
to toilet independently but is safe with support of a walking aid

A

supportive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

rehab goal: Give AD or balance exercises
to prevent or lessen the risk of falls

A

supportive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what percent of ALL cancers occur in people >/= 65 years old

A

60%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

60% of ALL cancers occur in people_

A

> /= 65 years old

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Cancer is not in our genes TorF

A

F

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

As we grow old, there is a higher chance to
activate these cancer cells TorF

A

T

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Relative survival in 1950

A

35%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Relative survival in 1975-1977

A

51%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Relative survival in 1996-2002

A

66%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

CA with high survival rates

A

breast prostate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

A medically-based, exercise intervention for cancer survivors

A

PHYSICAL REHAB FOR CANCER

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Exercises are composed of _ and _ training

A

resistance, aerobic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Trainers role is to:

A

○ Help navigate patient to exercise programs
○ Help learn how to use the equipment properly,
do different set-ups
○ Monitor their heart rate to ensure patients that
they are exercising at a safe range that will still improve cardiac health, more endurance and
higher fitness level
○ Ensure that patients will perform the exercise
properly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Cancer patients can be more functional prior to the
program TorF

A

F, less functional

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

They can be very apprehensive at first TorF

A

T

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

We can use _ to see if the
patient can perform moderately difficult exercises,
and monitor the amount of intensity they exhibit

A

Borg’s scale (RPE Scale)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

scale used in classifying functional impairments or
perforamnce status in serious illness

A

KARNOFSKY SCALE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

KARNOFSKY SCALE progressions

A

mild, mod , severe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

mild progression scores:

A

80, 90, 100

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

mod progression scores:

A

50, 60, 70

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

severe progression scores:

A

0, 10, 20, 30, 40

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Able to carry on normal activity and to
work; no special care
needed: what progression in the scale?

A

mild

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Unable to care for self; requires equivalent
of institutional or hospital care; disease
may be progressing rapidly: what progression in the scale

A

severe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Unable to work; able to live at home and care
for most personal needs; varying amount of assistance needed:
what progression

A

Moderate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Normal; no complaints; no evidence of disease: what score

A

mild, 100

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Normal activity with effort; some signs or symptoms of disease

A

mild, 80

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Cares for self; unable to carry on normal activity or do active work

A

mod, 70

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

Able to carry on normal activity; minor signs or symptoms of disease

A

mild, 90

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

Requires considerable assistance and frequent medical care

A

mod, 50

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

Death

A

severe, 0

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

Severely disabled; hospital admission is
indicated; death not imminent

A

severe, 30

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

Moribund; fatal processes progressing rapidly

A

severe, 10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

Requires occasional assistance; able to care for most
personal needs

A

mod, 60

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

disabled; requires special care and assistance

A

severe, 40

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

very sick; hospital admission necessary;
active supportive treatment necessary

A

severe, 20

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

karnofsky scale used by _ and _

A

doctors and nurses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

To be more accurate, what scale is used?

A

Australia-modified Karnofsky Performance Status (AKPS)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

Totally bedfast and requiring extensive
nursing care by professionals and/or family

A

20

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
57
Q

Normal; no complaints; no evidence of disease

A

100

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
58
Q

Comatose or barely rousable

A

10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
59
Q

Cares for self; unable to carry on
normal activity or to do active work

A

70

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
60
Q

Almost completely bedfast

A

30

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
61
Q

Able to carry on normal activity; minor sign of symptoms of disease

A

90

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
62
Q

Normal activity with effort; some signs or symptoms of disease

A

80

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
63
Q

In bed more than 50% of the time

A

40

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
64
Q

Able to care for most needs; but requires occasional assistance

A

60

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
65
Q

Considerable assistance and frequent medical care required

A

50

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
66
Q

Non ca patietn improve more than ca pts in terms
of functional gains from in pt rehab TorF

A

F. CA = Non CA patients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
67
Q

Improvement in regular pts can be expected
from those c cancer as well TorF

A

T

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
68
Q

Functional improvements gained
from inpatient rehab is maintained _ after D/C

A

3 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
69
Q

Once we see initial improvement, we cannot
expect to see improvement for at least 3 months after discharge
TorF

A

F, we CAN expect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
70
Q

what has no adverse effect on rehab outcomes?

A

Chemotherapy,
radiation therapy and
specific tumor type

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
71
Q

Regardless if pt is under chemotherapy or not,
it is still ideal that they are doing exercises. TorF

A

T

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
72
Q

Same improvement for all, normally an improve in_

A

inc VO2Max

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
73
Q

VO2Max can be an indicator of lifespan TorF

A

T

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
74
Q

CA has greater incidence of transfer back to acute
care from rehab TorF

A

T

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
75
Q

Risk factors for transfers of ca pts:

A

Low albumin,
elevated creatinine,
use of feeding tube or indwelling catheter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
76
Q

Pts who are undergoing treatment have a
lower chance of returning to acute care TorF

A

F, HIGHER CHANCE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
77
Q

rehab priorities during initial dx:

A

Detect and manage acute morbidity from cancer treatments
Address worsening of premorbid physical impairments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
78
Q

rehab priorities during surveillance:

A

Physically recondition
Detect and address delayed cancer treatment toxicities
Promote reentry into vocational , social, and family roles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
79
Q

Pts are usually weak especially with _

A

progressive
cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
80
Q

Leading cause for those who had undergone
treatment is _

A

cardiotoxicity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
81
Q

Quality of life would greatly depend on their _

A

function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
82
Q

what Comes mainly after a comprehensive assessment

A

Addressing worsening of premorbid physical impairments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
83
Q

rehab priorities during recurrence:

A

Screen for cancer treatment toxicities, given the increased risk
Proactively manage early-stage impairments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
84
Q

○ Assess changes in function
○ Frequent re-eval especially if change
in function is observed
where is this in rehab priorities?

A

recurrence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
85
Q

rehab priorities during temporization:

A

● Control symptoms
● Prevent and proactively address disablement (caused by the disease itself)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
86
Q

rehab priorities during palliation:

A

● Preserve community integration
● Support and educate caregivers/family members
● Maintain functional autonomy as feasible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
87
Q

Quote from proponent of modern palliative care :

A

“Goal is to enable patients to live as actively as
possible”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
88
Q

Just because prognosis is poor, it doesn’t
mean that we would not try to help them TorF

A

T

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
89
Q

is not a
contraindication to inpatient rehab if functional gains
are to be expected

A

Poor expected long term survival

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
90
Q

Functional gains of patients who are in the advanced
stage of the disease should include _

A

family/caregiver training

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
91
Q

highest 5 yr survival local

A

prostate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
92
Q

highest 5 yr survival regional

A

prostate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
93
Q

highest 5 yr survival distant

A

pharynx and oral cavity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
94
Q

lowest 5 yr survival local

A

pancreas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
95
Q

lowest 5 yr survival regional

A

pancreas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
96
Q

lowest 5 yr survival distant

A

pancreas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
97
Q

Common Sites of Metastatic spread for: lung and bronchus

A

Brain, bone, liver, mediastinal lymph nodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
98
Q

Common Sites of Metastatic spread for: breast

A

Brain, lung, bone, liver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
99
Q

Common Sites of Metastatic spread for: prostate

A

Bone, pelvic lymph nodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
100
Q

Common Sites of Metastatic spread for: colon and rectum

A

Liver, lung

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
101
Q

Common Sites of Metastatic spread for: ovary

A

Peritoneum, pleura

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
102
Q

Common Sites of Metastatic spread for: uterine cervix

A

Peritoneum, lung, retroperitoneal lymph nodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
103
Q

Common Sites of Metastatic spread for: uterine corpus

A

Retroperitoneal lymph nodes, lung

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
104
Q

Common Sites of Metastatic spread for: pharynx and oiral cavity

A

Lung, regional lymph nodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
105
Q

Common Sites of Metastatic spread for: melanoma

A

Brain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
106
Q

Common Sites of Metastatic spread for: stomach

A

Liver, lung, peritoneum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
107
Q

Common Sites of Metastatic spread for: esophagus

A

Liver, lung

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
108
Q

Common Sites of Metastatic spread for: pancreas

A

liver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
109
Q

Common Sites of Metastatic spread for: urinary bladder

A

Bone, intraperitoneal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
110
Q

Local means in

A

one organ

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
111
Q

Regional means

A

spreads around one organ

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
112
Q

Distal means

A

evident metastasis to other organs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
113
Q

When metastasis occurs, Five Year Survival rate
_ significantly.

A

decreases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
114
Q

have a high five-year survival
rate if cancer does not metastasize.

A

Breast cancer patients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
115
Q

have a higher five-year survival rate than breast cancer patients.

A

Prostate cancer patients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
116
Q

Prostate cancer develops in _ patients

A

geriatric

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
117
Q

This cancer has a very good prognosis, and patients
will more likely die due to aging than the complications
and effects of cancer.

A

Prostate cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
118
Q

Addresses musculoskeletal problems
(lymphedema, contracture, pain, mobility, ADLs, self-care)

A

OUTPATIENT REHABILITATION

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
119
Q

one of the most prominent side effects from chemotherapy,
exercising can help increase your energy levels.

A

Cancer related fatigue

120
Q

is more of a chronic disease these days than a death sentence.

A

Cancer

121
Q

is really important for your patients whether it would be
building their endurance again or just in general conditioning

A

Exercise

122
Q

PRECAUTIONS (9)

A

Hematologic profile
Metastatic bone disease
Compression of a hollow viscous vessel or spinal cord
Fluid accommodation in the pleura, pericardium, abdomen or retroperitoneum
CNS depression or coma
Hypo/hyperkalemia, hyponatremia or hypo/hypercalcemia
Orthostatic Hypotension
HR > 110 bpm
Fever >101 F / >38C

123
Q

What we look for in hematologic profile is the:

A

hemoglobin

124
Q

_ = decreased exercise capacity

A

Lower hemoglobin levels

125
Q

Patients can be fatigued easily if they are _.

A

anemic

126
Q

Pt are not allowed to carry _ _, also
_ activities due to the risk for
_ _ because of a _ in
the bone which makes it weaker.

A

heavy weights, high-intensity, pathologic fx, tumor

127
Q

Pain medications may help the patient if they
are _, but pain may persist if they move.

A

immobile

128
Q

Cancer cells metastasize and may impinge the _

A

spinal cord

129
Q

Thoracic level impingement = _

A

possible paraplegic pt

130
Q

Results to resistance to movement of cardiovascular
organs which leads to decreased exercise capacity

A

Fluid accommodation in the pleura, pericardium, abdomen or retroperitoneum

131
Q

As a result of cancer treatment

A

electroylte imbalance

132
Q

Hypo/hyperkalemia, hyponatremia or hypo/hypercalcemia may be
d/t:

A

kidney damage

133
Q

If pt has been bed bound for awhile and
suddenly stands up expect __ since they are not
used to upright position

A

OH

134
Q

Need clearance from MD before participating in
exercise

A

HR

135
Q

Exercise is not performed in pts with _
since it can cause further increase in HR which
will put the pt a risk

A

high HR

136
Q

PTs do not treat pts with _ since there is an
infectious process going on

A

fever

137
Q

Most important if they are undergoing
chemotherapy, as it should not cause a _

A

fever

138
Q

Stop the patient and consult with the doctor if pt has

A

fever

139
Q

_ of patients experience pain

A

60%

140
Q

_ severe pain

A

25-30%

141
Q

CANCER-RELATED PAIN is _

A

(+) pain with other associated symptoms -
decreased functional status

142
Q

First line of rx for cancer related pain:

A

Non-opioid analgesics

143
Q

Opioids example

A

Morphine

144
Q

There are some hesitations regarding pts
who use _ as it can be addictive

A

Morphine

145
Q

morphines are

A

regulated

146
Q

is still used to control immense pain, and
prevent pts from being bedridden (d/t pain) which
can lead to loss of function and decline in QOL

A

Morphine

147
Q

Timeframe of cancer related pain:

A

acute,
crescendo,
chronic

148
Q

Crescendo means

A

increasing pain

149
Q

Pathophysiology of cancer related pain

A

somatic
visceral
neuropathic

150
Q

Temporal cancer related pain

A

continuous,
intermittent,
breakthrough

151
Q

even if they are on pain medications, severity of pain increases.

A

Breakthrough

152
Q

If breakthrough happens, _ such
as drugs will be given

A

adjunct pain Mx

153
Q

adjunct pain Mx regulated by _ or_

A

oncologist, palliative care MD

154
Q

Nonpharmacologic pain management approaches

A

○ Cryotherapy
○ Biofeedback
○ Iontophoresis
○ TENS
○ Massage
○ Relaxation techniques
○ Meditation
○ Art/Music therapy
○ Counseling
○ Aromatherapy

155
Q

There are different theories surrounding pain perception,
but there is only one _ aspect for it.

A

biological

156
Q

Pain has a _ aspect, and as PTs, it is good to approach
pain Mx using this model.

A

biopsychosocial

157
Q

helps people control their brain and body’s response to stress

A

Biofeedback training

158
Q

In clinics, biofeedback training is seen to help
conditions that are _ such as _ or POTS.

A

dysautonomia, postural
orthostatic tachycardia syndrome

159
Q

_ is the most problematic situations for clinicians

A

Metastasis to the skeleton

160
Q

3rd most common for systemic metastasis

A

Skeleton

161
Q

80% of bone metastasis is attributed
to _ _ _ _ _

A

breast,
lung
prostate,
kidney,
thyroid cancers

162
Q

Bony metastases types

A

osteolytic
osteoblastic
mixed

163
Q

mas lumalaki/dense ang buto

A

Osteoblastic

164
Q

nasisira ang buto

A

Osteolytic

165
Q

Highest rate of osteoclastic activities

A

lymphoma,
multiple myeloma,
thyroid,
renal cell malignancies

166
Q

Most insidious clinical presentation of bony
metastases

A

Pain

167
Q

pain in ca is

A

Insidious,
unrelenting,
not associated with trauma or activity,
present or worse at rest

168
Q

pain is common in the _ and _

A

thoracic spine
shaft of femur

169
Q

what is associated wth pain?

A

Weight loss,
point of tenderness over the involved

170
Q

bone scan for pain

A

Triple phase bone scan

171
Q

Most sensitive in identifying bony metastasis

A

Triple phase bone scan

172
Q

Patients with localized bone pain, equivocal
scan, or neurologic impairment

A

MRI

173
Q

When the lesion is osteoclastic

A

PET Scan

174
Q

Survival Rate (after metastasis)

A

21-33 months

175
Q

Mx for bony metastatic disease?

A

Protection,
pain control,
energy conservation,
maintenance of function

176
Q

mx for Protection and pain control

A

Bracing (prevent fx),
mobility aids (AD),
activity precautions

177
Q

Exercise prescription should focus on:

A

○ Strength
○ Endurance
○ Function with limited loading or torsion of the
affected bone

178
Q

This is the most frequent nuclear type-imaging study.

A

3-Phase Bone Imaging

179
Q

It is used to evaluate vascular flow, blood pool
activity, and delayed bone uptake.

A

3-Phase Bone Imaging

180
Q

3 phase bone scan type of imaging evaluates for _ or
bone infection vs. cellulitis or soft tissue infection
vs. stress fx vs infected joint.

A

osteomyelitis

181
Q

Great challenge for PTs, as pts may not meet
high levels of exercise, or at least moderate physical activity

A

CANCER-RELATED FATIGUE

182
Q

cancer related fatigue may be d/t

A

May be d/t cancer treatment

183
Q

cancer related fatigue is _ when it persists, occurs during our
usual activities, and does not respond to _

A

pathological, rest

184
Q

is central goal of rehabilitation for ca related fatigue

A

Assessment and Rx

185
Q

Used of mild/moderate/severe based on a 0-10 likert
scale

A

CANCER-RELATED FATIGUE

186
Q

mild in likert scale

A

1 to 3

187
Q

moderate

A

4 to 6

188
Q

severe

A

7 to 10

189
Q

omt for cancer related fatigue?

A

FACIT Fatigue Scale

190
Q

Measures how much a patient’s ADLs are
affected by their fatigue

A

FACIT Fatigue Scale

191
Q

Higher score of facit means_

A

better QOL

192
Q

Most common associated factors: for cancer related fatigue?

A

Pain
Emotional distress,
sleep disturbance,
anemia,
nutritional deficiencies,
deconditioning,
medical comorbidities

193
Q

mx for cancer related fatigueL

A

Strengthening
endurance programs,
nutritional management,
sleep optimization

194
Q

Reversible sources of cancer fatigue

A

Anemia
Insomnia or lack of restorative sleep
Cytokine release (e.g. tumor necrosis factor)
Hypothyroidism
Hypogonadism
Depression
Deconditioning
Steroid myopathy
Centrally acting medications
Altered oxidative capacity
Pain
Adrenal insufficiency
Cachexia

195
Q

insomnia causes _

A

easy fatigability

196
Q

Cytokine release d/t

A

chemical build up in the body

197
Q

chemical build up in the body can be excreted by _ or
controlled by _

A

kidneys, medication

198
Q

when cv endurance improves, what increases

A

VO2max increases

199
Q

_ has been associated with increased risk of death for cancer

A

Obesity

200
Q

OW and obesity account for _% cancer deaths in men

A

14 percent

201
Q

OW and obesity account for _% of cancer deaths in women

A

20 percent

202
Q

minimum hours of exercise per week

A

150 mins per week

203
Q

recommended exercise for ca pts:

A

30 minutes of moderately vigorous exercise
on 5 or more days of the week

204
Q

_ is the most favored type of aerobic exercise

A

Cycle ergometry

205
Q

non-WB, easier

A

Cycle ergometry

206
Q

Precautionary measure is taken with _ patients

A

thrombocytopenic

207
Q

Unrestricted exercises can be pursued with _

A

> 30-50k

208
Q

Aerobic exercise okay in patients with _

A

platelets >10-20k

209
Q

Active therapy not advocated with platelet
count _

A

<10k

210
Q

Patients undergoing chemotherapy can sustain
_

A

premature cardiac damage

211
Q

heart changes for pts undergoing chemo:

A

Reduced exercise time,
reduced maximum O2 uptake,
abnormal ST and T wave changes,
exercise induced hypertension

212
Q

“Reduced exercise time,
reduced maximum O2 uptake,
abnormal ST and T wave changes,
exercise induced hypertension”

these can also happen even _ chemotx. this is a _ effect

A

after, long term

213
Q

Supervised _ and _ program
among _ cancer patients at _% _
weekly for _ weeks: improve strength and endurance

A

strengthening, aerobic, breast, 40-60%, twice, 21

214
Q

parameters of aerobic that improves endurance:

A

Aerobic training 3x/week for 15 weeks improves
endurance

215
Q

EXERCISE FOR PATIENTS UNDERGOING
MARROW TRANSPLANT

A

Supine or sitting exercises well tolerated

216
Q

exercise for pts marrow transplant:
_ exercises with the head of the bed _

A

supine, elevated

217
Q

Supine exercises with the head of the bed elevated to avoid
_

A

hypotension

218
Q

exercise for pts marrow transplant:
_ exercises for brief periods to avoid _

A

Standing, gastroc-soleus tightness

219
Q

more exercises for pts marrrow transplant:

A

ROM,
aerobic exercise (walking, cycle ergometry),
light resistive exercises,
deep breathing exercises

220
Q

neurologic complication of ca:

A

METASTATIC BRAIN DISEASE

221
Q

Most common catastrophic neurologic
impairment in the cancer population

A

METASTATIC BRAIN DISEASE

222
Q

metastatic brain disease occur most frequently with

A

lung,
breast,
colorectal,
melanoma,
genitourinary

223
Q

percentage of affectation on brain: metastatic brain disease
in the cerebrum__ and in the cerebellum __

A

85% in the cerebrum, 15% in the cerebellum

224
Q

METASTATIC BRAIN DISEASE sx:

A

Progressive HA,
hemiparesis,
seizures,
mental status change

225
Q

metastatic brain disease seen thru:

A

Magnetic resonance imaging

226
Q

Leptomeningeal disease sx:

A

Back pain,
radiculopathies
cranial nerve dysfunction
mental status changes

227
Q

SPINAL CORD INVOLVEMENT occurs in what percent of all
ca pts

A

5-14% of all CA patients

228
Q

Most common sources of spinal cord involvement:

A

metastases from

prostate,
breast,
lung,
kidney,
multiple myeloma

229
Q

Areas of predilection percent in thoracic

A

70%

230
Q

Areas of predilection percent in lumbar

A

20%

231
Q

Areas of predilection percent in cervical

A

10%

232
Q

when there is sc involvment, what is the type of pain?

A

Progressive, insidious back pain
worse when lying down

233
Q

S/Sx of sc involvement:

A

Point tenderness,
paresis,
sensory impairment,
upper neuron lesion findings

234
Q

polyneuropathy is _ induced

A

Chemotherapy-induced

235
Q

Disruption of axoplasmic microtubule transport,
axonal “dying back”, has direct effects to the DRG

A

POLYNEUROPATHY

236
Q

polyneurotpathy is the _ of _ _ _, axonal _, has direct
effects to the _

A

disruption, axoplasmic microtubule transport, dying back, DRG

237
Q

for polyneuropathy what type of nerves are more affected

A

Sensory nerves > motor nerves

238
Q

polyneuropathy sx:

A

Dysesthesias,
sensory loss,
allodynia

239
Q

RADIATION THERAPY SIDE EFFECTS acute:

A

● Fatigue
● Nausea
● Vomiting
● Anorexia
● Skin erythema
● Desquamation
● Mucositis
● Xerostomia
● Taste loss
● Proctitis
● Cystitis
● Decreased libido
● Sterility
● Amenorrhea
● Hematological
changes

240
Q

Dryness of or inflamed mucosal membrane

A

Mucositis

241
Q

Dryness of mouth

A

Xerostomia

242
Q

RADIATION THERAPY SIDE EFFECTS delayed:

A

● Soft-tissue fibrosis
● Skin atrophy
● Auditory changes
● Pulmonary fibrosis
● GI stricture
● Thyroid dysfunction
● Brain necrosis
● Myelitis
● Plexopathy
● Lymphedema
● Secondary
malignancies
● Osteonecrosis

243
Q

most common malignancies assoc c lymphedema:

A

Breast cancer
melanoma
gynecological malignancies
lymphoma

244
Q

Since the cancer cells travel along the lymph, it may also
affect the flow of the _

A

lymphatic circulation

245
Q

torf lymphedema has pain

A

f, painless

246
Q

painless, gtradual, colorless swelling with heaviness and loss
of limb contour

A

LYMPHEDEMA

247
Q

lymphedema: _ symptoms, preserve _, maintain function,
decrease the risk of _

A

reduce, cosmesis, recurring infection

248
Q

lymphedema resolved thru:

A

Complexion decongestive
therapy (MLD)

249
Q

phases of complexion decongestive therapy:

A

○ Decongestive phase
○ Maintenance phase

250
Q

As PTs, we do (for lymphedema)

A

Skin care,
stretching,
soft tissue mobilization to proximal limbs
massage
bandaging

251
Q

More commonly a side effect of treatment

A

CANCER-RELATED SEXUAL DYSFUNCTION

252
Q

_and _ may interfere
with sexual attractiveness

A

Physical changes, depression

253
Q

Chemotherapy has adverse
effects in
_ and _ production

A

spermatogenesis, testosterone

254
Q

Because chemotherapy is not selective.
It affects both cancer cells and healthy cells TorF

A

T

255
Q

Permanent _ is side effect for women

A

menopause

256
Q

Diagnoses most likely to affect long term
employment include _ _ _

A

CNS tumors,
head and neck tumors,
advanced hematologic malignancies

257
Q

long term employment is Highly dependent on the _

A

type of cancer

258
Q

SPECIFIC TUMORS AND REHABILITATION NEEDS (7)

A

breast cancer
head and neck cancer
hematologic malignancies
lung ca
GI malignancies
brain tumors
sarcomas of bone and soft tissue

259
Q

Most common malignancy in women

A

BREAST CANCER

260
Q

what do u call the pain present in breast cancer after surgery?

A

Post-surgical pain syndrome (post-mastectomy
pain syndrome)

261
Q

Phantom breast pain is also called

A

Post-surgical pain syndrome (post-mastectomy
pain syndrome)

262
Q

Post-surgical pain syndrome in breast ca:

A

○ Phantom breast pain
○ incisional allodynia
○ neuroma formation
○ pectoralis muscle pain
○ Intercostal neuropathy

263
Q

mx for breast cancer:

A

Cutaneous desensitization,
soft tissue mobilization,
stretching,
shoulder ROM,
thermal modalities with caution

264
Q

If cold modalities works on the patient, we must opt
for the:

A

cold modalities instead of heating modalities

265
Q

Breast cancer-related shoulder dysfunction is d/t:

A

operation

266
Q

what perectn affected for breast ca related shoulder dyfucntion:

A

> 50% affected

267
Q

most common long term morbidity

A

Breast cancer-related shoulder dysfunction

268
Q

HEAD AND NECK CANCER type of cell

A

Squamous cell carcinoma

269
Q

head and neck ca d/t

A

Alcohol and tobacco use

270
Q

head and neck also causes _ dyfunction

A

swallowing

271
Q

Swallowing dysfunction causes:

A

loss of oral intake,
weight loss,
fatigue,
decreased survival

272
Q

Effects of radiation therapy

A

○ Mucositis
○ Xerostomia

273
Q

HEMATOLOGIC MALIGNANCIES often produce

A

fatigue

274
Q

why hematologic malignancies produce fatigue?

A

because red blood cells are affected

275
Q

Most common pain in hema malignancies:

A

neuropathic pain

276
Q

hematologic malignancies:

A

Hodgkin’s vs Non-Hodgkin’s lymphoma
Leukemia

277
Q

LUNG CANCER produce _ and _

A

fatigue and deconditioning

278
Q

LUNG CANCER type of lung tumor:

A

Apical lung tumor (Pancoast tumor)

279
Q

lung ca MX:

A

Pulmonary hygiene and breathing exercises,
coughing exercise
pursed-lip breathing
diaphragmatic breathing
segmental breathing

280
Q

to keep the cough productive for easier expulsion of sputum

A

coughing exercises

281
Q

done if the patient complains of difficulty in breathing

A

pursed-lip breathing

282
Q

to preserve lung function

A

segmental breathing

283
Q

is the 4th most common cancer in the US

A

Colorectal cancer

284
Q

2nd leading cause of cancer death

A

GI MALIGNANCIES

285
Q

The only major malignancy equally affecting
males and females

A

GI MALIGNANCIES

286
Q

_ is the only curative treatment for gi malignancies

A

Surgery

287
Q

BRAIN TUMORS could be:

A

benign
malignant

288
Q

are the most common primary malignancies of the bone

A

Osteosarcoma,
chondrosarcoma,
pediatric Ewing’s sarcoma,
malignant fibrous histiocytoma

289
Q

Usually, if these are early detected, the patients are required to
undergo _

A

amputation

290
Q

Patients with _ usually has a good prognosis if they
undergo amputation and treatment

A

Pediatric Ewing’s Sarcoma

291
Q

Most common malignancy in men

A

PROSTATE CANCER

292
Q

Has high chance of survival

A

PROSTATE CANCER

293
Q

True or False: prostate cancer is treatable

A

t

294
Q

are the most common causes of death in prostate cancer

A

Bone metastasis
complications of androgen deprivation

295
Q

PROSTATE CANCER may experience _ or _

A

incontinence or impotence

296
Q

OMTs

A

australian modified karnofsky performance scale
barthel ADL index
FACIT
zarit caregiver burden assessment instruments

(3) PT in Special Conditions (41 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions