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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
Xeloda (capecitabine) and Cytoxan (cyclophosphamide) can interact with which type of medication?
Anticoagulants
26
T/F CAR-T therapy uses another person's healthy immune cells to treat cancer?
False; uses pt's own cells
27
Elevated cholesterol is common with which hormone therapy?
Letrozole (an aromatase inhibitor)
28
Which drug can have altered absorption if taken with a high fat meal?
Regorafenib
29
Which vitamin can reduce the incidence/severity of hand/foot syndrome?
V6/pryidoxine
30
What labs to monitor with cisplatin?
Lytes (magnesium, calcium, sodium, potassium)
31
What is a common hormone therapy drug used to treat breast cancer? Side effects?
Tamoxifen citrate (Novaldex); hot flashes, sweating, nausea, vomiting, fluid retention, weight gain
32
TBI - bone marrow
Acute: anemia, neutropenia, pancytopenia, hemorrhage, infection Late: secondary heme cancers
33
TBI - brain/CNS
Acute: confusion, meningitis Late: cognitive changes, memory loss
34
TBI - GI tract
Acute: dry mouth, mucositis, esophagitis, nausea, vomiting, diarrhea, lyte imbalances, acute GVHD Late: radiation enteritis, chronic GVHD, denudation of villi of small intestine
35
TBI - skin
Acute: erythema, hyperpigmentation Late: fibrosis, delayed wound healing, increased risk of basal cell cancer
36
TBI - other
Acute: fatigue, fever, hair loss Late: secondary malignancies, growth/development changes in pediatrics, osteopenia, osteoporosis, infertility
37
Brachytherapy - Breast
No side effects
38
Brachytherapy - GYN
Acute: nausea, diarrhea, painful urination Late: diarrhea, bladder irritation
39
Brachytherapy - Esophagus
Acute: esophagitis, dysphagia, odynophagia Late: esophageal ulcerations, stenosis, fibrosis
40
Brachytherapy - Prostate
Acute: painful urination, diarrhea, cramping, bloating, flatulence, proctitis Late: urinary stricture, incontinence, diarrhea
41
Brachytherapy - Tongue
Acute: mucositis, dry mouth, taste changes Late: dry mouth, mucosal fibrosis, ulcerations
42
ERBT is also known as
Teletherapy
43
What type of radiation is most common with HCT?
Total body irradiation (TBI)
44
CTCAE Grading
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
What medications are best for anticipatory nausea?
Benzos like ativan
46
Medications for acute nausea?
Zofran Aloxi Anzemet Kytril
47
Medications for CINV?
Dexamethasone Zofran Emend Rezonic NOT compazine
48
Medications for diarrhea?
Loperamide Octreotide Cholesytramine Attapulgite
49
What dose of ginger to recommend for nausea?
0.5-1.0 gram
50
Budwig Diet
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
Bill Henderson Protocol
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
Gerson Therapy
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
Gonzalez Regimen
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
Livingston-Wheeler Therapy
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
Macrobiotic Diet
Primarily vegetarian diet (some versions are vegan and some allow fish) Specific portions of foods are recommended
56
Alkaline Diet
80% alkaline foods (veggies, low sugar fruits, legumes) 20% acid foods (beef, poultry, dairy, eggs, coffee, sugar, alcohol)
57
Difference between the budwig diet and bill henderson?
Budwig diets prohibited list of foods is much longer Budwig diet uses enemas, breathing techniques, and essiac tea
58
Aloe
Good for constipation and radiation dermatitis
59
Black cohosh interferes with what drug?
Tamoxifen * may increase toxic effects of doxorubicin and docetaxel
60
Curcumin enhances the effect of which 2 chemos?
5FU Cisplatin
61
DIM and IC3 enhances the effect of which chemo?
Paclitaxel
62
Flaxseed may inhibit growth of which 2 cancers?
Breast Prostate
63
Ginkgo biloba enhances tumor reduction with which chemo?
Tamoxifen
64
Green tea interferes with which 2 chemos?
Erlotinib Pazopanib
65
Neutrophil Count (neutropenia labs)
Mild 1000-1500 Moderate: 500-1000 Severe: < 500
66
Hemoglobin
Men 13.2-16.6 Women: 11.6-15.0
67
Quercetin may decrease absorption of?
Iron
68
Vitamin B6
May help with hand/foot syndrome associated with 5FU, Xeloda
69
Folate/folic acid
Take with MTX as rescue drug Take with Alimta/pemetrexed (and B12) Avoid with Xeloda (capecitabine) Consider B12 when supplementing folic acid
70
Beta carotene
Increases lung cancer especially with smoking May decrease colorectal cancer risk
71
Melatonin
May benefit those taking Tamoxifen for breast cancer
72
Selenium
May benefit those taking Taxol
73
Calcium
Increased risk of prostate cancer if >1500 mg consumed Decreased risk of colorectal cancer is <1500 mg consumed
74
Vincristine
Severe constipation Take a stool softener with it Part of RCHOP
75
Zometa
Take calcium/vitamin D supplement
76
Which drugs contain lactose?
Exjade, TasignaW
77
Which drug should dairy be avoided with when taking?
6MP-Purinethol (Mercatopurine)
78
Oxaliplatin
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

CSO Exam 2023 (12 decks)

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