Cancer rehab board review
This presentation is the property of its rightful owner.
Sponsored Links
1 / 29

Cancer Rehab Board Review PowerPoint PPT Presentation


  • 79 Views
  • Uploaded on
  • Presentation posted in: General

Cancer Rehab Board Review. Question # 1. You are examining a breast cancer patient whose upper extremity lymphedema has a brawny texture . Which of the following statements is true ? A) The edema is likely to be reversible with retrograde massage. B) The edema is irreversible

Download Presentation

Cancer Rehab Board Review

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Cancer rehab board review

Cancer Rehab Board Review


Question 1

Question # 1

You are examining a breast cancer patient whose upper extremity lymphedema has a brawny texture . Which of the following statements is true ?

  • A) The edema is likely to be reversible with retrograde massage.

  • B) The edema is irreversible

  • C) The edema will improve or reverse with elevation of the affected extremity and ACE wrapping

  • D) The edema is pitting to palpation


Cancer rehab board review

  • B) Stage 2 lymphedema is irreversible and is described to have a brawny texture. Once edema reaches this stage, it is irreversible, and the tissue does not pit on palpation


Question 2

Question # 2

2) Post mastectomy symptoms of patchy numbness in the medial and posterior upper arm may be secondary to sacrifice of which of the following nerves ?a) Intercostal brachial nerveb) Musculutaneous nervec) Axillary nerved) Long thoracic nerve


Cancer rehab board review

  • a) Intercostal brachial nerve


Question 3

Question #3

  • Damage to which of the following nerves during cancer surgery can cause the condition shown at the right : a) Intercostal brachial nerveb) Spinal accessory nervec) Axillary nerved) Long thoracic nerve


Cancer rehab board review

  • d) Long thoracic nerve palsy, may cause serratous anterior weakness, thus the trapezius will be unopposed and pull the scapula medially


Question 4

Question # 4

  • Contraindications for breast cancer conservation surgery includea) multicentric cancerb) inability to receive radiationc) tumor > 5 cmd) all of the above are contraindications.


Cancer rehab board review

  • d) All of the above are contraindications


Cancer rehab board review

  • The most common cause of lymphedema resulting in elephantiasis worldwide is?a) infestation of lymph nodes by Wuchereria bancroftib) removal of lymph nodes by surgeryc) radiationd) infection


Question 5

Question # 5

  • The most common cause of lymphedema resulting in elephantiasis worldwide isa) infestation of lymph nodes by the parasite Wuchereria bancrofti


Question 6

Question # 6

  • Which of the following is the first symptom experienced in 95% of patients with spinal cord compression from cancer?a) Weaknessb) Paresthesiasc) Loss of proprioceptiond) Pain


Cancer rehab board review

  • d) Pain is the first symptom in 95% of patients


Question 7

Question # 7

  • Which of the following is true regarding metastatic spinal cord tumors?a) The majority are intradural and located in the lumbar regionb) The majority are extradural and located in the lumbar regionc) The majority are intradural and located in the thoracic regiond) The majority are extradural and located in the thoracic region


Cancer rehab board review

  • d) The majority are extradural (95%) and located in the thoracic region (70%)


Question 8

Question # 8

  • Which of the following is not true of radiation plexopathy ?

  • A) It most commonly involves the lower trunk of the brachial plexus

  • B) Myokymia is pathognomonic of this disorder

  • C) Numbness & paresthesias are the typical presenting symptoms

  • D) It most commonly involves the upper trunk of the plexus


Question 9

Question # 9

  • Which of the following is not true regarding childhood cancers ?

  • A) the most common form of cancer in children is leukemia

  • B) Cerebellar astrocytoma is the most common posterior fossa tumor in children

  • C) Medulloblastomas are more common than cerebellar astrocytomas in children

  • D) Cerebellar astrocytomas have a better prognosis than medulloblastomas


Cancer rehab board review

  • C is the answer

  • Cerebellar astrocytomas are more common and have a better prognosis than medulloblastoma

  • Leukemias are the most common pediatric cancers


Question 10

Question # 10

  • The lesion in the radiograph of a female patient on the right was probably caused by :

  • A) Thyroid cancer

  • B) Lung Cancer

  • C) Breast cancer

  • D) Colon cancer


Cancer rehab board review

  • Answer : this is a humeral metastatic lesion which is lytic

  • 90% of upper extremity metastatic disease involves the humerus

  • Usual cancers responsible are : breast, multiple myeloma, renal cell ca.


Question 11

Question # 11

  • Which of the following is not true regarding cancer and bone disease ?

    a) Most lower extremity metastases involve the hip or femur

    b) Most upper extremity metastases involve the humerus

    c) Lytic lesions are more prone to fracture than blastic lesions

    d) Osteosarcomas in children most frequently involve the hip and the proximal humerus


Cancer rehab board review

  • Answer D.

  • Osteosarcomas in children typically involve the KNEE and proximal humerus


Question 12

Question # 12

  • A post mastectomy patient is on 2 mg IM Dilaudid q 4 hours for pain, and she is to be discharged today and is still in pain, but unable to give herself injections of Dilaudid. How would you write your discharge prescription for Dilaudid?

  • A) Dilaudid 2 mg po q 4 h

  • B) Dilaudid 3 mg PR q 4 h

  • C) Dilaudid 8 mg po q 4 h

  • D) Both B and C would be acceptable


Cancer rehab board review

  • Answer : D – both B and C are acceptable.


Question 13

Question # 13

  • A patient who is receiving chemotherapy while on your service is complaining of nausea and is not improving on standard anti - emetic medications. Which of the following would you prescribe to help this patient ?

  • A) Atarax

  • B) Chlorpromazine

  • C) Ondanestron

  • D) Reglan


Cancer rehab board review

  • Answer : Ondanestron, the serotonin antagonist should be prescribed, as it does not have extrapyramidal side effects or other CNS side effects.


Question 14

Question # 14

  • What type of cancer does the patient on the right have ?

  • A) Renal Cell

  • B) Prostate

  • C) Breast

  • D) Multiple Myeloma


Question 15

Question #15

  • Which of the following is not a complication of vincristine chemotherapy for cancer ?

  • A) Ileus

  • B) Abdominal Pain

  • C) Pulmonary Fibrosis

  • D) Peripheral Neuropathy


Cancer rehab board review

  • Answer – C - Pulmonary Fibrosis


  • Login