Devita, Hellman, and Rosenberg's Cancer

LWBK1006-44 LWW-Govindan-Review November 24, 2011 11:30

554 DeVita, Hellman, and Rosenberg’s CANCER: Principles and Practice of Oncology Review

Question 44.14. Common prophylactic measures for the prevention of chemotherapy- and

radiation-induced stomatitis include all of the following, EXCEPT:

A. Chlorhexidine gluconate

B. Viscous lidocaine

C. Sodium bicarbonate rinses

D. Ice

Question 44.15. A 55-year-old man is receiving radiation therapy for head and neck cancer.

Which of the following agents is NOT useful for preventing xerostomia

in this gentleman?

A. Amifostine

B. Pilocarpine

C. Salt and baking soda mouth rinse

D. Drinking plenty of water

Question 44.16. Regarding radiation pneumonitis, which is FALSE?

A. It develops in 5% to 15% of patients receiving external beam radia-

tion for lung cancer.

B. It can be divided into early, intermediate, and late stages.

C. The use of corticosteroids can prevent the onset of radiation pneu-

monitis.

D. Dyspnea is the main presenting symptom.

Question 44.17. Some factors that are associated with increased risk of chemotherapy-

induced pulmonary toxicity include which of the following?

A. Total dose of chemotherapy

B. Simultaneous or prior radiation to the lungs

C. Renal function

D. All of the above

Question 44.18. Cardiac irradiation can induce which symptoms of heart disease?

A. Pericarditis and pericardial effusion

B. Ischemic heart disease

C. Electrical conduction abnormalities

D. All of the above

Question 44.19. Regarding early detection of cardiac dysfunction, which is NOT used?

A. Electrocardiograms

B. Measurement of left ventricular ejection fraction by echocardio-

graphy

C. Serum cardiac troponin T levels

D. Serum brain natriuretic peptide levels