Devita, Hellman, and Rosenberg's Cancer

LWBK1006-45 LWW-Govindan-Review December 13, 2011 15:32

Chapter 45•Supportive Care and Quality of Life 565

Question 45.20. Which of the following is TRUE about using anesthetic and neurosurgical

approaches to treat cancer pain?

A. Celiac ganglion block is effective in 50% of patients treated.

B. Peripheral nerve blocks are most useful in patients with somatic pain.

C. Cordotomy is almost always complicated by motor paresis.

D. Epidural local anesthetics delivered by continuous low-dose infusion

are useful long term for cancer pain.

Question 45.21. John eventually develops liver metastases and enters hospice care. His

elderly wife is unable to manage him at home, and he is transferred to

inpatient hospice after a few weeks. Eventually he becomes bed-bound

and mostly unresponsive. In the last 24 hours, his respirations are becom-

ing irregular, and he appears agitated, moaning, and restless. No recent

changes to his medications have been made. Appropriate management of

his condition includes:

A. Lorazepam 1 mg every 2 hours

B. Opioid drip to control dyspnea

C. Haldol 1 mg intravenously administered every 2 hours

D. All of the above

Question 45.22. Which of the following metabolic abnormalities in humans with cachexia

is TRUE?

A. Increased total body water

B. Increased serum lipid levels

C. Insulin resistance

D. All of the above

Question 45.23. What threshold is used to define critical weight loss in patients with

cancer?

A. 10% of baseline body weight in 6 months

B. 10% of lean body mass in 6 months

C. 10% of baseline body weight in 3 months

D. 10 lbs in 1 month

Question 45.24. Which of the following metabolic abnormalities is/are present in cancer

cachexia?

A. Increased gluconeogenesis

B. Decreased lipoprotein lipase activity

C. Decreased body glucose consumption

D. A and B

Question 45.25. Which of the following statements regarding dysgeusia is FALSE:

A. Taxanes have one of the strongest associations with dysgeusia.

B. Dysgeusia may be caused by depression.

C. Foods are better tolerated when they are thoroughly chewed prior to

ingestion.

D. Zinc may work best for sweet dysgeusia.