Devita, Hellman, and Rosenberg's Cancer

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

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

Question 45.26. Which of the following patients is a good candidate for inpatient total

parenteral nutrition (TPN)?

A. Patients with rapidly progressing cancer and no response to

chemotherapy.

B. Patients who are terminally ill.

C. Mildly malnourished patients undergoing chemotherapy.

D. Severely malnourished patients who are responding to chemotherapy.

Question 45.27. Which of the following statements regarding the pharmacological therapy

of cachexia is NOT TRUE?

A. Megestrol acetate improves appetite and body weight in cancer

patients.

B. Erythropoietin has a potential stimulatory effect on cancer cells.

C. Recombinant growth factor receptor has anabolic effects and no risk

of promoting tumor growth.

D. C

Question 45.28. All of the following outcomes have been consistently documented in clin-

ical trials of psychosocial interventions aimed at patients with metastatic

breast cancer, EXCEPT:

A. Improved survival

B. Reduced depression

C. Reduced pain

D. Reduced overall distress scores

Question 45.29. Which of the following is an indication for the use of corticosteroids?

A. Refractory neuropathic pain

B. Bone pain

C. Capsular expansion

D. All of the above

Question 45.30. Your patient with newly diagnosed early-stage breast cancer asks your

opinion about complementary and alternative medicine (CAM). She has

not selected any specific modality yet. She makes it clear that she wants

to combine CAM with her adjuvant therapy. You advise her:

A. Not to use any modalities, because there are no data, and they are

likely to be harmful.

B. She can use herbal preparations as long as she has no adverse effects.

C. She needs to select a licensed professional to administer her CAM.

D. To inform you if she decides to use CAM, so you can help her avoid

unfavorable adverse effects and interactions with chemotherapy, and

devise an integrated treatment plan, if possible.