Devita, Hellman, and Rosenberg's Cancer

LWBK1006-46 LWW-Govindan-Review December 12, 2011 20:52

Chapter 46•Rehabilitation of the Cancer Patient 579

Answer 46.12. The answer is D.

Left-sided brain lesion and meningioma are associated with favorable

rehabilitation outcomes. Patients with recurrence or relapse of tumor have

poor outcomes when compared with patients at initial presentation. In

the case of radiation therapy, there is no clear evidence regarding whether

this has an adverse or favorable impact on rehabilitation.

Answer 46.13. The answer is D.

According to a study with 253 cancer survivors, the most common func-

tional limitation reported was difficulty lifting heavy objects (26%), fol-

lowed by performing physical tasks (18%), prolonged mental concentra-

tion (12%), and analyzing data (11%).

Answer 46.14. The answer is C.

The role for antiseizure prophylaxis is not well established in patients

with brain tumors with no history of seizure activity. On the other hand,

patients with brain tumors are at high risk for DVT in the postopera-

tive setting. The most common neurologic problems faced by patients

with brain tumors in the postoperative setting are impaired cognition

and weakness. Studies have shown that patients with meningioma require

shorter periods of rehabilitation in the postoperative setting than patients

with stroke.

Answer 46.15. The answer is C.

Local injection of corticosteroids is effective for the treatment of inflamed

joints or bursa and not for neuritic pain. All of the other treatments are

appropriate for the management of neuritic pain.

Answer 46.16. The answer is B.

Pelvic floor exercises are usually prescribed for urinary incontinence. Sex-

ual dysfunction could result from poor body image due to altered anatomy

after surgery and counseling can help address this issue. Vacuum-assisted

devices and penile prosthesis may be helpful in this setting.

Answer 46.17. The answer is B.

CDT is useful in the management of lymphedema and is not indicated

in patients with paraplegia. Weight shift techniques, skin care education,

and customized wheel chairs are necessary in patients with paraplegia,

which avoid the development of decubitus ulcers.