Devita, Hellman, and Rosenberg's Cancer

LWBK1006-06 LWW-Govindan-Review November 24, 2011 11:20

CHAPTER 6 PRINCIPLES OF

SURGICAL ONCOLOGY

REBECCA L. AFT•JASON KEUNE

DIRECTIONS Each of the numbered items below is followed by lettered answers. Select

the ONE lettered answer that is BEST in each case unless instructed

otherwise.

QUESTIONS

Question 6.1. A 45-year-old woman with breast cancer is starting adjuvant chemother-

apy for breast cancer. You prescribe EMLA (lidocaine/prilocaine) cream

for topical anesthesia prior to port-a-cath access. She cautions you that

she is allergic to benzocaine. Which of the following statement is NOT

correct?

A. She should avoid using EMLA cream given her allergy history.

B. EMLA cream contains a combination of amide local anesthetics.

C. Allergy to benzocaine is unlikely to result in cross-allergy to EMLA

cream.

D. Allergy to benzocaine is a result of sensitivity to its metabolite, para-

aminobenzoic acid.

Question 6.2. Epidural anesthesia involves the injection of a local anesthetic agent:

A. Into the cerebrospinal fluid, by puncturing the dura between L2 and

L4

B. Into the extradural space within the spinal canal

C. Into the space outside of the spinal canal, superficial to the ligamen-

tum flavum

D. Into the subarachnoid space

Question 6.3. Palliative surgery for gastric outlet obstruction in a patient with metastatic

cancer of the head of the pancreas carries a mortality rate of up to:

A. 5%

B. 20%

C. 40%.

D. 60%.

Corresponding Chapter inCancer: Principles & Practice of Oncology,Ninth Edition: 25 (Surgical Oncology: General

Issues) and 26 (Surgical Oncology: Laparoscopic Surgery).

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