Survivorship and Chronic Complications of Cancer Treatment Quiz
Created by Connor Bohlken and Chris Galbraith
Edited by Dr. Paris Ingledew
You are working in a oncology clinic and your next patient is Mrs. Swall Enarm. She is a 68 year old female who received a right radical mastectomy and lymph node dissection 4 years ago. She has noticed a gradual swelling or her right arm. It is associated with an aching tightness, and decreased range of motion. On inspection you notice pitting and an increased circumference of 4cm compared to the normal arm. You tell Mrs. Enarm that management is largely supportive. She is somewhat disappointed and wants to know how she ended up getting lymphedema. Of the following, which is a protective factor against developing lymphedema.
Adjuvant Radiation to Lymph Nodes
Exercise After Treatment
You are a 3rd year medical student on your Internal medicine rotation. Your next patient was admitted for monitoring secondary to a new “rash”. You read the brief consult note from the Emergency department. “Mrs. Wetneck, 67 year old male, recent radiation to the neck for esophageal cancer, new onset rash not healing”. Your attending, Dr. Drysquam, an old British Doc asks you for a “spot diagnosis”. You enter the room and see the following:
Steven Johnson Syndrome
Red Man Syndrome
After seeing Mrs. Wetneck, Dr. Drysquam asks you which of the following is NOT a strategy that is promoted as a protective measure against Radiation Dermatitis.
Washing skin with lukewarm water and gentle soaps.
Using water based, lanolin-free moisturizers before treatment.
Tight fitting clothing.
You work as a pediatric medical oncologist and one of your patients has just finished their chemotherapy regimen. The parents are in the room and are worried about secondary cancers. You try and reassure them and highlight important preventive measures such as smoking cessation, minimizing sun exposure, diet and nutrition, safe sexual practices, and avoiding environmental exposures. Which of the following is NOT one of the most common secondary cancers following chemotherapy?
You are seeing a new patient, Mrs. Ferty. She is a 32 year old with ovarian cancer. She is in your clinic today discussing fertility options. You discuss egg preservation therapy, as well as techniques to help preserve function of her reproductive organs. You plan on referring her to a reproductive specialist. Before she leaves, out of curiosity Mrs. Ferty wants to know what treatments are most damaging to oocytes. You answer:
You are a 3rd year medical student working in a family medicine clinic with Dr. Stockings. Your next patient is a 54 year old male being treated for metastatic lung cancer with Cisplatin. He is on 2nd to last cycle. His reason for visiting today is “New onset numbness and tingling in my hands and feet”. You look back in his notes and see that he had an A1C done 2 months ago that was 6.5. He has no other medical conditions. On physical exam you note sensory deficits bilaterally in his upper limbs extending to the mid forearm and in his lower limbs to the mid shin. There are no motor deficits. What do you suspect?
Peripheral Nerve Impingement
Chemotherapy Induced Peripheral Neuropathy
Mrs. Fawg is a 74 year old female who has recently finished a course of chemotherapy for breast cancer. She is reporting difficulty multitasking, concentrating, and remembering small details. You suspect “chemobrain”. What percentage of patients may experience chemobrain?
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