Exam 23: Neoplastic Disease

The reduced secretion of HCl due to the loss of parietal cells decreases the absorption of:

The selective neck dissection procedure involves the preservation of the:

Which of the following is not an appropriate recommendation for a cancer patient who is experiencing nausea and vomiting?

AS is a 54 yo business man who has a family history of lung cancer.AS started smoking at 15; years later, he got what he thought was a very bad cold that lasted for a week, started experiencing pain in his tongue, and was given ibuprofen for pain.He then noticed white sores that were getting bigger in his oral cavity near the tongue.He started feeling generally lousy and was unable to eat due to severe pain, and lost 30 lbs in a month.AS went to the clinic, where they did a biopsy that revealed squamous cell cancer of the oral tongue.AS has undergone RT and surgery to remove the cancer and a restorative surgery was scheduled.Due to RT, AS has developed mucositis and xerostomia in his oral cavity.All his nodes that were sent to the laboratory tested negative for metastasis, and no further RT was needed.The surgeons felt confident that they had removed all the cancer. HT: 5`9"       UBW: 165 lbs       WT: 135 lbs Meds: Corticosteroids; antineoplastic (dexamethasone) to reduce inflammation, K depletion, Na retention; and morphine for pain. -The registered dietitian performs a nutrition assessment on AS He/She will use which of the following parameters to estimate AS's caloric requirements?

A pt receiving RT to control intracranial swelling in order to alleviate pain is an example of:

The spinal accessory nerve helps control _____

Case Study ML is 55-year-old white male with prior medical hx of hyperlipidemia and DM.His mother died at the age of 60 from colon cancer.During the last 4 weeks he has had symptoms of abdominal pain, he feels weak and fatigued, more and more often he feels his back ache, and he has noticed darkening of his urine and lighter-in-color stools.Also, he reports having episodes of nausea and vomiting and has lost his appetite.ML has been losing weight during the last 5 weeks.All these symptoms led him to his doctor, who ordered a laboratory analysis. The doctor ordered a computed tomography (CT) and an ultrasound.To confirm diagnosis a biopsy was also performed.ML was diagnosed with ductal adenocarcinoma of the head of the pancreas Stage III. Height: 5'7"       Weight: 198#        UBW: 220# The doctor ordered the administration of chemotherapy with 5-Fluorouracil (5-FU) and improvement of his nutritional condition before surgery (Whipple procedure).Other meds prescribed: Zofran, Duragesic, pancrealipase, regular insulin. Diet Order: NPO -Given the above, how would we feed this patient?

The nutrition-related side effects of administering high doses of corticosteroids to cancer patients include all of the following except:

A partial or total gastrectomy increases a pt's risk for developing a deficiency of:

All of the following are appropriate recommendations for a patient with mucositis except:

Case Study ML is 55-year-old white male with prior medical hx of hyperlipidemia and DM.His mother died at the age of 60 from colon cancer.During the last 4 weeks he has had symptoms of abdominal pain, he feels weak and fatigued, more and more often he feels his back ache, and he has noticed darkening of his urine and lighter-in-color stools.Also, he reports having episodes of nausea and vomiting and has lost his appetite.ML has been losing weight during the last 5 weeks.All these symptoms led him to his doctor, who ordered a laboratory analysis. The doctor ordered a computed tomography (CT) and an ultrasound.To confirm diagnosis a biopsy was also performed.ML was diagnosed with ductal adenocarcinoma of the head of the pancreas Stage III. Height: 5'7"       Weight: 198#        UBW: 220# The doctor ordered the administration of chemotherapy with 5-Fluorouracil (5-FU) and improvement of his nutritional condition before surgery (Whipple procedure).Other meds prescribed: Zofran, Duragesic, pancrealipase, regular insulin. Diet Order: NPO -The registered dietitian is consulted on ML's case because of his symptoms What is the goal of nutritional therapy at this time?

Case Study ML is 55-year-old white male with prior medical hx of hyperlipidemia and DM.His mother died at the age of 60 from colon cancer.During the last 4 weeks he has had symptoms of abdominal pain, he feels weak and fatigued, more and more often he feels his back ache, and he has noticed darkening of his urine and lighter-in-color stools.Also, he reports having episodes of nausea and vomiting and has lost his appetite.ML has been losing weight during the last 5 weeks.All these symptoms led him to his doctor, who ordered a laboratory analysis. The doctor ordered a computed tomography (CT) and an ultrasound.To confirm diagnosis a biopsy was also performed.ML was diagnosed with ductal adenocarcinoma of the head of the pancreas Stage III. Height: 5'7"       Weight: 198#        UBW: 220# The doctor ordered the administration of chemotherapy with 5-Fluorouracil (5-FU) and improvement of his nutritional condition before surgery (Whipple procedure).Other meds prescribed: Zofran, Duragesic, pancrealipase, regular insulin. Diet Order: NPO -After performing a nutritional assessment on ML, the registered dietitian determines that he is at risk for what nutritional complication after surgery?

Brachytherapy is used to treat all of the following except for:

Pts with head and neck cancer often experience _____, which is due to their damaged or removed salivary glands

What is the correct order of processes that take place when normal cells become cancer cells?

AS is a 54 yo business man who has a family history of lung cancer.AS started smoking at 15; years later, he got what he thought was a very bad cold that lasted for a week, started experiencing pain in his tongue, and was given ibuprofen for pain.He then noticed white sores that were getting bigger in his oral cavity near the tongue.He started feeling generally lousy and was unable to eat due to severe pain, and lost 30 lbs in a month.AS went to the clinic, where they did a biopsy that revealed squamous cell cancer of the oral tongue.AS has undergone RT and surgery to remove the cancer and a restorative surgery was scheduled.Due to RT, AS has developed mucositis and xerostomia in his oral cavity.All his nodes that were sent to the laboratory tested negative for metastasis, and no further RT was needed.The surgeons felt confident that they had removed all the cancer. HT: 5`9"       UBW: 165 lbs       WT: 135 lbs Meds: Corticosteroids; antineoplastic (dexamethasone) to reduce inflammation, K depletion, Na retention; and morphine for pain. -How much body weight has AS lost?

RT destroys cancers cell by:

All of the following are side effects of chemotherapy except:

The signs and symptoms of cancer cachexia include:

Case Study ML is 55-year-old white male with prior medical hx of hyperlipidemia and DM.His mother died at the age of 60 from colon cancer.During the last 4 weeks he has had symptoms of abdominal pain, he feels weak and fatigued, more and more often he feels his back ache, and he has noticed darkening of his urine and lighter-in-color stools.Also, he reports having episodes of nausea and vomiting and has lost his appetite.ML has been losing weight during the last 5 weeks.All these symptoms led him to his doctor, who ordered a laboratory analysis. The doctor ordered a computed tomography (CT) and an ultrasound.To confirm diagnosis a biopsy was also performed.ML was diagnosed with ductal adenocarcinoma of the head of the pancreas Stage III. Height: 5'7"       Weight: 198#        UBW: 220# The doctor ordered the administration of chemotherapy with 5-Fluorouracil (5-FU) and improvement of his nutritional condition before surgery (Whipple procedure).Other meds prescribed: Zofran, Duragesic, pancrealipase, regular insulin. Diet Order: NPO -If as a result of the chemotherapy, ML develops mucositis, what will the registered dietitian recommend?