CSO EXAM TEST BANK LATEST 2023-2024 REAL
EXAM 250 QUESTIONS AND CORRET ANSWERS
WITH RATIONALES (DETAILED ANSWERS)
|ALREADY GRADED A+
For Cancer Prevention: The American Institute for Cancer Research (AICR)
recommends that Americans stay physically active for at least minutes every day – ANSWER- For Cancer Prevention: The American Institute for Cancer Research (AICR) recommends that Americans are physically active for at least 30 minutes every day. Limit sedentary behavior like watching TV. If the pyloric valve (located at the base of the stomach) was removed or manipulated during surgery, the patient is at risk for _________________________ – ANSWER- DUMPING SYNDROME
If the pyloric valve (located at the base of the stomach) was removed or
manipulated during surgery, the patient is at risk for DUMPING SYNDROME
True or False
A patient with a new ileostomy should avoid both soluble and insoluble fiber after
surgery – ANSWER- TRUE
Patients should avoid SOLUBLE fiber until the surgeon confirms the intestine has
healed.
Nestle Health Science suggests limiting MCT oil to _____mL/day – ANSWERNestle Health Science suggests limiting MCT oil to 100 mL/day (~6.5 TBSP) =760
kcals
True or False
The ketogenic diet limits carbohydrate intake to 5-10% of the total diet, typically
between 15-50 grams daily – ANSWER- True
The ketogenic diet limits carbohydrate intake to 5-10% of the total diet, typically
between 15-50 grams daily
Generally, the Macrobiotic diet is made up of these foods: – ANSWER- The
Macrobiotic diet is made up of:
•organic whole grains (50% of food intake)
•locally grown, organic fruits/vegs (25% of diet)
•soups made with vegetables, seaweed, beans, fermented soy (miso) (up to 25%
food intake)
Generally, the Macrobiotic diet does NOT include
A. Dairy, eggs, poultry, red meat
B. Artificial flavors, processed foods or chemical additives
C. Mango, pineapple and papaya
D. Both A & B
E. Answers A, B & C – ANSWER- Answer: E
Zoledronic acid (Zometa®) is a supportive care drug in the category of
bisphosphonates that can be used to decrease complications produced by
metastasis to the:
A. Brain
B. Bone
C. Liver
D. Kidney – ANSWER- Zoledronic acid (Zometa®) is a supportive care drug in the
category of bisphosphonates to decrease complications produced by metastasis to
the: B. BONE
Which dietary supplements should be recommended when a patient is prescribed
Zoledronic acid for stage IV breast cancer with bone metastasis? – ANSWER- Coadminister oral calcium 500 mg and
a multiple vitamin containing 400 IU Vit D daily.
St. John’s Wort may __________ the drug activity of Vinblastine
(Velban) & Vincristine (Oncovin) – ANSWER- DECREASE
St. John’s Wort may DECREASE the drug activity of Vinblastine (Velban) &
Vincristine (Oncovin)
by INDUCING Cytochrome P450 3A4 (CYP3A4).
CYP3A4 is an important enzyme in the body, mainly found in the liver and in the
intestine. It oxidizes xenobiotics, such as toxins or drugs, so that they can be
removed from the body.
TRUE or FALSE
Grapefruit juice (GFJ) can INCREASE a drugs’ activity by INHIBITING the
enzyme responsible for the drug’s metabolism – ANSWER- TRUE
Example: Concomitant use of GFJ and docetaxel resulted in a reduction of
clearance greater than 15%
Name 3-4 foods that can alter the CYP3A4 metabolizing enzyme- thus altering a
drugs’ efficacy/toxicity – ANSWER- Possible food & drug interactions occur with:
•grapefruit and GFJ
••pomegranate
•star fruit
*citrus juice/ seville oranges (In the USA, Seville oranges are grown on a limited
scale by small farmers)
There are many different herbal supplements that affect CYP3A enzymes,
including these 5 supplements: – ANSWER- •St John’s Wort
•Black cohosh
•Ginseng
•Ginko biloba
•Goldenseal
Which chemotherapy drug is known to cause Pharyngolaryngeal dysesthesia? –
ANSWER- Oxaliplatin (Eloxatin)
This medication has an unusual side effect called “cold dysesthesia”. – ANSWEROxaliplatin (Trade Name: Eloxatin)
What can a cancer patient do to reduce the likelihood of experiencing cold
dysesthesia while receiving treatment with Oxaliplatin? – ANSWER- •Do not drink
cold drinks or use ice cubes in drinks.
•Do not put ice or ice packs on your body.
•Do not take things from the freezer or refrigerator without wearing gloves.
•Drink fluids warm or at room temperature.
•Always drink through a straw.
•Do not use ice chips if you have nausea or a sore mouth.
A patient with newly diagnosed pancreatic cancer completes the Scored PatientGenerated Subjective Global Assessment (PG-SGA©) with information regarding
weight, food intake, symptoms and activities/functional status. The additive score
is 10. What does this score mean?
A. No intervention is required at this time.
B. Requires intervention by RD with RN or MD
C. Indicates a critical need for improved symptom management &/or nutrient
intervention options – ANSWER- >/= 9 Indicates a critical need for improved
symptom management &/or nutrient intervention options
TRUE or FALSE
The antiemetic Ondansetron (Zofran) may cause constipation or diarrhea in cancer
patients – ANSWER- TRUE
•Constipation — in up to 9% of patients
•Diarrhea — in up to 7 % of patients
Anticipatory nausea and vomiting (ANV) – ANSWER- Anticipatory nausea and
vomiting (ANV), also is widely believed to be a learned response to chemotherapy
that 25% of patients develop by the 4th treatment cycle
List some risk factors for anticipatory nausea and vomiting – ANSWER- 1. Age
younger than 50 years.
- N&V after the last chemotherapy session.
- Post-treatment nausea OR vomiting described as moderate, severe, or
intolerable. - Susceptibility to motion sickness.
- Female gender.
- High-state anxiety
- Patient expectations of chemotherapy-related nausea before beginning treatment.
- Emetogenic potential of various chemotherapeutic agents. Patients receiving
drugs with a moderate to severe potential for post-treatment N&V are more likely
to develop ANV. - History of morning sickness during pregnancy.
The American Society of Clinical Oncology (ASCO) provides a summary of IV
chemotherapeutic agents and their respective risk of acute and delayed emesis.
•High risk: Emesis that has been documented to occur in more than 90% of
patients: – ANSWER- •Anthracycline/cyclophosphamide combination.
•Carmustine (BiCNU®)
•Cisplatin (Platinol®)
•Cyclophosphamide (Cytoxan) (≥1,500 mg/m2).