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Test 7: Side effects of breast cancer treatment

  1. Which drug is commonly used for chemotherapy in breast cancer?
    • Melphalan
    • Vinblastine
    • Cyclophosphamide
    • Bleomycin
  2. What is a common side effect of chemotherapy?
    • Skin redness and tenderness of the skin over the breast
    • Hair loss
    • Deep vein thrombosis
    • Weight gain
  3. What drug can be used to treat nausea and vomiting that occurs with chemotherapy?
    • Imodium
    • Tamoxifen
    • Codeine
    • Stemetil
  4. Mucositis due to chemotherapy presents with:
    • Bloody stools
    • Red urine
    • A swelling in the armpit
    • A sore mouth
  5. 5-fluorouracil used for chemotherapy commonly causes:
    • Hair loss
    • A red colour of the nails
    • Jaundice
    • Diarrhoea
  6. What management is correct in chemotherapy patients who develop severe diarrhoea?
    • They can be treated at home with oral rehydration fluid
    • They should be sent to hospital urgently
    • They can be treated at a clinic with diluted ‘coke’
    • Wait for 12 hours to assess whether the diarrhoea will improve
  7. An important feature of neutropenic sepsis is:
    • A low white cell count
    • A high white cell count
    • A raised platelet count
    • A raised haemoglobin concentration
  8. Neutropenic sepsis usually presents with:
    • A high temperature
    • A generalised pink rash
    • Abdominal pain and constipation
    • Swelling, redness and pain at the surgery site
  9. The most important treatment of neutropenic sepsis is:
    • A blood transfusion
    • Stop the radiotherapy immediately
    • Intravenous broad-spectrum antibiotics
    • Paracetamol (Panado)
  10. What is an important side effect of Tamoxifen treatment?
    • Increased risk of blood clots, especially deep vein thrombosis
    • Weight loss
    • Anaemia
    • Diarrhoea
  11. Thickening of the lining of the uterus is a complication of:
    • Aromatase inhibitors
    • Tamoxifen
    • Methotrexate
    • Herceptin
  12. What is a common side effect of aromatase inhibitors?
    • Osteoporosis
    • Bone thickening
    • Headaches
    • Vaginal discharge
  13. Aching bones and muscles in women receiving aromatase inhibitors should be treated with:
    • Estrogen cream locally
    • Oral progesterone
    • Prednisone
    • Non-steroidal anti-inflammatory drugs such as ibuprofen (Brufen)
  14. Skin changes associated with radiotherapy:
    • Are uncommon and occur as soon as radiotherapy begins
    • Are common and usually occur about 10 days after the treatment starts
    • Usually present with blisters and severe pain
    • Are rare and do not look like the skin changes with breast cancer
  15. Skin changes with radiotherapy can be managed with:
    • Corn starch (Maizena)
    • Talcum powder
    • Short, repeated exposure to sunshine
    • Soaking the arm in cold water
  16. Which symptom is common during radiotherapy?
    • Nausea and vomiting
    • Tiredness
    • Bone pain
    • Sweating
  17. Which wound complication occurs a few weeks after surgery?
    • Lymphoedema
    • Seroma formation
    • Scarring with keloid formation
    • Recurrence of cancer in the wound
  18. Stiffness of the shoulder after surgery:
    • Is only seen after axillary clearance of lymph nodes
    • Is uncommon and is usually treated with rest and pain killers
    • Usually responds well to regular arm exercises
    • Responds well to a course of steroids
  19. Lymphoedema is best prevented by:
    • Diagnosing cancer early so that less surgery is needed
    • Using adjuvant radiotherapy rather than chemotherapy
    • Keeping the arm bandaged after surgery
    • Removing all the axillary lymph nodes
  20. The management of lymphoedema includes:
    • A short course of antibiotics
    • A long course of oral steroids
    • Elevating, exercising and compression bandaging the arm
    • Resting the arm in a sling