1. Jeopardy Oncologic Topics Chapter 23 & 24

2. Emergencies Treatment/SE Patient Care Prevention Patho 50 40 30 20 10 20 30 40 50 10 20 30 40 50 10 20 30 40 50 10 20 30 40 50

3. Category 1 – Patho 10 Points Give one other name for cancer development

4. Category 1 – Patho 10 Points 1.Carcinogenesis 2.Oncogenesis

5. Category 1 – Patho 20 Points The following characteristics describe which type of cell? -Rapid Growth -Anaplastic Appearance -Large nuclei-cytoplasm ratio -Loose Adherence -Invasive Growth

6. Category 1 – Patho 20 Points Malignant Cells (Cancer Cells)

7. Category 1 – Patho 30 Points The key feature of cancer cells is the loss of ____, which means that cells have an “infinite” life span.

8. Category 1 – Patho 30 Points Apoptosis

9. Category 1 –Patho 40 Points The term that describes the process of cancer cells moving from the primary location and establishing remote colonies

10. Category 1 – Patho 40 Points Metastasis

11. Category 1 – Patho 50 Points Describe the difference in grading vs. staging of cancer

12. Category 1 – Patho 50 Points Grading: Classifies CELLULAR aspects of cancer (G1-G4) Staging: Classifies CLINICAL aspects of cancer (TNM)

13. Category 2 – Prevention 10 Points List one of the three interacting factors that influence cancer development

14. Category 2 – Prevention 10 Points 1.Exposure to carcinogens 2.Genetic predisposition 3.Immune function

15. Category 2 – Prevention 20 Points What type of prevention uses screening strategies to detect cancer early (when a cure or control is more likely)

16. Category 2 – Prevention 20 Points Secondary

17. Category 2 – Prevention 30 Points What is the single most important source of preventable carcinogenesis

18. Category 2 – Prevention 30 Points Tobacco

19. Category 2 – Prevention 40 Points Normal cells that have the ability to ___ are at a higher risk for cancer development than cells that are not capable of ____. (hint: same word in both blanks)

20. Category 2 – Prevention 40 Points Divide/Division

21. Category 2 – Prevention 50 Points What are the 7 warning signs of cancer? (hint: CAUTION) DAILY DOUBLE!!!

22. Category 2 – Prevention 50 Points 1.Changes in bowl/bladder habits 2.A sore throat that does not heal 3.Unusual bleeding or discharge 4.Thickening in the breast or elsewhere 5.Indigestion or difficulty swallowing 6.Obvious change in warts/mole 7.Nagging cough or hoarseness

23. Category 3 – Patient Care 10 Points Why do cancer patients avoid large crowds?

24. Category 3 – Patient Care 10 Points They are immunocompromised

25. Category 3 – Patient Care 20 Points What type of precautions are chemotherapy/cancer patients generally on?

26. Category 3 – Patient Care 20 Points Neutropenic Precautions

27. Category 3 – Patient Care 30 Points List one of the four impairments untreated cancer can cause

28. Category 3 – Patient Care 30 Points 1.Reduced immunity/blood producing functions 2.Altered GI structure/function 3.Motor/ sensory deficits 4.Decreased respiratory function

29. Category 3 – Patient Care 40 Points What lab work (blood test) would indicate that a patient is currently immunocompromised?

30. Category 3 – Patient Care 40 Points White blood count (WBC)

31. Category 3 – Patient Care 50 Points List one of the two blood problems cancer can cause when it invades the bone marrow

32. Category 3 – Patient Care 50 Points Anemia (low RBC) Thrombocytopenia ( low platelets)

33. Category 4 – Treatment/SE 10 Points What is the medical term for treatment of cancer with chemical agents?

34. Category 4 – Treatment/SE 10 Points Chemotherapy

35. Category 4 – Treatment/SE 20 Points During care of a patient receiving current oncologic treatment, you notice a burn on the patients skin. Which type of therapy is your patient most likely on?

36. Category 4 – Treatment/SE 20 Points Radiation

37. Category 4 – Treatment/SE 30 Points Which NORMAL cells are most often affected by chemotherapy?

38. Category 4 – Treatment/SE 30 Points Rapidly Dividing Cells o Skin o Hair o Intestinal tissues o Spermatocytes o Blood-forming cells

39. Category 4 – Treatment/SE 40 Points Why should a nurse assess a venous access device during chemotherapy administration?

40. Category 4 – Treatment/SE 40 Points Extravasion--CHEMO IS HIGHLY VESICANT! The venous access site should be monitored every 30-60 minutes MINIMUM

41. Category 4 – Treatment/SE 50 Points What treatment works by stimulating the immune system to recognize cancer cells and take actions to eliminate or destroy them?

42. Category 4 – Treatment/SE 50 Points Immunotherapy: Biological Response Modifiers (Cancer treatment specifically uses cytokines)

43. Category 5 – Emergencies 10 Points Which life threatening condition should you monitor for in a patient that is severely immuno-compromised? (hint: this condition may cause shock)

44. Category 5 – Emergencies 10 Points Sepsis

45. Category 5 – Emergencies 20 Points Bone cancer can cause ______ due to the release of calcium into the bloodstream.

46. Category 5 – Emergencies 20 Points Hypercalcemia

47. Category 5 – Emergencies 30 Points In tumor lysis syndrome, _____ are released into the bloodstream faster than the body can eliminate them.

48. Category 5 – Emergencies 30 Points Potassium Purines (DNA Components)

49. Category 5 – Emergencies 40 Points Which of the following oncology patients requires immediate attention? A 10-year old female that exhibits alopecia, N/V and mucositis A 44-year old male with a WBC of 4,000 and hgb 9.0 A 55-year old male with a Na+ 115, weakness, and fluid retention

50. Category 5 – Emergencies 40 Points A 55-year old male with a Na+ 115, weakness, and fluid retention Cancer is a common cause of SIADH

51. Category 5 – Emergencies 50 Points What is the main cause of DIC in cancer patients?

52. Category 5 – Emergencies 50 Points Gram Negative Sepsis Cancer of the Blood