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Chapter 56: Drugs for Breast Cancer Test Bank

Chapter 56: Drugs for Breast Cancer Test Bank

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Chapter 56: Drugs for Breast Cancer
Test Bank
MULTIPLE CHOICE
1.   A woman who is being treated with radiotherapy for breast cancer asks her primary care nurse practitioner (NP) about using dietary supplements to improve her chance of recovery. The NP should tell her that:
a.

vitamin E is not harmful but has not been shown to change outcomes.

b.

no supplements have been shown to alter outcomes or response to therapy.

c.

folic acid and other B vitamins may improve ability to tolerate chemotherapy.

d.

vitamin C, taken at least 6 days per week, may lower her risk of cancer recurrence.

2.   A postmenopausal woman has metastatic breast cancer that is estrogen receptor negative. She is scheduled to begin chemotherapy the following week and asks her primary care NP what other medications her oncologist may prescribe to treat her cancer. The NP should expect the oncologist to prescribe:
a.

toremifene (Fareston).

b.

tamoxifen (Nolvadex).

c.

fulvestrant (Faslodex).

d.

anastrozole (Arimidex).

3.   A primary care NP sees a 60-year-old woman for a physical examination. The woman tells the NP she is taking tamoxifen for treatment of breast cancer. To monitor her response to this medication, the NP should order:
a.

a chest radiograph.

b.

bone mineral density testing.

c.

serum bilirubin and creatinine.

d.

liver enzymes and a complete blood count (CBC).

4.   A 50-year-old woman who is postmenopausal is taking an aromatase inhibitor as part of a breast cancer treatment regimen. She calls her primary care NP to report that she has had hot flashes and increased vaginal discharge but no bleeding. The NP should:
a.

schedule her for a gynecologic examination.

b.

recommend that she use a barrier method of contraception.

c.

tell her to stop taking the medication and call her oncologist.

d.

reassure her that these are normal side effects of the medication.

5.   A patient who has breast cancer has been taking toremifene for 2 weeks. She tells her primary care NP that she thinks her tumor has grown larger. The NP should:
a.

schedule her for a breast ultrasound.

b.

reassure her that this is common and will subside.

c.

tell her she may need an increased dose of this medication.

d.

contact her oncologist to discuss adding another medication.


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