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Nurse Practitioner:
doi: 10.1097/01.NPR.0000387098.94442.4a
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Update on Pancreatic Cancer Treatment

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INSTRUCTIONS Update on pancreatic cancer treatment

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Update on pancreatic cancer treatment

General Purpose: To provide NPs with current information on the diagnosis and treatment of pancreatic cancer. Learning Objectives: After reading this article and taking this test, the NP will be able to: 1. Identify the incidence, symptoms, and risk factors of pancreatic cancer. 2. Outline treatment strategies for pancreatic cancer.

1. What percentage of pancreatic cancer patients present with advanced or terminal stages at diagnosis?

a. 60%

b. 70%

c. 80%

d. 90%

2. The majority of patients are diagnosed with pancreatic cancer between the ages of

a. 45 and 54.

b. 55 and 64.

c. 65 and 74.

d. 75 and 84.

3. Risk factors for pancreatic cancer include

a. alcohol use.

b. smoking.

c. hypertension.

d. type 1 diabetes mellitus.

4. A common symptom of pancreatic cancer is

a. floating stools.

b. unexplained weight gain.

c. vomiting.

d. abdominal bloating.

5. In adults 50 years or older, a sudden onset of ____________ may be linked to a possible diagnosis of pancreatic cancer.

a. renal calculi

b. hyperthyroidism

c. type 2 diabetes

d. depression

6. Compared with other types of gastrointestinal cancer, which is more common in patients who have pancreatic cancer?

a. suicide

b. depression

c. alcohol abuse

d. illicit drug use

7. Which is key to establishing the best course of treatment for patients with pancreatic cancer?

a. staging

b. diagnostic test results

c. provider preference

d. patient preference

8. The only potentially curative treatment for pancreatic cancer is

a. surgery.

b. radiation.

c. chemotherapy.

d. nutrition therapy.

9. For patients with resectable pancreatic cancer tumors, the median survival time is

a. 6 to 12 months.

b. 15 to 19 months.

c. 24 to 30 months.

d. 3 to 5 years.

10. A Whipple procedure may be indicated for patients with a tumor at which location in the pancreas?

a. the head

b. the anterior body

c. the posterior body

d. the tail

11. A common complication following Whipple procedure is

a. early gastric emptying.

b. peritonitis.

c. hypocalcemia.

d. hyperglycemia.

12. Which has shown a survival benefit in patients with pancreatic cancer?

a. adjuvant chemotherapy

b. adjuvant chemoradiation

c. nutrition therapy

d. complementary and alternative therapies

13. The NCCN Practice Guidelines for Pancreatic Adenocarcinoma recommend that ______________ be administered with systemic gemcitabine.

a. calcium

b. insulin

c. 5-FU-based CRT

d. no other agents

14. When should adjuvant therapy be initiated in patients with pancreatic cancer?

a. immediately after surgery

b. within 1 to 2 weeks

c. within 3 to 4 weeks

d. within 4 to 8 weeks

15. Which best describes the intent of treatment of advanced pancreatic cancer disease?

a. cure

b. palliation of symptoms

c. prevention of metastases

d. prevention of complications

16. A common site of pancreatic cancer metastasis is the

a. lungs.

b. liver.

c. bone.

d. brain.

17. What is the gold standard of palliative chemotherapy in pancreatic cancer?

a. 5-FU

b. erlotinib

c. gemcitabine

d. erlotinib and 5-FU

18. About 75% of patients with advanced pancreatic cancer develop symptomatic

a. gastric outlet obstruction.

b. biliary obstruction.

c. hyperglycemia.

d. hypocalcemia.

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