Management of Cancer Related Fatigue

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Management of Cancer Related Fatigue

Question 1:

The NCCN guidelines define cancer related fatigue as:

A) Extreme tiredness impacting quality of life

B) A distressing, persistent, subjective sense of physical, emotional, and/or cognitive tiredness or exhaustion related to cancer or cancer treatment that is not proportional to recent activity and interferes with usual functioning

C) Tiredness associated with cancer treatment including surgery, radiotherapy, and/or chemotherapy

D) An adverse event associated with tiredness present in all cancer patients starting from diagnosis to end of life

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Management of Cancer Related Fatigue

Question 2:

Which of the following increases a patient’s risk for cancer related fatigue?

A) Advanced disease stage

B) Cumulative effects of cancer treatment

C) Multimodal cancer treatment including surgery, chemotherapy, and radiotherapy

D) Early stage of disease

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Management of Cancer Related Fatigue

Question 3:

Which of the following etiology does not contribute to cancer related fatigue?

A) Medication adverse events

B) Comorbid conditions

C) Physical activity

D) Psychological factors

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Management of Cancer Related Fatigue

Question 4:

Which of the following accurately describes the algorithm for evaluation and treatment of fatigue?

A) Screening, primary evaluation, intervention, and re-evaluation

B) Screening, intervention, evaluation, discharge

C) Intervention, evaluation, intervention, discharge

D) Evaluation, referral, intervention, re-evaluation

5 / 10

Management of Cancer Related Fatigue

Question 5:

Which of the following stimulant is a pharmacologic option for CRF recommended by the NCCN guidelines?

A) Modafinil

B) Methylphenidate

C) Armodafinil

D) Amphetamine

6 / 10

Management of Cancer Related Fatigue

Question 6:

Pharmacologic interventions used at the end of life may include:

A) Modafinil Modafinil and methylphenidate

B) Armodafinil and corticosteroids

C) Modafinil and armodafinil

D) Methylphenidate and corticosteroids

7 / 10

Management of Cancer Related Fatigue

Question 7:

Which of the following is an over-the-counter therapy recommended by NCCN guidelines for the management of CRF?

A) Ginseng

B) Guarana

C) Co-enzyme Q10

D) None of the above

8 / 10

Management of Cancer Related Fatigue

Question 8:

Nonpharmacologic interventions with the best evidence in the treatment of CRF in patients on active treatment is:

A) Bright white light therapy

B) Acupuncture

C) Physical activity

D) Nutrition consultation

9 / 10

Management of Cancer Related Fatigue

Question 9:

The following nonpharmacologic interventions are recommended by NCCN guidelines for CRF in the post-treatment phase with the best level of evidence except for:

A) Physical activity

B) Acupuncture

C) Cognitive behavioral therapy

D) Mindfulness-based stress reduction

10 / 10

Management of Cancer Related Fatigue

Question 10:

Which of the following best describes the role of the pharmacist in the management of cancer related fatigue?

A) Assessment of drug interactions contributing to fatigue

B) Adjustment of dosage and dosing intervals of medications to decrease fatigue as a medication adverse event

C) Provide education and identification of fatigue in cancer patients

D) All of the above

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