Pt For Pt With Brain Tumor, 2:5

Front 1

T/F: there is not a high association with death and brain tumor

Back 1

FALSE

Front 2

what % of brain tumors are metastatic

Back 2

40%

Front 3

T/F: there will only be one tumor in brain

Back 3

FALSE: there could be one or multiple tumors in the brain

Front 4

where are the most common primary sites that metastize to the brain

Back 4

breast and lung (prostate?)

Front 5

what is the difference between primary vs secondary brain tumor

Back 5

-primary is when histologically the brain tumor is composed of brain tissue.
-secondary is when histologically the brain tumor is composed of tissue OTHER THAN brain tissue.
Often the brain tumor is ID as primary until biopsied.

Front 6

What are the general categoreies for brain tumor (other than benign/malignant)

Back 6

- glial cell tumors
-non glial cell tumors

Front 7

what are the types of glial cell tumors

Back 7

-astrocytomas
-oligodendrogliomas
-ependymomas

Front 8

what is the purpose astrocytes

Back 8

-structural support for mature neurons, helps form Blood brain barrier,

Front 9

what is the oligodendrogliomas

Back 9

-myelination of axons

Front 10

what are the types of non glial cell tumors

Back 10

-meningimoas
-meduloblastomas
-schwannomas
-craniophargioma
-pituitary adenoma

Front 11

from the types of glial cell tumors, which is more common

Back 11

-astrocytomas

Front 12

from the types of non glial cell tumors, which is more common

Back 12

-meningiomas

Front 13

from the types of glial cell tumors, which types is usually seen in younger adults and children

Back 13

ependymomas

Front 14

Describe Grade I tumor

Back 14

-discrete, similar to normal cells, slow growing

Front 15

Describe Grade II tumor

Back 15

-slow growing, but have ability to invade neighboring tissues

Front 16

Describe Grade III tumor

Back 16

-actively reproducing abnormal cells that infiltrate adajacent cells

Front 17

Describe Grade IV tumor

Back 17

-rapid growing with proliferation and infiltration into adjacent structure; develop new vessels to feed their own growth; may have central area of necrosis (poor differentation)

Front 18

What is the "worst" type of tumor to have

Back 18

Gliblastoma multiforme astrocytoma

Front 19

what is the most common "benign" tumor

Back 19

Meningiomas

Front 20

what is a vesticular schwannomas

Back 20

acoustic neuroma

Front 21

Describe acoustic neuroma

Back 21

is a slow growing benign tumor that grows on CN VIII. Can cause symptoms depending on what nerves it damages in the process. Most common symptoms are vertigo, tinnitis and hearing loss

Front 22

T/F: if you have a primary brain tumor it is NOT possible to develop a second primary tumor

Back 22

FALSE: with the primary brain tumor, you may have a decreased immune system that allowed for development of the second primary tumor to develop

Front 23

describe what kinds of signs and symptoms will a pt exhibit with a focal deficit

Back 23

it depends on the area that was damaged

Front 24

describe what kinds of signs and symptoms will a pt exhibit with a generalized effect

Back 24

-increased ICP (which is directly or indirectly due to a blockage of CSF)

Front 25

what are the sxs of increased ICP

Back 25

-HA
-N/V
-papilledema
-possibly changed mental status
(wet, wild, wobbly)

Front 26

what are the sxs that a pt has a brain tumor

Back 26

-HA
-visual changes
-N/V
-seizures

Front 27

what side affect is common after surgery for acoustic neuroma

Back 27

-facial palsy (CN VII)

Front 28

what CN are usually affected by acoustic neuroma

Back 28

- CN VII (facial)
-CN VIII (Vestibular cochlear)
-CN IX (glossopharyngeal)
-CN X (Vagus)
-CN XI (spinal accessory)

Front 29

multimodal medical management and PT implications for a pt with hemiplegia

Back 29

-tx may not be aimed at cure
-corticosteroid use (edema managment)
-anticonvulstant use
-neurosurgery
-gamma knife surgery
-radiation therapy
-chemotherapy
-immunotherapy and homoronal therapy

Front 30

what are the SE of corticosteriods

Back 30

-mm weakness
-blurred vision
-easy brusing
-immunosuppresssion
-moonface
-osteoporosis
-HTN
-worsening diabetes
-insominia
-water retention

Front 31

if anticonvulsants are on board, what do you need to monitor

Back 31

-blood for therapeutic levels

Front 32

what are the two types of neurosurgery

Back 32

total resection (total removal) or debulking(taking out as much as possible to reduce the amount of healthy tissue removed)

Front 33

Who may undergo gamma knife surgery

Back 33

-option for"inoperable" tumors

Front 34

what are the adverse effects of radiation therapy

Back 34

-fatigue
-loss of hair
-N/V
-low bloodcount
-may damage healthy cells

Front 35

what are the adverse effects of chemotherapy

Back 35

-fatigue
-loss of hair
-N/V
-anemia
-loss of appetite

Front 36

what are in-pt rehab outcomes for pt with brain tumors in general

Back 36

comparable to stroke, TBI in general, good functional outcome in shorter LOS

Front 37

what are the most common deficits in adults with brain tumors

Back 37

-impaired cognition
-weakness
-visual-perceptual deficits
-sensory loss
-bowel & bladder dysfunction

Front 38

what is preventative care under the dietz framework

Back 38

-impede development of disability; prevent problems associated with immobility & Rx

Front 39

what is restorative care under the dietz framework

Back 39

-maximize pt status given existing disability; pt is "cured"

Front 40

what is supportive care under the dietz framework

Back 40

-maximize independence and minimize 2nd impairments; progressive decline is anticipated

Front 41

what is palliative care under the dietz framework

Back 41

-improve, maintain comfort, minimize dependency and disability in terminal stages

Front 42

what do you need to consider for psychosocial issues

Back 42

-external considerations (support system)
-internal (their ability to cope)
-interpersonal relationships are associated with QOL
-self image