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Breast Cancer Rehabilitation, Screening, and Lymphedema Prevention

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1.  Which of the following has been shown to improve a tumor boards adherence to breast cancer national quality standards? Tumor board template Surgeons presenting at tumor board Occupational therapists presence Access to scans and reports realtime

2.  In the UK, the initiation of a tumor board was shown to cause these effects: Greater speed with care and decreased variability among hospitals Improved survival and decreased variability among hospitals Greater speed with care and improved survival Improved morbidity and decreased variability among hospitals

3.  This practitioner is most likely to lead case presentations at a tumor board: Surgeons Radiation oncologists Medical oncologists Pathologists

4.  The absence of this type of evaluation has been shown to result in over and under diagnosis of breast cancer related lymphedema both clinical lymphedema and subclinical. Pre-operative evaluation Bio Impedance Spectroscopy Perometry Post-operative evaluation prior to drain removal

5.  This patient report outcome measure has been shown to be a valid, has largest effect size and responsiveness as compared to other functional outcome measures targeting the shoulder within breast cancer population. Michigan Hand Questionnaire (MHQ) Simple Shoulder Test Disabilities of Arm Shoulder and Hand (DASH) Shoulder Pain and Disability Index (SPADI)

6.  Which of the following is a risk factor that has been associated with developing breast cancer related lymphedema? Greater number of nodes biopsied being positive BMI greater than 25 kg/m Infections All of the above are risk factors

7.  These risk factors for developing lymphedema have controversy surrounding them: Axillary Lymph Node Dissection and air travel Air travel and blood pressure BMI> 25 kg/m and air travel Radiation and air travel

8.  Which of the following is true for Axillary Web Syndrome? Cord which extends from axilla to arm or chest wall Becomes apparent and protrudes more with abduction Exact etiology and pathology unclear but some progress made toward this All of the above

9.  This method of upper limb volume relative change assessment is interval based 4 cm moving up arm, starting at the fingertips or wrist; calculations are made by utilizing Frustrum method and disk model method. Bio Impedance Spectroscopy Perometry Circumferential Measures Lymphoscintigraphy

10.  A sign of Lymphedema includes: Loss of wrinkles on the back of the hand Pitting Clothing fitting differently All of the above