AOCNP Survivorship and Long-Term Follow-Up 4

Question 1

A breast cancer survivor treated with doxorubicin 5 years ago presents with dyspnea on exertion and reduced ejection fraction. Which screening tool is most appropriate for ongoing cardiac surveillance?

Accepted Answer

Echocardiogram every 1-2 years

Answer

Echocardiogram is the preferred method for surveillance of anthracycline-induced cardiomyopathy in long-term survivors.

Question 2

A 45-year-old male survivor of Hodgkin lymphoma treated with mantle field radiation is at highest risk for which late effect?

Accepted Answer

Coronary artery disease

Answer

Mantle field radiation exposes the heart and great vessels, significantly increasing the risk of coronary artery disease as a late effect.

Question 3

Which survivorship intervention has the strongest evidence for reducing cancer-related fatigue in post-treatment survivors?

Accepted Answer

Aerobic exercise programs

Answer

Aerobic exercise is the most evidence-based non-pharmacologic intervention for reducing cancer-related fatigue in survivors.

Question 4

A survivor of childhood ALL treated with high-dose methotrexate presents with learning difficulties and memory problems. This neurocognitive late effect is best described as:

Accepted Answer

Leukoencephalopathy

Answer

High-dose methotrexate and cranial radiation can cause leukoencephalopathy, manifesting as neurocognitive deficits including memory and learning impairment.

Question 5

Under the Affordable Care Act, insurance companies are prohibited from denying coverage to cancer survivors based on:

Accepted Answer

Pre-existing conditions

Answer

The ACA prohibits insurers from denying coverage or charging higher premiums based on pre-existing conditions, including a history of cancer.

AOCNP - Advanced Oncology Certified Nurse Practitioner Practice Test

AOCNP - Advanced Oncology Certified Nurse Practitioner Practice Test

AOCNP Survivorship and Long-Term Follow-Up 4