CBC Breast Cancer Treatment & Survivorship Support 2

Question 1

Which of the following is a common long-term side effect of axillary lymph node dissection that breast counselors must educate patients about?

Accepted Answer

Lymphedema

Answer

Lymphedema, a chronic swelling caused by damage to the lymphatic system, is a significant long-term risk following axillary lymph node dissection.

Question 2

Tamoxifen as endocrine therapy is most commonly prescribed for which patient population?

Accepted Answer

ER-positive premenopausal women

Answer

Tamoxifen is a selective estrogen receptor modulator (SERM) used for ER-positive breast cancer particularly in premenopausal women, blocking estrogen's effect on cancer cells.

Question 3

Which class of endocrine therapy is preferred for postmenopausal women with hormone receptor-positive breast cancer?

Accepted Answer

Aromatase inhibitors

Answer

Aromatase inhibitors (anastrozole, letrozole, exemestane) are preferred for postmenopausal women because they block peripheral estrogen synthesis, the primary estrogen source after menopause.

Question 4

Which components should be included in a comprehensive survivorship care plan (SCP)?

Accepted Answer

Summary of treatment received, follow-up schedule, and long-term side effect information

Answer

A comprehensive survivorship care plan includes a treatment summary, recommended follow-up schedule, potential late effects, and guidance on healthy lifestyle behaviors.

Question 5

Chemotherapy-related cognitive impairment ('chemo brain') most commonly affects which cognitive domains?

Accepted Answer

Attention, concentration, and short-term memory

Answer

Chemo brain primarily affects attention, concentration, and short-term memory, making it difficult for survivors to focus or recall recent information.

(CBC) Certified Breast Counselor Practice Test

(CBC) Certified Breast Counselor Practice Test

CBC Breast Cancer Treatment & Survivorship Support 2