NCM 417 Modular Exam 1

Republic of the Philippines
BILIRAN PROVINCE STATE UNIVERSITY

(formerly Naval State University)
ISO 9001: 2015 CERTIFIED
School of Nursing and Health Sciences
NCM 417
Care for Client with Cellular Aberration

MODULAR EXAM I
Name: Joy-Rena Sabinay Ochondra Date: 06/12/2020 Score: ______

Directions:
1. Do not make a new document. Edit this document only!
2. Highlight the letter of your answer ex: B. Oncology Nursing.
3. Email me back this document (maeg.dacer@bipsu.edu.ph) as attachment with the subject using your family name. ex:
Dacer-NCM417-MODULE1
4. Submit the exam not later than 10:00 AM 12/6/2020. Late submission will be deducted by the min. (0.1 point per min)
5. Each number will have a 2-point mark.
6. Proper citation for the rationale
Situation: Steven is diagnosed with Acute Lymphoid Leukemia (ALL) and beginning chemotherapy.
1. Steven is discharged from the hospital following his chemotherapy treatments.

Which statement of Steven’s mother indicated that she understands when she should contact the physician?
a. “I should contact my physician if Steven has difficulty in sleeping.”
b. “I will call my doctor if Steven has persistent vomiting and diarrhea.”
c. “My physician should be called if Steven is irritable and unhappy.”
d. “Should Steven have continued hair loss, I need to call the doctor.”
Rationale: Persistent (more than 24 hours) vomiting, anorexia, and diarrhea are signs of toxicity and the patient should stop the
medication and notify the health care provider. The other manifestations are expected side effects of chemotherapy. (Brunner and
Suddarth's Textbook of Medical-Surgical Nursing 12th_ed., author: Suzanne C. Smeltzer, EdD, RN, FAAN, Brenda G. Bare, RN,
MSN, Janice L. Hinkle, PhD, RN, CNRN, Kerry H. Cheever, PhD, RN. Copyright © 2010 by Wolters Kluwer Health / Lippincott
Williams & Wilkins. Page: 378)
2. Steven’s mother states to the nurse it’s hard to see Steven with no hair. “He had such lovely soft blond hair.” Best response for
the nurse is:
a. “Steven looks very nice wearing a baseball hat.”
b. “You shouldn’t worry about his hair, just be glad he is alive.”
c. “Yes, it’s upsetting. However, try to cover up your feelings when you are with him or else he get upset”
d. “This is temporary, Steven will re-grow new hair in 3-6months, but it may be of different texture.”
Rationale: The temporary or permanent thinning or complete loss of hair is a potential adverse effect of radiation therapy to the
brain and various chemotherapeutic agents. Alopecia usually begins 2 to 3 weeks after the initiation of treatment; regrowth usually
begins within 8 weeks after the last treatment. Some patients who undergo radiation to the head may sustain permanent hair loss.
Although health care providers may view hair loss as a minor issue, for many patients it is a major assault on body image,
resulting in challenges to selfesteem, depression, anxiety, anger, rejection, and isolation. In some cases, patients may initially
refuse treatment due to fears regarding hair loss. (Brunner and Suddarth's Textbook of Medical-Surgical Nursing 12th_ed., author:
Suzanne C. Smeltzer, EdD, RN, FAAN, Brenda G. Bare, RN, MSN, Janice L. Hinkle, PhD, RN, CNRN, Kerry H. Cheever, PhD,
RN. Copyright © 2010 by Wolters Kluwer Health / Lippincott Williams & Wilkins. Page: 377)
3. Steven has beginning stomatitis. To promote oral hygiene and comfort, the nurse should:
a. Provide frequent mouthwashes with normal saline.
b. Apply viscous Lidocaine to oral ulcers as needed.
c. Use lemon glycerine swabs every 2 hours.
d. Rinse mouth with hydrogen peroxide.
Rationale: Stomatitis can cause pain and this can be relieved by applying topical anesthetics such as lidocaine before mouth care.
(Brunner and Suddarth's Textbook of Medical-Surgical Nursing 12th_ed., author: Suzanne C. Smeltzer, EdD, RN, FAAN, Brenda
G. Bare, RN, MSN, Janice L. Hinkle, PhD, RN, CNRN, Kerry H. Cheever, PhD, RN. Copyright © 2010 by Wolters
Kluwer Health / Lippincott Williams & Wilkins. Page: 1000)
Ground Floor Administration Building, Main Campus, P. Inocentes St., P.I. Garcia Naval Biliran Province, Philippines 6560. Tel.
(053) 507-0014. SUC Level III-A (Per DBM-CHED Joint Circular #B dated June 21, 2007.
Website: www.bipsu.edu.ph Email: nursing@bipsu.edu.ph Facebook: www.facebook.com/Bipsuschoolofnursingandhealthsciences
# WoWBiPSU
4. While administering chemotherapy, the nurse observed that the IV site is red and swollen. When
the IV is touched, Steven shouts in pain. The first nursing action to take is:
a. Notify the physician. c. Immediately discontinue the infusion.
b. Flush the IV line with a saline solution. d. Apply an ice pack to the site, followed by warm compress.
Rationale: The patient feels pain as the nerves are irritated by pressure and the IV solution. The first action of the nurse would be
to discontinue the infusion right away to prevent further edema and other complication. (Brunner and Suddarth's Textbook of
Medical-Surgical Nursing 12th_ed., author: Suzanne C. Smeltzer, EdD, RN, FAAN, Brenda G. Bare, RN, MSN, Janice L. Hinkle,
PhD, RN, CNRN, Kerry H. Cheever, PhD, RN. Copyright © 2010 by Wolters Kluwer Health / Lippincott Williams & Wilkins.
Page: 307)
5. Which diagnostic test would be most conclusive in confirming invasive cervical cancer?
a. Papsmear c. Colposcopy
b. Biopsy d. Schiller’s Iodine Test
Rationale: Diagnosis may be made on the basis of abnormal Pap smear results, followed by biopsy results identifying severe
dysplasia. In its very early stages, invasive cervical cancer is found microscopically by Pap smear.
G. Bare, RN, MSN, Janice L. Hinkle, PhD, RN, CNRN, Kerry H. Cheever, PhD, RN. Copyright © 2010 by Wolters Kluwer
Health / Lippincott Williams & Wilkins. Page: 1457)
Situation- Colorectal cancer can affect old and young people. Surgical procedures and other modes of treatment are done to ensure
quality of life. You are assigned in the Cancer Institute (CI) to care of patients with this type of cancer.
6. Larry, 55 years old, who is suspected of having colorectal cancer, is admitted to the CI. After taking the history and vital signs
the physician does which test as a screening test for colorectal cancer.
a. Annual digital rectal examination c. Carcinoembryonic antigen
b. Barium enema d. Proctosigmoidoscopy
Rationale: Along with an abdominal and rectal examination, the most important diagnostic procedures for cancer of the colon are
fecal occult blood testing, barium enema, proctosigmoidoscopy, and colonoscopy. (Brunner and Suddarth's Textbook of Medical-
Surgical Nursing 12th_ed., author: Suzanne C. Smeltzer, EdD, RN, FAAN, Brenda G. Bare, RN, MSN, Janice L. Hinkle, PhD,
RN, CNRN, Kerry H. Cheever, PhD, RN. Copyright © 2010 by Wolters Kluwer Health / Lippincott Williams & Wilkins. Page:
1099)
7. To confirm his impression of colorectal cancer, Larry will require which diagnostic study?
a. abdominal computed tomography (CT) test c. arcinoembryonic antigen
b. proctosigmoidoscopy d. stool hematologic test
Rationale: Examination of the lower colon using a sigmoidoscope, inserted into the rectum. A sigmoidoscope is a thin, tube-like
instrument with a light and a lens for viewing. It may also have a tool to remove tissue to be checked under a microscope for signs
of disease. Colonoscopy and flexible fiberoptic sigmoidoscopy. For the colonoscopy, the flexible scope is passed through the
rectum and sigmoid colon into the descending, transverse, and ascending colon. For the flexible fiberoptic sigmoidoscopy, the
flexible scope is advanced past the proximal sigmoid and then into the descending colon. (Brunner and Suddarth's Textbook of
Medical-Surgical Nursing 12th_ed., author: Suzanne C. Smeltzer, EdD, RN, FAAN, Brenda G. Bare, RN, MSN, Janice L. Hinkle,
PhD, RN, CNRN, Kerry H. Cheever, PhD, RN. Copyright © 2010 by Wolters Kluwer Health / Lippincott Williams & Wilkins.
Page: 992)
8. The following are risk factors for colorectal cancer, EXCEPT:

a. high fat, high fiber diet c. inflammatory bowels
b. genetic factors-familial adenomatous polyposis d. smoking
Rationale: Risk Factors for Colorectal Cancer: Increasing age, Family history of colon cancer or polyps, Previous colon cancer or
adenomatous polyps, High consumption of alcohol , Cigarette smoking, Obesity, History of gastrectomy, History of inflammatory
bowel disease, High-fat,high-protein(withhighintakeofbeef),low-fiberdiet, Genital cancer (eg, endometrial cancer, ovarian cancer)
or breast cancer (in women).
# WoWBiPSU
9. Symptoms associated with cancer of the colon include:
a. diarrhea, heartburn and eructation
b. anorexia, hematemesis, and increased peristalsis
c. constipation, ascites, and mucus in the stool
d. blood in the stool, anemia, and “pencil-shaped” stools
Rationale: Most cases of colon cancer have no symptoms. The following symptoms, however, may indicate
colon cancer: Diarrhea, constipation, or other change in bowel habits that does not resolve
Blood in the stool
Unexplained anemia (anemia in any adults other than menstruating women should almost always be evaluated by a
colonoscopy)
Abdominal pain and tenderness in the lower abdomen
Intestinal obstruction
Weight loss with no known reason
Stools narrower than usua
(Adapted from America Cancer Society, (2015b). Cervical Cancer. Retrieved on 11/27/2015 at www. Cancer
org/acs/groups/cid/documents/webcontent/003094-pdf.pdf:Barakat, R. R., Berchuk, A. A., & Markman, M., et al. (Eds). (2013).
Principles and Practice of gynecologic oncology (6th ed.). Philadelphia., PA: Lippincott Williams & Wilkins.)
10. Several days prior to bowel surgery, Larry may be given sulfasuxidine and neomycin primarily to
a. soften the stool by retaining water in the colon c. reduce the bacterial content of the colon
b. empty the bowel of solid waste d. promote rest of the bowel by minimizing peristalsis
Rationale: It is accepted that the use of oral neomycin sulfate and erythromycin base before colon surgery results in decreased
numbers of intestinal bacteria. The detectable systemic concentrations that result when these agents are given orally for bowel
preparation before colon surgery may contribute to the drugs' efficacy. (https://pubmed.ncbi.nlm.nih.gov/4000983/ J T DiPiro, J
M Patrias, R J Townsend, T A Bowden Jr, V H Hooks 3rd, R B Smith, T E Spiro PMID: 4000983 DOI: 10.1002/j.1875-
9114.1985.tb03407.xMar-Apr 1985;5(2):91-4 )
Situation: With the increasing documenting causes of CANCER the best alternative to treatment still remains to be prevention.
The following conditions apply.
11 Which among the following is the primary focus of prevention of cancer?

a. Elimination of condition causing cancer. c. Treatment at early stage
b. Diagnosis and treatment d. Early detection
Rationale: The primary focus of cancer prevention is promotion of healthy lifestyle which includes removal or lessening of factors
that may cause cancer. Secondary to that is early detection to effect higher chances of recovery after proper treatment.
Principles and Practice of gynecologic oncology (6th ed.). Philadelphia., PA: Lippincott Williams & Wilkins.)
12. In the prevention and control of cancer which of the following is the most important function of the community health nurse?
a. Conduct of community assembles.
b. Referral to cancer specialist those clients with symptoms of cancer.
c. Use the nine warning signs of cancer as parameters in our process of detection, control and treatment modalities.
d. Teach women about proper correct nutrition.
Rationale:
13Who among the following are recipients of secondary level of care for cancer case?
a. Those under early case of detection c. Those scheduled for surgery
b. Those under post case treatment d. Those undergoing treatment
Rationale:
# WoWBiPSU
14. Who among the following are recipients of the tertiary level of care for cancer cases?
a. Those under early treatment c. Those under early detection
b. Those under supportive care d. Those scheduled for surgery
Rationale: Tertiary care is specialized consultative health care,. Usually for in patients and on referral from a primary or secondary
health professional, in facility that has personnel and facilities for advanced medical investigation and treatment, such as a tertiary
referral hospital. (Potter, P., and Perry, A. Fundamentals of Nursing. 6th ed. St. Louis: C.V. Mosby, 2005.)
Situation: You are going to take charge of the women to make them aware of cervical cancer. You reviewed its manifestation and
management.
15. The following are the risk factors for Cervical cancer except:
a. Smoking
b. Viral agents like Human Papilloma Virus
c. Immunosuppressive therapy
d. Sex at an early age, multiple partners, exposed to sexually transmitted diseases, male partner’s sexual habits
Rationale: Women who smoke are about twice as likely as nonsmokers to get cervical cancer. HPV is a virus that causes genital
warts. It is also the main cause of cervical cancer. Women with HPV or whose partners have HPV have a higher risk for cervical
cancer. Sexual history is another important risk factor for cervical cancer. A woman or man with many sexual partners is more at
risk for picking up a sexually transmitted virus like HPV. Women are also at greater risk for cervical cancer if they have many
sexual partners, or if their male partners have had many sexual partners. The virus that causes AIDS damages the body's immune
system and puts women more at risk for HPV infections. These may increase the risk for cervical cancer.
(https://www.urmc.rochester.edu/encyclopedia/ URMC / Encyclopedia / What Do You Know About Cervical Cancer? Author
Cunningham, Louise, RN Freeborn, Donna, PhD, CNM, FNP LoCicero, Richard, MD, 2020)
16. Late signs and symptoms of Cervical cancer include the following except:
a. Urinary or Bowel changes c. Pain in the pelvis, leg or flank
b. Lymph edema of lower extremities d. Uterine Bleeding
Rationale: In advance cervical cancer, the vaginal discharge gradually increases and because watery and, finally, dark and foul
smelling from necrosis and infection. The bleeding, which occurs usually after mild trauma or pressure (e.g., intercourse,
douching, or bearing down during defecation). As the disease continues, the bleeding may persist and increase. Leg pain dysuria,
rectal bleeding, and edema of the extremities signal advanced disease. (Adapted from America Cancer Society, (2015b). Cervical
Cancer. Retrieved on 11/27/2015 at www. Cancer org/acs/groups/cid/documents/webcontent/003094-pdf.pdf:Barakat, R. R.,
Berchuk, A. A., & Markman, M., et al. (Eds). (2013). Principles and Practice of gynecologic oncology (6 th ed.). Philadelphia., PA:
Lippincott Williams & Wilkins.)
17. When a Panhysterectomy is performed due to cancer of the cervix, which of the following organs is removed?
a. the uterus, cervix, tubes and ovaries c. uterus, cervix and 2/3 of vagina
b. uterus, cervix, and one ovary d. uterus and cervix
Rationale: The term “Panhysterectomy” means complete removal of the uterus, including the cervix. The most common
conditions which necessitate this operation are uterine fibroids concomitant with disease of the cervix, carcinoma of the uterine
fundus, chronic pelvic inflammatory disease, ovarian malignant lesions and sometimes, disseminated endometriosis.
Principles and Practice of gynecologic oncology (6th ed.). Philadelphia., PA: Lippincott Williams & Wilkins.)3
18. Primary modalities of treatment fort Stage I and IIA Cervical cancer includes the following:
a. Surgery and Radiation therapy c. Radiation therapy
b. Surgery, Radiation therapy and hormone therapy d. Surgery
Rationale: Surgery and radiation treatment (intracavitary and external) are most often used. Surgical procedures that may be used
to treat cervical cancer. Surgical Procedures for Cervical Cancer:Total hysterectomy—removal of the uterus, cervix, and ovaries,
Radical hysterectomy—removal of the uterus, ovaries, fallopian tubes, proximal vagina, and bilateral lymph nodes through an
abdominal incision (Note: “radical” indicates that an extensive area of the paravaginal, paracervical, parametrial, and uterosacral
tissues is removed with the uterus.),Radical vaginal hysterectomy—vaginal removal of the uterus, ovaries, fallopian tubes, and
# WoWBiPSU
proximal vagina, Bilateral pelvic lymphadenectomy—removal of the common iliac, external iliac,
hypogastric, and obturator lymphatic vessels and nodes, Pelvic exenteration—removal of the pelvic organs, including the bladder
or rectum and pelvic lymph nodes, and construction of diversional conduit, colostomy, and vagina, Radical trachelectomy—
removal of the cervix and selected nodes to preserve childbearing capacity in a woman of reproductive age with cervical cancer.
19. A common complication of hysterectomy is:

a. Atelectasis c. Thromboplebitis of the pelvic and thigh vessels
b. Diarrhea due to over stimulation d. Wound Dehiscence
Rationale: The most common complications of hysterectomy can be categorized as infectious, venous thromboembolic,
genitourinary (GU) and gastrointestinal (GI) tract injury, bleeding, nerve injury, and vaginal cuff dehiscence. Complications can
be considerable and include pulmonary emboli, pulmonary edema, myocardial infarction, cerebrovascular accident, hemorrhage,
sepsis, small bowel obstruction, fistula formation, obstruction of the ileal conduit, bladder dysfunction, and pyelonephritis, most
often in the first 18 months. (Brunner and Suddarth's Textbook of Medical-Surgical Nursing 12th_ed., author: Suzanne C.
Smeltzer, EdD, RN, FAAN, Brenda G. Bare, RN, MSN, Janice L. Hinkle, PhD, RN, CNRN, Kerry H. Cheever, PhD, RN.
Copyright © 2010 by Wolters Kluwer Health / Lippincott Williams & Wilkins. Page: 1459)
Situation: As a nurse in the Oncology Unit, you have to be prepared to provide safe, efficient and effective care to your patients.
20. Which one of the following nursing interventions would be most helpfull in preparing the patient for radiation therapy?
a. Map out the precise course of treatment
b. Offer tranquilizers and antiemetics
c. Emphasis on the therapeutic value of the treatment
d. Instruct the patient of the possibility of radiation burn
Rationale:
21. What side effects are most apt to occur to patient during radiation therapy to the pelvis?
a. Abnormal vaginal or perineal discharge c. Paresthesia of the lower extremities
b. Urinary retention d. Nausea and vomiting and diarrhea
Rationale:
22. Which of the following can be used on the irritated skin during a course of radiation?
a. Adhesive tape c. Mineral oil
b. Zinc oxide ointment d. Talcum powder
Rationale:
23. Earliest sign of skin reaction to radiation therapy is?

a. Erythema c. Desquamation
b. Atrophy d. Pigmentation
Rationale: Skin changes from ionizing radiation have been scientifically documented since 1902 (Hymes et al., 2006). Ionizing
radiation is a widely accepted form of treatment for various types of cancer. kin is susceptible to radiation damage because it is a
continuously renewing organ containing rapidly proliferating and maturing cells. The basal keratinocytes, hair follicle stem cells,
and melanocytes are highly radiosensitive. During radiation therapy, the first fractionated dose of radiation destroys a percentage
of basal keratinocytes, resulting in a disruption in the self-renewing property of the epidermis. (Brunner and Suddarth's Textbook
of Medical-Surgical Nursing 12th_ed., author: Suzanne C. Smeltzer, EdD, RN, FAAN, Brenda G. Bare, RN, MSN, Janice L.
Hinkle, PhD, RN, CNRN, Kerry H. Cheever, PhD, RN. Copyright © 2010 by Wolters Kluwer Health / Lippincott Williams &
Wilkins. Page: 349)
24. What is the purpose of wearing a film badge while caring for the patient who is radioactive?
a. Measure the amount of exposure to radiation.
b. Identify the nurse who is assigned to care for such a patient
c. Prevent radiation induced sterility
d. Protect the nurse from radiation effects
Rationale:
# WoWBiPSU
25. E. M is a 30 yrs old premenopausal female who is asking the nurse the most appropriate time of the month to do her self-
examination of the breast. The most appropriate reply by the nurse would be:
a. the 26th day of the menstrual cycle
b. 7-8 days after conclusion of the menstrual period
c. during her menstruation
d. the same day of each month
Rationale:
26. Post operatively the nurse teaches the pt. with Modified Radical Mastectomy to prevent lymph edema by:
a. avoid unnecessary trauma ( Eq. venipuncture, BP) to the arm of the operative side
b. using a sling to keep arm flexed at the side
c. exposing the arm to sunlight to increase circulation
d. wrapping the arm with elastic bandage during the night
Rationale:
27. A pt. with breast cancer has been offered the treatment choice of breast conservation surgery with radiation or a MRM. When
questioned by the pt. about these options, the nurse informs the pt. that the lipectomy with radiation
a. reduces the fear and anxiety that accompanies the diagnosis and treatment of cancer
b. has about the same 10 year survival rate as the MRM
c. provides a shorter treatment period with a fewer long term complications
d. preserves the normal appearance and sensitivity of the breast
Rationale: Breast-conserving surgery allows a woman to keep most of her breast, but makes it likely she will also need radiation.
After BCS, most women will have radiation therapy. Some women might also get other treatments, such as hormone therapy or
chemotherapy. After a lumpectomy for breast cancer, radiation therapy is typically used. Lumpectomy is a surgery that removes
only the tumor and a small amount of normal breast tissue around it. Adding radiation after a lumpectomy lowers the risk of
cancer recurrence in the affected breast. (Adapted from America Cancer Society, (2015b). Cervical Cancer. Retrieved on
11/27/2015 at www. Cancer org/acs/groups/cid/documents/webcontent/003094-pdf.pdf:Barakat, R. R., Berchuk, A. A., &
Markman, M., et al. (Eds). (2013). Principles and Practice of gynecologic oncology (6th ed.). Philadelphia., PA: Lippincott
Williams & Wilkins.)
28. Mr. F.O age 52 had laryngectomy due to cancer of the larynx. Discharge instructions are given to Mr. F.O and his family
response by written communication from Mr. F.O or verbal response from the family will be a signal to the nurse that the
instructions need to be reclarified.
a. it is acceptable to take over the counter medications now that condition is stable
b. the suctioning at home must be a clean procedure, not sterile
c. report swelling, pain or excessive drainage
d. cleanses skin around the stoma, use hydrogen peroxide and rinse with water, pat dry
Rationale: The purpose of oral suctioning is to maintain a patent airway and improve oxygenation by removing mucous secretions
and foreign material (vomit or gastric secretions) from the mouth and throat (oropharynx). Oral suction is the use of a rigid plastic
suction catheter, known as a yankauer , to remove pharyngeal secretions through the mouth (Perry et al., 2014). (Brunner and
Suddarth's Textbook of Medical-Surgical Nursing 12th_ed., author: Suzanne C. Smeltzer, EdD, RN, FAAN, Brenda G. Bare, RN,
MSN, Janice L. Hinkle, PhD, RN, CNRN, Kerry H. Cheever, PhD, RN. Copyright © 2010 by Wolters Kluwer Health / Lippincott
Williams & Wilkins. Page: 673)
29. Dr. Tuazon scheduled Mrs. PE for a right breast mass incision with frozen section and possible mastectomy on Monday, first
case. As the nurse in charge for scheduling, you will collaborate with the ff: department excepts:
a. pathology c. anaesthesia
b. dietary d. surgery
Rationale: Do not eat or drink anything after midnight on the night before your surgery. Any medications that you take routinely
should be taken at the usual time with a sip or two of water. People with diabetes, heart disease and other illnesses should contact
their primary care doctor for directions. Inform us if you are taking Coumadin or other blood thinning medication.
# WoWBiPSU
30. Based on the DOH and World Health Organization (WHO) guidelines, the mainstay for early breast
cancer detection method recommended for developing countries is
a. An annual mammogram
b. A breast clinical examination every 2 years done by a physician
c. A monthly breast self examination and an annual health worker breast examination
d. An annual hormone receptor assay
Rationale: Breast cancer detection and prevention is a systemic and continuous management process that includes planning,
developing and evaluating breast cancer detection programs, including policy formulation and the identification of priorities.
Countries must develop comprehensive plans for screening and detection of breast cancer, including
outreach and education with the general population, training for medical and technical staff, development of programmers and
processes for accurate diagnosis of breast cancer, and facilities for timely and effective treatment.
(Ignatavicius, D., and Workman, S. Medical Surgical Nursing: Critical Thinking for Collaborative Care. 5th ed. Philadelphia:
Elsevier, 2007.)
# WoWBiPSU

NCM 417 Modular Exam 1

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Republic of the Philippines

BILIRAN PROVINCE STATE UNIVERSITY

Care for Client with Cellular Aberration

Name: Joy-Rena Sabinay Ochondra Date: 06/12/2020 Score: ______

1. Steven is discharged from the hospital following his chemotherapy treatments.

8. The following are risk factors for colorectal cancer, EXCEPT:

11 Which among the following is the primary focus of prevention of cancer?

19. A common complication of hysterectomy is:

23. Earliest sign of skin reaction to radiation therapy is?

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