Care of the Cardiooncologic Patient in Primary Care Practice

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* 1. Recommendations for smoking intervention strategies in CVD prevention include :

A. The use of medicaments containing cytisine

B. Cognitive-behavioral therapy

C. There are no such recommendations

D. Repeated advice on stopping with offers to help, by the use of follow up support, nicotine replacement therapies, varenicline, and bupropion individually or in combination

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* 2. What is the therapeutic range of INR during treatment with vitamin K antagonists?

A.The correct therapeutic range of INR for chronic treatment with vit. K antagonists is between 3.5 and 4.5

B. APTT control is preferred as the measure for vitamin K antagonists

C. The correct therapeutic range of INR for chronic treatment with vitamin K antagonists is between 2.0 and 3.0

D. Control INR measurement should be performed every 6 months.

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* 3. In case of patients with repeat TURBT or other invasive procedures when should anti-coagulation be stopped and re-started?

A. Two weeks before the medical intervention and no change to another anti-coagulation is needed, return to the previous therapy takes place immediately after the procedure

B. Five days before the intervention and therapy with low-molecular-weight heparin is needed, the re-initiation of anticoagulant therapy after surgery is based on simultaneous application of vitamin K antagonists and low-molecular-weight heparin

C. Seven days before the medical intervention and no change to another anti-coagulation is needed, no change to another anti-coagulation is needed, return to the previous therapy takes place two days after the procedure

D. Five days before the intervention and therapy with low-molecular-weight heparin is needed, the re-initiation of anticoagulant therapy after surgery is based only on vitamin K antagonists

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* 4. How the repeat TURBT can be used as an incentive to get the patient started on a healthier lifestyle?

A. It is enough to inform the patient about the harmfulness of smoking before the procedure

B. After the surgery, the patient should be educated intensively in a group of other patients who are currently smoking

C. It is enough to enter the recommendation in the patient information card

D. It is critical to advise the patient to stop smoking before the procedure and then supporting him to remain abstinent from smoking

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* 5. How to balance all patient’s CVD risk factors?

A. Critical is smoking prior to a surgical procedure, but the GP and practice nurse will need to work on various risk factors with the patient starting with the easiest to implement e.g. walking programme or revision of the diet

B. Critical is smoking prior to a surgical procedure, but the GP and practice nurse will need to work on various risk factors with the patient at once

C. The GP and practice nurse should randomly select a risk factor to address

D. The patient should randomly select a risk factor to address