new_n_lost
Forum Hero
Topics: 732
Posts: 6,453
|
A 72-year-old male is noted as having a 9-pound weight loss over the past few weeks. His past medical history is significant for oat cell carcinoma of the lung, without known metastases, for which he is currently undergoing treatment. The patient states that even though his wife is preparing his favorite meals, he is not hungry.
Which of the following would be the best treatment option to improve his eating habits?
A. Amitriptyline
B. Megestrol acetate
C. Methotrexate
D. Neostigmine
E. Prochlorperazine
Edited by new_n_lost on 08/24/07 - 01:06 AM
___________________
Tyrants and Occupiers of territories tend to think, act and feel alike "never argue with a fool, they'll bring you down to their level and beat you with experience" FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
|
| po
Forum Elite
Topics: 39
Posts: 356
|
E. Prochlorperazine ?
|
| new_n_lost
Forum Hero
Topics: 732
Posts: 6,453
|
Come On ppl Show up here
___________________
Tyrants and Occupiers of territories tend to think, act and feel alike "never argue with a fool, they'll bring you down to their level and beat you with experience" FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
|
| keepgoing
hibernating...
Topics: 114
Posts: 1,841
|
b
___________________
One important key to success is self-confidence. An important key to self-confidence is preparation”.Dear God!be my mentor all through"
|
| new_n_lost
Forum Hero
Topics: 732
Posts: 6,453
|
keepgoing wrote:
b
___________________
Tyrants and Occupiers of territories tend to think, act and feel alike "never argue with a fool, they'll bring you down to their level and beat you with experience" FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
|
| new_n_lost
Forum Hero
Topics: 732
Posts: 6,453
|
The correct answer is B.
One of the most common side effects of any antineoplastic therapy is weight loss secondary to decreased appetite and/or nausea and vomiting. Furthermore, weight loss due to decreased food intake tends to occur more frequently in elderly patients receiving antineoplastic therapy. One medication that has consistently helped to increase appetite in such patients is megestrol acetate. This agent is a progestational hormone with antineoplastic properties used in the treatment of advanced carcinoma of the breast and endometrium. Megestrol, when given in relatively high doses, can substantially increase the appetite in most individuals, even those with advanced cancer.
Amitriptyline (choice A) is a tricyclic antidepressant used in the treatment of depression. There is nothing mentioned in the case study to suggest that the patient is clinically depressed; hence, this agent would provide no benefit.
Methotrexate (choice C) is an antimetabolite and folic acid antagonist commonly used in various neoplastic disorders and in the treatment of rheumatoid arthritis. Since nausea, vomiting, and ulcerative stomatitis are common side effects of this medication, its usage in this patient would not be recommended.
Neostigmine (choice D) is a carbamylating acetylcholinesterase inhibitor that would not increase appetite.
Prochlorperazine (choice E) is a phenothiazine derivative used primarily to control severe nausea and vomiting. This patient is not experiencing nausea. Furthermore, this agent does not possess appetite-stimulating properties.
___________________
Tyrants and Occupiers of territories tend to think, act and feel alike "never argue with a fool, they'll bring you down to their level and beat you with experience" FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
|
| Ig F
Forum Elite
Topics: 3
Posts: 440
|
tht was informative nnl.....
___________________
i m not perfect but i wanna get close to it......
|
|
| |
| | | | | | | |
Similar forum topics