TABLE 1.

Scenarios

1) You are treating a 67-year-old woman with recurrent stage III ovarian cancer. Her performance status is excellent, and she desires “whatever you can do for her.” She has experienced disease progression, albeit slowly, despite treatment with carboplatin, taxol, gemcitabine, doxil, and topotecan. Do you offer ___ Additional chemotherapy ___ Hormonal therapy ___ Hospice care/no treatment ___ Other treatment 2) You are treating a 33-year-old woman with stage II cervical cancer. She has completed chemotherapy and radiation therapy but now has progressive disease with bilateral hydronephrosis/side wall disease. Her performance status is excellent, and she desires “whatever you can do for her.” Do you offer ___ Percutaneous nephrostomies with additional chemotherapy ___ Hospice care/no treatment ___ Chemotherapy ___ Treatment on protocol ___ Other treatment 3) You are treating a 55-year-old woman with recurrent stage III ovarian cancer. She has experienced no response to 2 chemotherapy agents and has a small bowel obstruction. Her performance status is excellent, and she desires “whatever you can do for her.” Do you offer her ___ Total parenteral nutrition ___ Total parenteral nutrition and chemotherapy ___ Hospice care/end-of-life care ___ Palliative surgery/gastrostomy tube and chemotherapy ___ Other treatment 4) A 22-year-old woman who is 12 weeks pregnant has presented to you with stage IIB cervical cancer. Her performance status is excellent, and she desires “whatever you can do for her.” Do you ___ Offer radiation therapy ___ Observation until viability ___ Chemotherapy ___ Other treatment 5) A 42-year-old woman with stage III cervical cancer and an unresectable pelvic recurrence with severe pain requests pain medication. The patient has told you she is considering ending her life because of the daily suffering. Do you ___ Give her the medication she requests ___ Limit the amount of pain medication to prevent overdose ___ Confront and dissuade her Refer her ___ for counseling