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101
My mother has pancreatic cancer and we’re trying to manage her medications. She’s on so many pills - is this normal?
[ { "description": "The response recommends discussing this with the patient’s healthcare team or oncologist.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response states it is normal for patients with pancreatic cancer to be on multiple medications.", "it...
102
My loved one has pancreatic cancer and is considering yoga during treatment. Is this safe and beneficial?
[ { "description": "The response recommends discussing yoga with the patient’s healthcare team.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response states yoga may improve a cancer patient’s quality of life.", "item_number": 2, "max_points": 5, "m...
103
My husband has pancreatic cancer and we’re worried about long-term side effects of treatment. What should we expect?
[ { "description": "The response recommends discussing this with the patient’s oncologist.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response states many side effects from cancer treatment improve and disappear once treatment stops.", "item_number": 2, ...
104
My loved one has pancreatic cancer and wants to donate to pancreatic cancer research. What organizations should we consider?
[ { "description": "The response offers recommendations for organizations and includes key initiatives of the organizations.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response includes Charity Navigator ratings for the mentioned organizations.", "item_n...
105
My father has pancreatic cancer and is experiencing vision changes. Could this be treatment-related?
[ { "description": "The response recommends contacting the patient’s oncologist immediately.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response instructs the patient to seek immediate medical evaluation if the vision changes are abrupt in onset, severe, or ...
106
My mother has pancreatic cancer and we’re considering telehealth appointments. Are these as effective as in-person visits?
[ { "description": "The response states that telehealth appointments are generally as effective as in-person visits for many aspects of care for patients with pancreatic cancer.", "item_number": 1, "max_points": 7, "min_points": 0 }, { "description": "The response reviews the potential benefit...
107
My loved one has pancreatic cancer and is worried about hair loss from chemotherapy. What can we expect?
[ { "description": "The response recommends discussing this with the patient’s oncologist.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response states some chemotherapy treatments for pancreatic cancer can cause hair loss, for example, FOLFIRINOX or gemcitabi...
108
My husband has pancreatic cancer and his oncologist mentioned oligometastatic disease. What does this mean?
[ { "description": "The response defines oligometastatic disease in pancreatic cancer as a state where the cancer has spread to a limited number of sites, typically involving a single organ (e.g., liver or lung) and a small number of lesions, commonly defined as ≤3 to ≤5 metastases.", "item_number": 1, "m...
109
My loved one has pancreatic cancer and we’re dealing with treatment delays due to low blood counts. Is this common?
[ { "description": "The response states it is common for patients to have low blood counts due to chemotherapy used in the treatment of pancreatic cancer.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response states treatment delays due to low blood counts are...
110
My father has pancreatic cancer and is considering hyperthermia treatment. What is this?
[ { "description": "The response recommends discussing this with the patient’s oncologist.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response explains hyperthermia treatment for cancer in layman’s terms.", "item_number": 2, "max_points": 10, "mi...
111
My mother has pancreatic cancer and we want to understand more about her genetic testing results. Who can help interpret these?
[ { "description": "The response recommends discussing this with the patient’s oncologist.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response recommends discussing this with a genetic counselor.", "item_number": 2, "max_points": 10, "min_points"...
112
My loved one has pancreatic cancer and is experiencing taste changes. How can we manage this?
[ { "description": "The response recommends discussing this with the patient’s oncologist or a nutritionist.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response states changes in taste are a common side effect of some chemotherapies used in the treatment of ...
113
My husband has pancreatic cancer and we’re considering exercise during treatment. What’s safe and beneficial?
[ { "description": "The response recommends discussing the exercise plan with the patient’s oncologist or healthcare provider.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response recommends gentle and slow exercise to avoid injury.", "item_number": 2, ...
114
My loved one has pancreatic cancer and we’re worried about the progression of the disease. What signs should we watch for?
[ { "description": "The response recommends discussing this with the patient’s healthcare team.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response recommends reporting any new symptoms to the patient’s healthcare team.", "item_number": 2, "max_point...
115
My father has pancreatic cancer and his doctors mentioned neoadjuvant therapy. What does this mean?
[ { "description": "The response should define neoadjuvant therapy.", "item_number": 1, "max_points": 7, "min_points": 0 }, { "description": "The response should include that neoadjuvant treatment is given before the definitive treatment.", "item_number": 2, "max_points": 5, "min_p...
116
My mother has pancreatic cancer and we’re considering music therapy. Are there benefits to this during treatment?
[ { "description": "The response should state that music therapy can help with symptoms associated with pancreatic cancer.", "item_number": 1, "max_points": 8, "min_points": 0 }, { "description": "The response should state that music therapy can help with anxiety.", "item_number": 2, "...
117
My loved one has pancreatic cancer and is worried about the impact on our pets. Should we be concerned about anything?
[ { "description": "The response must state that pancreatic cancer is not contagious.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response should state that chemotherapy can weaken the immune system and make someone at increased risk of infection.", "item_...
118
My husband has pancreatic cancer and his oncologist mentioned adjuvant therapy. What is this?
[ { "description": "The response should define adjuvant therapy.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state the goal of adjuvant therapy is to prevent cancer recurrence.", "item_number": 2, "max_points": 6, "min_points": 0 ...
119
My loved one has pancreatic cancer and we’re dealing with constipation from pain medications. How can we manage this?
[ { "description": "The response should recommend discussing constipation with their oncology team.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should recommend discussing pain medications with the oncology team.", "item_number": 2, "max_poin...
120
My father has pancreatic cancer and is considering meditation and mindfulness. Are these helpful during treatment?
[ { "description": "The response should state that meditation and mindfulness can improve quality of life.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response should state that meditation and mindfulness are not anti-cancer treatments.", "item_number": 2,...
121
My mother has pancreatic cancer and we’re trying to understand the role of nutrition during treatment. What should we focus on?
[ { "description": "The response should recommend discussing their concerns with an oncology nutritionist or dietitian.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that pancreatic enzyme supplements can help with digesting food when ther...
122
My loved one has pancreatic cancer and is experiencing memory issues. Could this be related to treatment?
[ { "description": "The response should mention that chemotherapy is known to cause cancer-related cognitive impairment affecting memory, attention, and executive function.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should recommend discussing memor...
123
My husband has pancreatic cancer and his doctors are discussing ablative techniques. What are these?
[ { "description": "The response should mention that ablative techniques in the treatment of pancreatic cancer refer to a group of minimally invasive procedures designed to locally destroy tumor tissue.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response sho...
124
My loved one has pancreatic cancer and we’re concerned about the quality of life during treatment. How do we maintain this?
[ { "description": "The response explicitly recommends that the patient or family discuss goals of care (e.g., treatment goals, quality of life preferences, advanced care planning) with their oncologist or oncology team.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description":...
125
My father has pancreatic cancer and is considering participating in advocacy work. What organizations can he connect with?
[ { "description": "The response should include the Pancreatic Cancer Action Network (PanCAN) as a major pancreatic cancer advocacy organization.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should recommend discussing advocacy options with their onco...
126
My loved one has pancreatic cancer and we want to know what options are out there. They think she can have surgery but we aren’t sure what to do.
[ { "description": "The response should state that the treatment of pancreatic cancer depends on the stage of the cancer.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that treatment of pancreatic cancer is multimodality and include surger...
127
There is a strong possibility that my loved one has pancreatic cancer. While we will know more early next week, I am doing as much preliminary research as possible to understand how I can be the most effective advocate for her. Please help.
[ { "description": "The response should state that the treatment of pancreatic cancer depends on the stage of the cancer.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response should state that the treatment of pancreatic cancer depends on the location of the c...
128
My loved one died with pancreatic cancer. She had a less common type called Pancreatic Neuroendocrine Tumor. I’d like to know if that type tends to have a genetic component and if genetic testing is available.
[ { "description": "The response should state that pancreatic neuroendocrine tumors (pNETs) are usually sporadic.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response should mention that pancreatic neuroendocrine tumors (pNETs) do tend to have a genetic compon...
129
Where can I find stories of hope? I have been diagnosed with pancreatic cancer, stage IV and I am feeling hopeless. I want to remain positive so that I can keep fighting.
[ { "description": "The response mentions the Pancreatic Cancer Action Network(www.pancan.org) (PanCAN) as a source for survivor stories.", "item_number": 1, "max_points": 3, "min_points": 0 }, { "description": "The response recommends asking the oncology team for additional support group reco...
130
Trying to gather information for my mother with stage IV pancreatic cancer. We are looking for everything we can do to improve her chance of survival and quality of life.
[ { "description": "The response should define stage IV pancreatic cancer.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should include that the disease is not curable.", "item_number": 2, "max_points": 10, "min_points": 0 }, { "des...
131
My father has pancreatic cancer and we’re looking for the best specialists in our region. How do we identify top doctors?
[ { "description": "The response should state that management of pancreatic tumors involves a multidisciplinary team of surgeons, medical oncologists, and radiation oncologists.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response should mention that outcomes ...
132
My mother has pancreatic cancer and we’re concerned about the side effects of treatment on her heart. What should we monitor?
[ { "description": "The response explicitly states that some chemotherapy can have negative effects on the heart.", "item_number": 1, "max_points": 3, "min_points": 0 }, { "description": "The response specifically mentions that 5-fluorouracil (or “5-FU”) can harm the heart.", "item_number"...
133
My loved one has pancreatic cancer and is considering stopping all treatment. How do we support this decision?
[ { "description": "The response should include that treatment decisions are personal decisions.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should recommend listening to their feelings.", "item_number": 2, "max_points": 3, "min_points": ...
134
My husband has pancreatic cancer and we’re trying to plan for the future. What legal documents should we have in place?
[ { "description": "The response should recommend discussing legal planning with a qualified professional.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should include that laws can vary state to state.", "item_number": 2, "max_points": 5, ...
135
My loved one has pancreatic cancer and we’re dealing with significant medical bills. What financial assistance is available?
[ { "description": "The response should recommend discussing their concerns with the oncology team.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should recommend discussing their concerns with a social worker.", "item_number": 2, "max_points":...
136
My father has pancreatic cancer and his doctors mentioned PARP inhibitors. What are these and when are they used?
[ { "description": "The response should describe PARP inhibitors as a class of targeted agents that block the PARP enzyme, which is involved in repairing single-strand DNA breaks.", "item_number": 1, "max_points": 7, "min_points": 0 }, { "description": "The response should mention that PARP in...
137
My mother has pancreatic cancer and we’re considering relocating to be closer to a major cancer center. What should we consider?
[ { "description": "The response should recommend considering proximity to the treatment center.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response should recommend considering housing options near the cancer center.", "item_number": 2, "max_points":...
138
My loved one has pancreatic cancer and is experiencing severe anxiety about upcoming scans. How can we help manage this?
[ { "description": "The response should recommend discussing the anxiety with their oncology team.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response should include considering relaxation techniques prior to the scan.", "item_number": 2, "max_points"...
139
My husband has pancreatic cancer and we’re trying to maintain normalcy for our family. What strategies work best?
[ { "description": "The response should mention that open, constructive communication within the couple and family is essential for reducing distress and maintaining relationship satisfaction.", "item_number": 1, "max_points": 7, "min_points": 0 }, { "description": "The response should include...
140
My loved one has pancreatic cancer and we’re considering getting genetic counseling. What does this involve?
[ { "description": "The response should recommend discussing genetic counseling with the oncology team or healthcare provider in the context of pancreatic cancer care.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should accurately describe the role of...
141
My father has pancreatic cancer and is experiencing peripheral neuropathy. What treatments are available for this?
[ { "description": "The response should state that neuropathy is a common side effect from certain chemotherapy drugs.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should recommend discussing medication side effects with their oncology team.", "it...
142
My mother has pancreatic cancer and we’re trying to understand the difference between curative and palliative treatment. Can you explain?
[ { "description": "The response should define curative treatment as interventions with the intent to eradicate the disease and achieve long-term survival.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should mention that curative treatment is only pos...
143
My loved one has pancreatic cancer and is considering experimental treatments abroad. What should we research?
[ { "description": "The response should recommend understanding the costs.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response should recommend discussing treatment decisions with your oncology team.", "item_number": 2, "max_points": 10, "min_poin...
144
My husband has pancreatic cancer and we’re dealing with treatment-related infections. How can we prevent these?
[ { "description": "The response should describe why treatments for pancreatic cancer can increase the risk of infections, including immunosuppression due to chemotherapy.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should recommend hand hygiene.", ...
145
My loved one has pancreatic cancer and we want to understand more about immunotherapy combinations. What research is being done?
[ { "description": "The response describes the combination of immune checkpoint blockade with chemotherapy as a current research strategy in pancreatic cancer.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response describes the combination of immune checkpoint ...
146
My father has pancreatic cancer and is considering participating in a research study. What questions should we ask?
[ { "description": "The response should recommend understanding the goal of the study.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should recommend understanding the phase of the trial.", "item_number": 2, "max_points": 5, "min_points": 0...
147
My mother has pancreatic cancer and we’re trying to manage her pain without becoming dependent on opioids. What alternatives exist?
[ { "description": "The response should describe non-opioid medications for pain control, including acetaminophen.", "item_number": 1, "max_points": 4, "min_points": 0 }, { "description": "The response should describe non-opioid medications for pain control, including NSAIDs.", "item_numbe...
148
My loved one has pancreatic cancer and we’re concerned about the psychological impact on our teenage children. What support is available?
[ { "description": "The response explicitly recommends discussing psychological concerns about the children with the oncology team.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response explicitly recommends professional counseling and mentions mental health p...
149
My husband has pancreatic cancer and his oncologist mentioned circulating tumor DNA testing. What is this?
[ { "description": "The response defines circulating tumor DNA (ctDNA) as DNA from cancer cells or tumors found in the blood, and can be used as a biomarker for diagnosis, monitoring, or recurrence.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response explici...
150
My loved one has pancreatic cancer and we’re trying to coordinate care between multiple hospitals. How do we manage this effectively?
[ { "description": "The response explicitly recommends designating a single point person (e.g., care coordinator, family member, or friend) to coordinate care and serve as the primary contact for health-related matters.", "item_number": 1, "max_points": 6, "min_points": 0 }, { "description": "...
151
My father has pancreatic cancer and is experiencing significant weight loss despite eating. What interventions might help?
[ { "description": "The response should state that weight loss can occur due to impaired absorption due to pancreatic enzyme deficiency.", "item_number": 1, "max_points": 4, "min_points": 0 }, { "description": "The response should state that pancreatic exocrine insufficiency leads to deficienc...
152
My mother has pancreatic cancer and we’re considering massage therapy during treatment. Is this safe?
[ { "description": "The response should mention that patients should consult their oncology team before starting massage therapy to ensure individual safety, particularly if there are concerns about bleeding risk, infection, or unstable bone lesions.", "item_number": 1, "max_points": 8, "min_points": ...
153
My loved one has pancreatic cancer and we want to understand more about personalized medicine approaches. What’s available?
[ { "description": "The response should describe personalized medicine approaches in pancreatic cancer, including tumor genetic testing.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should mention that precision medicine, or personalized oncology, tai...
154
My husband has pancreatic cancer and we’re dealing with treatment-related diarrhea. How can this be managed?
[ { "description": "The response should state that diarrhea is a common side effect from certain chemotherapy drugs.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response should mention that, per American Society of Clinical Oncology recommendations, the initia...
155
My loved one has pancreatic cancer and is considering stopping work to focus on treatment. What should we consider?
[ { "description": "The response should recommend discussing the treatment plan with their oncology team.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should recommend understanding the prognosis.", "item_number": 2, "max_points": 6, "min_...
156
My father has pancreatic cancer and his doctors mentioned tumor profiling. What does this involve?
[ { "description": "The response should describe tumor profiling as involving comprehensive molecular analysis of tumor tissue and often blood to identify genetic, transcriptomic, and proteomic alterations.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response...
157
My mother has pancreatic cancer and we’re trying to understand the role of inflammation in her condition. How is this managed?
[ { "description": "The response should mention that chronic pancreatitis or chronic pancreatic inflammation increases the risk of pancreatic cancer.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that inflammation plays a central or signif...
158
My loved one has pancreatic cancer and we’re considering art therapy. Are there benefits to this during treatment?
[ { "description": "The response describes at least three specific benefits of art therapy for cancer patients, such as emotional expression, stress reduction, coping skills, mood improvement, self-esteem, social connection, or mindfulness/relaxation.", "item_number": 1, "max_points": 7, "min_points":...
159
My husband has pancreatic cancer and we’re dealing with insurance denials for certain medications. What can we do?
[ { "description": "The person should contact the insurance company to understand the reason for the denial.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The person should file an appeal as an option to remedy the denial.", "item_number": 2, "max_points": ...
160
My loved one has pancreatic cancer and is experiencing treatment-related skin problems. How are these managed?
[ { "description": "The response should recommend discussing symptoms with the oncology team.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should describe common chemotherapy-related side effects, including dry skin.", "item_number": 2, "max_p...
161
My father has pancreatic cancer and we’re trying to understand the role of the tumor microenvironment. How does this affect treatment?
[ { "description": "The response should describe the tumor microenvironment.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should mention that the tumor microenvironment in pancreatic cancer critically influences both treatment options and outcomes.", ...
162
My mother has pancreatic cancer and we’re considering pet therapy visits. Are these beneficial and safe during treatment?
[ { "description": "Pet therapy can offer emotional benefits for patients with cancer.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "Pet therapy can offer psychological benefits for patients with cancer.", "item_number": 2, "max_points": 5, "min_points":...
163
My loved one has pancreatic cancer and we’re dealing with travel challenges for treatment. What resources can help?
[ { "description": "The response should recommend discussing financial concerns with a social worker associated with their oncology team.", "item_number": 1, "max_points": 6, "min_points": 0 }, { "description": "The response should include information for the American Cancer Society Road to Re...
164
My husband has pancreatic cancer and his oncologist mentioned combination immunotherapy trials. What should we know?
[ { "description": "The response should include that combination immunotherapy can refer to combining immunotherapies together.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response should include that combination immunotherapy can refer to combining immunother...
165
My loved one has pancreatic cancer and we’re trying to manage treatment schedules with work and family obligations. Any advice?
[ { "description": "The response should recommend understanding the current treatment plan.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response should recommend discussing the treatment schedule with the oncology team.", "item_number": 2, "max_points"...
166
My father has pancreatic cancer and is experiencing treatment-related mouth problems. How can these be prevented or managed?
[ { "description": "The response should mention that treatment-related mouth problems, particularly oral mucositis, are common in patients with pancreatic cancer receiving chemotherapy.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response should recommend disc...
167
My mother has pancreatic cancer and we want to understand more about minimal residual disease testing. What is this?
[ { "description": "The response should define minimal residual disease per NCI dictionary of cancer terms.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should mention that minimal residual disease testing in pancreatic cancer is investigational.", ...
168
My loved one has pancreatic cancer and we’re considering spiritual counseling. How can we find appropriate support?
[ { "description": "The response should recommend asking the oncology team for spiritual care professionals.", "item_number": 1, "max_points": 3, "min_points": 0 }, { "description": "The response should recommend reaching out to local places of worship.", "item_number": 2, "max_points"...
169
My husband has pancreatic cancer and we’re dealing with significant lifestyle changes. How do we adapt?
[ { "description": "The response should recommend learning about pancreatic cancer, including diagnosis.", "item_number": 1, "max_points": 2, "min_points": 0 }, { "description": "The response should recommend learning about pancreatic cancer, including staging.", "item_number": 2, "max...
170
My loved one has pancreatic cancer and we want to understand more about tumor heterogeneity. How does this affect treatment?
[ { "description": "The response should describe tumor heterogeneity, including diverse genetic, epigenetic, transcriptomic, and microenvironmental features both between patients (inter-tumoral) and within a single tumor (intra-tumoral).", "item_number": 1, "max_points": 8, "min_points": 0 }, { ...
171
My father has pancreatic cancer and is considering volunteering for research studies. What opportunities exist?
[ { "description": "The response should include the definitions of different types of research studies, including randomized clinical trials and observational studies.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should explain that not all research s...
172
My mother has pancreatic cancer and we’re trying to understand the role of the immune system in her treatment. Can you explain?
[ { "description": "The response should describe how cells that acquire mutations that can go on to form a cancer in our bodies can evade the immune system.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response should describe the immune system’s role in protec...
173
My loved one has pancreatic cancer and we’re dealing with caregiver burnout. What support is available?
[ { "description": "The response must define caregiver burnout as physical, emotional, and mental exhaustion, and normalize it as a common experience among caregivers.", "item_number": 1, "max_points": 7, "min_points": 0 }, { "description": "The response must link to no-cost support services f...
174
My husband has pancreatic cancer and his doctors mentioned liquid biopsy monitoring. What does this involve?
[ { "description": "The response should explain what liquid biopsies are and how they are different from traditional biopsies.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that “liquid biopsy” involves taking a sample of blood to analyze ...
175
My loved one has pancreatic cancer and we’re trying to maintain their independence during treatment. What strategies work?
[ { "description": "The response should emphasize the importance of managing treatment and disease-related side effects to preserve independence and quality of life.", "item_number": 1, "max_points": 3, "min_points": 0 }, { "description": "The response should describe the expected side effects...
176
My father has pancreatic cancer and we’re considering family genetic testing. Who should be tested and when?
[ { "description": "The response should include a definition of genetic testing for heritable cancer syndromes.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response should state that genetic testing for inherited mutations is recommended for all patients with ...
177
My mother has pancreatic cancer and we’re dealing with treatment-related cognitive changes. Is this reversible?
[ { "description": "The response should describe the phenomenon known as “chemo-brain,” or cognitive issues experienced by individuals undergoing chemotherapy treatment.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should state that treatment-related ...
178
My loved one has pancreatic cancer and we want to understand more about cancer stem cells. How do these affect treatment?
[ { "description": "The response should describe what cancer stem cells are.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should explain the role that cancer stem cells play in tumorigenesis and metastasis.", "item_number": 2, "max_points": 10...
179
My husband has pancreatic cancer and we’re considering joining support groups. What types are available?
[ { "description": "The response should describe different types of support groups such as in-person, virtual, and telephone.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should list resources with website links that provide free or insurance-covered ...
180
My loved one has pancreatic cancer and we’re trying to understand treatment resistance. Why do treatments stop working?
[ { "description": "The response must explicitly explain how normal cells acquire mutations that transform them into malignant cells.", "item_number": 1, "max_points": 3, "min_points": 0 }, { "description": "The response must explicitly describe how malignant cells evade the body’s immune syst...
181
My father has pancreatic cancer and his doctors mentioned biomarker testing. What biomarkers are important?
[ { "description": "The response must describe specific biomarkers for pancreatic cancer, explicitly mentioning both CA 19-9 and CEA.", "item_number": 1, "max_points": 7, "min_points": 0 }, { "description": "The response must explain what circulating tumor DNA (ctDNA) is and how it is consider...
182
My mother has pancreatic cancer and we’re dealing with treatment-related bone problems. How are these managed?
[ { "description": "The response must describe at least two management strategies for osteopenia and osteoporosis, such as bisphosphonates, denosumab, calcium, or vitamin D.", "item_number": 1, "max_points": 7, "min_points": 0 }, { "description": "The response must explicitly describe at least...
183
My loved one has pancreatic cancer and we want to understand more about epigenetic changes. How do these affect the disease?
[ { "description": "The response should define epigenetics per NCI dictionary of cancer terms", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should describe how epigenetic changes can happen in normal cells, including gene silencing, activation, and DNA...
184
My husband has pancreatic cancer and we’re considering home health services. What should we look for?
[ { "description": "The response should recommend that patients consider care agencies that are accredited and have a good reputation.", "item_number": 1, "max_points": 8, "min_points": 0 }, { "description": "The response should recommend that patients consider care agencies that provide a bro...
185
My loved one has pancreatic cancer and we’re trying to understand the role of angiogenesis. How does this relate to treatment?
[ { "description": "The response should define angiogenesis per NCI dictionary of cancer terms", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should describe the role of angiogenesis in solid tumors.", "item_number": 2, "max_points": 7, "min...
186
My father has pancreatic cancer and we’re dealing with treatment-related liver problems. How are these monitored and managed?
[ { "description": "The response should state that liver function is routinely monitored during treatment using labs.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should describe ways in which pancreatic cancer and pancreatic cancer treatment can affe...
187
My mother has pancreatic cancer and we want to understand more about tumor dormancy. Can cancer cells become inactive?
[ { "description": "The response should discuss tumor dormancy, explaining that cancer cells may remain present in a dormant state without actively dividing or spreading.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should describe the implications of...
188
My loved one has pancreatic cancer and we’re considering advance directives. What should these include?
[ { "description": "The response should describe what an advance directive is and why people create them.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should recommend that the patient and family ask their oncology team if there are resources availabl...
189
My husband has pancreatic cancer and his doctors mentioned combination targeted therapy. What does this involve?
[ { "description": "The response should define what targeted therapy is in oncologic treatment.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response must explicitly state that combination targeted therapy involves using two or more drugs to specifically addre...
190
My loved one has pancreatic cancer and we’re trying to understand metastatic patterns. Where does pancreatic cancer typically spread?
[ { "description": "The response should define metastasis.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should explain how cancer metastasizes, such as hematologic spread and lymphatic spread.", "item_number": 2, "max_points": 5, "min_poin...
191
My father has pancreatic cancer and we’re dealing with treatment-related kidney problems. How are these managed?
[ { "description": "The response should describe how pancreatic cancer chemotherapy treatment can cause injury to the kidneys.", "item_number": 1, "max_points": 6, "min_points": 0 }, { "description": "The response must explicitly mention that platinum drugs (e.g., cisplatin, oxaliplatin) can d...
192
My mother has pancreatic cancer and we want to understand more about tumor evolution. How does cancer change over time?
[ { "description": "The response should describe the role of genetic mutations in cancer.", "item_number": 1, "max_points": 9, "min_points": 0 }, { "description": "The response should explain how cancer treatment applies selective pressure on cancer cells, allowing those that harbor certain ch...
193
My loved one has pancreatic cancer and we’re considering complementary therapies like aromatherapy. Are these safe during treatment?
[ { "description": "The response should define complementary therapies, including supportive and integrative therapy.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response should define aromatherapy.", "item_number": 2, "max_points": 5, "min_points"...
194
My husband has pancreatic cancer and we’re trying to understand the role of metabolism in cancer. How does this affect treatment?
[ { "description": "The response should define metabolism in humans.", "item_number": 1, "max_points": 7, "min_points": 0 }, { "description": "The response should describe the Warburg Effect.", "item_number": 2, "max_points": 9, "min_points": 0 }, { "description": "The resp...
195
My loved one has pancreatic cancer and we’re dealing with treatment-related eye problems. Should we be concerned?
[ { "description": "The response should list causes of eye problems related to cancer and/or cancer treatment, including chemotherapy-induced optic neuropathy, immunotherapy-related inflammation, bleeding, cataracts, dry eye, metastatic disease to the brain or eye, and infections.", "item_number": 1, "max...
196
My father has pancreatic cancer and his doctors mentioned neoantigens. What are these and how do they relate to treatment?
[ { "description": "The response should define neoantigens in cancer as proteins expressed on the surface of cancer cells, used by the immune system to differentiate cancer from healthy tissue.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should menti...
197
My mother has pancreatic cancer and we’re trying to understand the role of autophagy. How does this cellular process affect cancer?
[ { "description": "The response must define autophagy, including its normal role in cellular turnover, specifically mentioning degradation and recycling of cellular components, and maintaining cellular homeostasis by removing damaged organelles and protein aggregates.", "item_number": 1, "max_points": 10...
198
My loved one has pancreatic cancer and we’re considering telehealth support groups. Are these as effective as in-person groups?
[ { "description": "The response should describe the different types of support groups that exist for cancer patients and family members of cancer patients.", "item_number": 1, "max_points": 7, "min_points": 0 }, { "description": "The response should list the pros and cons of each type of supp...
199
My husband has pancreatic cancer and we’re dealing with treatment-related sleep problems. What can help improve sleep quality?
[ { "description": "The response should mention the effect of caffeine on sleep.", "item_number": 1, "max_points": 5, "min_points": 0 }, { "description": "The response should mention the effect of alcohol on sleep.", "item_number": 2, "max_points": 5, "min_points": 0 }, { "...
200
My loved one has pancreatic cancer and we want to understand more about cancer cachexia. How is this different from regular weight loss?
[ { "description": "The response should define cancer-related cachexia.", "item_number": 1, "max_points": 10, "min_points": 0 }, { "description": "The response should describe how cachexia occurs in patients with pancreatic cancer.", "item_number": 2, "max_points": 5, "min_points":...