Q:

A patient with terminal cancer is being treated with chemo develops tingling and numbness of the fingertips of both arms. What is the single most likely cause of the symptoms?

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A patient with terminal cancer is being treated with chemo develops tingling and numbness of the fingertips of both arms. What is the single most likely cause of the symptoms?


  1. Bone mets to cervical vertebrae
  2. Post-chemo neuropathy
  3. Hyponatremia
  4. Hypocalcemia

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The key is B. Post-chemo neuropathy. [Neuropathy is a common side effect of chemotherapy. Chemotherapy can damage nerves that affect feeling and movement in the hands and feet. Doctors call this condition chemotherapy-induced peripheral neuropathy (CIPN). Symptoms can be severe and may affect a person's quality of life].

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