Advanced Oncology Certified Nurse Practitioner (AOCNP) Certification Practice Test

How common is spinal cord compression (SCC) in relation to other neurologic complications of cancer?

1. First most common

2. Second most common

3. Third most common

4. Least common

The correct answer is: Second most common

Spinal cord compression (SCC) is recognized as a significant and relatively common complication in patients with cancer, ranking as the second most frequent neurologic complication that arises in this population. This condition is particularly attributable to metastatic disease, especially from cancers such as breast, lung, and prostate. While SCC is indeed prevalent, other neurologic complications, such as brain metastases and other forms of central nervous system involvement, often surpass it in frequency. The awareness of SCC is essential for early detection and management, as timely intervention can dramatically improve patient outcomes and quality of life. This understanding underscores the importance of vigilance in monitoring patients with cancer for signs of neurologic complications, including SCC, which can present with symptoms such as back pain, motor weakness, sensory changes, and impaired bladder or bowel function. In contrast, other conditions tend to be either more prevalent or less clinically impactful compared to SCC, meriting its second-place ranking. Recognizing this context helps healthcare providers prioritize assessments and interventions that address the specific needs of patients at risk for these complications.