Quiz I Prt I Sem I 2019 2020
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Questions and Answers
- 1.
A client with acute leukemia is admitted to the oncology unit. Which of the following would be most important for the nurse to inquire?
- A.
"Have you noticed a change in sleeping habits recently?"
- B.
"Have you had a respiratory infection in the last 6 months?"
- C.
"Have you lost weight recently?"
- D.
"Have you noticed changes in your alertness?"
Correct Answer
B. "Have you had a respiratory infection in the last 6 months?"Explanation
The client with leukemia is at risk for infection and has often had recurrent respiratory infections during the previous 6 months. Insomnolence, weight loss, and a decrease in alertness also occur in leukemia, but bleeding tendencies and infections are the primary clinical manifestationsRate this question:
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- 2.
What is the peak age range in acquiring acute lymphocytic leukemia (ALL)?
- A.
4 to 12 years.
- B.
20 to 30 years
- C.
40 to 50 years
- D.
60 to 70 years
Correct Answer
A. 4 to 12 years.Explanation
The peak incidence of Acute Lymphocytic Leukemia (ALL) is 4 years of age. It is uncommon after 15 years of age.Rate this question:
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- 3.
Marie with acute lymphocytic leukemia suffers from nausea and headache. These clinical manifestations may indicate all of the following except
- A.
Effects of radiation
- B.
Chemotherapy side effects
- C.
Meningeal irritation
- D.
Gastric distension
Correct Answer
D. Gastric distensionExplanation
Acute Lymphocytic Leukemia (ALL) does not cause gastric distention. It does invade the central nervous system, and clients experience headaches and vomiting from meningeal irritation.Rate this question:
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- 4.
A patient is treated with parallel opposed portal. The isocenter is it midline. The fields are equally weighted. The total dose is 5760 cGy, and the daily dose per port is 90 cGy. How many daily treatments will the patient received? (Enter whole number)
Correct Answer
32Explanation
(The total dose/the daily dose)/2 = 32Rate this question:
- 5.
A tumor is to receive 6300 cGy in 42 fractions. What is the dose per fraction?______cGy/Fraction(Enter whole number)
Correct Answer
150Explanation
Total dose/fractions = dose per fraction
6300/42 = 150 cGy/FractionRate this question:
- 6.
A 33-year-old woman has experienced low grade fevers, night sweats, and generalized malaise for the past 2 months. On examination, non-tender cervical and supra-clavicular LN is noted. A cervical LN biopsy shows occ. Reed-Sternberg cells along with large and small lymphocytes and bands of fibrosis. Which of the following is the most likely diagnosis?
- A.
Burkitt lymphoma
- B.
Hodgkin disease
- C.
Cat scratch disease
- D.
Mycosis fungoides
- E.
Multiple myeloma
Correct Answer
B. Hodgkin diseaseExplanation
B) Reed-Sternberg cells are multinucleated with large nucleoli. Variants of them called lacunar cells are also seen with some forms of Hodgkin disease
A monomorphous proliferation of intermediate-sized lymphoid cells is seen with Burkitt lymphoma, often with accompanying macrophages.
Cat scratch disease is caused by the Rickettsia-like organism Bartonella henselae and leads to the appearance of stellate abscesses in lymph nodes.
Mycosis fungoides (despite the name) is not a fungal disease, but a form of cutaneous T-cell lymphoma.
A proliferation of plasma cells leads to multiple myeloma, usually detected by monoclonal immunoglobulin productionRate this question:
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- 7.
Inflammation resulting from radiation therapy in treating cancer.
- A.
Radiation Induced pericarditis
- B.
Drug induced pericarditis
- C.
Neoplastic pericarditis
- D.
Dressler Syndrome
Correct Answer
A. Radiation Induced pericarditisExplanation
Radiation therapy is a common treatment for cancer, but it can also cause inflammation in the pericardium, the thin sac that surrounds the heart. This inflammation is known as radiation-induced pericarditis. It occurs as a side effect of the radiation therapy and can cause symptoms such as chest pain, shortness of breath, and fluid buildup around the heart. The other options, drug-induced pericarditis, neoplastic pericarditis, and Dressler Syndrome, are not related to radiation therapy and are caused by different factors.Rate this question:
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- 8.
What is the first type of treatment in leukemia management?
- A.
Maintenance
- B.
Consolidation
- C.
Induction
- D.
Preventive
Correct Answer
C. InductionExplanation
Induction is the first type of treatment in leukemia management. It is the initial phase of therapy aimed at inducing remission in patients with leukemia. During induction, high doses of chemotherapy are administered to kill as many leukemia cells as possible and reduce the disease burden. This intensive treatment helps to achieve complete remission, which means the absence of leukemia cells in the bone marrow and peripheral blood. After induction, patients may undergo consolidation and maintenance therapy to further reduce the risk of relapse.Rate this question:
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- 9.
Which of this statement is TRUE about CNS prophylaxis?
- A.
Standard dose for high risk is 2000 cGy
- B.
Infant younger than 12 month is considered for cranial irradiation
- C.
Inferior border extends to C1-C2 interspace
- D.
The superior extent of temporal meninges should be considered
Correct Answer
C. Inferior border extends to C1-C2 interspaceExplanation
The correct answer is "Inferior border extends to C1-C2 interspace". This means that when performing CNS prophylaxis, the radiation field should extend down to the C1-C2 interspace. This is important because the C1-C2 interspace is the level where the spinal cord ends, and including this area in the radiation field helps to ensure that any potential cancer cells in the central nervous system are effectively targeted and treated.Rate this question:
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- 10.
The usual location of prescription point for TBI is at the
- A.
Lung
- B.
Mediastinum
- C.
Umbilicus
- D.
Neck
Correct Answer
C. UmbilicusExplanation
The usual location of prescription point for TBI is at the umbilicus. This means that when treating traumatic brain injuries (TBI), the point of prescription, or the location where the treatment is initiated, is typically at the umbilicus. The umbilicus, also known as the belly button, is a central point on the abdomen and is often used as a reference point in medical procedures.Rate this question:
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- 11.
Boost specification organ in TBI include
- A.
Lung
- B.
Kidney
- C.
Mediastinum
- D.
Testes
Correct Answer
D. TestesExplanation
The boost specification organ in TBI includes the testes. The testes are responsible for producing testosterone and sperm. In cases of traumatic brain injury (TBI), there can be disruption in the production of hormones, including testosterone. Boosting the function of the testes can help restore hormonal balance and improve fertility in individuals with TBI.Rate this question:
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- 12.
Palliative dose schedules for Lymphoma is as stated below EXCEPT
- A.
30 Gy / 10 fraction
- B.
8 Gy/single fraction
- C.
4 Gy/ 2 fraction
- D.
32 Gy/ 2 fraction
Correct Answer
D. 32 Gy/ 2 fractionExplanation
The given options represent different dose schedules for palliative treatment of Lymphoma. The correct answer is "32 Gy/ 2 fraction" because this dose schedule is not commonly used for palliative treatment of Lymphoma. The other options, such as 30 Gy / 10 fraction, 8 Gy/single fraction, and 4 Gy/ 2 fraction, are commonly used dose schedules for palliative treatment of Lymphoma.Rate this question:
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- 13.
IFRT CTV definition include
- A.
Ipsilateral neck
- B.
Bilateral neck
- C.
Orbit
- D.
Brain
Correct Answer
A. Ipsilateral neckExplanation
The correct answer is "ipsilateral neck." This means that the definition of IFRT CTV includes the area of the neck on the same side as the tumor. In other words, when performing Intensity-Modulated Radiation Therapy (IMRT) or other radiation treatments, the radiation field includes the tumor and the surrounding tissues on the same side of the neck. This is important for ensuring that the entire tumor and any potential spread to nearby lymph nodes are targeted and treated effectively.Rate this question:
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- 14.
Involved node radiotherapy tumor volume definition include
- A.
Entire lymph node region
- B.
Original extent of disease with margin
- C.
Original extent of disease
- D.
Original extent of disease + margin + site specific disease
Correct Answer
B. Original extent of disease with marginExplanation
The correct answer is "original extent of disease with margin." This means that when defining the tumor volume for involved node radiotherapy, the original extent of the disease is considered along with a margin around it. This ensures that any potential microscopic spread of the disease is also included in the treatment area. The entire lymph node region and site-specific disease are not mentioned in the answer, indicating that they are not part of the tumor volume definition in this context.Rate this question:
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- 15.
ISRT principles are based on
- A.
ICRU 52
- B.
ICRU 76
- C.
ICRU 68
- D.
ICRU 83
Correct Answer
D. ICRU 83Explanation
The correct answer is ICRU 83. ICRU stands for International Commission on Radiation Units and Measurements. ICRU 83 is a report published by ICRU that provides guidelines and recommendations for the use of radiation in medical imaging and radiation therapy. The ISRT principles, which refer to the principles of Image-Guided Stereotactic Radiotherapy, are based on the guidelines and recommendations outlined in ICRU 83. This report is widely recognized and followed by professionals in the field to ensure safe and effective use of radiation in medical treatments.Rate this question:
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.JPG "A 33-year-old woman has experienced low grade fevers, night sweats, and generalized malaise for the past 2 months. On examination, non-tender cervical and supra-clavicular LN is noted. A cervical LN biopsy shows occ. Reed-Sternberg cells along with large and small lymphocytes and bands of fibrosis. Which of the following is the most likely diagnosis?")
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