Hematology and Immunology Neoplasms

Question 1

acute myeloid leukemia
- definition

Answer 1

defect in stem cell that differentiate into all myeloid cells

Question 2

acute myeloid leukemia
- bleeding issues

Answer 2

anemia
thrombocytopenia
neutropenia

Question 3

acute myeloid leukemia
- common?

Answer 3

most common

Question 4

acute myeloid leukemia
- manifesations

Answer 4

fever/infection
weakness/fatigue
bleeding tenedcies
pain from enlarged liver/spleen
hyperplasia of gums
bone pain

Question 5

acute myeloid leukemia
- treatment

Answer 5

aggressive chemo
induction therapy

Question 6

indication therapy

Answer 6

very aggressive
suppresses every cell
makes blood issues worst at first
hospitalized couple of weeks

Question 7

chronic myeloid leukemia
- defintion

Answer 7

mutation in myeloid stem cell with uncontrolled proliferation cells

Question 8

chronic myeloid leukemia
- life expectancy

Answer 8

3-5 years

Question 9

chronic myeloid leukemia
- mainifesations

Answer 9

initially asymptomatic
shortness of breath (leukostasis)
enlarged liver or spleen
malaise
anorexia
weight loss
confusion

Question 10

chronic myeloid leukemia
- treatment

Answer 10

immunosuppressive therapy
- Gleevec
chemo

Question 11

all leukemias are at risk for

Answer 11

infection

Question 12

acute lymphocytic leukemia
- defintion

Answer 12

uncontrolled proliferation of immature cells from lymphoid stem cells

Question 13

acute lymphocytic leukemia
- manifesations

Answer 13

meningeal involvement (severe headache, nuchal rigidity, seizures, photophobia)
liver/spleen/bone pain
leukemic cell infiltration is more common

Question 14

acute lymphocytic leukemia
- treatment

Answer 14

chemo
monoclonal antibodies

Question 15

nursing goals of leukemias

Answer 15

absence of complications
pain attainment
maintence of nutrition
activity tolerance
ability for self care
positive body image

Question 16

hodgkin disease
- age

Answer 16

incidence in early 20 and again after age 50

Question 17

hodgkin disease
- cure rate

Answer 17

excellent with treatment

Question 18

hodgkin disease
- manifestations

Answer 18

lymph node enlargement (normally one)
pruitus
fever
sweats
weight loss

Question 19

hodgkin disease
- treatment

Answer 19

determined by stage of disease
may include chemo/radiation

Question 20

non hodgkin lymphoma
- defintion

Answer 20

lymphoid tissues become infiltrated with malignant cells
spread is unpredictable

Question 21

non hodgkin lymphoma
- age

Answer 21

50-60

Question 22

non hodgkin lymphoma
- treatment

Answer 22

determined by stage of disease
interferon/chemo/radiation

Question 23

multiple myeloma
- defintion

Answer 23

malignant disease of plasma cells in the bone marrow with destruction of bone

Question 24

multiple myeloma
- cure

Answer 24

none

Question 25

multiple myeloma
- life expectancy

Answer 25

2.5-5 years

Question 26

multiple myeloma
- manifestations

Answer 26

bone pain
osteoporosis
fractures
hypercalcemia
renal damage
symptoms of anemia
fatigue
weakness

Question 27

multiple myeloma
- increased risk of

Answer 27

bleeding and infection and bone fractures

Question 28

multiple myeloma
- treatment

Answer 28

chemo
steroids
radiation
bisphosphonates