Oncology

Question 1

toddler reaction

Answer 1

regression, mimic sadness/anxiety

Question 2

preschooler reaction

Answer 2

regression, acting out, feels guilty, fears separation

Question 3

school age reaction

Answer 3

asks questions, understands, fears the unknown

Question 4

foods to avoid with CINV

Answer 4

favorite foods, spicy, citrussy, strong odors

Question 5

when can they get live vaccines?

Answer 5

6 months after last chemo session

Question 6

radiation mgmt

Answer 6

avoid tight restrictive clothing, use mild unscented products

Question 7

normal RBC

Answer 7

4-7

Question 8

normal WBC

Answer 8

5-10

Question 9

normal plt

Answer 9

150-450

Question 10

s/s of lymphoma

Answer 10

enlarged painless lymph nodes, night sweats

Question 11

osteosarcoma xray

Answer 11

sunburst on top of long bones

Question 12

s/s of osteosarcoma

Answer 12

limp, mass, localized bone pain

Question 13

osteosarcoma tx

Answer 13

surgery, chemo, NO radiation

Question 14

care after amputation

Answer 14

early prosthetic fitting, gabapentin for phantom pain, cover until ready

Question 15

ewing sarcoma xray

Answer 15

onionskin appearance - middle of long bones

Question 16

ewing sarcoma s/s

Answer 16

pain, headache, pressure, visual lump, favoring 1 limb - may not be walking/crawling

Question 17

ewing sarcoma tx

Answer 17

surg resection, intense radiation, chemo

Question 18

silent tumor

Answer 18

neuroblastoma - no s/s until mets

Question 19

s/s of neuroblastoma

Answer 19

lump in chest/abdomen, bone pain, periorbital ecchymosis & edema, neuro issues, lymphadenopathy

Question 20

UA positive for catecholamines in -

Answer 20

neuroblastoma, Wilms tumor

Question 21

neuroblastoma tx

Answer 21

chemo

Question 22

rhabdomyosarcoma tx

Answer 22

surg removal, chemo, rad

Question 23

s/s of wilms tumor/nephroblastoma

Answer 23

painless firm mass on kidneys, lethargy, hematuria, HTN

Question 24

wilms/nephroblastoma tx

Answer 24

removal of tumor, kidney, & adrenals, chemo & radiation if not encapsulated

Question 25

why should someone with a wilms/nephroblastoma be on bedrest

Answer 25

tumor can de-capsulate, cancer will spread, treatment more complicated

Question 26

whitish glow of the eyes, strabismus

Answer 26

retinoblastoma

Question 27

retinoblastoma tx

Answer 27

chemo, cryo, enucleation last resort

Question 28

which cancer needs yearly checkups d/t high risk of secondary tumors

Answer 28

retinoblastoma