W/L Ch 37 Pediatric Quiz Flashcards

1
Q

Which of the following cancers would most likely be seen in a child?

a. Retinoblastoma
b. Primary brain
c. Osteosarcoma
d. Hodgkin’s disease (HD)

A

b. Primary brain

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2
Q

Children are most likely to develop which type of leukemia?

a. ALL
b. AML
c. CLL
d. CML

A

a. ALL

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3
Q

Ewing sarcomas are cancers of which organ?

a. Kidney
b. Bone
c. Skeletal muscle
d. Smooth muscle

A

b. Bone

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4
Q

Rhabdomyosarcomas are cancers of which organ?

a. Kidney
b. Bone
c. Brain
d. Mesenchymal

A

d. Mesenchymal

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5
Q

Successful treatment of Langerhans cell histiocytosis requires what dose?

a. 200 to 400 cGy
b. 400 to 1200 cGy
c. 1500 to 2500 cGy
d. Greater than 4000 cGy

A

b. 400 to 1200 cGy

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6
Q

Treatment of rhabdomyosarcoma with radiation therapy is most effective when the cancer is located in the _______________.

a. orbit
b. bladder
c. skeletal muscle
d. kidney

A

a. orbit

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7
Q

The craniospinal treatment technique is used to treat what specific type of pediatric cancer?

a. Medulloblastoma
b. Neuroblastoma
c. Rhabdomyosarcoma
d. Retinoblastoma

A

a. Medulloblastoma

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8
Q

Which pediatric cancer is closely associated to nephroblastomatoses?

a. Ewing sarcoma
b. Medulloblastoma
c. Rhabdomyosarcoma
d. Wilms’ tumor

A

d. Wilms’ tumor

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9
Q

Trilateral retinoblastoma includes cancer of which other cranial structure?

a. Pituitary gland
b. Pineal gland
c. Parotid gland
d. Paranasal sinuses

A

b. Pineal gland

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10
Q

What is the most common presenting symptom of a soft tissue sarcoma of the extremity?

a. Pain
b. Mass
c. Loss of mobility
d. Headache

A

b. Mass

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11
Q

What is the most common intracranial tumor in children?

a. Medulloblastoma
b. Metastatic lesion
c. Astrocytoma
d. Craniopharyngioma

A

c. Astrocytoma

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12
Q

Which pediatric cancer has the best overall survival?

a. ALL
b. Neuroblastoma
c. Wilms’ tumor
d. HD

A

d. HD

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13
Q

Which area is least likely to develop rhabdomyosarcoma?

a. Testis
b. Head and neck
c. Lower extremity
d. Upper extremity

A

b. Head and neck

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14
Q

Which pediatric cancer spreads through the cerebrospinal fluid (CSF)?

a. Leukemia
b. Medulloblastoma
c. Neuroblastoma
d. Retinoblastoma

A

b. Medulloblastoma

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15
Q

Which pediatric cancer occurs in the sympathetic nervous system ganglia?

a. Medulloblastoma
b. Neuroblastoma
c. Primary brain lesions
d. Retinoblastoma

A

b. Neuroblastoma

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16
Q

Which pediatric cancer occurs in the testes and ovaries?

a. Germ cell tumor
b. Neuroblastoma
c. Rhabdomyosarcoma
d. Wilms’ tumor

A

a. Germ cell tumor

17
Q

Wilms’ tumors are cancers of which organ?

a. Kidney
b. Bone
c. Skeletal muscle
d. Smooth muscle

A

a. Kidney

18
Q

Medulloblastomas typically begin in which area of the brain?

a. Brain stem
b. Cerebellum
c. Cerebrum
d. Hypothalamus

A

b. Cerebellum

19
Q

Which pediatric brain tumor often mimics medulloblastomas?

a. Ependymomas
b. Low-grade astrocytomas
c. High-grade astrocytomas
d. CNS germ cell tumors

A

a. Ependymomas

20
Q

To what dose are medulloblastomas traditionally treated?

a. 2600 cGy
b. 3600 cGy
c. 4600 cGy
d. 5600 cGy
e. 6600 cGy

A

d. 5600 cGy

21
Q

The most common pediatric cancer is _________________.

a. medulloblastoma
b. retinoblastoma
c. acute leukemia
d. Wilms’ tumor

A

c. acute leukemia

22
Q

Keloids may be treated by surgical resection and adjuvant radiation therapy to doses of ____________ cGy.

a. 900 to 1200
b. 2000 to 3000
c. 3500 to 4500
d. 4500 to 5000

A

a. 900 to 1200

The best control for keloids is obtained by resection and low-dose radiation (900 to 1200 cGy in three fractions).

23
Q

Pituitary adenomas in children that are not successfully managed by surgery and hormonal suppression may be treated with radiation using which of the following?

a. Single-field electrons
b. Multiple-field photons
c. HDR brachytherapy
d. Multiple-field electrons

A

b. Multiple-field photons