MDC 2 EXAM 1 COMPREHENSIVE EXAM 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ oncology emergency. Answer: Intravascular coagulation
◉ oncology emergency ( Interventions for DIC). Answer: Administer
anticoagulants in the early phase
Administer cryoprecipitated clotting factors as prescribed as DIC
progresses and hemorrhage is the main concern
◉ oncology emergency (Saidh). Answer: Tumors can produce,
secrete, or stimulate substances that mimics ADH.
S/S of SIADH: Weakness, muscle cramps, loss of appetite and fatigue.
Sodium levels 115 - 120 Serious s/s are weight gain, personality
changes, confusion, and extreme muscle weakness. If sodium levels
near 110 seizures/coma/death can occur.
◉ oncology emergency (siadh Intervention). Answer: Fluid
restriction and increased sodium intake
Administer antagonist
, Monitor sodium levels
Treat underlying cause (CA)
◉ oncology emergency ( spinal cord compression). Answer: Occurs
when a tumor directly impacts the spinal cord or the spinal column
collapses due to tumor
S/S of spinal cord compression:
Back pain, numbness, tingling, loss of urethral/vaginal/rectal
sensation, muscle weakness.
◉ oncology emergency ( Hypercalcemia). Answer: Late
manifestation of extensive malignancy usually occurs with bone
metastasis. Bones will break down and release CA into blood stream
S/S of Hypercalcemia Fatigue, anorexia, n/v, constipation, polyuria.
Late signs include muscle weakness, diminished DTR, paralytic ileus,
dehydration and cardiac arrhythmias
◉ oncology emergency ( hypercalcemia Interventions). Answer:
Monitor serum CA levels and EKG
QUESTIONS WITH SOLUTIONS GRADED A+
◉ oncology emergency. Answer: Intravascular coagulation
◉ oncology emergency ( Interventions for DIC). Answer: Administer
anticoagulants in the early phase
Administer cryoprecipitated clotting factors as prescribed as DIC
progresses and hemorrhage is the main concern
◉ oncology emergency (Saidh). Answer: Tumors can produce,
secrete, or stimulate substances that mimics ADH.
S/S of SIADH: Weakness, muscle cramps, loss of appetite and fatigue.
Sodium levels 115 - 120 Serious s/s are weight gain, personality
changes, confusion, and extreme muscle weakness. If sodium levels
near 110 seizures/coma/death can occur.
◉ oncology emergency (siadh Intervention). Answer: Fluid
restriction and increased sodium intake
Administer antagonist
, Monitor sodium levels
Treat underlying cause (CA)
◉ oncology emergency ( spinal cord compression). Answer: Occurs
when a tumor directly impacts the spinal cord or the spinal column
collapses due to tumor
S/S of spinal cord compression:
Back pain, numbness, tingling, loss of urethral/vaginal/rectal
sensation, muscle weakness.
◉ oncology emergency ( Hypercalcemia). Answer: Late
manifestation of extensive malignancy usually occurs with bone
metastasis. Bones will break down and release CA into blood stream
S/S of Hypercalcemia Fatigue, anorexia, n/v, constipation, polyuria.
Late signs include muscle weakness, diminished DTR, paralytic ileus,
dehydration and cardiac arrhythmias
◉ oncology emergency ( hypercalcemia Interventions). Answer:
Monitor serum CA levels and EKG
