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CSO Exam 2 Questions with Correct Answers

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CSO Exam 2 Questions with Correct Answers

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CSO Exam 2 Questions with Correct Answers
Ageusia

Loss or absence of the sense of taste

Allogenic marrow transplantation

Transfer of marrow from donor to another person who is not genetically identical

Antineoplastic agents

Chemical agents (cytotoxics, biotherapies, hormones) or other agents used to prevent the

development, maturation or spread of neoplastic cells

antioxidants

molecules (ie. vitamins) that block action of activated oxygen molecules (free radicals) that

can demage cells

autologous marrow transplantation

transfer of marrow from the pt's OWN tissue (from hematopietic stem cells)

cancer cachexia

per sample test question:temporal wasting, depleted fat stores, profound anorexia



Multifactorial syndrome characterized by ongoing loss of skeletal muscle mass, anorexia,

early satiety, wt loss, anemia, edema, fatigue, possible metabolic alterations, increased

inflammatory markers and progressive functional impairment.



Pathophysiology characterized by negative protein energy balance driven by variable

combination of reduced food intake and abnormal metabolism

,carcinogen

an agent (physical, chemical, or viral) that induces CA

carcinogenesis

the origin or development of CA, a multistage, biological process that proceeds on a

continuum but is often described in stages of initiation, promotion and progression

cytokines

protein mediators produced by inflammatory cells in response to exogenous stimuli, produce

metabolic changes & wasting

dysgeusia

altered taste

graft-versus-host disease (GVHD)

a disease caused by the immune response of histoincompatible, immunocompetent donor

cells against the tissues of an immunoincompetent host; an immuniologic reaction of

allogeneic donor cells (graft) reacting against the pt (host) tissues

evidenced by icterus & abnormal liver functions, severe /secretory diarrhea - may need total

bowel rest --> isomotic, low residue, lactose-free diet --> solids with low lactose, fiber, fat &

acideity, gastric irritants --> regular diet

- usually 3 onths after transplant (but may be 7-10 days post)

hypogeusia

decreased taste acuity

initiation

the initial stage of tumorigenesis, involving transformation of cellular DNA

,malignant neoplasm

mass of cancer cells that invades surrounding tissues or spreads to distant areas of body

metastasis

growth of malignant tissue THAT SPREADS to surrounding tissue or organs

myelosuppression

suppression of bone marrow cell production

neutropenia

a reduction of WBC (neutrophils) that can be caused by chemo or XRT, results in increased

susceptibility to life-threatening infections

pancytopenia

a reduction in all cellular elements of the blood (WBC, RBC, platlets)

phytochemicals

nonutritive compounds in plants thought to influence the process of tumorigenesis.



Compounds in plants (apart from vitamins, minerals, and macronutrients) that have a

beneficial effect the body.

progression

the phase in which tumor cells aggregate, grow autonomously and form benign tumors that

eventually lead to malignant phenotype with the capacity for tissue invasion & mets

Promotion

, The stage of tumorigenesis in which initiated cells are activated by a promoting agent to

multiply and form a discrete tumor

radiation-induced enteritis

a condition of inflammation that can occur after XRT to the GI tract & that leads to diarrhea

& malabsorption

staging

a classification system known as TNM that is used to identify the "extent" of the tumor: its

size, the degree of growth & spread;

T - size of tumor

N- degree of spread to lymph nodes

M- presence of mets

Tumor necrosis factor

a protein that is produced chiefly by monocytes and macrophages in response especially to

endotoxins and that mediates inflammation and induces the destruction of some tumor cells

and the activation of white blood cells



(cachectin, interleukin-1, interleukin-6, interferon-y); a hormone-like protein that releases fat

from fat stores, reduces the concentration of enzymes required for the production and storage

of fat & induces a stage of anorexia

veno-occlusive disease (VOD)

- transplant related complication

- a symptomatic occlusion of the small hepatic venules caused by hepatotoxins & XRT; may

resolve after removal of the offending agent or may progress to portal HTN & liver failure

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