BMTCN COMPLETE EXAM REVIEW WITH
FULL SOLUTIONS
●● Clostridium difficile is not a common infection in the post-transplant
setting
A. True
B. False
Answer: B. False
●● A cord blood transplantation is associated with all of the following
except:
A. Prolonged neutrophil and immune recovery
B. Increase in viral infections
C. Decrease in bacterial infections
D. Decrease in graft-versus-host disease (GVHD)
Answer: C. Decrease in bacterial infections
●● Which of the following is true when considering bacterial infections
in patients after transplant?
A. Patients are at a significant risk for encapsulated bacterial infections
B. Multidrug-resistant organisms are not a major concern
C. Streptococcus pneumoniae is not a common post-transplant bacterial
infection
,D. Immunizations are not effective in controlling post-transplant
bacterial or viral infections
Answer: A. Patients are at a significant risk for encapsulated bacterial
infections
●● The following strategies should be considered in an effort to prevent
post-transplant infectious complications:
1. Immunizations should begin immediately following transplant
discharge
2. Antiviral and anti-fungal prophylaxis medications should be
considered in the post-transplant setting
3. Lifestyle restrictions vary in each transplant center and often are
enforced to decrease post-transplant infections. It is important to
communicate lifestyle expectations and restrictions to patients and their
families
4. Measles, mumps, and rubella immunization should be administered at
12 months
A. 1, 2, 3, 4,
B. 2 and 3
C. 2 and 4
D. 2, 3, 4
Answer: B. 2 and 3
,●● Cardiovascular disease may be underreported in hematopoietic stem
cell transplant (HSCT) recipients because symptoms may occur several
months to several years following HSCT
A. True
B. False
Answer: A. True
●● Which risk factors are associated with post-HSCT cardiovascular
disease? 1) Hypertension, 2)Gender, 3)Certain immunosuppressive
medications, 4) Previous anthracycline chemotherapy
A. 1, 2, 3, 4
B. 1, 3, 4
C. 2, 3, 4
D. 1, 2, 3
Answer: B. 1, 3, 4
●● The following strategies are used to manage cardiovascular disease
in post HSCT patients EXCEPT:
A. Antihypertensive medications
B. Statin therapy
C. Dietary counseling
D. Prophylactic anti fungal medications
, Answer: D. Prophylactic anti-fungal medications
●● Patients should be monitored for the clinical signs and symptoms of
cardiac disease post-HSCT by which of the following?
A. Annual clinical assessment that includes baseline vital signs, review
of symptoms, and physical examination
B. Careful attention to travel over the last year
C. Lifestyle counseling about smoking cessation, weight management,
and stress reduction
D. All of the above except B
E. All of the above except C
Answer: D. all of the above except B
●● Which of the following chemotherapy agents is associated with
patients cardiac disease in the post-HSCT setting?
A. Bendamustine
B. Melphalan
C. Doxorubicin
D. Methotrexate
Answer: C. Doxorubicin
●● Graft failure or graft rejection is associated with all of the following
EXCEPT:
FULL SOLUTIONS
●● Clostridium difficile is not a common infection in the post-transplant
setting
A. True
B. False
Answer: B. False
●● A cord blood transplantation is associated with all of the following
except:
A. Prolonged neutrophil and immune recovery
B. Increase in viral infections
C. Decrease in bacterial infections
D. Decrease in graft-versus-host disease (GVHD)
Answer: C. Decrease in bacterial infections
●● Which of the following is true when considering bacterial infections
in patients after transplant?
A. Patients are at a significant risk for encapsulated bacterial infections
B. Multidrug-resistant organisms are not a major concern
C. Streptococcus pneumoniae is not a common post-transplant bacterial
infection
,D. Immunizations are not effective in controlling post-transplant
bacterial or viral infections
Answer: A. Patients are at a significant risk for encapsulated bacterial
infections
●● The following strategies should be considered in an effort to prevent
post-transplant infectious complications:
1. Immunizations should begin immediately following transplant
discharge
2. Antiviral and anti-fungal prophylaxis medications should be
considered in the post-transplant setting
3. Lifestyle restrictions vary in each transplant center and often are
enforced to decrease post-transplant infections. It is important to
communicate lifestyle expectations and restrictions to patients and their
families
4. Measles, mumps, and rubella immunization should be administered at
12 months
A. 1, 2, 3, 4,
B. 2 and 3
C. 2 and 4
D. 2, 3, 4
Answer: B. 2 and 3
,●● Cardiovascular disease may be underreported in hematopoietic stem
cell transplant (HSCT) recipients because symptoms may occur several
months to several years following HSCT
A. True
B. False
Answer: A. True
●● Which risk factors are associated with post-HSCT cardiovascular
disease? 1) Hypertension, 2)Gender, 3)Certain immunosuppressive
medications, 4) Previous anthracycline chemotherapy
A. 1, 2, 3, 4
B. 1, 3, 4
C. 2, 3, 4
D. 1, 2, 3
Answer: B. 1, 3, 4
●● The following strategies are used to manage cardiovascular disease
in post HSCT patients EXCEPT:
A. Antihypertensive medications
B. Statin therapy
C. Dietary counseling
D. Prophylactic anti fungal medications
, Answer: D. Prophylactic anti-fungal medications
●● Patients should be monitored for the clinical signs and symptoms of
cardiac disease post-HSCT by which of the following?
A. Annual clinical assessment that includes baseline vital signs, review
of symptoms, and physical examination
B. Careful attention to travel over the last year
C. Lifestyle counseling about smoking cessation, weight management,
and stress reduction
D. All of the above except B
E. All of the above except C
Answer: D. all of the above except B
●● Which of the following chemotherapy agents is associated with
patients cardiac disease in the post-HSCT setting?
A. Bendamustine
B. Melphalan
C. Doxorubicin
D. Methotrexate
Answer: C. Doxorubicin
●● Graft failure or graft rejection is associated with all of the following
EXCEPT:
