ONC Exam Revision Guide 2024

MT is 62 year old female (64 in, 71 kg) who had breast cancer. She just completed her third cycle with doxorubicin and cyclophosphamide today. What was MT's absolute neutrophil count after cycle 1 of chemo? 2070 MT is 62 year old female (64 in, 71 kg) who had breast cancer. She just completed her third cycle with doxorubicin and cyclophosphamide today. MT's ANC after the second cycle would be most accurately described as which of the following? Severe neutropenia MT is 62 year old female (64 in, 71 kg) who had breast cancer. She just completed her third cycle with doxorubicin and cyclophosphamide today. The physician would like to start MT on a CSF med to prevent neutropenia. MT lives far away from her chemo treatment center and would like to avoid trips back and forth as much as possible. Which CSF medication would be the best option for her? neulasta in cancer patients, erythropoiesis-stimulating agents are rarely used to treat anemia due to which of the following concerns? shortened survival increased tumor progression in certain cancer AL is a 50 year old female who comes to her PCP for her annual physical exam. Which cancer screening tests are recommended for this patient at this time? Human papillomavirus test mammogram Generic of neupogen ? filgrastim Which of the following statements is/are risks associated with prochlorperazine? acute EPS decreased seizure threshold sedation and lethargy A 60 year old male with colon cancer comes to the oncologist to discuss plans for chemotherapy. Capecitabine Oxalipatin Before starting the IV infusion, which counseling point should be provided to the patient? avoid exposure to cold temperatures JS is a 29 year old male admitted to the inpatient oncology unit for his third cycle of chemo Which med should be added to this patient's treatment regimen to reduce the risk of chemo-related toxicity? Mesna IB is a 58 year old female who comes to her oncologist to discuss a treatment plan for newly diagnosed breast cancer. She will receive preop chemo with dose dense AC every 14 days for four cycles followed by paclitaxel for 4 additional cycle thereafter. Which test must be ordered before starting this patient's chemo? Left ventricular EF Generic for aloxi? palonosetron AL is a 57 year old male admitted to the neurosurgical ICU for observation after undergoing surgical resection of newly diagnosed brain tumor (high grade glioma) and insertion of the carmustine wafer implant. Which adverse effect is most likely to occur with this pts chemo? seizure Which of the following anti-emetic regimens are appropriate for highly emetogenic chemo? olanzapine + dex + palonosetron palonosetron/netupitant + dex fosaprepitant + dex + ondansetron + olanzapine Choose the correct statement concerning dronabinol the capsules must be refrigerated NE is a 67-year-old male who comes to the oncology clinic for an evaluation before his next cycle of chemotherapy. He completed his second cycle two weeks ago and today reports tingling and numbness in his fingers and toes. Which med is most likely causing this pt's symptoms? cisplatin Which of the following chemo agents is most likely to cause constipation? vincristine Which of the following chemo agents is considered a high emetic risk drug? cisplatin A patient with cancer has developed anemia with a Hgb = 8.4 g/dL. The patient is receiving her 2nd of 4 monthly chemotherapy doses for cancer which is not considered curable. Which of the following medications could be used to increase the hemoglobin level? procrit aranesp FB is a 62-year-old male undergoing hematopoietic stem cell transplantation for acute myeloid leukemia. His conditioning regimen to be given the week prior to his transplantation (day 0) includes: -Busulfan -cyclophosphamide Which of the following is a potential AE of chemo agent administered on day 7? pulmonary fibrosis A 45-year-old male is discussing colorectal cancer screening with his healthcare provider during his annual physical examination. The patient states that he is most familiar with a colonoscopy but is interested in what other tests are available to him. Which of the following tests are used to screen for colorectal cancer? fecal occult blood test flexible sigmoidoscopy stool DNA test Choose the correct chemo and antidote med pair? fluorouracil-uridine triacetate Which of the following meds can cause pulmonary fibrosis? busulfan bleomycin carmustine A pt is receiving cisplatin therapy. She may receive the following agent to reduce the risk of renal damage? ethyol Brand name for aprepitant? emend DP is a 60-year-old male who comes to the oncology clinic for an evaluation before cycle #3 of chemotherapy. Which medication is the most likely cause of the organ dysfunction identified at today's visit? cisplatin Which of the following statements are true regarding extravasation of chemo? cold compresses should be used for all agents except vinca alkaloids and etoposide dexrazoxane can be used for extravasation extravasation is leakage of drug from vein into extravascular space Which of the following are used to treat chemo induced diarrhea> atropine diphenoxylate + atropine loperamide