RTPM PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+<RECENT VERSION>

RTPM PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+&lt;RECENT VERSION&gt; 1) Chemotherapy common side effects - ANSWER Physical pain, Extravasation, Systemic effects 2) Cytotoxic agents include 2 types - ANSWER Vesicant: severe & irreversible damage, resulting in necrosis; Irritant: local inflammation, unlikely to cause permanent damage 3) Extravasation injury depends on - ANSWER Type, Concentration & Quantity (Leakage & Involuntary injection) Need adequate guideline, training & correct treatment 4) Central/ Hickman - ANSWER Allow for multiple administration, painless during infusion 5) Hickman line destination - ANSWER Superior vena cava near right atrium 6) Hickman line complication - ANSWER thrombosis, infection 7) 4 major systemic effects - ANSWER Nausea & Vomiting, Myelosuppression, Mucositis, Hair loss 8) Mechanism of CINV - ANSWER 1) Direct activation of medullary chemoreceptor trigger zone (5-HT3, Dopamine) 2) Cell damage of GI tract, serotonin releases, activate 5-HT3 receptors, send impulse to medulla, stimulate vomiting centre 9) CINV medications - ANSWER 1) Dopamine antagonist- Metoclopramide 2) 5-HT3 antagonist- Ondansetron 3) Corticosteroid- 10) Myelosuppression leads to immunosuppression - ANSWER Anaemia, Neutropenia, Thrombocytopenia 11) Grade I and II oral mucositis - ANSWER Grade I: painless ulcer, erythema, mild soreness in absence of lesion Grade II: painful ulcer, erythema, edema but can eat & shallow 12) Grade III and IV oral mucositis - ANSWER Grade III: painful ulcer, erythema, edema requiring IV hydration Grade IV: severe ulceration, require parenteral nutritional support/ prophylactic intubation 13) Good mouth care - ANSWER 1) Avoid spirits & spices 2) use soft toothbrush & alcohol-free mouthwash 3) Maintain oral hygiene 14) Management of oral mucositis - ANSWER 1) Soluble aspirin/ paracetamol for pain relief 2) Protective gels, antibiotics 15) Alopecia - ANSWER Cytotoxic drug attacks rapidly dividing hair matrix cells 16) Characteristics of Vegetative intermitotic VIM and Differentiating inter mitotic DIM - ANSWER VIM: divide regularly & rapidly, undifferentiated (erythroblasts) DIM: divide actively, more differentiated (myelocytes) 17) Characteristics of Vessels/ Connective tissue and Reverting postmitotic RPM and Fixed postmitotic FPM - ANSWER Vessels: divide irregularly & more differentiated than DIM (endothelial cells) RPM: do not normally divide but retain capability of division (hepatocytes) FPM: do not divide & highly differentiated (erythrocyte, nerve, muscle cells) 18) Acute and Late radiation reactions - ANSWER Acute: 0-3 months after RT started Late/ Chronic: more than 3 months after RT started 19) Rate of response depends on - ANSWER Cell type, cycle & regeneration time (RS is a function of the most sensitive cells it contain) 20) Regeneration and Repair - ANSWER Regeneration: replace of same cell type, VIM DIM, desirable healing Repair: different cell type (scaring fibrosis), RPM FPM, non-desirable 21) Radiation-induced SR - ANSWER Skin reaction, Fatigue, Radiation sickness, Change of bowel habit (depend of site) 22) Skin reaction in increasing severity - ANSWER Erythema, Moist desquamation, Epilation, Radiation necrosis, Pigmentation, Telangiectasia 23) Acute radiation dermatitis Grade I and Grade II - ANSWER Grade I: Faint erythema, dry desquamation Grade II: Moderate erythema, patchy moist desquamation 24) Management of acute radiation dermatitis - ANSWER Irradiated area: Medicated cream Mild soap + water No hair remover Avoid sun exposure & swimming Deodorant and electric shaver ok Maintain hygiene, clean & dry 25) Bolus effect - ANSWER Things on skin should not be applied before radiation Tx A bolus effect Increase radiation dose to epidermis 26) Skin care recommendation - ANSWER 1) Protect from sun exposure 2) No hot water but dryer on cool setting 3) Avoid skin friction and rubbing by wear loose-fitting cotton cloth 27) Radiation sickness - ANSWER Diversion of O2 and Nutrition supply to malignant cells Accumulation of lactate from tumor lysis Lead to fatigue, NV, Anorexia 28) "Crisis in life" phases - ANSWER Shock (Dx), Reaction (Tx), Work-through (Rehab), Reorientation (Recovery) 5D: distance, dependence, disability, disfigurement, death 29) Challenges in oncology patients - ANSWER 1) Normalization of distress Stage-specific stressors & responses Multidisciplinary teams & fragmentation of care Perceived time constraints 30) How stress is associated with immunosuppression - ANSWER Stress-&gt; Stimulation of adrenocortical secretion-&gt; Increased serum glucocorticoid-&gt; Activation of sympathetic nervous system-&gt; Release of catecholamines 31) (increase infection risk & lower speed of recovery) 32) where did a 19 year old roadie die? - ANSWER Roadie Dies at Avenged Sevenfold Germany Concert 33) smartest thing you can so during planning process is to - ANSWER conduct a SWOT analysis 34) SWOT allows you to identify - ANSWER internal and external influences 35) SWOT primary objective - ANSWER to help organizations develop a full awareness of all the factors involved in a decision. • A framework that allows managers to synthesize insights obtained from an internal analysis of the company's strengths and weaknesses with those from an analysis of external opportunities and threats. 36) when to use SWOT - ANSWER • often used during strategic planning. They can serve as a persecutor to any sort of company action, such as exploring new initiatives, making decisions about new policies, identifying possible areas for change, or refining and redirecting efforts mid plan • you can come up with ways to better capitalize on your company's strengths and improve or eliminate weaknesses 37) elements of SWOT analysis - ANSWER • The SWOT analysis is a simple, albeit comprehensive strategy for identifying not only the weaknesses and threats of a plan, but also the strength and opportunities it makes possible. • Knowing these positive and negative elements can help companies more effectively communicate what parts of a plan need to be recognized. 38) SWOT Strengths - ANSWER • Strengths are those features of the business which allow you to operate more effectively than your competitors. For example, a strength could be your specialist technical knowledge. You need to consider your strengths from your own point of view and from that of your customers and clients. You must be realistic and honest. • Try answering the following questions: • What is it that you do well? • What advantages do you have over your competitors? 39) when looking at SWOT strengths you must be - ANSWER realistic and honest 40) BJC SWOT strengths - ANSWER • Having ticket master • Quick to respond • UPAC Partnership for discounted student tickets • Very strong country market • Many dedicated staff that go above and beyond and won't let the building fail (quick response rate) • Good routing • Ability to purchase shows and take risks • Reasonable rates and intensive promoter recruitment program