BMTCN practice tests
1. An 8-year-old patient who received an HSCT develops a grade 2 acute GVHD skin rash. The nurse
anticipates which of the following orders for initial treatment?
a. Infiximab
b. Topical steroids
c. Initiation of photopheresis
d. Increase dose of oral immunosuppressive therapy - Answer -B. Topical steroid cream should be used
as first line therapy for grade 1 and 2 skin GVHD.
2. Cataract development post transplant is linked to which of the following treatment regimens?
a. Fludarabine
b. Etoposide
c.TBI
d.Carboplatin - Answer -C. TBI
-Patients who have received TBI are at risk for the development of cataracts.
3. Which of the following is a characteristic of stromal cells? Stromal cells:
, a. differential into epithelium
b. are found in the brain
c. are responsible for immunoglobulins
d. are primary location of immunoglobulins - Answer -Answer: Bone marrow stroma is the center of
cellular activityReference: Faiman, B. (Ed.).(2016). BMTCN certification review manual. Pittsburgh, PA:
Oncology Nursing Society. p. 1-2
4. Which of the following is the first step in the pathophysiological process for acute GVHD?
a. Inflammatory effectors
b. Damage to the host tissue
c. Engraftment syndrome
d.Cytokine release syndrome - Answer -B. Damage to the host tissue from conditioning is the first step in
the GVHD process.
5. A 45-year-old female with acute myeloid leukemia arrives for her pre-transplant evaluation. The
patient's twin sister offers to donate, but the physician opts to use a donor from the National Marrow
Donor Program because:
a. The patient sister is also identified as caregiver
b. the cost of immunosuppression drug is high
c.The physician prefers to use the National Marrow Donor Program
d. Syngeneic transplant increase the risk of tumor relapse - Answer -Answer: Syngeneic transplants do
not elicit a graft versus tumor effect.
6. Annual gynecologic examinations and vaccinations against human papillomavirus are important
aspects of routine health maintenance for patients following allogeneic transplant because patients:
a. are at an increased risk of contracting sexually transmitted diseases.
b. post allogeneic transplant are at increased risk of cervical dysplasia.
c. post allogeneic transplant are at increased risk of aGVHD.
1. An 8-year-old patient who received an HSCT develops a grade 2 acute GVHD skin rash. The nurse
anticipates which of the following orders for initial treatment?
a. Infiximab
b. Topical steroids
c. Initiation of photopheresis
d. Increase dose of oral immunosuppressive therapy - Answer -B. Topical steroid cream should be used
as first line therapy for grade 1 and 2 skin GVHD.
2. Cataract development post transplant is linked to which of the following treatment regimens?
a. Fludarabine
b. Etoposide
c.TBI
d.Carboplatin - Answer -C. TBI
-Patients who have received TBI are at risk for the development of cataracts.
3. Which of the following is a characteristic of stromal cells? Stromal cells:
, a. differential into epithelium
b. are found in the brain
c. are responsible for immunoglobulins
d. are primary location of immunoglobulins - Answer -Answer: Bone marrow stroma is the center of
cellular activityReference: Faiman, B. (Ed.).(2016). BMTCN certification review manual. Pittsburgh, PA:
Oncology Nursing Society. p. 1-2
4. Which of the following is the first step in the pathophysiological process for acute GVHD?
a. Inflammatory effectors
b. Damage to the host tissue
c. Engraftment syndrome
d.Cytokine release syndrome - Answer -B. Damage to the host tissue from conditioning is the first step in
the GVHD process.
5. A 45-year-old female with acute myeloid leukemia arrives for her pre-transplant evaluation. The
patient's twin sister offers to donate, but the physician opts to use a donor from the National Marrow
Donor Program because:
a. The patient sister is also identified as caregiver
b. the cost of immunosuppression drug is high
c.The physician prefers to use the National Marrow Donor Program
d. Syngeneic transplant increase the risk of tumor relapse - Answer -Answer: Syngeneic transplants do
not elicit a graft versus tumor effect.
6. Annual gynecologic examinations and vaccinations against human papillomavirus are important
aspects of routine health maintenance for patients following allogeneic transplant because patients:
a. are at an increased risk of contracting sexually transmitted diseases.
b. post allogeneic transplant are at increased risk of cervical dysplasia.
c. post allogeneic transplant are at increased risk of aGVHD.
