Hematological and Immune Problems-Chapter 18-
Dunphy with 100% Correct Answers Latest 2024
Version
One major approach to cancer prevention is
A. Colonoscopy
B. new drug trials
C. Pap smears for women of all ages
D. host modification - ✔✔D
Allie, age 5, is being treated with radiation for cancer. Her mother asks about the effect radiation will
have on Allie's future growth. Although she knows that a specialist will be handling Allie's care, her
mother asks for your opinion. How do you respond?
A. "Let's worry about the cancer first, then see how her growth is affected."
B. "Chemotherapy may affect her future growth, but radiation will not."
C. "She will probably have growth hormone problems, in which case she can then begin
growth hormone therapy."
D. "That's the least of your worries now; everything will turn out okay." - ✔✔C
Maria, age 35, asks if being overweight predisposes her to cancer. How do you respond?
A. "No, you have the same risk as a normal-weight individual."
B. "You have less of a risk of cancer than normal-weight individuals because you have protein stores
to combat mutant cells."
C. "Yes, you have an increased risk for hormone-dependent cancers because of your obesity."
D. "Yes, you have an increased risk because you have many more cells in all the organs of your body." -
✔✔C
,Your client Jeannie, age 64, comes to you complaining of tinnitus and lightheadedness without loss of
consciousness. On PE, you note splenomegaly. To sort out your differential diagnosis, you order an
alkaline phosphatase and vitamin B12 level because you are ruling out a diagnosis of
A. liver cancer
B. pancreatic cancer
C. mononucleosis
D. polycythemia vera - ✔✔D
When Judy tells you that she has hemophilia, you know that
A. both of her parents also have the disease
B. her maternal grandfather probably had the disease and it skipped a generation
C. her father had the disease and her mother was a carrier
D. her mother had the disease - ✔✔C
Kathy, age 64, is a sun worshipper. She tells you that because she did not get skin cancer in her youth,
she certainly will not get it now. How do you respond?
A. "You're probably right; if you haven't had it by now, you're probably safe."
B. "As you age, you have decreased pigment in your skin, which puts you at more risk."
C. "Your skin elasticity is decreased, so you have more of a chance of contracting skin cancer as you
age."
D. "Skin cancer is not dependent on age; anyone can get it." - ✔✔B
Clients with AIDS typically experience the neurological symptomatic triad consisting of:
A. Cognitive, motor, and behavioral changes.
B. seizures, paresthesias, and dysethesias
C. Kaposi's sarcoma, cryptococcal meningitis, and depression.
D. seizures, depression, and paresthesias - ✔✔A
The first choice of therapy for a client who is positive for HIV and has oral candidiasis is
A. fluconazole (Diflucan) 100 mg PO daily
, B. ketoconazole (Nizoral) 200 mg PO daily
C. clotrimazole troches (10 mg) five times daily or nystatin (Mycostatin) suspension 500,000 to
1,000,000 units three to five times daily
D. griseofulvin (Grisactin) 500 mg bid - ✔✔C
Which of the following situations might precipitate a sickle cell crisis in an infant?
A. Taking the infant to visit a relative
B. Hepatitis B immunization
C. Taking the infant to an outdoor event
D. Increasing fluid intake - ✔✔C
Shelley has esophageal cancer and asks you if alcohol played a part in its development. How do you
respond?
A. "Your cancer was caused by your cigarette smoking, nothing else."
B. "Alcohol is also a carcinogen."
C. "Alcohol directly alters the DNA and causes mutations."
D. "Alcohol modifies the metabolism of carcinogens in the esophagus and increases their effectiveness."
- ✔✔D
Screening infants for anemia should occur at what age?
A. 6 months
B. No screening is recommended
C. 9 months
D. 12 months - ✔✔C
Tobacco use has been linked to which of the following types of cancer?
A. Colon cancer
B. Bladder cancer
C. Prostate cancer
Dunphy with 100% Correct Answers Latest 2024
Version
One major approach to cancer prevention is
A. Colonoscopy
B. new drug trials
C. Pap smears for women of all ages
D. host modification - ✔✔D
Allie, age 5, is being treated with radiation for cancer. Her mother asks about the effect radiation will
have on Allie's future growth. Although she knows that a specialist will be handling Allie's care, her
mother asks for your opinion. How do you respond?
A. "Let's worry about the cancer first, then see how her growth is affected."
B. "Chemotherapy may affect her future growth, but radiation will not."
C. "She will probably have growth hormone problems, in which case she can then begin
growth hormone therapy."
D. "That's the least of your worries now; everything will turn out okay." - ✔✔C
Maria, age 35, asks if being overweight predisposes her to cancer. How do you respond?
A. "No, you have the same risk as a normal-weight individual."
B. "You have less of a risk of cancer than normal-weight individuals because you have protein stores
to combat mutant cells."
C. "Yes, you have an increased risk for hormone-dependent cancers because of your obesity."
D. "Yes, you have an increased risk because you have many more cells in all the organs of your body." -
✔✔C
,Your client Jeannie, age 64, comes to you complaining of tinnitus and lightheadedness without loss of
consciousness. On PE, you note splenomegaly. To sort out your differential diagnosis, you order an
alkaline phosphatase and vitamin B12 level because you are ruling out a diagnosis of
A. liver cancer
B. pancreatic cancer
C. mononucleosis
D. polycythemia vera - ✔✔D
When Judy tells you that she has hemophilia, you know that
A. both of her parents also have the disease
B. her maternal grandfather probably had the disease and it skipped a generation
C. her father had the disease and her mother was a carrier
D. her mother had the disease - ✔✔C
Kathy, age 64, is a sun worshipper. She tells you that because she did not get skin cancer in her youth,
she certainly will not get it now. How do you respond?
A. "You're probably right; if you haven't had it by now, you're probably safe."
B. "As you age, you have decreased pigment in your skin, which puts you at more risk."
C. "Your skin elasticity is decreased, so you have more of a chance of contracting skin cancer as you
age."
D. "Skin cancer is not dependent on age; anyone can get it." - ✔✔B
Clients with AIDS typically experience the neurological symptomatic triad consisting of:
A. Cognitive, motor, and behavioral changes.
B. seizures, paresthesias, and dysethesias
C. Kaposi's sarcoma, cryptococcal meningitis, and depression.
D. seizures, depression, and paresthesias - ✔✔A
The first choice of therapy for a client who is positive for HIV and has oral candidiasis is
A. fluconazole (Diflucan) 100 mg PO daily
, B. ketoconazole (Nizoral) 200 mg PO daily
C. clotrimazole troches (10 mg) five times daily or nystatin (Mycostatin) suspension 500,000 to
1,000,000 units three to five times daily
D. griseofulvin (Grisactin) 500 mg bid - ✔✔C
Which of the following situations might precipitate a sickle cell crisis in an infant?
A. Taking the infant to visit a relative
B. Hepatitis B immunization
C. Taking the infant to an outdoor event
D. Increasing fluid intake - ✔✔C
Shelley has esophageal cancer and asks you if alcohol played a part in its development. How do you
respond?
A. "Your cancer was caused by your cigarette smoking, nothing else."
B. "Alcohol is also a carcinogen."
C. "Alcohol directly alters the DNA and causes mutations."
D. "Alcohol modifies the metabolism of carcinogens in the esophagus and increases their effectiveness."
- ✔✔D
Screening infants for anemia should occur at what age?
A. 6 months
B. No screening is recommended
C. 9 months
D. 12 months - ✔✔C
Tobacco use has been linked to which of the following types of cancer?
A. Colon cancer
B. Bladder cancer
C. Prostate cancer
