BMTCN PRACTICE TEST 1 WITH 100% CORRECT ANSWERS.

If the activated T-lymphocytes either directly/indirectly produce and amplify tissue damage within the target organs, which of the following phases of pathophysiology of Graft-Versus-Host Disease would it be considered? a.) phase 1 b) phase 2 c) phase 3 d) phase 4 Answer: Phase 3 There are 3 phases of pathophysiology of Graft-Versus-Host Disease: Phase 1-tissue damage secondary to the conditioning regimen. Phase 2-host and donor lymphocytes activators, stimulation proliferation Phase 3-the activated T-lymphocytes either directly/indirectly produce and amplify tissue damage within the target organs Which of the following issues would be considered the most important when assessing the caretakers? A.) The documentation of the nature of the distress of the caregiver b.) The insurance coverage of the patient c.) The relationship of the caretakers d.) The occupation of the caregiver Correct Answer:The documentation of the nature of the distress of the caregiver The caregiver is considered of utmost importance in the care of the transplant patient.Some of the things that are now being documented when assessing the patient’s caregiver would include:The nature of the distress The extent of the distress The trajectory of the distressThe consequences of the distressThe needs of the caregiver Which of the following would be considered a type of granulocytes? EnzymesDendrite cellsBasophilsImmune cells Correct Answer:Basophils There are 3 types of granulocytes:BasophilsEosinophilsNeutrophils Outcome analysis would be best described as which of the following? A.) This is a process by which the results of a therapeutic procedure is formally assessed. b.) This is an integrated program of quality assessment assurance, controls, and improvement. c.) This is a planned deviation from the recommended practice/standard operating procedure. d.) This would be considered an unfavorable sign. Correct Answer:This is a process by which the results of a therapeutic procedure is formally assessed. Quality management would be considered an integrated program of quality assessment assurance, controls, and improvement. Variance would be considered a planned deviation from the recommended practice/standard operating procedure. An adverse event would be considered an unfavorable sign. The outcome analysis is considered a process by which the results of a therapeutic procedure is formally assessed. The typical caregiver responsibilities that would be included in providing physical care for the patient would not include? A.) Performing the central line care b.) Tracking appointments c.) Monitoring the patient for any condition changes d.) Reporting symptoms to the healthcare staff Correct Answer:Tracking appointments Some of the physical care caregiver responsibilities would include: Performing the central line care Monitoring the patient for any condition changes Reporting symptoms to the healthcare staff Obtaining medical care if needed Monitoring the compliance of the patient in self-administration of oral medications Acquiring/maintaining medical supplies The recording of medications taken or administered. The administration of fluids/medications using an IV pump. Of the following, which would be considered a phase of hematopoiesis? Medullary phase Hemato phase Developmental phase Primitive phase Correct Answer:Medullary phaseThe 3 phases of hematopoiesis would include:Medullary phase (myeloid)Mesoblastic phase (yolk sack)Hepatic phase If a patient has a rash which covers 25-50% of their skin, which of the following grades of acute Graft-Versus-Host Disease (aGVHD) would they be considered? Grade IV Grade I Grade III Grade II Correct Answer:Grade II If a patient has a rash which covers 25-50% of their skin, they would be considered in Grade II of aGVHD. The organ involved would be considered the skin. When there is an allogeneic transplant in which the stem cells are collected from one identical twin and then infused into the other twin after a high-dose chemotherapy, it would be referred to as? Syngeneic The problem with the patient having this type of transplant would be considered the lack of graft-versus-tumor effect. If a HSCT (hematopoietic stem cell transplantation) patient of 4-12 months develops a pulmonary infection (toxoplasma gondi), which of the following would be considered a typical treatment for the patient? Vancomycin Quinolones Acyclovir TMP-SMZ Correct Answer:TMP-SMZTMP-SMZ (trimethoprim-sulfamethoxazole) would be considered the standard treatment for an infection caused by toxoplasma gondi. If the patient is unable to take this medication, then an alternation medication would be considered pyrimethamine plus leucovorin that may be combined with clindamycin.