Discussion: Chronic Lymphocytic Leukemia
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Question 31
A 20-year-old has been diagnosed with an astrocytic brain tumor located in the brain stem. Which of the following statements by the oncologist treating the client is most accurate?
Answers:
A. “Our treatment plan will depend on whether your tumor is malignant or benign.”
B. “This is likely a result of a combination of heredity and lifestyle.”
C. “The major risk that you face is metastases to your lungs, liver, or bones.”
D. “Your prognosis will depend on whether we can surgically resect your tumor.”
Question 32
A patient diagnosed with low-risk chronic lymphocytic leukemia (CLL) has recently developed thrombocytopenia. One of the medications utilized to treat this would be Answers:
A. cisplatin, a chemotherapeutic.
B. vincristine, a Vinca alkaloid.
C. dexamethasone, a corticosteroid.
D. doxorubicin, a cytotoxic antibiotic.
Question 33
Two nursing students are attempting to differentiate between the presentations of immune thrombocytopenic purpura (ITP) and thrombotic thrombocytopenic purpura (TTP). Which of the students’ following statements best captures an aspect of the two health problems? Answers:
A. “ITP can be either inherited or acquired, and if it’s acquired, it involves an enzyme deficiency.”
B. “Both of them involve low platelet counts, but in TTP, there can be more, not less, hemostasis.
C. “TTP can be treated with plasmapheresis, but ITP is best addressed with transfusion of fresh frozen plasma.”
D. “Both diseases can result from inadequate production of thrombopoietin by megakaryocytes.”
Question 34
A physician is explaining to a 40-year-old male patient the importance of completing his course of antibiotics for the treatment of tuberculosis. The physician explains the damage that could occur to lung tissue by Mycobacterium tuberculosis. Which of the following phenomena would underlie the physician’s explanation?
Answers:
A. Tissue destruction results from neutrophil deactivation.
B. Neutrophils are ineffective against the Mycobacterium tuberculosis antigens.
C. Macrophages form a capsule around the Mycobacterium tuberculosis bacteria, resulting in immune granulomas.
D. Nonspecific macrophage activity leads to pulmonary tissue destruction and resulting hemoptysis.
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