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Exam (elaborations)

BMTCN Exam Questions and Correct Answers

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BMTCN Exam Questions and Correct Answers

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  • October 10, 2024
  • 7
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • BMTCN
  • BMTCN
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Zanaya
BMTCN




What type of transplants commonly have PTLD as a secondary malignancy? - Answer -Allo HSCT with T-
cell depleted graft



Therapies associated with therapy-related acute leukemia and MDS - Answer -alkylating agents (eg.
Cytoxan, cisplatin, melphalan, busulfan, ifos) , radiation, topoisomerase II inhibitors (eg. doxorubicin,
etoposide, mitoxantrone)



Genetic predispositions that increase risk of primary and secondary cancers - Answer -neurofibromatosis
type 1, Fanconi anemia



Risk factors for PTLD - Answer -T-cell depleted graft, mismatched related or unrelated donor.

Busulfan, ATG, mAbs, TBI

patient w/ primary immunodeficiency, acute or extensive GVHD, EBV



Risk factors for secondary solid tumors - Answer -younger age at HSCT, TBI, chronic GVHD, increasing
time from transplant, infections, genetic predisposition, lifestyle factors



Treatment options for PTLD - Answer -EBV-specific cytotoxic T cells, mAbs targeted to B cells (rituximab),
combination chemotherapy

, Treatment options for secondary MDS/acute leukemia - Answer -conventional chemo or allo transplant.
Poor outcomes.



QOL domains - Answer -Physical, Functional, Psychological, Social, Spiritual/existential, Multiple
interactions between domains



Altered sexual health in male HSCT survivors - Answer -damage to the hypothalamic-pituitary-gonadal
axis: elevated FSH, elevated LH, low testosterone levels; cavernosal arterial insufficiency causing ED



Altered sexual health in female HSCT survivors - Answer -alkylating agents and radiation cause infertility
and premature ovarian failure, elevated FSH and LG, low estradiol, menopausal symptoms



Risk factors for vaginal alterations post transplant - Answer -POF (premature ovarian failure), TBI,
chronic GVHD



Risk factors for infertility - Answer -pre-HSCT antineoplastic therapy, exposure to alkylating agents, TBI
or pelvic irradiation, older age



Pregnancy risks in HSCT survivors - Answer -increased risk of preterm birth and low birth weight, cardiac
decompensation during pregnancy 2/2 prior anthracycline exposure. Similar rate of spontaneous
abortion to general population.



Recommended vaccines - Answer -Pneumococcal, Diptheria-tetanus, Pertussis, Meningococcal,
Inactivated polio

Hep B, Recombinant Hep A, Influenza, Measles Mumps and Rubells, HPV



When can HSCT survivors get vaccines? - Answer -inactive vaccines start at 6 months post HSCT, live
vaccines start at 2 years post HSCT (in absence of ongoing immunosuppression and GVHD)



Most common secondary malignancy in pediatric patients who received radiatios? - Answer -
Nonsquamous call carcinoma

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