CPHON Question and Answer

CPHON Question and Answer Why do we give GCSF To reduce the risk of infection Mag is low with what chemotherapy Cisplatin Why do we give mag after cisplatin To reduce the risk of leg cramps, tremors, hearing loss What is a fever in the first 3 days after surgery caused by Atelectasis What do you say if a patient is scared their younger siblings wont remember them You will leave a legacy If grandfather is watching nurse as she does dressing changes and cares for the child's what should the nurse ask How much the grandfather actually knows about the child's diagnosis Dying patient no longer wants to be treated and wishes to attend classes at school on campus Let them do what they wish If patient is claustrophobic with a nasal cannula/ face mask what should you do> Give bronchodilator or non rebreather If a patient is anxious and nauseous what should you give Ativan Radiation recall after what chemo therapies Doxorubicin, vincristine, cisplatin What does an MIBG scan do Diagnose Neuroblastoma What do you give to protect the thyroid in an MIBG scan Given k iodine What does a radiation level over 55 cause Permanent hair loss What can happen to parents when child is diagnosed Withdrawal Which system is chemo the hardest on Skin Which chemo causes mucositis in HSCT conditioning Cytarabine Clinical symptoms of typhilits RLQ pain, increased WBC, fever What is typhilits caused by Pseudomonas aeruginosa If a child is having difficulty hearing after RT what should you do Get another hearing exam to compare to baseline -alkylating agents cause this If a patient reports they feel more comfortable sitting up on a couch what does this mean Cardiac issues: cardiac tamponade Diagnosis of SCD Hemoglobin electrophoresis PEG facts Patient prone to blood clotting, emergency meds, stay for 60 minutes after Platelet level for PEG 15 Importance of treating priapism Urinary retention can happen CD that is most favorable CD10 Triad with cardiac tamponade Beck's Genetic alterations in most leukemias Translocation Which leukemia has bone pain ALL (not AML) What is beck's triad Muffled heart sounds, distended neck vein, hypotension's Which leukemia presents with a rash JMML What diagnosis would be a brother and a sister with nose bleeds Von willebrand disease ANC equation WBC x (% neutrophils (polyp/seg) + % bands)/100 Which new dx would parents need genetic counseling Retinoblastoma Phase 1 of clinical trial Maximum tolerated dose Phase 2 clinical trial Observing efficacy of drug Phase 3 clinical trial Tests against current treatment Phase 4 clinical trail Long term studies anger they have been FDA approved What would you give desmopressin for Hemophilia Which type of cell produce antibodies B cells B symptoms for hodgkins Weight loss, night sweats, fever Do you give Hydroxyurea on an empty or full stomach Empty What should your platelet level be for PEG 15 Drug if have a red streak in central line Vancomycin D dimer in DIC Elevated d dinner and prolonged pt/PTT What is the treatment for Spherocytosis Folic acid Most common reason for CVC to clot Thrombus What do hepa filters reduce the risk of Aspergillosis What chemo causes duck walking MTX Cause of DIC Infections What is a normal creatinine clearance 88-135 What can cyclosporines causes Issues with glycemic control DI labs Hyperatremia For what diagnosis is a lumbar puncture necessary Lymphoma diagnosis Most common risk of ICP Medulloblastoma DNA replication phase S What treats CMV Gancylovir Chinese diagnosis Thalessemia Treatment for aplastic anemia ATG Flushed face, facial or neck edema SVCS Clinical signs of posterior fossa syndrome a. Facial weakness b. Nystagmus c. Emotional lability/irritability d. Mutism e. Can't follow commands f. Random movements g. Weakness h. Dysphasia i. Hemiparesis j. Absence of bowel and bladder control MOA Zoltan SSRI Treatment for extravasation of vincristine Hyaluronidase Cause of pneumonitis inflammation of the lung that is caused by infections agents and irritants (busulfan/bleomycin)-prevent with PCP meds What labs do you check before vincristine Sodium because SIADH What generation of cephalosporins are the most broad 3rd Most common extracranial solid tumor Neuroblastoma