Week 5 Day 2: Altered Cellular Regulation REVISED

Multiple Choice

Which of the following is a key difference between cancer in adults and cancer in pediatric patients?

• Cancer in adults is more often associated with environmental and lifestyle factors, while pediatric cancer has little correlation to these factors.

• Pediatric cancer is less responsive to treatment than adult cancer.

• Cancer in adults most often arises from primitive embryonal tissues.

• Pediatric cancer usually affects organs rather than tissues.

Multiple Select

Which of the following are cardinal signs of pediatric cancer?

• Unusual mass or swelling

• Sudden vision changes

• Persistent, localized pain or limping

• Frequent urination

Multiple Choice

What is the primary treatment for Acute Lymphoblastic Leukemia (ALL) in children?

• Chemotherapy

• Radiation therapy

• Surgery

• Bone marrow transplant

Multiple Choice

Which statement best describes the difference in survival rates between ALL and AML in children?

• ALL has a higher survival rate than AML.

• AML has a higher survival rate than ALL.

• Both have the same survival rate.

• Neither has a measurable survival rate.

Open Ended

Compare and contrast the prognosis and treatment intensity between Acute Lymphoblastic Leukemia (ALL) and Acute Myelogenous Leukemia (AML) in children.

Multiple Choice

Which of the following statements best differentiates Hodgkin lymphoma from Non-Hodgkin lymphoma in children?

• Hodgkin lymphoma is more common in adolescents, while Non-Hodgkin is more common in young children.

• Non-Hodgkin lymphoma is always found in lymph nodes, while Hodgkin can be diffuse.

• Hodgkin lymphoma has a lower cure rate than Non-Hodgkin lymphoma.

• Non-Hodgkin lymphoma only affects B lymphocytes.

Multiple Select

Which of the following are true about brain tumors in children?

• Medulloblastoma is the most common type.

• More than half are located in the posterior fossa.

• Prognosis depends on location and extent of the tumor.

• They are the most common type of solid tumor in children.

Multiple Choice

What is the main purpose of a ventricular peritoneal shunt in pediatric patients?

• To drain excess cerebrospinal fluid from the brain to the abdominal cavity.

• To deliver chemotherapy directly to the brain.

• To monitor intracranial pressure continuously.

• To prevent infections in the central nervous system.

Open Ended

Compare and contrast the indications and uses of ventricular peritoneal shunts and external ventricular shunts in pediatric patients.

Multiple Choice

Which of the following statements about neuroblastoma is correct?

• It most frequently occurs in the abdomen and may present with a midline abdominal mass.

• It is the most common intracranial solid tumor in children.

• It rarely metastasizes at diagnosis.

• Treatment is only surgical.

Multiple Choice

Which of the following is a key reason to avoid palpating the abdomen in a child suspected of having Wilms Tumor?

• It may cause pain to the child

• It can lead to tumor rupture and spread

• It is not necessary for diagnosis

• It can cause infection

Open Ended

Compare the survival rates and typical age of diagnosis for Wilms Tumor and Retinoblastoma.

Multiple Choice

Bone cancers are most common in which age group?

• Infancy

• Childhood

• Adolescence

• Adulthood

Multiple Select

Which of the following are common treatments for both Osteosarcoma and Ewing Sarcoma?

• Surgery

• Chemotherapy

• Radiation

• Immunotherapy

Multiple Choice

Which of the following is NOT a component of nursing considerations as shown in the diagram?

• Symptom Management

• Central Line Care

• Medication Dosage Calculation

• End of Life Care

Multiple Select

Which of the following are common adverse effects of chemotherapy?

• Immunosuppression

• Oral mucositis

• Hypertension

• Alopecia

Open Ended

Describe the necessary precautions and equipment required for the safe administration of chemotherapy.

Multiple Choice

Which of the following is an alteration in skin integrity most likely associated with?

• Chemotherapy

• Radiation therapy

• Central line care

• Nutritional support

Open Ended

Compare and contrast the adverse effects of chemotherapy and radiation therapy based on the information provided in the slides.