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Pediatric Oncology and Hematology - Final TEST

Quiz by Onkologia Dziecięca

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30 questions
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  • Q1
    Choose bad prognostic factors in acute lymphoblastic leukemia (ALL):
    poor prednisone response
    translocation (9;22)
    translocation (4;11)
    all them
    300s
  • Q2
    Children reach adult percentage of lymphocytes at the age of:
    3 months
    7 years
    3 weeks
    18 years
    300s
  • Q3
    Methotrexate causes listed side effects EXCEPT:
    mucositis
    dermatitis
    cardiomyopathy
    myelosupression
    300s
  • Q4
    A 4S stage neuroblastoma won’t be:
    7 months old child with a 2cm large adrenal tumor, skin lesions and metastasis to the liver
    4 months old child with a 2cm large adrenal tumor
    2 years old child with a 3cm large tumor on the left side of thorax cavity and bone infiltration
    5 months old child with a 2cm large adrenal tumor and skin lesions
    300s
  • Q5
    Choose correct recommendations for preventing acute tumor lysis syndrome:
    diuretics
    all of them
    a xanthine oxidase inhibitor
    intense hydratation
    300s
  • Q6
    Choose diseases with increased risk for developing Wilms tumor:
    Beckwith-Wiedemann syndrome
    aniridia
    all of them
    genitourinary abnormalities
    300s
  • Q7
    Chose mandatory tests in the diagnostic process of ALL :
    3. PET of whole body
    2. bone marrow aspiration
    correct answers are 1 and 2
    1. lumbar puncture with CSF analysis
    300s
  • Q8
    Increased AFP level might be present in:
    correct answers are 2 and 3
    3. gonadal tumors
    2. hepatoblastoma
    1. leukemia
    300s
  • Q9
    The most common localization for B-cell non-Hodgkin lymphoma is:
    mediastinum
    abdomen
    bone marrow and spleen
    CNS and Waldeyer’s tonsillar ring
    300s
  • Q10
    The most common congenital bleeding disorder is:
    von Willebrand disease
    hemophilia A
    hemophilia B
    factor XII deficiency
    300s
  • Q11
    Choose INCORRECT sentence about Pneumocystis jiroveci (carinii) lung infections in children with ALL:
    pulmonary infection might be life-threating
    prophylaxis is carried out through whole treatment of ALL
    prophylaxis of Pneumocytis jiroveci is not recommended
    oral trimethoprim-sulfamethoxazole is used
    300s
  • Q12
    17 y.o. boy with 2 weeks history of pain located below the right knee. First symptoms started after soccer practise and pain increased with physical activity. On physical examination- no visible deformity, both legs have the same circufference, temperature and colour. No FH of thrombophilia. Choose recommended action:
    prescribe painkillers in form of lotion
    recommend rehabilitation
    recommend stabilisation of the right leg for 2 weeks
    take an X-ray of the right knee
    300s
  • Q13
    Marker for rhabdomyosarcoma in children is:
    there is no marker of RMS
    catecholamines and neurospecyphic enolase
    AFP and hCG
    LDH and ferritin
    300s
  • Q14
    Most common localization for osteosarcoma is/are:
    femur and tibia
    cervical vertebrae
    maxilla and mandibular
    pelvic bone
    300s
  • Q15
    Choose appropriate recommendation for a 10 y.o. boy with petechiae and bruses all over the body, without hepatosplenomegaly, without other abnormalities on PE. In history a viral infection of upper respiratory tract about 1 month ago. In CBC: WBC- 5000/mm3, Hgb- 12mg/dl (120 g/L), PLT- 10 000/mm3, peripheral blood smear: granulocytes- 54%, lymphocytes- 34%, monocytes- 6%, eosinophiles- 3%, basophiles- 3%.
    bone marrow aspiration biopsy
    platelet concentrate infusion
    antibiotic therapy
    immunoglobulin i.v. for 2-5 days
    300s

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