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Health Care Chapter 23 Exam and Questions and Answers.

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Health Care Chapter 23 Exam and Questions and Answers.

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Health Care Chapter 23 Exam and Questions and
Answers

Ageusia - AnswerLoss or absence of the sense of taste

Allogenic marrow transplantation – Answer Transfer of marrow from donor to
another person who is not genetically identical

Antineoplastic agents - AnswerChemical agents (cytotoxics, immuniologic
preparations, hormones) or meds used to prevent the development, maturation or
spread of neoplastic cells

antioxidants - Answermolecules (ie. vitamins) that blcok action of activated oxygen
molecules (free radicals) that can demage cells

antologous marrow transplantation - Answertransfer of marrow from the pt's own
tissue (from hematopietic stem cells)

cancer cachexia - Answerwt loss, anorexia, wasting, immunosuppression, altered
BMR, abnormalitis in fluid & energy metabolism, lessening of the body's fat & muscle
stores that accompanies advanced CA even with adequate nutrition.

carcinogen - Answeran agent (physical, chemical, or viral) that induces CA

carcinogenesis - Answerthe origin or development of CA, a multistage, biological
process that proceeds on a continuum but is often described in stages of initiation,
promotion and progression

cytokines - Answerprotein mediators produced by inflammatory cells in response to
exogenous stimuli, produce metabolic changes & wating

dysgeusia - Answerimpaired taste

graft-versus-host disease (GVHD) - Answera dz caused by the immune response
of histoincompatible, immunocompetent donor cells against the tissues of an
immunoincompetent host; an immuniologic reaction of allogeneic donor cells (graft)
reacting against the pt (host) tissues

,evidenced by icterus & abnormal liver functions, severe /secretory diarrhea - may need
total bowel rest --> isomotic, low residue, lactose-free diet --> solids with low lactose,
fiber, fat & acideity, gastric irritants --> regular diet
- usually 3 onths after transplant (but may be 7-10 days post)

hypogeusia - Answerdecreased taste acuity

initiation - Answerthe initial stage of tumorigenesis, involving transformation of
cellular DNA

malignant neoplasm - Answermass of CA cells that invades surrounding tissues or
spreads to distant areas of body

metastasis - Answergrowth of malignant tissue that spreads to surrounding tissue
or organs

myelosuppression - Answersuppression of bone marrow cell production

neutropenia - Answera reduction of WBC (neutrophils) that can be caused by
chemo or XRT, results in increased susceptibility to life-threatening infections

pancytopenia - Answera reduction in all cellular elements of the blood

phytochemicals - Answernonutritive compounds in plants though to influence the
process of tumorigenesis

progression - Answerthe phase in which tumor cells aggregate, grow autonomously
and form benign tumors that eventually lead to malignant phenotype with the capacity
for tissue invasion & mets

Promotion - AnswerThe stage of tumorigenesis in which initiated cells are activated
by a promoting agent to multiply and form a discrete tumor

radiation-induced enteritis - Answera condition of inflammation that can occur after
XRT to the GI tract & that leads to diarrhea & malabsorption

staging - Answera classification system known as TNM that is used to identify the
"extent" of the tumor: its size, the degree of growth & spread; T - size of tumor, N-
degree of spread to lymph nodes; M- presence of mets

, Tumor necrosis factor - Answer(cachectin, interluckin-1, interleukin-6, interferon-y);
a hormone-like protein that releases fat from fat stores, reduces the concentration of
enzymes required for the production and storage of fat & induces a stage of anorexia

veno-occlusive disease (VOD) - Answer- transplant related complication
- a symptomatic occlusion of the small hepatic venules caused by hepatotoxins & XRT;
may resolve after removal of the offending agent or may progress to portal HTN & liver
failure
- 1-3 wks post transplant
-hepatomegaly, ascites, jaundice, hepatic failure, encephalopathy & multi-organ failure

Xerostomia - Answermouth dryness

Halal diet - AnswerMuslim. Designating any object or an action which is permissible
to use or engage in, according to Islamic law.

No Rare meat, ETOH, or any intoxicant, Pork and its by-products such as bacon and
lard

Kosher diet - AnswerJewish dietary laws. There are three categories of Kosher
food - Meat, Dairy and Parve (or Pareve).

Rules:
No Mixing meat with milk, Pork, Shellfish, Bloody meat

Pesah (Passover) - prohibition on eating leavened bread or derivatives

Macrobiotic diet - AnswerAvoid animal products including dairy, eggs, coffee,
sugar, poultry, and processed foods.
No "nightshade vegetables" including potato, peppers and eggplant
Diet may be deficient in protein, iron, zinc, vitamin B12 and calcium
50-60% from whole grains, 25-30% from veg, remaining from beans, seaweed, soups

Seventh-Day Adventist: - AnswerLacto-ovo vegetarian diet
Avoid: beef, lamb, pork, chicken, seafood, coffee, tea and alcohol
Diet may be deficient in protein, iron, zinc, vitamin B12 and calcium

The Church of Jesus Christ of Latter -Day Saints (Mormons) - AnswerNo alcohol,
coffee or tea

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