South Alabama
Question 1
A student asks the professor to explain the basics of vasogenic shock. What statement by the professor is best?
a.
The outcome of widespread hypersensitivity to an allergen
b.
Bacteremia combined with systemic inflammatory response
c.
Inability to get adequate blood to tissues and end organs
d.
Vasodilation from an imbalance between the two nervous systems
Correct Answer
ANS: D
Vasogenic shock refers to a widespread and massive vasodilation resulting from an imbalance between parasympathetic
and sympathetic stimulation of vascular smooth muscle. Widespread hypersensitivity is characteristic of anaphylactic
shock. Bacteremia and systemic inflammation are seen in septic shock. The inability to pump adequate blood to tissues
and end organs describes cardiogenic shock.
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,Question 2
Which intervention has the greatest effect on a child's mortality rate when diagnosed with cancer?
a.
Age at the time of diagnosis
b.
Participation in clinical trials
c.
Proximity to a major cancer treatment center
d.
Parental involvement in the treatment planning
Correct Answer
ANS: B
Mortality rates have significantly declined in the past 40 years largely as a result of advances in treatment and
participation in clinical trials. Although important, age, proximity to treatment centers, and parental involvement are not
believed to have an effect on the decline of the mortality rate of childhood cancer.
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,Question 3
To determine a child's response to fluid therapy for shock, the healthcare professional should monitor which measurements
as the priority?
a.
Hematocrit and hemoglobin levels
b.
Urine output and specific gravity
c.
Blood pressure and pulse
d.
Arterial blood gases and heart rate
Correct Answer
ANS: B
Monitoring of the volume of urine output and specific gravity is most useful in determining the child's response to fluid
therapy.
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, Question 4
Which form of cancer is linked to congenital malformation syndromes?
a.
Wilms tumor
b.
Retinoblastoma
c.
Osteosarcoma
d.
Rhabdomyosarcoma
Correct Answer
ANS: A
Wilms tumors are linked with other genetically linked childhood cancers. It is the only form among the available options
that is associated with congenital malformation syndromes.
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