NURSl 5463/l NURS5463l Examl 2l –l Adultl
Gerontologyl Acutel Carel Guide|l UTAl
(Latestl 2026/l 2027l Update)l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Whatl isl usedl tol stagel testicularl cancer?
Answer:
-TNM
-
Q:l Wherel dol thesel malignanciesl metastasisl to?
Answer:
-colorectal-liver,l lung,l peritoneall
-bladder-bone,l liver,l lung
-prostate-adrenall gland,l bonel (vertebrae),l liver,l lung
-Breast-bone,l brain,l liver,l lung
Q:l Matchl thel CAl markerl withl thel malignancy.l
Testicularl
colorectall
chromiocarcinoma,l teratomas,l seminomas
prostatel
ovarian
pancreatic
breast
Answer:
Testicular-Alpha-fetoproteinl (AFP)l
colorectal-Carcinoembryonicl Antigenl (CEA)
,chromiocarcinoma,l teratomas,l seminomas-
l b-HCG
prostate-prostatel specificl antigen
ovarian-CAl 125
pancreatic-CAl 19-9
breast-CAl 15-3,l CA27-29
Q:l Netropenia
Answer:
-al decreasedl numberl ofl absolutel neutrophill countl (ANC)l <1500
-Neupogenl isl usuallyl orderedl atl <l 300
-<500l significantl riskl ofl infection
-<100l highl risk
-riskl ofl infectionl increasesl ifl >l 7days
Q:l Neutropenicl fever
Answer:
-medicall emergencyl withl al singlel templ >101.3l orl sustainedl templ >100.4l forl 1l hrl +l
ANCl <500
-Multinationall Ass.l forl Supportivel Carel inl Cancerl Scorel <21
-treatl withl antipseudomonall betal lactaml likel cefepime,l metropeneum,l zosyn
Q:l Tumorl Lysisl Syndromel (TLS)
Answer:
-oncologicl emergencyl withl rapidl lysisl ofl malignantl cellsl
-usuallyl thel resultl ofl chemotherapyl orl sometimesl radiationl
-mayl occurl 24l hours-7l daysl afterl antineoplasticl therapyl isl initiatedl
-intracellularl contentsl arel rapidlyl releasedl intol thel bloodstream
-treatl withl rasburicasel (Eltek)l andl aggressivel hydration
Q:l Superiorl venal caval syndrome
,Answer:
-Seenl inl lungl cancerl thatl obstructsl thel SVCl andl causesl distendedl headl andl neckl veinsl
withl edema,l bluel discolorationl ofl armsl andl face
-Emergentl ifl respiratoryl compromise
-Stentl placement
Q:l Hyperleukocytosis
Answer:
-increasedl peripherall WBCl >50,000l leadingl tol capillaryl obstruction,l microinfarction,l
organl dysfunction/hypoxia
-treatl withl chemotherapyl andl plateletl transfusionl (notl RBC)
Q:l Cyclophosphamidel (Cytoxan)
Answer:
Alkylatingl agentl (cytotoxicl antineoplastic)
Killsl rapidlyl growingl cellsl byl interruptingl DNA/RNAl synthesis
Canl causel bonel marrowl suppression,l N/V,l acutel hemorrhagicl cystitis,l alopecia
Q:l spinall cordl compression
Answer:
occurl eitherl whenl al tumorl directlyl entersl thel spinall cordl orl whenl thel vertebrael
collapsel froml tumorl degradationl ofl thel bone.l Tumorsl mayl beginl inl thel spinall cordl butl
morel oftenl spreadl froml thel lung,l prostate,l breast,l andl colon.l Itl mayl causel backl painl
beforel nervel deficitsl occur.l Neurologicl problemsl arel specificl tol thel levell ofl spinall
compressionl andl canl leadl tol paralysis,l whichl isl usuallyl permanent.
-treatl withl dexamethasone
Q:l Prolongedl aPTT,l Normall PT/INR
Answer:
, -l vonl Willebrandl Diesase
-l Factorl deficiencies:l VIII,l IX,l XI,l XII,l prekallikrein,l HMWl kininogen
-l Heparin
-l Lupusl anticoagulant
Q:l Normall aPTT,l Prolongedl PT/INR
Answer:
-l Liverl disease
-l Vitaminl Kl deficiency
-l Warfarin
Q:l Prolongedl aPTT,l Prolongedl PT/INR
Answer:
-l Issuel inl thel Commonl Pathway
-l Deficiencyl ofl prothrombin,l fibrinogen,l factorl V,l orl factorl X
-l Combinedl factorl deficiencies
-l Diseasesl suchl asl liverl disease,l DIC,l overl coagulationl withl warfarin
-l Drawl al thrombinl time.l Ifl normall thel issuel liesl withl abnormalitiesl inl factorsl II,l V,l orl
X
Q:l Normall aPTT,l Normall PT/INR,l butl Bleeding
Answer:
-l vonl Willebrandl Disease
-l Plateletl dysfunction
-l Thrombocytopenia
Q:l Proximall DVT
Answer:
Abovel thel knee
-l Popliteal,l femoral,l iliac
Gerontologyl Acutel Carel Guide|l UTAl
(Latestl 2026/l 2027l Update)l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Whatl isl usedl tol stagel testicularl cancer?
Answer:
-TNM
-
Q:l Wherel dol thesel malignanciesl metastasisl to?
Answer:
-colorectal-liver,l lung,l peritoneall
-bladder-bone,l liver,l lung
-prostate-adrenall gland,l bonel (vertebrae),l liver,l lung
-Breast-bone,l brain,l liver,l lung
Q:l Matchl thel CAl markerl withl thel malignancy.l
Testicularl
colorectall
chromiocarcinoma,l teratomas,l seminomas
prostatel
ovarian
pancreatic
breast
Answer:
Testicular-Alpha-fetoproteinl (AFP)l
colorectal-Carcinoembryonicl Antigenl (CEA)
,chromiocarcinoma,l teratomas,l seminomas-
l b-HCG
prostate-prostatel specificl antigen
ovarian-CAl 125
pancreatic-CAl 19-9
breast-CAl 15-3,l CA27-29
Q:l Netropenia
Answer:
-al decreasedl numberl ofl absolutel neutrophill countl (ANC)l <1500
-Neupogenl isl usuallyl orderedl atl <l 300
-<500l significantl riskl ofl infection
-<100l highl risk
-riskl ofl infectionl increasesl ifl >l 7days
Q:l Neutropenicl fever
Answer:
-medicall emergencyl withl al singlel templ >101.3l orl sustainedl templ >100.4l forl 1l hrl +l
ANCl <500
-Multinationall Ass.l forl Supportivel Carel inl Cancerl Scorel <21
-treatl withl antipseudomonall betal lactaml likel cefepime,l metropeneum,l zosyn
Q:l Tumorl Lysisl Syndromel (TLS)
Answer:
-oncologicl emergencyl withl rapidl lysisl ofl malignantl cellsl
-usuallyl thel resultl ofl chemotherapyl orl sometimesl radiationl
-mayl occurl 24l hours-7l daysl afterl antineoplasticl therapyl isl initiatedl
-intracellularl contentsl arel rapidlyl releasedl intol thel bloodstream
-treatl withl rasburicasel (Eltek)l andl aggressivel hydration
Q:l Superiorl venal caval syndrome
,Answer:
-Seenl inl lungl cancerl thatl obstructsl thel SVCl andl causesl distendedl headl andl neckl veinsl
withl edema,l bluel discolorationl ofl armsl andl face
-Emergentl ifl respiratoryl compromise
-Stentl placement
Q:l Hyperleukocytosis
Answer:
-increasedl peripherall WBCl >50,000l leadingl tol capillaryl obstruction,l microinfarction,l
organl dysfunction/hypoxia
-treatl withl chemotherapyl andl plateletl transfusionl (notl RBC)
Q:l Cyclophosphamidel (Cytoxan)
Answer:
Alkylatingl agentl (cytotoxicl antineoplastic)
Killsl rapidlyl growingl cellsl byl interruptingl DNA/RNAl synthesis
Canl causel bonel marrowl suppression,l N/V,l acutel hemorrhagicl cystitis,l alopecia
Q:l spinall cordl compression
Answer:
occurl eitherl whenl al tumorl directlyl entersl thel spinall cordl orl whenl thel vertebrael
collapsel froml tumorl degradationl ofl thel bone.l Tumorsl mayl beginl inl thel spinall cordl butl
morel oftenl spreadl froml thel lung,l prostate,l breast,l andl colon.l Itl mayl causel backl painl
beforel nervel deficitsl occur.l Neurologicl problemsl arel specificl tol thel levell ofl spinall
compressionl andl canl leadl tol paralysis,l whichl isl usuallyl permanent.
-treatl withl dexamethasone
Q:l Prolongedl aPTT,l Normall PT/INR
Answer:
, -l vonl Willebrandl Diesase
-l Factorl deficiencies:l VIII,l IX,l XI,l XII,l prekallikrein,l HMWl kininogen
-l Heparin
-l Lupusl anticoagulant
Q:l Normall aPTT,l Prolongedl PT/INR
Answer:
-l Liverl disease
-l Vitaminl Kl deficiency
-l Warfarin
Q:l Prolongedl aPTT,l Prolongedl PT/INR
Answer:
-l Issuel inl thel Commonl Pathway
-l Deficiencyl ofl prothrombin,l fibrinogen,l factorl V,l orl factorl X
-l Combinedl factorl deficiencies
-l Diseasesl suchl asl liverl disease,l DIC,l overl coagulationl withl warfarin
-l Drawl al thrombinl time.l Ifl normall thel issuel liesl withl abnormalitiesl inl factorsl II,l V,l orl
X
Q:l Normall aPTT,l Normall PT/INR,l butl Bleeding
Answer:
-l vonl Willebrandl Disease
-l Plateletl dysfunction
-l Thrombocytopenia
Q:l Proximall DVT
Answer:
Abovel thel knee
-l Popliteal,l femoral,l iliac
