Exam (elaborations)
OCN TEST B QUESTIONS WITH SOLUTIONS 2023
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Exam of 5 pages for the course OCN at OCN (OCN TEST B)
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OCN TEST BPalliative care comprises these two things - answer Symptom control and
EOL/hospice
The goal of palliative care is to improve - answer QualIty of life
What does adjuvant mean - answer In addition to
Adjuvant radiation is like a blank policy - answer Insurance
Neoadjuvant means - answer Prior to the primary therapy
Stomatitis is - answer Inflammation of mouths and lips
The 4 R's of radiobiology (radiation) and what they mean - answer Repair: allow time
for normal cells to recuperate. Re-distribution: this is about waiting for the cells to be at
the optimal place in their cycle. Re-population: not sure what this is. Re-oxygenation:
waiting for the tumor to get more oxygen is good because the oxygen helps the
radiation to work better
Radiation can be done for any of these five reasons - answer Curative, adjuvant,
neoadjuvant, prophylaxis (prevent future spread), palliative
Radiation uses fractionation what is that and why do we do it - answer Divided
dosing; allows for normal cell re-growth
3 critical phases in perioperative setting that require safety checks - answer 1) sign
in: pre-anesthesia
2) Time Out: before first skin incision
3) sign out: after closing count and make sure you got everything
8 complications of surgery - answer ARDS, aspiration pneumonia, bleeding,
cardiovascular dysfunction, infection, obstruction/ileus, poor wound healing, VTE
Two types of pain - answer Nociceptive and neuropathic
Two types of nociceptive pain - answer Somatic and visceral
Neuropathic pain two types and the main symptom of each - answer Peripheral
(numbness and tingling), and centrally mediated: radiating/shooting burning and aching
, 4 types of targeted therapies - answer Mabs, mibs, MIDs, Nibs
If the patient says their pain is here they might be using the pain meds for emotional
reasons - answer All over
Senn - answer Monoclonal antibodies; rituxan (rituximab) they all end w mab
Mabs target a specific BLANK - answer Antigen
Nibs are what and one example - answer Tyrosine kinase inhibitors; imatinib
(gleevec)
Tramadol versus toradol which is opioid - answer TraMadol think M for morphine
Fatigue is exhaustion unrelieved by BLANK - answer Rest
Melatonin is released by the what gland - answer Pineal
1mg Ativan and 10mg melatonin - answer Her recipe for flying
Rituximab and other mabs biggest SE (and four sx associated with it) that is more
unique - answer Infusion reaction fever/chills, itching, hives, bronchoconstriction
Imatinib biggest unique SE comcern - answer Dermatological (rash acne priorities)
Hematopoietic growth factors are used to stimulate growth of one of these three things -
answer
Two drugs given for neutropenia and two for anemia one SE they all have in common -
answer Neupogen (filgastrim), neulasta ; darboppietin (aranesp) or epoetin alfa
(proctor); injection site reaction
Which category of infections are most likely to be fatal - answer Fungal
Fever is significant in patients w ANC under - answer 500
Five most important things to prevent infection - answer Etoh sanitizer, catheter care
bundle, chlorhexidine skin prep, CSF, abx and antifingal prophylaxis I'm at risk patients
AND influenza and pneumococcal vaccines
Low platelets under 20,000 avoid overinflating ehay - answer BP cuff
Anorexia vs cachexia - answer Anorexia is loss of appetite and reduced intake
cachexia is muscle wasting
Mucositis definition - answer Mouth sores/ burning in throat
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