BMT CERTIFICATION COURSE UPDATED ACTUAL Questions and CORRECT Answers
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Course
BMT CERTIFICATION COURSE
Institution
BMT CERTIFICATION COURSE
BMT CERTIFICATION COURSE
UPDATED ACTUAL Questions and
CORRECT Answers
What does Red Bone marrow do - CORRECT ANSWER- Produces Hematopoietic Stem
cells that create RBC, plt, and WBC found in long and flat bones
Think: Red like red blood cells
What does Yellow Bone Marrow do? - CORRECT ANSWE...
BMT CERTIFICATION COURSE
UPDATED ACTUAL Questions and
CORRECT Answers
What does Red Bone marrow do - CORRECT ANSWER✔✔- Produces Hematopoietic Stem
cells that create RBC, plt, and WBC found in long and flat bones
Think: Red like red blood cells
What does Yellow Bone Marrow do? - CORRECT ANSWER✔✔- Both Yellow marrow and
fat cells produce stromal stem cells that produce fat, cartilage and bone
Think yellow like fat
Where are hematopoietic cells produced> - CORRECT ANSWER✔✔- in long bones during
childhood and axial skeleton in adulthood
What do Lymphoid Progenitor cells mature into? - CORRECT ANSWER✔✔- Small
lymphocytes which differentiate into B-cells, T-cells and NK cells
What organs are involved in the immune system? - CORRECT ANSWER✔✔- Bone
Marrow
Thymus (forms T-cells)
Lymph Nodes
Spleen (filter WBC, plts and other substances)
,Innate Immunity - CORRECT ANSWER✔✔- uses phagocytes that release inflammatory
mediators and NK cells
Acquired Immunity - CORRECT ANSWER✔✔- Response of either B-cells or T-cells
Advantages of Syngenic (identical twin) Transplant - CORRECT ANSWER✔✔- No need
for immunosupression
Disadvantage to Syngentic Transplant - CORRECT ANSWER✔✔- No graft vs tumor effect
Advantage to matched sibling/related transplant - CORRECT ANSWER✔✔- No potential
stem cell contamination and access to cells
Disadvantage to matched sibling/related transplant - CORRECT ANSWER✔✔- Only 25%
of population has a sibling match
Risk of GVHD
Advantage of mismatched sibling/related transplant - CORRECT ANSWER✔✔- No
potential stem cell contamination and access to cells
Increased number of potential donor
Disadvantage of mismatched sibling/related transplant\ - CORRECT ANSWER✔✔-
Increased risk of GVHD
Increased risk of graft failure d/t HLA disparity
Advantage of unrelated donor - CORRECT ANSWER✔✔- No Potential stem cell
contamination
disadvantage of unrelated donor - CORRECT ANSWER✔✔- increased risk of GVHD
Limited numbers of non-caucasian donors
waiting period to identify donor
,Advantage of mismatched unrelated Donor - CORRECT ANSWER✔✔- No Potential stem
cell contamination
DisAdvantage of mismatched unrelated Donor - CORRECT ANSWER✔✔- Increased risk of
GVHD
High treatment related mortality
Advantages of Umbilical cord blood transplant - CORRECT ANSWER✔✔- Easy access to
cell source
disadvantage of Umbilical cord blood transplant - CORRECT ANSWER✔✔- Limited
number of cells
Delayed time to engraftment
increased infection risk
Graft vs tumor effect - CORRECT ANSWER✔✔- Promoted by withdrawls of
immunosuppressant therapy
promoted by Donor Lymphocyte infusions
Decreased in the absence of aGVHD
Associated with high rates of cancer relaps
post transplant lymphoproliferative disease is most often assiciated with what infection -
CORRECT ANSWER✔✔- EBV
while explaining the goals of SCT to a patient with AML, what does the nurse emphasze the
transplant will do? - CORRECT ANSWER✔✔- produce a graft vs leukemia effect
what is the max amount of DMSO that can be safely administered in 24h - CORRECT
ANSWER✔✔- 1ml/kg
what med is used in conjution with extracorporeal photophoresis - CORRECT
ANSWER✔✔- Methoxsalen
(8-methoxypsoralen is used eith ECP)
, an 8 year old pt who recieved a HSCT develops gradw 2 aGVHD skin rash.. what can the
nurse anticipate for inital treatment - CORRECT ANSWER✔✔- Topical steroid cream as it
should be used as first line therapy for gradw 1 and 2 skin gvhd
which of the following is a non-HLA barrier for transplant research?
a) lrg numbers of transplant pts available at each facility
b) allele matching of donors to recipients
c) heterogenity of RF
d) FACT accreditation - CORRECT ANSWER✔✔- C
which statement by the nurwse would indicate further teaching about transplant recipients is
required? "important criterial used to evaluate a pt for HSCT include"
a) support resources available to the patient
b) current disease status
c) age of caregiver
d) baseline organ fx - CORRECT ANSWER✔✔- C
grapefruit juice should be avoided when taking which med and why? - CORRECT
ANSWER✔✔- Tacro .. it can increase the levels
prior to starting treatment for engraftment syndrome what is the priority nursing action?
a) obtain order for IV fluids
b)ensure the infectious disease workup is complete
c)place the patient in protective isolation for 14 days
d) d/c GCSF - CORRECT ANSWER✔✔- B
which of the following is a characteristic of stromal cells? - CORRECT ANSWER✔✔-
Stromal cells are the primary location of hematopoiesis
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