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AOCNP Test Practice Questions and Answers

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AOCNP Test Practice Questions and Answers Most common surgical approach to SCC - ANSWER-Anterior decompression with mechanical stabilization followed by RT Preferred imaging technique to evaluate for suspected hemorrhage or hydrocephalus - ANSWER-CT head Most common site of mets in the brain ...

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  • November 3, 2024
  • 21
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • 2025 Prep Tests
  • 2025 Prep Tests
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KaylinHoffman
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AOCNP Test Practice Questions and

Answers


Most common surgical approach to SCC - ANSWER✔✔-Anterior decompression with mechanical

stabilization followed by RT


Preferred imaging technique to evaluate for suspected hemorrhage or hydrocephalus - ANSWER✔✔-CT

head


Most common site of mets in the brain - ANSWER✔✔-Cerebrum, then cerebellum, then brainstem


Who is at greatest risk for increased ICP? Which cancer types? - ANSWER✔✔-Patient with brain tumors


Lung cancer and melanoma


What is cushing's triad a late sign of? What is it? - ANSWER✔✔-Increased ICP


Cushing's Triad: HTN with widening pulse pressure (rising systolic, declining diastolic), bradycardia,

abnormal respirations


Late sign of ICP that occurs in 70% of patients with brain tumors - ANSWER✔✔-papilledema (1-5 days

unless related to subarachnoid hemorrhage in which case it develops within 2-8 hours)


When is headache worse with increased ICP? - ANSWER✔✔-in the morning


with bending, coughing, valsalva


Early symptom of increased ICP - ANSWER✔✔-headache accompanied by nausea, vomiting



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Causes of increased ICP in cancer - ANSWER✔✔-Tumor, hemorrhage, ischemic stroke, abscess,

autoimmune inflammatory process


Classic signs of autonomic dysfunction - ANSWER✔✔-HTN, bradycardia, punding headache, flushing,

profuse sweating above level of spinal involvement


What are patients at risk for with spinal lesions at T6 or higher? - ANSWER✔✔-autonomic dysreflexia


Minimally invasive surgeries for SCC - ANSWER✔✔-Kyphoplasty: balloon inflation followed by PMMA

injection


Vertebroplasty: PMMA injection only


Indications for surgical intervention of SCC - ANSWER✔✔-1) Rapidly progressing paraplegia


2) worsening neuro dysfunction while undergoing RT


3) pathologic fracture with bone dislocation


4) need biopsy


5) radioresistant tumors


6) recurrence after previous RT


7) prognosis of 3 months or greater


Where would you suspect a cord compression to be if patient was experiencing bilateral sensory loss

following dermatome path involving the buttocks, perineal area, posterior thigh, and lateral leg -

ANSWER✔✔-Cauda equina


How to treat SVC caused by thrombus? - ANSWER✔✔-thrombolytic therapy (tPA) followed by heparin

gtt, remove CVC

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Most common etiology for SVC / cancer - ANSWER✔✔-mediastinal malignancy (right sided lung cancers),

SCLC (followed by SCC of lung then adenocarcinoma of lung)


Beck's Triad - ANSWER✔✔-hypotension, distant heart sounds, JVD


Emergent management of pericardial effusion - ANSWER✔✔-Pericardiocentesis


Late symptoms of SVC - ANSWER✔✔-Stridor, vocal cord paralysis, hemoptysis, cyanosis, periorbital

edema, CHF, Cerebral Edema (seizure, headache, confusion)


Which oncologic emergency is Horner Syndrome associated with? - ANSWER✔✔-SVC syndrome


Conditions that often develop because of SVC? - ANSWER✔✔-Pleural and pericardial effusions


Most common s/s of SVC - ANSWER✔✔-Facial or neck swelling


upper extremity swelling


Dyspnea


Cough


Dilated chest vein collaterals


Extrinsic causes of SVC syndrome - ANSWER✔✔-compressive tumor, mediastinal lymph node


Intrinsic causes of SVC syndrome - ANSWER✔✔-Thrombosis or tumor, intraluminal


More permanent management of pericardial effusion - ANSWER✔✔-Pericardial sclerosis


PC balloon pericardiostomy


Pericardial window



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