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Occupational Therapy Considerations for the Pediatric Stem Cell Transplant Patient

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1.  Chemotherapy-induced peripheral neuropathy (CIPN) is frequently caused by:
  1. Steroids
  2. Vincristine
  3. Internal beam radiation
  4. Total body irradiation
2.  The most common pediatric cancer diagnosis is:
  1. Leukemia
  2. Neuroblastoma
  3. Tumors of the central nervous system
  4. Wilm's Tumor
3.  A non-malignant condition that usually requires a stem cell transplant is:
  1. Multiple myeloma
  2. Wilm's Tumor
  3. Severe combined immune deficiency syndrome (SCIDS)
  4. Engraftment syndrome
4.  Stem cells come from bone marrow, peripheral blood, or umbilical cord blood. The phase in which stem cells are removed from donor cells is referred to as:
  1. Blood transfusion
  2. Conditioning
  3. Engraftment
  4. Apheresis
5.  Psychosocial side effects of stem cell transplantation may include which of the following?
  1. Psychosis
  2. Depression
  3. Hallucinations
  4. Fatigue
6.  The first successful transplant from an unrelated donor was performed during which of the following?
  1. 1940's
  2. 1950's
  3. 1960's
  4. 1970's
7.  Which of the following is a commonly used assessment tool for pediatric cancer patients?
  1. PedsQL
  2. COPM
  3. PDMS
  4. All of the above
8.  Occupational therapy practitioners should monitor patients closely following allogeneic SCT for the presence of skin changes (i.e. rashes) and decreased ROM, due to which of the following conditions?
  1. Thrombocytopenia
  2. Graft-versus-host disease (GVHD)
  3. SCIDS
  4. Aplastic anemia
9.  When is the most appropriate time to perform an initial occupational therapy evaluation for a pediatric client receiving a stem cell transplant?
  1. Prior to the SCT
  2. "Day 0"
  3. Day +2
  4. After day #2 of rest
10.  Day 0 (Day Zero) refers to which step during the transplant process?
  1. Conditioning TBI and chemotherapy
  2. Infusion of donor cells to patient
  3. Day of engraftment
  4. Post treatment

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