COCN COCN Hematologic Malignancies

Question 1

Which type of leukemia is most commonly diagnosed in adults over 65 years old in the United States?

Accepted Answer

Chronic lymphocytic leukemia (CLL)

Answer

Acute lymphoblastic leukemia (ALL)

Answer

Acute myeloid leukemia (AML)

Answer

Chronic myeloid leukemia (CML)

Question 2

A patient with multiple myeloma is at highest risk for which skeletal complication?

Accepted Answer

Pathologic fractures

Answer

Osteosarcoma

Answer

Osteoporosis without fracture risk

Answer

Joint effusions

Question 3

The Philadelphia chromosome, resulting from a translocation between chromosomes 9 and 22, is the hallmark of which leukemia?

Accepted Answer

Chronic myeloid leukemia (CML)

Answer

Acute lymphoblastic leukemia

Answer

Hairy cell leukemia

Answer

Chronic lymphocytic leukemia

Question 4

Which staging system is used specifically for non-Hodgkin lymphoma and Hodgkin lymphoma?

Accepted Answer

Ann Arbor staging

Answer

TNM staging

Answer

FIGO staging

Answer

Durie-Salmon staging

Question 5

A nurse is caring for a patient with multiple myeloma. Which lab finding is most indicative of disease activity?

Accepted Answer

Elevated serum protein electrophoresis (M-protein spike)

Answer

Elevated serum albumin

Answer

Low ESR

Answer

Normal beta-2 microglobulin

Question 6

Tumor lysis syndrome is most likely to occur in patients receiving treatment for which hematologic malignancy?

Accepted Answer

Bulky or rapidly proliferating lymphomas and acute leukemias

Answer

Chronic lymphocytic leukemia in early stage

Answer

Hairy cell leukemia

Answer

Low-grade follicular lymphoma