COCN COCN Oncologic Emergencies 3

Question 1

When preparing a neutropenic fever patient for empiric antibiotic therapy, what is the target time from fever detection to first antibiotic dose?

Accepted Answer

Within 1 hour

Answer

Within 6 hours

Answer

Within 4 hours

Answer

Within 24 hours

Question 2

Which imaging modality is preferred for emergency evaluation of suspected malignant spinal cord compression?

Accepted Answer

MRI of the entire spine

Answer

Plain X-ray

Answer

CT scan without contrast

Answer

Bone scan

Question 3

A patient with SCLC is admitted with sudden agitation, confusion, and a serum sodium of 118 mEq/L. The initial treatment is:

Accepted Answer

Fluid restriction with careful slow sodium correction

Answer

Rapid correction with hypertonic saline at 2 mEq/L/hr

Answer

Immediate diuresis with furosemide

Answer

Oral sodium supplementation

Question 4

Which sign is associated with hypocalcemia seen in tumor lysis syndrome when a blood pressure cuff causes carpal spasm?

Accepted Answer

Trousseau sign

Answer

Chvostek sign

Answer

Cullen sign

Answer

Kernig sign

Question 5

In the management of DIC in an oncology patient, which blood product replaces clotting factors V and VIII most effectively?

Accepted Answer

Fresh frozen plasma (FFP)

Answer

Packed red blood cells

Answer

Platelet concentrate

Answer

Cryoprecipitate

Question 6

A patient with known breast cancer develops sudden shortness of breath, tachycardia, pleuritic chest pain, and hypoxia. The priority nursing action is:

Accepted Answer

Notify the physician immediately and prepare for diagnostic workup for pulmonary embolism

Answer

Administer a bronchodilator and wait for resolution

Answer

Encourage incentive spirometry and ambulation

Answer

Apply warm compresses and reassure the patient