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Chapter 12: Cancer in Children
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MULTIPLE CHOICE
1. What is the origin of most childhood cancers?
a. Placenta
b. Environment
c. Mesodermal germ layer
d. Neural tube
2. Which characterizes an embryonic cancer tumor?
a. Commonly occurring
b. Often seen in adults
c. Composed of mature, differentiated cells
d. Usually manifested around age 5
3. A nurse is preparing to teach the most common malignancy in children. Which malignancy should the nurse discuss?
a. Leukemia
b. Neuroblastoma
c. Wilms tumor
d. Retinoblastoma
4. A 3-year-old female was diagnosed with Wilms tumor. This disease is a tumor of the:
a. kidney.
b. brain.
c. bone marrow.
d. liver.
5. The nurse explains to a parent that young children diagnosed with Down syndrome are at higher risk for developing:
a. nephroblastoma.
b. rhabdomyosarcoma.
c. leukemia.
d. retinoblastoma.
6. What event occurs in about 70% of the cases of childhood cancers?
a. Cured
b. Required only chemotherapy
c. Participated in clinical trails
d. Developed a secondary malignancy
7. A 40-year-old female developed adenocarcinoma of the vagina. Which prenatal event is the most likely cause of her cancer?
a. Rb gene mutation
b. Exposure to diethylstilbestrol (DES)
c. Exposure to solvents
d. Exposure to radiation
8. A 16-year-old with aspirations of becoming a bodybuilder spends 3 hours a day in the gym.
Five years later a hepatocellular carcinoma is discovered. Which of the following is the most likely cause of the cancer?
a. Immunosuppressive agents
b. Cytotoxic agents c. Anabolic steroids d. A viral infection
9. The most common type of tissue cancer occurring between ages 15 and 19 is:
a. sarcoma.
b. squamous cell.
c. carcinoma.
d. neuroma.
MULTIPLE RESPONSE
1. When an aide asks why carcinomas rarely occur in childhood, how should the nurse respond? (select all that apply)
a. Carcinomas cannot developUinSan iNmmTunosupOpressed environment.
b. Carcinomas need a long time from exposure to occurrence.
c. Carcinomas are due to environmental exposures.
d. Carcinomas occur primarily in secondary sexual organs.
e. Carcinomas are mesodermal.
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