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robbypowell's version from 2017-03-27 02:43

transplant

Question Answer
2 most common diseases in adults for which liver transplantation is indicatedPrimary biliary cirrhosis & Chronic hepatitis
t/f: Immediate post-transplantation, the patient is at greatest risk for technical complications, acute rejection , and infectionTrue
Except for emergency dental care, organ transplantation patients should avoid elective dental care for how long?3 months
t/f: Allogenic transplants involve a donor and recipient unlike autogenic transplants, which use the patient’s own harvested marrow. For allogenic transplants, siblings provide grafts with the best chance of survival.true
t/f: Liver fibrosis due to alcohol is reversible, while liver cirrhosis is irreversibletrue
t/f: malnutrition is not a primary complication of cancer therapytrue
t/f: malnutrition is a primary complication of cancer therapyfalse
what is the most common cancer in femalesbreast cancer
t/f: Elective dental treatment immediately after transplantation (within 3 months) without consultation to MD is the normFalse
T/F: Stable Post- transplantation is considered 1 month to 3 months after transplantation surgery.False
t/f: neutrophils are from Lymphoid stem cell lineagefalse (B lymphocytes, t lymphocytes & NK cells are)
In the case of an allogenic transplant, which donors are typically have the best chance of survival?siblings
Allogenic transplants represent _________-_________% of all transplants50-70%
What is the most commonly performed transplant?Renal due to diabetes mellitus
t/f: HPV is a finding that could indicate over-immunosuppressionfalse (Mucositis, HSV & Candida are, though)
t/f: chemotherapy kills the cancer. The bone marrow transplant is used as a rescue modality that allows the patient to fight the chemotherapy.True
Defined as the third phase of recovery from post-transplantation, long term immunocompetent phase lasts for how long?1-3 years
T/FClindamycin is the best antibiotic to use in most organ transplant recipients as a prophylaxis in oral procedures of the post transplantation patient.False (liver toxicity)
t/f: hypertension is a sign of acute adrenal insufficiencyFalse
t/f: It is important to treat all active disease prior to transplant therapy.true
The critical time period for patient recovery and success of bone marrow transplant is ___-___ days after transplant10-20 days
T/F One of the most common curative agents for CM-Leukemia is a bone marrow transplantfalse (bm transplants not curative)
t/f: The best clinical results involve a triple-drug immunosuppressive therapy involving cyclosporine, prednisone, and azathioprine or mycophenolate mofetiltrue
t/f: The use of cyclosporine in recipients of a kidney transplant has greater success in preventing the rejection of the graft.true
t/f: The use of prednisone and azathioprine in recipients of a kidney transplant has success equal to that of cyclosporinefalse
A transplant of the patients own marrow, which was harvested earlier and set aside before the intense chemotherapy or total body irradiation is what type of graft?autologous
t/f: High levels of creatinine or BUN levels in renal labs indicate damaged kidneystrue
Acute Myeloid leukemia affects the white blood cells produce but what is its effect on RBC?Normochromic with thrombocytopenia
What drug has been the standard immunosuppressant to prevent graft rejection?cyclosporin
t/f: The patient may receive routine dental care approximately 1 month following the transplantation.false (>3 months)
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oral care of cancer patient

Question Answer
t/f: pain, oral infection, & dermatitis are all side effects that a patient may experience during radiation therapytrue
Oral surgery or other invasive procedures should be postponed when the platelet count is less than __________________mm3 or abnormal clotting factors are present.50,000
A 3 cm tumor with no node involvement or metastasis would be graded T___T2
Oral HPV prevalence in men is _-_ x higher than in women3-5x higher
What has recently emerged as the most significant adverse symptom of cancer therapy reported by patients, according to Cawley?Mucositis
A patient comes to your office with ulcers and red patchy splotches on their oral mucosa. The patient does not have any difficulty swallowing food. How would you classify them based on the WHO Oral Toxicity Scale?Grade 2
Ulcerative mucositis initially emerges approximately ____ weeks after initiation of high dose chemotherapy2 weeks
t/f: patients should be prescribed antibiotics prior to chemotherapyfalse
Which grade on WHO's oral toxicity scale is mucostitis?Grade 4
After a stem cell transplant, how long should you delay elective dental procedures?1 year
Patients should be recalled every ___-___ weeks for prophylaxis and evaluation for the first 6 months following cancer radiation therapy.4-8 weeks
t/f: graft vs host disease mimics meniere's diseasefalse (does SLE, Sjogren's & Scleroderma)
t/f: Mucositis is the most significant outcome of cancer therapy. It can lead to sepsis, malnutrition, and interruptions or reduction in cancer treatment.true
T/F: Before initiation of chemotherapy extractions can be carried out at least 5 days for the maxilla and 7 days for the mandible.true
Ulceration commonly occurs at what day of chemotherapy treatment?10-15 days
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