CRAU Induction Quiz
CRAU Induction Quiz
Welcome to the CRAU Induction Quiz! This quiz is designed to test your knowledge on critical aspects of cancer treatment, including chemotherapy effects, patient management, and immunotherapy.
With 10 carefully crafted questions covering a range of topics, this quiz not only serves as an educational tool but also as a refresher for healthcare professionals.
Neutropenic fever is defined as:
Temperature of 37.5 or greater
Temperature of 38.3 or greater
Temperature of 38.3 or greater and neutophil count of less than 0.5 x 10^9 cells/L
Neutrophils less than 0.5 x 10^9 cells/L
The correct immediate actions for a patient presenting with signs of febrile neutropenia include:
Review in CRAU within 24 hours
Review in CRAU immediately; establish iv access; perform septic work up; commence empiric antibiotic therapy within 30 minutes of presentation
Review in crau immediately; contact treating team and await further instruction
Review in crau immediately; establish iv access; perform septic workup; await blood culture results prior to commencing empiric antibiotic therapy
Treatment-induced diarrhoea occurs in over 50% of patients. Select the correct statement.
Chemotherapy induced diarrhoea usually occurs 24-96 hours after treatment has been administered
7 or more episodes of diarrhoea per day requires urgent clinical review and assessment of hydration status
Radiation-induced diarrhoea occurs due to damage to the connective tissue in the bowel wall, resulting in vascular insufficieny
All of the above
Select all correct answers. Radiation-induced skin reactions...
Only occur after external beam focused radiation.
Are unavoidable.
Can present as dry and moist desquamation, erythema and ulceration.
Only develop during active radiation treatment.
May continue to develop for several weeks after treatment has completed.
Palmar-plantar syndrome (also referred to as hand-foot syndrome) is a common side effect associated with many chemotherapy agents. This syndrome is characterised by:
Rapid onset of bilaterally symmetric symptoms to the palms and soles, including erythema, pain, swelling, tenderness, tingling, bullous lesions, hyperpigmentation and paesthesia.
Gradual onset of bilaterally symmetric symptoms to the palms and soles, including erythema, pain, swelling, tenderness, tingling, bulloous lesions, hyperpigmentation and paresthesia.
Gradual onset of bilaterally symmetric paresthesia to the palms and soles.
Rapid onset of bilaterally symmetric paresthesia to the palms and soles.
Monoclonal antibodies are a class of immunotherapy drug. Their mechanism of action in treating cancer is:
By flagging tumor cells for destruction by the immune system
By repairing damaged cells
By selectively infecting and destroying cancer cells
By prompting the growth and division of immune cells
A patient receiving nivolumab treatment has asked you why they have been prescribed corticosteroids. You explain:
Nivolumab is an immunotherapy cancer treatment and must only be administered in conjunction with corticosteroids in preventing damage to healthy body tissue. This prevents immune-related adverse events.
Novolumab is an immunotherapy cancer treatment, which can cause immune-related adverse events. Corticosteroids are prescribed in the events an immune-related adverse event is suspected, in order to help suppress the immune system and slow down the damage to healthy body tissue.
James is a walk-in presentation to the CRAU. He has just recieved his third cycle of chemotherapy and was on his way home when he started to experience significant burning pain where the cannula was. You notice a reddened area tracking up James' forearm. Your primary concern is that James may be suffering from:
An accumulate affect of the chemotherapy causing a localised allergic reaction.
Phlebitis due to administration of a vesicant substance.
An extravasation injury.
A peripheral intravenous cannula infection.
Jane phones the crau explaining her husband James, who has metastatic prostate cancer, has been really sleepy today and isn't as talkative as usual. On reading James' clinical notes, you can see that he has brain metastases and is at high risk of seizure activity. Jane states that James has never had a seizure before. You advise Jane to do the following:
Call an ambulance as James requires urgent medical revieq in the emergency department.
Help James into the car and present to the CRAU for immediate review.
Call an ambulance and request they bring James to the CRAU.
Monitor James closely and call CRAU again if she notices any further deterioration.
Chemotherapy induced peripheral neuropathy is commonly caused by agents such as:
Conjugated monoclonal antibodies and radiation therapy.
Conjugated monoclonal antibodies and corticosteroids.
Platinum-based compounds and corticosteroids.
Platinum-based compounds and conjugated monoclonal antibodies.
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