Devita, Hellman, and Rosenberg's Cancer

LWBK1006-39 LWW-Govindan-Review December 12, 2011 20:30

Chapter 39•Oncologic Emergencies 505

Question 39.9. Which of the following is NOT a component of the Kocher–Cushing

reflex observed in patients with increased intracranial pressure?

A. Changes in breathing pattern

B. Headaches

C. Hypertension

D. Bradycardia

Question 39.10. A 63-year-old man with metastatic squamous cell carcinoma of the

lung presents with worsening confusion, constipation, and nausea for

3 days. Laboratory tests revealed hemoglobin of 13.5 g/dL, WBC of

12,500/mm^3 , platelets of 155,000/mm^3 , sodium of 149 mEq/L, potas-

sium of 4.8 mEq/L, bicarbonate of 28 mEq/L, BUN of 44 mg/dL, cre-

atinine of 1.8 mg/dL, albumin of 2.8 g/dL, and calcium of 13.6 mg/dL.

What is the most appropriate initial therapy?

A. Intravenous fluids and bisphosphonate

B. Intravenous fluids, bisphosphonate, and calcitonin

C. Intravenous fluids, bisphosphonate, and gallium nitrate

D. Intravenous fluids, bisphosphonate, and plicamycin