Devita, Hellman, and Rosenberg's Cancer

LWBK1006-43 LWW-Govindan-Review December 14, 2011 15:38

CHAPTER 43 INFECTIONS IN THE

CANCER PATIENT

ALEX E. DENES

DIRECTIONS Each of the numbered items below is followed by lettered answers. Select the

ONE lettered answer that is BEST in each case unless instructed otherwise.

QUESTIONS

Question 43.1. A patient with Hodgkin’s disease who undergoes splenectomy should be

immunized against which of the following organisms?

A. Streptococcus pneumoniae

B. Hemophilus influenzae

C. Neisseria meningitidis

D. All of the above

Question 43.2. Randomized controlled trials of antibacterial prophylaxis in patients with

neutropenia have shown which of the following?

A. No difference in fever, infection, or mortality rates

B. Decreased episodes of fever but no difference in infection or mortality

rates

C. Decreased episodes of fever and infections but no difference in mor-

tality rates

D. Decreased episodes of fever and infections, and lower mortality

rates

Question 43.3. A 32-year-old man who has received allogeneic bone marrow transplan-

tation for acute myelogenous leukemia (AML) is now receiving immune-

suppressing medications for the prevention of graft-versus-host disease.

The MOST effective prophylaxis forPneumocystis jiroveci(formerly

carinii) is which of the following?

A. Atovaquone

B. Dapsone

C. Inhaled pentamidine

D. Trimethoprim/sulfamethoxazole (TMP/SMX)

Corresponding Chapters inCancer: Principles & Practice of Oncology,Ninth Edition: 156 (Infections in the Cancer

Patient) and 157 (Leukopenia and Thrombocytopenia).

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