Question

ce 7: Glovanni, a 22-year-old male Subicstins Gio reports today for a dose of chemotherapy He has recently been diagnosed with testicular cancer and is espected to have s complete recovery He receives his chemotherapy agent on days 1-2, of a 21-day eycle Medication list o Fluoxetine 20 mg caps, 1,000 IU of Vitamin D, Granisetron 1mg tabs, and Vinblastine 0.11 mg/kg Allergies: lodine, Cats . Obiective Patient appears fatigued and tired at this time, however he is in good spirits While taking his vitas you notice a little bit of sweat on his forehead and a dry cough HR 89 bpm, BP 110/90, RR 12 bpm, Temperature 99.7 Assessment & Plan: Testicular cancer 40. In addition to the symptoms you already observed in the patient, what are three additional symptoms that would indicate a potential infection? Patient needs a dose of Vinblastine today as he is on day 1 of his 21-day cycle 1) their physician. Signs of bleeding include a Epistaxis (bloody nose) b. Petechiae c Excessive Bruising d. All of the above 41. You should teach your patient to be alert for signs of bleeding and to report such signs to 42 While under immunosuppression patients undergoing chemotherapy are susceptible to several infections, including fungal infections. Which of the following medications is likely to be prescribed for fungal infections? Terconazole (Terazol) b. Clonazepam (Klonopin) cNafcillin (Nallpen) d Vancomycin (Vanocicin)

Answer 1

Ans. 42

A. Terconazole (terazol)

Explanation :as question mentioned immunosuppressive patient due to chemotherapy and ask medication for fungal infection. TERCONAZOLE is a broad spectrum antifungal drug of azole group is a drug of choice here as it also use as chemoprophylaxis.

All other 3 options are anti bacteria drugs so can be easily excluded

ANS 41

D. All of the above

All there options given here are sign of bleeding

Petechiae and excessive brushing indicators of thrombocytopenia (low platelet count) which is a major cause of internal bleeding

Epistaxis is also one of the sign of bleeding

Ans 40

1.Sore throat

2.Nasal congestion

3 Shortness of breath