Continuing Education

Alternative Donor Sources in Pediatric Bone Marrow Transplantation

Credit Hours: 1 .O Passing Score: 8( 73%) Florida Content: 2200 Processing Fee: $9.00

Objectives

1. Discuss alternate donor sources for pediatric bone marrow transplants.

2. Describe nursing measures used in caring for patients with bone marrow transplants.

Test

1. What percentage of children with leu- kemia who need a bone marrow trans- plant have an HLA-matched sibling donor? a. 8% b. 10% c. 30% d. 40%

2. What is an acceptable HLA match for a matched unrelated donor? a. 315 b. 316 c. 516 d. 6/6

3. What is an acceptable HLA match for a mismatched related donor? a. 315 b. 3/6 c. 5/6 d. 616

4. What is an acceptable HLA match for an unrelated cord donor? a. 315 b. 314 c. 516 d. 6/6

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In the study by Davies et al, the highest risk of graft failure came from which groups? a. Matched sibling donor b. 5/6 matched unrelated donor c. 6/6 matched unrelated donor d. 3/6 matched sibling donor

Survival rates for mismatched haplo- identical transplants was found to be in the Aversa study: a. 40% b. 25% c. 21% d. 19%

What is a disadvantage to using a mismatched related donor? a. There is only a 3/6 HLA match b. Graft failure exceeds that of a

matched unrelated donor c. Larger children need a larger

amount of stem cells per kg weight d. There are more immature hemato-

poietic progenitor cells

Which is a disadvantage of using unre- lated cord blood? a. The donor cannot be identified in

the event more cells are needed b. The risk to the donor is high c. Congenital CMV rates are high d. Hepatitis B is unknown

Which is not a risk factor associated with GVHD? a. Older age of patient and donor b. Gender disparity between donor and

recipient c. Increased HLA disparity d. Obesity or recent weight gain

Journal ofpediatric Oncology Nursing, Vol 14, No 4 (October), 1997: pp 225-227 225

Continuing Education 10. Liver AGVHD and veno-occlusive dis- 11. Which skin care product is recom-

ease of the liver both have which fea- mended for use in patients with intact tures in common? grade IV skin GVHD? a. Weight gain a. Water based cream b. RUQpain b. Betadine c. Hyperbilirubinemia c. Phisohex d. Ascites d. Mineral oil

ANSWER/ENROLLMENT FORM

Passing Score: 8 (73%) Test ID #: PO1097 CE Credit Hours: 1 .O Florida Content Code: 2200

To receive continuing education credit for this issue, simply do the following:

(1) Read the article. Take the test, recording your answers on the form below. (2) Mail the completed answer/enrollment form with a check for $9.00 to Buchanan &

Associates (3) Your results will be sent within 4 weeks after we receive your answer form. Enrollees who

have a passing score will receive a certificate.

Instructions: Mark your answers clearly by placing an “x” in the box next to the correct answer. This is a standard form; use only the number of spaces required for the test you are taking.

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CONTZNUZNG EDUCATiON CREDIT INFORMATION This continuing education program is sponsored by Buchanan G Associates who has been accredited as a provider of continuing education in nursing by the following:

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Continuing Education Test 227