Author Question: A frantic mother brings her young child into the emergency department. She states that during the ... (Read 144 times)

fagboi · **on:** Jun 25, 2018

A frantic mother brings her young child into the emergency department. She states that during the evening bath, she noticed a large mass in her child's abdomen.

After diagnostic testing, the pediatrician tells the parents that their child has Wilms tumor, stage IV. After the doctor leaves the room, the parents ask the nurse, What does this mean? The nurse will respond, Your child ('s)
A)
has cancer in his stomach.
B)
has cancer in the kidney that has spread most likely to his lungs.
C)
will need to undergo surgery to remove both kidneys and then go on dialysis.
D)
tumor can be easily treated with chemotherapy. We will start this soon.

Question 2

A 63-year-old woman has visited a physician because she has been intermittently passing blood-tinged urine over the last several weeks, and cytology has confirmed a diagnosis of invasive bladder cancer.

Which of the following statements by the physician is most accurate?
A)
There are new and highly effective chemotherapy regimens that we will investigate.
B)
Fortunately, bladder cancer has a very low mortality rate, and successful treatment is nearly always possible.
C)
It's likely that you'll need surgery, possibly a procedure called a cystectomy.
D)
Unfortunately, there are nearly no treatment options for this type of cancer, but we will focus on addressing your symptoms.

kingfahad97 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
B

Feedback:

Wilms tumor usually is a solitary mass that occurs in any part of the kidney. It usually is sharply demarcated and variably encapsulated. Stage IV means the tumors have undergone hematogenous metastasis, most commonly involving the lung. Treatment involves surgery, chemotherapy, and sometimes radiation therapy. Long-term survival rates are good (90) for stages I to III.

Answer to Question 2

Ans:
C

Feedback:

Surgical interventions are common in the treatment of bladder cancer. Effective chemotherapeutic regimens are not yet available, though there are certainly treatment options. The mortality rate of bladder cancer is high, at around 25.