Deck 22: Leukemia

Question 1

Children with acute lymphoblastic leukemia frequently have chemotherapy (Vincristine)-induced peripheral neuropathy, thus causing range of motion limitations in

A) shoulder flexion.
B) neck rotation.
C) spinal flexion.
D) ankle dorsiflexion.

Answer 1

D
Explanation: Vincristine is known to cause peripheral neuropathy primarily affecting ankle dorsiflexion and the intrinsic musculature of the feet and hands.

Question 2

Your patient has neutropenia. Neutropenia is the condition of a low absolute neutrophil count. Neutrophils are a type of white blood cell that fights against infection. Absolute neutrophil count (ANC) is a measure of the number of neutrophil granulocytes. When a child is receiving chemotherapy, the physician measures the patient's white blood count regularly, specifically the neutrophils. If an ANC is less than __cells/µL, then the child is considered to have neutropenia and has a significantly increased risk of infection

A) 12,000
B) 3,000
C) 2,000
D) 500

Answer 2

D
Explanation: Children with ALL receive chemotherapy agents that cause neutropenia. This is when the neutrophil (white blood count) is low and the child is at risk for infection. The physical therapist must take precautions to make sure the toys are clean, and if the physical therapist has a cold/sick, he/she should not work with the patient or should wear a mask.

Question 3

You have been asked to develop an exercise program for a child who has been admitted for a stem cell transplant. Appropriate exercise choices would include

A) wheelchair basketball.
B) resistive weight training.
C) a walking program.
D) All of the above

Answer 3

C
Explanation: During the period of "conditioning," the child is at a risk for infection, bruising, and fatigue. Wheelchair basketball may put the child at risk for bruising or infection from contact with the other players. Resistive exercise is contraindicated when platelet and white blood cell counts are low. A walking program is therefore the best choice.

Question 4

Common physical therapy interventions for a child with acute lymphoblastic leukemia include

A) orthotics.
B) stretching exercises.
C) age-appropriate strengthening exercises.
D) age-appropriate gross motor developmental activities.
E) All of the above.

Question 5

The most common form of pediatric leukemia is acute lymphoblastic leukemia, which has a survival rate for children between the ages of 1 and 10 years of

A) 80% to 90%.
B) 50% to 60%.
C) 40%.
D) 20%.

Question 6

Intrathecal chemotherapy is administered directly into what area?

A) Muscle
B) Mouth
C) Vein
D) Cerebral spinal fluid