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Pediatric Stem Cell Transplantation Part 2: Occupational Therapy Treatment for Common Cases

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1.  Which of the following activities should be avoided when planning/providing treatment for pediatric clients with platelet levels below 20,000/uL? Jumping Seated ADLs Light AROM Reaching overhead

2.  Between day -2 → day +2 following stem cell transplantation, which of the following should be considered when planning occupational therapy treatment? Relapse Recovery of blood counts Engraftment Thrombocytopenia

3.  For pediatric clients diagnosed with GVHD, which of the following may be an effective treatment to address skin involvement? Constraint-induced movement therapy Splinting and orthotics Self-management Relaxation techniques

4.  On “day 0” of the pediatric stem cell transplantation process, which of the following is the most appropriate action of the occupational therapy practitioner before providing treatment? Work with the client before the SCT, only Work with the client after the SCT, only Do not work with the client on “day 0” of the SCT Coordinate with medical staff to determine the best time for OT

5.  For clients on strict protective isolation precautions due to neutropenia, which of the following would be the most appropriate to use during occupational therapy for a preschool-age child? Familiar stuffed animal Tactile plush puzzle Plastic blocks Foam blocks

6.  What is the ideal timeframe to initiate occupational therapy treatment during the stem cell transplantation process? Pre-transplant After an acute need has been identified After blood count recovery After engraftment

7.  Which of the following is an anti-rejection medication to prevent GVHD that may warrant holding therapy during the first dose due to the high reaction rate? ATG AVN CRF CIPN

8.  Which of the following occupational therapy treatments is supported by evidence for children experiencing psychosocial side effects including anxiety and depression during the stem cell transplant process? Relaxation and mindfulness Avoidance of activity Resistive activities Fine motor play

9.  Evidence supports which of the following intervention approaches to maximize energy and limit CRF? “Heavy work” during play Self-management and participation Lifting weights 15 hours+ sleep per night

10.  When treating clients receiving the chemotherapy agent, doxorubicin, occupational therapy practitioners should be mindful of which of the following when implementing safe treatment? RIsk for hair loss Risk for fatigue Risk for cardiotoxicity Risk for remission