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Journal of Neuroscience Nursing:
doi: 10.1097/JNN.0b013e3181a7f0f0
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It's Not Your "Run of the Mill" Meningioma: Characteristics Differentiating Low-Grade From High-Grade Meningeal Tumors

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Registration Deadline: June 30, 2011

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GENERAL PURPOSE OF THE CE ACTIVITY: To familiarize the registered professional nurse with the incidence, pathology, and care of patients with meningiomas.

LEARNING OBJECTIVES: After reading this article and taking the test, the nurse will be able to:

1. Discuss the incidence, pathology, and diagnosis of patients with meningiomas.

2. Describe medical and nursing management of patients with meningiomas.

1. Which statement about meningiomas is not correct?

a. They are the most common primary brain tumor.

b. They account for about 30% of primary neoplasms.

c. They often present with generalized symptoms such as headache or seizures.

d. Differentiating low-grade from high-grade meningiomas on MRI is often difficult.

2. Which population is most likely to develop a menigioma?

a. male children

b. female children

c. men 40-70 years old

d. women 40-70 years old

3. The World Health Organization classifies meningiomas into

a. two grades.

b. three grades.

c. four grades.

d. six grades.

4. Studies seeking to discover factors that contribute to menigioma

a. clearly indicate occupational exposure to radiation is a predisposing factor.

b. clearly indicate a relationship with elevated estrogen levels and previous head trauma.

c. have ruled out a relationship with neurofibromatosis.

d. are not conclusive about predisposing factors.

5. Which statement about diagnosing meningiomas is correct?

a. They have distinct features that show on an MRI.

b. They have distinct features that show on CT scans.

c. They are difficult to diagnose with imaging tests.

d. They can only be definitively diagnosed during neurosurgery.

6. The tumor having the best prognosis after surgery is one with a

a. proliferation rate of <1%.

b. proliferation rate of >5%.

c. mitotic activity rate of 10.

d. mitotic activity rate of 20.

7. Which pathological feature is not characteristic of aggressive tumor behavior?

a. prominent nucleoli

b. enhanced lobularity

c. small cells

d. increased cellularity

8. Grade II tumors are also classified as

a. benign tumors.

b. atypical tumors.

c. anaplastic tumors.

d. rhabdoid tumors.

9. Which tumor is most likely to invade the brain?

a. Grade I

b. Grade II

c. Grade III

d. Grade IV

10. Which is not one of the most common sites of metastasis?

a. bone

b. liver

c. breast

d. lungs

11. The tumors that are most likely to recur are tumors located

a. at the convexity and suprasellar areas.

b. at the sphenoid wing or dural sinuses.

c. along the olfactory groove or optic sheath.

d. within the intraventricular or posterior fossa.

12. Radiation therapy is most likely to be needed for a

a. Grade I meningioma.

b. Grade I meningioma postoperatively.

c. Grade II meningioma after surgical debulking.

d. Grade III meningioma with no obvious postoperative residual tumor.

13. The usual course of radiation therapy for meningioma is

a. 3 days a week for about 3 weeks.

b. 3 days a week for about 6 weeks.

c. 5 days a week for about 3 weeks.

d. 5 days a week for about 6 weeks.

14. Which chemotherapeutic agent is an RNA inhibitor?

a. alpha-interferon

b. mifepristone (RU486)

c. hydroxyurea

d. tamoxifen

15. Meningioma patients experiencing headaches/nausea/vomiting are usually treated with

a. antiepileptic drugs.

b. antineoplastic drugs.

c. analgesics and antiemetics.

d. corticosteroids and analgesics.

16. The neuroscience nurse should teach all postsurgical meningioma patients about

a. the role of radiation therapy in assuring a good prognosis.

b. the ongoing need for frequent monitoring with imaging studies.

c. the importance of taking antiepileptic medications to prevent seizures.

d. the importance of taking corticosteroids for several months to prevent cerebral edema.

17. According to the authors, the majority of patients with intracranial meningiomas

a. can be cured.

b. can be managed but not cured.

c. will succumb to the effects of the tumor within 5 years.

d. will succumb to the effects of the tumor within 10 years.

18. The most common location of an intracranial meningioma is the

a. posterior fossa.

b. olfactory groove.

c. falx/parasagittal area.

d. intraventricular area.

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© 2009 American Association of Neuroscience Nurses


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