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Journal of Neuroscience Nursing:
doi: 10.1097/JNN.0b013e3181fcf8f6
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Health Status in Long-Term Survivors of Pediatric Craniopharyngiomas

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GENERAL PURPOSE STATEMENT: To familiarize the registered professional nurse with a study analyzing the health status of long-term survivors of pediatric craniopharyngiomas.

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

1. Describe the epidemiology and morbidity associated with craniopharyngiomas.

2. Discuss the results of this study and implications for nursing care.

1. Craniopharyngiomas account for what percentage of the total number of pediatric brain tumors?


b. 20%

c. 30%

d. 45%

2. The median age at diagnosis of a craniopharyngioma is

a. 2 years.

b. 4 years.

c. 6 years.

d. 8 years.

3. Histologically, craniopharyngiomas

a. grow aggressively.

b. are slowly invasive.

c. are benign.

d. are malignant.

4. Treatment-related morbidity results from damage to the hypothalamus and the

a. pineal gland.

b. pituitary gland.

c. thalamus.

d. hippocampus.

5. Current treatment of craniopharyngiomas includes

a. aggressive surgical resection and radiation.

b. limited surgical resection and radiation.

c. aggressive surgical resection and chemotherapy.

d. limited surgical resection and chemotherapy.

6. The most common morbidities in the group of study patients included all except

a. neurocognitive problems.

b. neurological abnormalities.

c. emotional/psychological problems.

d. polyendocrinopathy.

7. The most frequent endocrine dysfunction seen in the study group was

a. hypothyroidism.

b. obesity.

c. diabetes mellitus.

d. diabetes insipidus.

8. Communication disorders seen in the study group included written and verbal issues with

a. executive reasoning.

b. comprehension and expression.

c. short-term recall.

d. long-term recall.

9. According to Muller, which disorder followed 80%-95% of complete craniopharyngioma resection patients?

a. growth hormone deficiency

b. hyperthryoidism

c. seizure disorders

d. diabetes insipidus

10. Which of the following was not identified by the authors as a potential barrier to compliance with hormone replacement therapy?

a. reliance on caregivers

b. adolescent rebellion

c. neurocognitive impairment

d. the cost of medications

11. A risk factor for development of obesity in craniopharyngioma survivors is

a. pineal gland involvement.

b. hypothalamic involvement.

c. hypoglycemia.

d. hyperthyroidism.

12. The authors emphasize that, for craniopharyngioma survivors, it is a mistake to focus attention only on

a. neurological deficits.

b. endocrine deficits.

c. cognitive deficits.

d. behavioral deficits.

13. As many as two thirds of craniopharyngioma survivors experience

a. vasculopathy.

b. cerebrovascular disease.

c. visual deficits.

d. seizures.

14. According to Merchant, studies show that craniopharyngioma survivors have

a. good long-term memory.

b. normal attentiveness.

c. low IQs.

d. slow reaction times.

15. The authors advocate that craniopharyngioma survivors may particularly benefit from

a. psychiatric treatment.

b. nutritional intervention.

c cognitive retraining.

d. digital technologies.

16. Research by Crom et al indicates that craniopharyngioma survivors have a great deal of anxiety about

a. their vulnerability.

b. hormonal therapy.

c. premature death.

d. hypogonadism.

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© 2010 American Association of Neuroscience Nurses


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