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15140 Medicine

A 32-year-old male patient is to undergo radiation therapy to the pelvic area for Hodgkin’s lymphoma. He expresses concern to the nurse about the effect of chemotherapy on his sexual function. The best response by the nurse to the patient’s concerns is

A“Radiation does not cause the problems with sexual functioning that occur with chemotherapy or surgical procedures used to treat cancer.”
B“It is possible you may have some changes in your sexual function, and you may want to consider pretreatment harvesting of sperm if you want children.” (Correct Answer)
C“The radiation will make you sterile, but your ability to have sexual intercourse will not be changed by the treatment.”
D“You may have some temporary impotence during the course of the radiation, but normal sexual function will return.”
15147 Medicine

True about lights criteria are all except

ARatio of pleural fluid protein to serum protein if greater than 0.5 - then it is exudative pleural effusion.
BRatio of pleural fluid LDH and serum LDH if greater that 0.5 - then its exudative pleural effusion. (Correct Answer)
CPlueral fluid LDH 2 to 3 times the upper limit of serum LDH is diagnostic of exudative pleural effusion.
DAt least one of the 3 criteria is sufficient to diagnose exudative pleural effusion.