Which of the following statements about leukemia is TRUE?
A. Infections secondary to low levels of circulating neutrophils are common
Your patient is a 23 yof who is 6 hours postpartum after a traumatic delivery resulting in a massive blood transfusion. She is to be transferred from a community hospital to a specialty hospital for further care. She is unconscious and intubated, with a number of intravenous lines. Your physical exam reveals a pupuric rash over the chest and abdomen and mottling of the fingers and toes and all of the venous access sites are oozing blood. In addition, auscultation of the lung fields reveals rales to the dependent regions. HR is 112, BP is 82/60, RR is 12 via ventilator. Which of the following best describes the patient's condition and treatment needs, in addition to continued ventilation and fluid administration?
C. DIC; fresh frozen plasma and platelet administration
Which of the following is NOT a goal of the inflammatory process?
D. to produce antibodies to combat pathogens
Which of the following situations would NOT result in anemia?
B. increased production of erythropoetin
The more acidic the blood is, the more readily hemoglobin:
A. releases oxygen
Which of the following medications would be most useful in the event of a transfusion reaction?
D. Diphenhydramine
Which of the following situations would result in erythropoietin secretion?
D. Hypoxia
A patient with hemophilia has suffered a large and deep laceration to the right forearm after cutting it on a mirror, which fell while he was hanging it. The wound is hemorrhaging a steady amount of dark red blood. Given the history of hemophilia, your immediate action on reaching the patient's side and putting on gloves would be to:
A. Apply a tourniquet proximal to the wound
Which of the following statements about sickle cell disease is FALSE?
D. sickled red blood cells have longer life spans than normal red blood cells
Dehydration is most likely to result in:
C. increased hematocrit
If your patient has type O+ blood, what other blood type(s) can she receive?
A. O- and O+
A cat scratches a patient on the arm. 24 hours later, the area is swollen and red. What additional signs or symptoms is the patient most likely to exhibit?
B. pain and warmth at the injury site
You are pruning a rosebush and puncture the skin on your thumb with a thorn. The next day you note that the area is swollen. Which of the following best explains the swelling that has occurred?
A. localized vasodilation and increased capillary permeability results in plasma leakage into the tissue surrounding the injury site
Your patient is a 26 yeal old African-American male who is alert but in severe distress, complaining of pain in his hands and feet, as well as abdominal pain. the pain began this morning but has progressed from an initial rating of 5/10 to a 9/10 at the present time. The patient has a hx of sickle cell anemia and denies any trauma. Physical exam reveals cool, diaphoretic skin; pain with palpation to all four abdominal quadrants; splenomegaly; and a priapism. HR is 132, BP is 140/90, RR is 16. Select the most appropriate acute diagnosis and treatment for this patient.
A. sickle cell occlusive crisis; administer 02 via NRB, isotonic crystalloids, and morphine
In an emergency situation if you administer blood to a patient whose blood type is unknown, you should administer type _____ blood.
A. O-
Chemical messengers released directly into the bloodstream, with the ability to affect cells for hours or days, are called _____.
C. hormones
Dwarfism can be caused by a _____.
C. Hyposecretion of growth hormone
A lab test that measures a chemical released in response to ventricular stretching and is used in the diagnosis of congestive heart failure (CHF) is called _____.
C. brain natriuretic peptide (BNP)
Prednisone can be used as an anti-inflammatory drug to treat _____.
D. all of the above
A deficiency in the release of vasopressin (antidiuretic hormone {ADH}) by the posterior pituitary gland causes _____.
C. diabetes insipidus
The _____ gland is important in regulating the blood glucose.