Quiz 2.5 Hematology

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Ritameeker
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246510
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Quiz 2.5 Hematology
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2013-11-12 11:07:01
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Hematology blood disorders
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Quiz 2.5
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  1. Which of the following statements about leukemia is TRUE?

    A. Infections secondary to low levels of circulating neutrophils are common
    B. Leukemia is a disease of children and young adults, not older adults
    C. Leukemias are cancers of erythrocytes
    D. The pediatric mortality rate is greater than 50 percent
    A. Infections secondary to low levels of circulating neutrophils are common
    (this multiple choice question has been scrambled)
  2. 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?

    A. DIC, type O negative blood
    B. Idiopathic hemophilia, corticosteroids
    C. DIC; fresh frozen plasma and platelet  administration
    D. Idiopathic hemophilia; factor VIIa administration
    C. DIC; fresh frozen plasma and platelet  administration
    (this multiple choice question has been scrambled)
  3. Which of the following is NOT a goal of the inflammatory process?

    A. to perform temporary repair at the site of injury and prevent the access of additional pathogens
    B. to slow the spread of pathogens from the injury site
    C. to produce antibodies to combat pathogens
    D. to activate systemic defenses to overcome invading pathogens and facilitate repairs
    C. to produce antibodies to combat pathogens
    (this multiple choice question has been scrambled)
  4. Which of the following situations would NOT result in anemia?

    A. blood loss
    B. destruction of red blood cells
    C. increased production of erythropoetin
    D. iron deficiency
    C. increased production of erythropoetin
    (this multiple choice question has been scrambled)
  5. The more acidic the blood is, the more readily hemoglobin:

    A. releases carbon dioxide
    B. binds carbon dioxide
    C. releases oxygen
    D. binds oxygen
    C. releases oxygen
    (this multiple choice question has been scrambled)
  6. Which of the following medications would be most useful in the event of a transfusion reaction?

    A. Diphenhydramine
    B. Furosemide
    C. Aspirin
    D. Magnesium sulfate
    A. Diphenhydramine
    (this multiple choice question has been scrambled)
  7. Which of the following situations would result in erythropoietin secretion?

    A. Alkalemia
    B. CVA
    C. Hypoxia
    D. Hemophilia
    C. Hypoxia
    (this multiple choice question has been scrambled)
  8. 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 direct pressure with a bulky dressing
    B. Apply a tourniquet proximal to the wound
    C. request that the ED have Factor VIII standing by on your arrial
    D. Start and IV and administer a 1 L NS bolus
    B. Apply a tourniquet proximal to the wound
    (this multiple choice question has been scrambled)
  9. Which of the following statements about sickle cell disease is FALSE?

    A. sickled red blood cells have longer life spans than normal red blood cells
    B. patients with chronic sickle cell disease have chronic hemolytic anemia
    C. Splenomegaly is a common problem of sickle cell disease
    D. sickle hemoglobin has a flawed chemical structure that results in erythrocyte deformity when oxygen levels are low
    A. sickled red blood cells have longer life spans than normal red blood cells
    (this multiple choice question has been scrambled)
  10. Dehydration is most likely to result in:

    A. thrombocytopenia
    B. increased hematocrit
    C. leukocytosis
    D. increased prothrombin time
    B. increased hematocrit
    (this multiple choice question has been scrambled)
  11. If your patient has type O+ blood, what other blood type(s) can she receive?

    A. AB- and O-
    B. AB-
    C. O- and O+
    D. AB+
    C. O- and O+
    (this multiple choice question has been scrambled)
  12. 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?

    A. loss of appetite
    B. fever and hypotension
    C. pain and warmth at the injury site
    D. urticaria
    C. pain and warmth at the injury site
    (this multiple choice question has been scrambled)
  13. 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. humoral immunity activation results in localized tissue damage and edema of the tissue surrounding the injury site
    B. cell-mediated immunity activation results in chemotaxis and increased capillary permeability
    C. localized vasodilation and increased capillary permeability results in plasma leakage into the tissue surrounding the injury site
    D. there is an infection, resulting in edema to the surrounding tissue
    C. localized vasodilation and increased capillary permeability results in plasma leakage into the tissue surrounding the injury site
    (this multiple choice question has been scrambled)
  14. 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 disease; administer 02 according to pulse oximetry readings, start an IV of NS, and administer ketorolac for pain
    B. sickle cell occlusive crisis; administer 02 via NRB, isotonic crystalloids, and aspirin
    C. sickle cell occlusive crisis; administer 02 via NRB, isotonic crystalloids, and morphine
    D. sickle cell trait; administer 02 according to pulse oximetry readings, and give a 500 mL bolus of isotonic crystalloid solution
    C. sickle cell occlusive crisis; administer 02 via NRB, isotonic crystalloids, and morphine
    (this multiple choice question has been scrambled)
  15. In an emergency situation if you administer blood to a patient whose blood type is unknown, you should administer type _____ blood.

    A. AB-
    B. O-
    C. AB+
    D. O+
    B. O-
    (this multiple choice question has been scrambled)
  16. Chemical messengers released directly into the bloodstream, with the ability to affect cells for hours or days, are called _____.

    A. sensory cells
    B. dendrites
    C. hormones
    D. neurotransmitters
    C. hormones
    (this multiple choice question has been scrambled)
  17. Dwarfism can be caused by a _____.

    A. Hypersecretion of growth hormone
    B. Hyposecretion of growth hormone
    C. hypersecretion of ACTH
    D. hyposecretion of ACTH
    B. Hyposecretion of growth hormone
    (this multiple choice question has been scrambled)
  18. 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 _____.

    A. calcium chloride
    B. brain natriuretic peptide (BNP)
    C. troponin
    D. aldosterone
    B. brain natriuretic peptide (BNP)
    (this multiple choice question has been scrambled)
  19. Prednisone can be used as an anti-inflammatory drug to treat _____.

    a. severe allergies
    b. rheumatoid arthritis
    c. other chronic conditions
    d. all of the above
    d. all of the above
  20. A deficiency in the release of vasopressin (antidiuretic hormone {ADH}) by the posterior pituitary gland causes _____.

    A. dwarfism
    B. hypoglycemia
    C. diabetes insipidus
    d. none of the above
    C. diabetes insipidus
    (this multiple choice question has been scrambled)
  21. The _____ gland is important in regulating the blood glucose.

    A. pineal
    B. thymus
    C. thyroid
    D. pancreas
    D. pancreas
    (this multiple choice question has been scrambled)
  22. Cushing's syndrome causes weight _____ and Grave's disease causes weight _____.

    A. gain; loss
    B. loss; loss
    C. loss; gain
    D. gain; gain
    A. gain; loss
    (this multiple choice question has been scrambled)
  23. Which of the following hormones is directly controlled by the nervous system?

    A. cortisol
    B. oxytocin
    C. insulin
    D. epinephrine
    D. epinephrine
    (this multiple choice question has been scrambled)
  24. The _____ is part of the diencephalon and is commonly called the "master gland."

    A. adrenal
    B. thyroid
    C. pituitary
    D. pineal
    C. pituitary
    (this multiple choice question has been scrambled)
  25. A stature disorder in which the body produces either too much or too little growth hormone is a disorder of which endocrine gland?

    A. posterior pituitary
    B. adrenal cortex
    C. anterior pituitary
    D. adrenal medulla
    C. anterior pituitary
    (this multiple choice question has been scrambled)

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