Hematological and Immune Problems- Chapter 18-Dunphy Exam Questions and Answers 100% Pass

Hematological and Immune Problems- Chapter 18-Dunphy Exam Questions and Answers 100% Pass Mrs. Jameson complains of unilateral blurry vision and partial blindness in the left eye. On PE, you find decreased peripheral vision on her left side. Funduscopic examination reveals cotton-wool spots. Your most likely diagnosis is A. cryptococcosis B. toxoplasmosis C. cytomegalovirus infection D. herpes simplex virus infection - Correct Answer ️️ -C Sickle cell anemia affects African Americans. Approximately 1 in 400 African Americans in the United States has sickle cell disease (SCD). Advances in treatment have been made, but life expectancy is still limited. The mean survival time for men with the disease is approximately A. 24 years B. 34 years C. 42 years D. 52 years - Correct Answer ️️ -C You suspect that your new client Doug, age 28, has hepatitis C although he is currently asymptomatic. Your suspicion is based on his medical history, which includes which of the following factors that has been identified as a red flag for this disease? A. History of GERD B. Diet high in fat and alcohol C. A history of mononucleosis at age 17 D. Unsafe sexual behaviors - Correct Answer ️️ -D Your client, George, age 60, presents with pruritus and complains of lymphadenopathy in his neck. He also complains of night sweats and has noticed a low-grade fever. He has not lost any weight and otherwise feels well. He is widowed and has been dating a new woman recently. On physical examination, you find enlarged supraclavicular nodes. You suspect: A. Lung cancer. B. Hodgkin's lymphoma. C. A lingering viral infection from a bout of flu he had 6 weeks ago. D. Non-Hodgkin's lymphoma. - Correct Answer ️️ -B Mindy, age 6, recently was discharged from the hospital after a sickle cell crisis. You are teaching her parents to be alert to the manifestations of splenic sequestration and tell them to be alert to A. vomiting and diarrhea B. decreased mental acuity C. abdominal pain, pallor, and tachycardia D. abdominal pain and vomiting - Correct Answer ️️ -C Your client Mrs. Young, age 64, is here to see you because she has pain in her left breast. She reports no pain in her right breast and no noted lesions or masses on breast self-exam, which she performs monthly. You know that A. at her age, you do not need to worry about breast cancer B. initial presentation of breast pain is usually not suspicious for a malignancy C. she must be sent for a mammogram as soon as possible D. she has no personal or family history of breast cancer; therefore, you are not concerned - Correct Answer ️️ -C Samantha is being given platelets because of acute leukemia. One "pack" of platelets should raise her count by how much? A. 2,000 to 4,000 mm3 B. 5,000 to 8,000 mm3 C. 9,000 to 12,000 mm3 D. About 15,000 mm3 - Correct Answer ️️ -B Sherri's blood work returns with a decreased mean cell volume (MCV) and a decreased mean cellular hemoglobin concentration (MCHC). What should you do next? A. Order a serum iron and total iron binding capacity (TIBC) B. Order a serum ferritin C. Order a serum folate level D. Order a serum iron, TIBC, and serum ferritin level - Correct Answer ️️ -D Robin has HIV and is having a problem with massive diarrhea. You suspect the cause is A. cryptococcosis B. toxoplasmosis C. cryptosporidiosis D. cytomegalovirus - Correct Answer ️️ -C Julia asks how smoking increases the risk for folic acid deficiency. You respond that smoking A. causes small-vessel disease and constricts all vessels that transport essential nutrients B. decreases vitamin C absorption C. affects the liver's ability to store folic acid D. causes nausea, thereby inhibiting the appetite and ingestion of foods rich in folic acid - Correct Answer ️️ -B Jimmy, age 6 months, is newly diagnosed with sickle cell disease. His mother brings him to the clinic for a well-baby visit. Which of the following should you do on this visit? A. Tell the parents that Jimmy will not be immunized because of his diagnosis. B. Tell the parents that Jimmy should not go to day care C. Immunize Jimmy with diphtheria, tetanus, and pertussis; Haemophilus influenzae type B (HIB); hepatitis B (HBV); and poliomyelitis vaccines D. Immunize Jimmy with measles, mumps, and rubella; HIB; and HBV vaccines only - Correct Answer ️️ -C Your client, Ms. Jones, has an elevated platelet count. You suspect A. systemic lupus erythematosus B. infectious mononucleosis C. disseminated intravascular coagulation (DIC) D. splenectomy - Correct Answer ️️ -D When a neonate is initially protected against measles, mumps, and rubella because the mother is immune, this is an example of which type of immunity? A. Natural active B. Artificial active C. Natural passive D. Artificial passive - Correct Answer ️️ -C One major approach to cancer prevention is A. Colonoscopy B. new drug trials C. Pap smears for women of all ages D. host modification - Correct Answer ️️ -D Allie, age 5, is being treated with radiation for cancer. Her mother asks about the effect radiation will have on Allie's future growth. Although she knows that a specialist will be handling Allie's care, her mother asks for your opinion. How do you respond? A. "Let's worry about the cancer first, then see how her growth is affected." B. "Chemotherapy may affect her future growth, but radiation will not." C. "She will probably have growth hormone problems, in which case she can then begin growth hormone therapy." D. "That's the least of your worries now; everything will turn out okay." - Correct Answer ️️ -C Maria, age 35, asks if being overweight predisposes her to cancer. How do you respond? A. "No, you have the same risk as a normal-weight individual." B. "You have less of a risk of cancer than normal-weight individuals because you have protein stores to combat mutant cells." C. "Yes, you have an increased risk for hormone-dependent cancers because of your obesity." D. "Yes, you have an increased risk because you have many more cells in all the organs of your body." - Correct Answer ️️ -C Your client Jeannie, age 64, comes to you complaining of tinnitus and lightheadedness without loss of consciousness. On PE, you note splenomegaly. To sort out your differential diagnosis, you order an alkaline phosphatase and vitamin B12 level because you are ruling out a diagnosis of A. liver cancer B. pancreatic cancer C. mononucleosis D. polycythemia vera - Correct Answer ️️ -D When Judy tells you that she has hemophilia, you know that A. both of her parents also have the disease B. her maternal grandfather probably had the disease and it skipped a generation C. her father had the disease and her mother was a carrier D. her mother had the disease - Correct Answer ️️ -C