DUNPHY - Hematological and Immunological Problems Questions and Answers 100% Pass

DUNPHY - Hematological and Immunological Problems Questions and Answers 100% Pass Sandra is 70 years old and has just been diagnosed with leukemia. She is complaining of bone and joint pain. Which type of leukemia is most likely the culprit? A. Acute lymphoblastic leukemia (ALL) B. Acute myelogenous leukemia (AML) C. Chronic myelogenous leukemia (CML) D. Chronic lymphocytic leukemia (CLL) - Correct Answer ️️ -D. Chronic lymphocytic leukemia (CLL) Which type of bone marrow transplant is obtained from an identical twin? A. Xenograft B. Autologous C. Allogeneic D. Syngeneic - Correct Answer ️️ -D. Syngeneic During treatment for anaphylaxis, which site is used for the initial injection of epinephrine? A. Antecubital vein B. Abdomen C. Upper lateral thigh D. Deltoid - Correct Answer ️️ -C. Upper lateral thigh After the initial treatment for anaphylaxis, which medication should be added to prevent late-phase anaphylactic reactions? A. Albuterol B. Diphenhydramine C. H2 blocker D. Corticosteroid - Correct Answer ️️ -D. Corticosteroid When analyzing synovial fluid, if it has 10,000 white blood cells/mcL with 80% polymorphonuclear neutrophils (PMNs), it may be indicative of which of the following conditions? A. None, this is a normal result B. Scleroderma C. Rheumatoid arthritis D. Sickle cell disease - Correct Answer ️️ -C. Rheumatoid arthritis Which of the following disease-modifying antirheumatic drugs is a folic acid antagonist? A. Methotrexate (Rheumatrex) B. Etanercept (Enbrel) C. Rituximab (Rituxan) D. Anakinra (Kineret) - Correct Answer ️️ -A. Methotrexate (Rheumatrex) Which statement about HIV postexposure prophylaxis (PEP) for health-care workers is the most accurate? A. PEP treatment regimens contain two antiretroviral medications. B. PEP should be started within 72 hours of exposure. C. PEP follow-up requires renal function tests at 6 weeks after beginning PEP. D. PEP will prevent potential hepatitis C infection, if present. - Correct Answer ️️ -B. PEP should be started within 72 hours of exposure. For which patient would the clinician recommend annual HIV testing? A. One who is in a mutually monogamous relationship that engages in anal sex B. One who is a migrant worker C. One who is diagnosed with viral hepatitis D. One who is pregnant with second child from another male - Correct Answer ️️ -C. One who is diagnosed with viral hepatitis Reuben, age 24, has HIV and just had a routine viral load test done. The results show a falling viral load. What does this indicate? A. A favorable prognostic trend B. Disease progression C. The need to be more aggressive with Reuben's medications D. Drug resistance mutations - Correct Answer ️️ -A. A favorable prognostic trend A patient with atrial fibrillation is taking warfarin (Coumadin) and has an international normalized ratio (INR) of 4.0 with no active bleeding. How should the clinician manage this patient? A. Stop the medication for 1 week, and then repeat the INR. B. Withhold 1 or more days of anticoagulant therapy. C. Restart therapy at a lower dose immediately. D. Slowly increase the dose over 3 days. - Correct Answer ️️ -B. Withhold 1 or more days of anticoagulant therapy. The patient with severe iron deficiency anemia is eating ice chips. Which term should the clinician use to document this finding? A. Cheilosis B. Anorexia C. Hypochromasia D. Pica - Correct Answer ️️ -D. Pica As a rule of thumb, the estimated level of hematocrit is how many times the value of the hemoglobin? A. Two B. Three C. Four D. Five - Correct Answer ️️ -B. Three