ADULT HEMA IMMUNE CHAPTER 17 DUNPHY WINLAND-BROWN
PORTER THOMAS
LATEST ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED
A+| ||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
,QUESTION 1: if the pt is conscious and without laryngospasm after the initial tx for
anaphylaxis what medication can you give to relieve cutaneous sxs
a. diphenhydramine ✔
b. ibuprofen
c. aspirin
d. lidocaine
■ CORRECT ANSWER: a. diphenhydramine pg 940
QUESTION 2: If the international normalized ratio (INR) result is above the therapeutic range
in a patient with atrial fibrillation on warfarin, what might the clinician do?
a. stop the warfarin for 1 week, and then repeat the INR.
b. withhold one or more days of anticoagulant therapy. ✔
c. restart therapy at a lower dose immediately.
d. the prothrombin time (PT) and INR should be reevaluated within 1 month of the
■ CORRECT ANSWER: b. withhold one or more days of anticoagulant therapy pg 907
QUESTION 3: which is larger? a hematoma or bruise pancreatitis, UTIs, and intracranial
pathology pg 908
■ CORRECT ANSWER: a hematoma pg 907
QUESTION 4: fevers in excess of 104F (40C) tend to be associated with URIs and some acute
viral syndromes pg 908
■ CORRECT ANSWER: pancreatitis, UTIs, and intracranial pathology pg 908
QUESTION 5: fevers between 101.3F (38.5C) and 104F (40C) tend to be associated with
hepatitis, some acute viral infections, and TB pg 908
■ CORRECT ANSWER: URIs and some acute viral syndromes pg 908
QUESTION 6: fevers less than 101.3 (38.5C) are characteristic of a fever greater than 101.3F
(38.5C) that occurs on at least three occasions in a 3- week period pg 908
■ CORRECT ANSWER: hepatitis, some acute viral infections, and TB pg 908
QUESTION 7: a fever of unknown origin (FUO) in an ambulatory pt is an unexplainable fever
that persists for one week pg 908
■ CORRECT ANSWER: pg 908
QUESTION 8: a fever of unknown origin (FUO) in a hospitalized pt is 3 or more extrainguinal
lymphadenopathies pg 908
, ■ CORRECT ANSWER: an unexplainable fever that persists for one week pg 908
QUESTION 9: an example of systemic lymphadenopathy is human immunodeficiency virus
infection, in which there may be iron deficiency pg 910
■ CORRECT ANSWER: 3 or more extrainguinal lymphadenopathies pg 908
QUESTION 10: what is one of the most common causes of microcytic anemias in the world?
every 4-6 months pg 915
■ CORRECT ANSWER: iron deficiency pg 910
QUESTION 11: how often should someone with mild iron deficiency be followed up? 1. iron
deficiency 2. anemia of chronic disease (ACD) 3. thalassemia 4. siderblastic anemia pg 910
■ CORRECT ANSWER: every 4-6 months pg 915
QUESTION 12: what are the four causes of microcytic anemia? serum ferritin, a value less
than 30mg/L is considered pathological pg 913 - correct answers-what is a reliable test of low
iron stores in a pt who does not have advanced liver disease? variable RBC size pg 913
■ CORRECT ANSWER: 4. siderblastic anemia pg 910
QUESTION 13: what is anisocytosis? variable RBC shape pg 913
■ CORRECT ANSWER: variable RBC size pg 913
QUESTION 14: what is poikilocytosis? a CBC and Hgb electrophoresis pg 913
■ CORRECT ANSWER: variable RBC shape pg 913
QUESTION 15: what tests are required to determine thalassemia? by a Prussian blue stain of
a bone marrow aspirate pg 913
■ CORRECT ANSWER: a CBC and Hgb electrophoresis pg 913
QUESTION 16: how is sideroblastic anemia dx? 1. vitamin B12 deficiency 2. folate deficiency
3. antimetabolite drugs such as methotrexate 4. miscellanceous etiologies pg 919
■ CORRECT ANSWER: by a Prussian blue stain of a bone marrow aspirate pg 913
QUESTION 17: what are the four general categories of cause of macrocytic anemia? vitamin
B12 deficiency alone pg 921
■ CORRECT ANSWER: 4. miscellanceous etiologies pg 919
PORTER THOMAS
LATEST ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED
A+| ||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
,QUESTION 1: if the pt is conscious and without laryngospasm after the initial tx for
anaphylaxis what medication can you give to relieve cutaneous sxs
a. diphenhydramine ✔
b. ibuprofen
c. aspirin
d. lidocaine
■ CORRECT ANSWER: a. diphenhydramine pg 940
QUESTION 2: If the international normalized ratio (INR) result is above the therapeutic range
in a patient with atrial fibrillation on warfarin, what might the clinician do?
a. stop the warfarin for 1 week, and then repeat the INR.
b. withhold one or more days of anticoagulant therapy. ✔
c. restart therapy at a lower dose immediately.
d. the prothrombin time (PT) and INR should be reevaluated within 1 month of the
■ CORRECT ANSWER: b. withhold one or more days of anticoagulant therapy pg 907
QUESTION 3: which is larger? a hematoma or bruise pancreatitis, UTIs, and intracranial
pathology pg 908
■ CORRECT ANSWER: a hematoma pg 907
QUESTION 4: fevers in excess of 104F (40C) tend to be associated with URIs and some acute
viral syndromes pg 908
■ CORRECT ANSWER: pancreatitis, UTIs, and intracranial pathology pg 908
QUESTION 5: fevers between 101.3F (38.5C) and 104F (40C) tend to be associated with
hepatitis, some acute viral infections, and TB pg 908
■ CORRECT ANSWER: URIs and some acute viral syndromes pg 908
QUESTION 6: fevers less than 101.3 (38.5C) are characteristic of a fever greater than 101.3F
(38.5C) that occurs on at least three occasions in a 3- week period pg 908
■ CORRECT ANSWER: hepatitis, some acute viral infections, and TB pg 908
QUESTION 7: a fever of unknown origin (FUO) in an ambulatory pt is an unexplainable fever
that persists for one week pg 908
■ CORRECT ANSWER: pg 908
QUESTION 8: a fever of unknown origin (FUO) in a hospitalized pt is 3 or more extrainguinal
lymphadenopathies pg 908
, ■ CORRECT ANSWER: an unexplainable fever that persists for one week pg 908
QUESTION 9: an example of systemic lymphadenopathy is human immunodeficiency virus
infection, in which there may be iron deficiency pg 910
■ CORRECT ANSWER: 3 or more extrainguinal lymphadenopathies pg 908
QUESTION 10: what is one of the most common causes of microcytic anemias in the world?
every 4-6 months pg 915
■ CORRECT ANSWER: iron deficiency pg 910
QUESTION 11: how often should someone with mild iron deficiency be followed up? 1. iron
deficiency 2. anemia of chronic disease (ACD) 3. thalassemia 4. siderblastic anemia pg 910
■ CORRECT ANSWER: every 4-6 months pg 915
QUESTION 12: what are the four causes of microcytic anemia? serum ferritin, a value less
than 30mg/L is considered pathological pg 913 - correct answers-what is a reliable test of low
iron stores in a pt who does not have advanced liver disease? variable RBC size pg 913
■ CORRECT ANSWER: 4. siderblastic anemia pg 910
QUESTION 13: what is anisocytosis? variable RBC shape pg 913
■ CORRECT ANSWER: variable RBC size pg 913
QUESTION 14: what is poikilocytosis? a CBC and Hgb electrophoresis pg 913
■ CORRECT ANSWER: variable RBC shape pg 913
QUESTION 15: what tests are required to determine thalassemia? by a Prussian blue stain of
a bone marrow aspirate pg 913
■ CORRECT ANSWER: a CBC and Hgb electrophoresis pg 913
QUESTION 16: how is sideroblastic anemia dx? 1. vitamin B12 deficiency 2. folate deficiency
3. antimetabolite drugs such as methotrexate 4. miscellanceous etiologies pg 919
■ CORRECT ANSWER: by a Prussian blue stain of a bone marrow aspirate pg 913
QUESTION 17: what are the four general categories of cause of macrocytic anemia? vitamin
B12 deficiency alone pg 921
■ CORRECT ANSWER: 4. miscellanceous etiologies pg 919
