ACTUAL Questions and CORRECT
Answers
CBC Lab Values - CORRECT ANSWER - Complete Blood Count to determine any blood
dyscrasias
RBC 3.6-5.4
MCV, MCH, MCHC, RDW
WBC with Differential - CORRECT ANSWER - looking (FOUR) neutrophil 47-63%
lymphocytes 24-40%
platelets 150,000-400,000
Erythropoietin - CORRECT ANSWER - A hormone secreted from the kidney to trigger the
bone to make more blood components
Thrombopoietin - CORRECT ANSWER - The hormone involved in the creation of blood
platelets
Hematocrit - CORRECT ANSWER - 37-50% normal Lab Value range
the percentage of RBC in whole blood
life threatening-
<15% too low
>60% too high
Hemoglobin - CORRECT ANSWER - 12-16.5 Normal Lab Value for the amount of
oxygen binding protein molecules found in RBC
,cytosis vs. openia - CORRECT ANSWER - words ending in cytosis (high) is the making
of
openia is the breaking of (low)
S/S Internal Bleeding - CORRECT ANSWER - Low BP
tachycardia
hypoxia
tachypnea
SHARP at bleeding site
S/S Anemia - CORRECT ANSWER - Pain
Pallor
Tachycardia
Tachypnea
Hypoxia
Fatigue
Anemia - CORRECT ANSWER - loss of RBC, Hgb, or loss of whole blood due to
bleeding
Polycythemia - CORRECT ANSWER - increase in RBC
primary: autosomal inheritance
secondary:
physiologic response to chronic hypoxia
Secondary Polycythemia Vera - CORRECT ANSWER - Sleep apnea, COPD, stress,
smoking, dehydration, renal cell carcinoma, Heart Failure, Pulmonary disease, High altitude
, S/S Polycythemia Vera - CORRECT ANSWER - reduced blood flow, plethora (ruddy
complexion), fatigue, dizzy, headache
Tx Polycythemia Vera - CORRECT ANSWER - blood removal and phosphate radiation
Multiple Myeloma - CORRECT ANSWER - cancer in B-cells that stop making antibodies
and start making different proteins in response to the immune system need- makes 1 protein (M-
protein) these accumulate (plasmacytomas) can erode hard outer shell of bone
Multiple Myeloma Patholophysiology - CORRECT ANSWER - skeletal or soft tissue
tumors, Bone pain and pathological fractues
hypercalcemia because of eroding bones
tumor markers- M- protein in serum and Bence-Jones proteins in Urine
early diagnosis- 3-5 year survival
late diagnosis- 50% die in 3 months, 90% in 2 years
Hodgkin's Lymphoma - CORRECT ANSWER - caused by abnoraml chromosomal pattern
Reed-sternberg abnormal cell
mostly 20-30 yo or sometimes 60-70 yo
extra nodal involvment is uncommon
symptoms-painless masses, weight loss
curability- 90%
treatment- radiation, chemotherapy, immunotherapy, bone marrow transplant
Non-Hodgkin's lymphoma - CORRECT ANSWER - Occurs in immunosuprresed people
T-lymphocytes