MS1 Exam 2 UPDATED ACTUAL Exam
Questions and CORRECT Answers
What are the functions of the hematologic system? - CORRECT ANSWER -
Transportation of nutrients and O2
Regulation of pathogens; WBCs are sent to attack invaders
Protection against infections
What systems are involved in the Hematological system? - CORRECT ANSWER -
Kidneys
Bone marrow
Blood
Spleen
Liver
Where does Hematopoiesis occur? - CORRECT ANSWER - Bone marrow
Bone Marrow biopsy is not a sterile procedure.
True/False - CORRECT ANSWER - False.
Bone marrow biopsy is a sterile procedure.
What signals bone marrow to make RBCs? - CORRECT ANSWER - Kidneys.
What medication is given if the patient has anemia caused by low Erythopoetin? - CORRECT
ANSWER - Epoetin Alfa
Procrit
Erythopoetin
,Anemia is caused by - CORRECT ANSWER - Low RBC
Neutropenia is caused by - CORRECT ANSWER - Low WBC
Thrombocytopenia is caused by - CORRECT ANSWER - low platelets
What is the main assessment finding you will find in your patient that has Sickle cell anemia? -
CORRECT ANSWER - Pain
What is the pathology of Sickle Cell Anemia? - CORRECT ANSWER - Decrease
RBC/Hematocit
C shaped RBC
What are the risk factors of Sickle Cell Anemia? - CORRECT ANSWER - Triggers: stress,
infection, respiratory event
What is the most common infection that you will see in a patient with Sickle Cell Anemia? -
CORRECT ANSWER - Pneumonia
What interventions will we do with a patient who has Sickle Cell Anemia? - CORRECT
ANSWER - Give O2, Fluids/packed RBCs, pain relief
Prevention is key!
What is the pathology of Hemolytic Anemia? - CORRECT ANSWER - Destruction of
RBCs exceeds the production of RBCs
What are the risk factors of Hemolytic Anemia? - CORRECT ANSWER - genetics
DIC
,Autoimmune
What is our main focus in a patient with Hemolytic Anemia? - CORRECT ANSWER -
Maintain renal function
What interventions will we do with a patient who has Hemolytic Anemia? - CORRECT
ANSWER - Fluids
monitor urine output/I&O
Daily weights
Monitor BUN/Creatinine
What assessments will you see in a patient who has Hemolytic Anemia? - CORRECT
ANSWER - Jaundice (Increase destruction= increase bilirubin)
Splenomegaly (enlarged spleen)
Fatigue
Dyspnea
What is the pathology of Neutropenia? - CORRECT ANSWER - Decrease WBC of <1500
Patients with Neutropenia are at risk for? - CORRECT ANSWER - infections; can turn
septic fast
How do we diagnose Neutropenia? - CORRECT ANSWER - WBC count
ANC (absolute neutrophil count)
What is the pathology of Thrombocytopenia? - CORRECT ANSWER - Decrease in
platelets <150
, What are patients who have thrombocytopenia at risk for? - CORRECT ANSWER -
Bleeding
What will we assess for in patients who have thrombocytopenia? - CORRECT ANSWER -
bleeding gums
hemorrhages in eyes (bloodshot eyes)
Bruise easily
Petechia
Red urine
What are Diathrodial/synovial bones? - CORRECT ANSWER - freely moveable (hinge,
ball in socket)
shoulder/hip, pivot, condyloid, saddle
What are amphiarthrotic bones? - CORRECT ANSWER - slightly moveable
What are synarthrotic bones? - CORRECT ANSWER - immovable
Ligaments are defined as? - CORRECT ANSWER - bone to bone
Tendons are defined as - CORRECT ANSWER - muscle to bone
joints are defined as? - CORRECT ANSWER - where the ends of 2 bones are in proximity
and move in relation to one another
What are the general assessments you will look for in relation to the musculoskeletal system? -
CORRECT ANSWER - ability to perform ADLs
Current/past medical history
previous musculoskeletal injuries
Questions and CORRECT Answers
What are the functions of the hematologic system? - CORRECT ANSWER -
Transportation of nutrients and O2
Regulation of pathogens; WBCs are sent to attack invaders
Protection against infections
What systems are involved in the Hematological system? - CORRECT ANSWER -
Kidneys
Bone marrow
Blood
Spleen
Liver
Where does Hematopoiesis occur? - CORRECT ANSWER - Bone marrow
Bone Marrow biopsy is not a sterile procedure.
True/False - CORRECT ANSWER - False.
Bone marrow biopsy is a sterile procedure.
What signals bone marrow to make RBCs? - CORRECT ANSWER - Kidneys.
What medication is given if the patient has anemia caused by low Erythopoetin? - CORRECT
ANSWER - Epoetin Alfa
Procrit
Erythopoetin
,Anemia is caused by - CORRECT ANSWER - Low RBC
Neutropenia is caused by - CORRECT ANSWER - Low WBC
Thrombocytopenia is caused by - CORRECT ANSWER - low platelets
What is the main assessment finding you will find in your patient that has Sickle cell anemia? -
CORRECT ANSWER - Pain
What is the pathology of Sickle Cell Anemia? - CORRECT ANSWER - Decrease
RBC/Hematocit
C shaped RBC
What are the risk factors of Sickle Cell Anemia? - CORRECT ANSWER - Triggers: stress,
infection, respiratory event
What is the most common infection that you will see in a patient with Sickle Cell Anemia? -
CORRECT ANSWER - Pneumonia
What interventions will we do with a patient who has Sickle Cell Anemia? - CORRECT
ANSWER - Give O2, Fluids/packed RBCs, pain relief
Prevention is key!
What is the pathology of Hemolytic Anemia? - CORRECT ANSWER - Destruction of
RBCs exceeds the production of RBCs
What are the risk factors of Hemolytic Anemia? - CORRECT ANSWER - genetics
DIC
,Autoimmune
What is our main focus in a patient with Hemolytic Anemia? - CORRECT ANSWER -
Maintain renal function
What interventions will we do with a patient who has Hemolytic Anemia? - CORRECT
ANSWER - Fluids
monitor urine output/I&O
Daily weights
Monitor BUN/Creatinine
What assessments will you see in a patient who has Hemolytic Anemia? - CORRECT
ANSWER - Jaundice (Increase destruction= increase bilirubin)
Splenomegaly (enlarged spleen)
Fatigue
Dyspnea
What is the pathology of Neutropenia? - CORRECT ANSWER - Decrease WBC of <1500
Patients with Neutropenia are at risk for? - CORRECT ANSWER - infections; can turn
septic fast
How do we diagnose Neutropenia? - CORRECT ANSWER - WBC count
ANC (absolute neutrophil count)
What is the pathology of Thrombocytopenia? - CORRECT ANSWER - Decrease in
platelets <150
, What are patients who have thrombocytopenia at risk for? - CORRECT ANSWER -
Bleeding
What will we assess for in patients who have thrombocytopenia? - CORRECT ANSWER -
bleeding gums
hemorrhages in eyes (bloodshot eyes)
Bruise easily
Petechia
Red urine
What are Diathrodial/synovial bones? - CORRECT ANSWER - freely moveable (hinge,
ball in socket)
shoulder/hip, pivot, condyloid, saddle
What are amphiarthrotic bones? - CORRECT ANSWER - slightly moveable
What are synarthrotic bones? - CORRECT ANSWER - immovable
Ligaments are defined as? - CORRECT ANSWER - bone to bone
Tendons are defined as - CORRECT ANSWER - muscle to bone
joints are defined as? - CORRECT ANSWER - where the ends of 2 bones are in proximity
and move in relation to one another
What are the general assessments you will look for in relation to the musculoskeletal system? -
CORRECT ANSWER - ability to perform ADLs
Current/past medical history
previous musculoskeletal injuries
