Clin Skills Heme/Onc pt 2

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1.
1 point
a pt presents with N/V/bloody D, abdominal pain, confusion, small bruises in the mouth, hematuria, fatigue and pale skin. a CBC shows shistocytes, burr cells and helmet cells. CMP shows elevated LDH and indirect bilirubin. what is your method of treatment?
2.
1 point
a pt with diagnosed von Willebrands Dz. has what problems with there clotting factors?
3.
1 point
the most commonly used radionuclide
4.
1 point
this is a slowly progressing cancer that starts inside the bone marrow. it leads to an uncontrolled growth of immature culls that create a certain type of WBC. Most people have a gene mutation called the "Philadelphia chromosome"
5.
1 point
what is the ESSENTIAL test or lab result when working with a patient diagnosed with hemolytic anemia?
6.
1 point
hemophilia A deals with what co-factor?
7.
1 point
From review book: 5 days following a blood transfusion of 2 units packed RBC's, a pt complains of fever, chills, nausea and myalgias. What is the recommended management?
8.
1 point
a 9 y/o African American boy presents with acute pain in his hands, fever swelling, tenderness, N/V and tachypnea. you see Hgb-S on the Hgb electrophoresis with a Hct of 24%. this boy is obviously (i hope) suffering from
9.
1 point
one of the most common and potential life threatening causes of non-immune peripheral platelet destruction
10.
1 point
which form of sodium iodide is the form that kills cells
11.
1 point
what is the most common type of acute leukemia in adults?
12.
1 point
a VQ scan is typically used for all of the following except...
13.
1 point
in steps to diagnose AML, which of the following labs in not necessary to order?
14.
1 point
the most common nuclear medcine scan is
15.
1 point
what is not an application of a brain perfusion scan
16.
1 point
a 32 y/o female presents complaining of fatigue, fever, bone pain, bruising and weight loss. while preforming a PE on her you notice hepatosplenomegaly and lymphadenopathy. After running some labs that you see mediastinal mass on the xray, elevated LDH, 20-30% lymphoblast in the bone marrow and the CBC reports normochromic, normocytic anemia, neutropenia and thrombocytopenia. this pt is suffering from....
17.
1 point
From review book: A 25 y/o female with sickle cell trait plans to participate in a marathon in Mexico City. What symptom related to this trait is she most likely to experience?
18.
1 point
From review book: a 72 y/o presents with fatiuge, dyspnea and angina. PE reveals pale conjunctiva, a grade II pulmonary flow murmur, glossitis, and decreased vibratory sensation in the lower extremity. CBC shows macrocytic indices and pancytopenia with macro-ovalocytes and hypersegmented neutrophils. Retic count is less than 2%. what is the most likely dx?
19.
1 point
a pt presents with severe exhaustion that has increased over the past 3 months. he has had spontaneous bleeding and is pale looking. history reveals that the pt is madly in love with mac and cheese and only adds green food coloring so he can tell his mom that he "eats his greens." on exam, the pt has a beefy red tongue. a cbc shows hypersegmented neutrophils. what is this pt suffering from?
20.
1 point
what test checks for biliary obstruction, D.D. of biliary atresia and neonatal hepatitis, bile leakage.
21.
1 point
while performing a cardiac perfusion scan you notice low blood flow to the anterior wall of the heart but reperfusion at rest, what is this called?
22.
1 point
which of the following is not one of the "classic pentad" findings in thrombotic thrombocytopenia purpura
23.
1 point
an advantages of nuclear medicine would be
24.
1 point
dDAVP IV or nasal spray is used in treatment of...