WHNP Patho Exam #3 Questions and Answers (100% Pass)
Which of the following is a true statement?
A. In a transfusion reaction there is agglutination of the donor blood
B. Shutdown of the kidneys following a transfusion reaction takes several weeks
C. Blood transfusion of Rh+ blood into any Rh- recipient will always result in an
transfusion reaction
D. A person with type O blood is considered a universal donor - ✔️✔️A. In a transfusion
reaction there is agglutination of the donor blood
A 52-year-old female with type 1 diabetes has had progressive renal failure over the
past three years. She is not on dialysis and her examination shows no abnormalities.
Her hemoglobin level is 9 g/dL, hematocrit is 29%, and mean corpuscular volume is 92
fL, and a blood smear shows normocytic, normochromic cells. Which of the following is
the most likely cause of the anemia?
A. Acute blood loss
B. Pernicious anemia
C. Sickle cell disease
D. Erythropoietin deficiency
E. Hemolytic anemia
F. Polycythemia vera - ✔️✔️D. Erythropoietin deficiency
Which of the following anemias has normocytic RBCs?
D. Anemia of chronic disease - ✔️✔️A. Hemolytic anemia
A healthy 3-year-old girl is brought to the emergency department because of severe
uncontrolled nosebleed. She has a history of ear infections that have improved after
treatment. Her temperature is elevated. She has numerous small bruises on her arms
and legs. Her laboratory studies show: Hemoglobin 4.6 g/dLLeukocyte count
3,000/mm3 Reticulocyte count 0.1%Platelet count 12,000/mm3Which of the following is
the most likely explanation for these findings?
A. Anemia due to blood loss
B. Aplastic anemia
C. Sickle cell disease
D. Mononucleosis - ✔️✔️B. Aplastic anemia
In the 5 month (middle trimester) fetus hematopoiesis is most active in the:
A. Yolk sac
B. Spleen
C. Liver
D. Bone marrow - ✔️✔️C. Liver
8. Following the donation of a unit of blood, how long before hematocrit begins to
increase?
A. One hour
B. Two hours
C. 24 hours
D. Five days
E. Two weeks - ✔️✔️D. Five days
How would a cell that has a diameter of 9 m and an MCV of 106 be classified?
D. Either normal or slightly microcytic - ✔️✔️A. Macrocyte
What are the laboratory findings in polycythemia vera?
A. Decreased hemoglobin and/or hematocrit, increased RBCs and granulocytes,
decreased platelets
B. Increased hemoglobin and/or hematocrit; increased RBCs, granulocytes, and
platelets
C. Normal hemoglobin and hematocrit, normal RBCs, increased granulocytes and
platelets
D. Increased hemoglobin and/or hematocrit, increased RBCs, decreased granulocytes
and platelets - ✔️✔️B. Increased hemoglobin and/or hematocrit; increased RBCs,
granulocytes, and platelets
Regarding erythropoietin, choose the correct answer:
A. Erythropoietin is mainly secreted by the liver
B. Injection of erythropoietin leads to a rapid increase in the number of circulating red
blood cells within the next 48 hours
C. Excessive exposure to x-rays with destruction of the bone marrow leads to an
increased erythropoietin secretion
D. Erythropoietin also acts on the spleen by decreasing red blood cell destruction -
✔️✔️C. Excessive exposure to x-rays with destruction of the bone marrow leads to an
increased erythropoietin secretion
What is the safest and least expensive treatment for patients with polycythemia vera?
A. High altitude
3
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