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DUNPHY - HEMATOLOGICAL AND IMMUNOLOGICAL PROBLEMS
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DUNPHY - HEMATOLOGICAL AND IMMUNOLOGICAL PROBLEMS
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DUNPHY - HEMATOLOGICAL AND IMMUNOLOGICALPROBLEMS
Sandra is 70 years old and has just been diagnosed with leukemia. She is complaining
of bone and joint pain. Which type of leukemia is most likely the culprit?
A. Acute lymphoblastic leukemia (ALL)
B. Acute myelogenous leukemia (AML)
C. Chronic myelogenous leukemia (CML)
D. Chronic lymphocytic leukemia (CLL) - Answers- D. Chronic lymphocytic leukemia
(CLL)
Which type of bone marrow transplant is obtained from an identical twin?
A. Xenograft
B. Autologous
C. Allogeneic
D. Syngeneic - Answers- D. Syngeneic
During treatment for anaphylaxis, which site is used for the initial injection of
epinephrine?
A. Antecubital vein
B. Abdomen
C. Upper lateral thigh
D. Deltoid - Answers- C. Upper lateral thigh
After the initial treatment for anaphylaxis, which medication should be added to prevent
late-phase anaphylactic reactions?
A. Albuterol
B. Diphenhydramine
C. H2 blocker
D. Corticosteroid - Answers- D. Corticosteroid
When analyzing synovial fluid, if it has 10,000 white blood cells/mcL with 80%
polymorphonuclear neutrophils (PMNs), it may be indicative of which of the following
conditions?
A. None, this is a normal result
B. Scleroderma
C. Rheumatoid arthritis
D. Sickle cell disease - Answers- C. Rheumatoid arthritis
Which of the following disease-modifying antirheumatic drugs is a folic acid antagonist?
A. Methotrexate (Rheumatrex)
B. Etanercept (Enbrel)
C. Rituximab (Rituxan)
D. Anakinra (Kineret) - Answers- A. Methotrexate (Rheumatrex)
, Which statement about HIV postexposure prophylaxis (PEP) for health-care workers is
the most accurate?
A. PEP treatment regimens contain two antiretroviral medications.
B. PEP should be started within 72 hours of exposure.
C. PEP follow-up requires renal function tests at 6 weeks after beginning PEP.
D. PEP will prevent potential hepatitis C infection, if present. - Answers- B. PEP should
be started within 72 hours of exposure.
For which patient would the clinician recommend annual HIV testing?
A. One who is in a mutually monogamous relationship that engages in anal sex
B. One who is a migrant worker
C. One who is diagnosed with viral hepatitis
D. One who is pregnant with second child from another male - Answers- C. One who is
diagnosed with viral hepatitis
Reuben, age 24, has HIV and just had a routine viral load test done. The results show a
falling viral load. What does this indicate?
A. A favorable prognostic trend
B. Disease progression
C. The need to be more aggressive with Reuben's medications
D. Drug resistance mutations - Answers- A. A favorable prognostic trend
A patient with atrial fibrillation is taking warfarin (Coumadin) and has an international
normalized ratio (INR) of 4.0 with no active bleeding. How should the clinician manage
this patient?
A. Stop the medication for 1 week, and then repeat the INR.
B. Withhold 1 or more days of anticoagulant therapy.
C. Restart therapy at a lower dose immediately.
D. Slowly increase the dose over 3 days. - Answers- B. Withhold 1 or more days of
anticoagulant therapy.
The patient with severe iron deficiency anemia is eating ice chips. Which term should
the clinician use to document this finding?
A. Cheilosis
B. Anorexia
C. Hypochromasia
D. Pica - Answers- D. Pica
As a rule of thumb, the estimated level of hematocrit is how many times the value of the
hemoglobin?
A. Two
B. Three
C. Four
D. Five - Answers- B. Three
Which classic rash should the clinician assess for in a patient with SLE?
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