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Hemo NR 511 EXAM QUESTIONS WITH COMPLETE SOLUTIONS
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Hemo NR 511 EXAM QUESTIONS WITH COMPLETE SOLUTIONS
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Hemo NR 511 EXAM QUESTIONS WITH COMPLETESOLUTIONS
A male patient presents to the emergency department
complaining of severe knee pain. He admits to social alcohol use
and a diet consisting of meat and fish. He states he has had no
trauma to his knee but the pain has been getting worse for 4
days. He notes warmth and erythema of the knee as well as
decreased range of motion. The patient's x-ray is negative. You
aspirate the patient's knee, and the fluid that is aspirated is
cloudy and thick. What would you see in the joint aspirate to
make a diagnosis of gout?
1.
A white blood cell count of 90 000.
2.
Negatively birefringent, needle-shaped crystals.
3.
Positively birefringent, needle-shaped crystals.
4.
Positive Lyme serology. Correct Answer Negatively
birefringent, needle-shaped crystals.
Age 15-year-old male presents to your office complaining of
fatigue, shortness of breath, and joint pain for 2 weeks. The
parent has blamed these symptoms on a "growth spurt." On
physical exam, you notice multiple areas of bruising. His throat
is not erythematous, and no exudates are seen. He has palpable
splenomegaly, and his rapid strep and mono tests are negative.
Which of the following is the most likely diagnosis?
1.
Acute lymphocytic leukemia (ALL).
,2.
Chronic myelogenous leukemia (CML).
3.
Acute myelogenous leukemia (AML).
4.
Chronic lymphocytic leukemia (CLL). Correct Answer Acute
lymphocytic leukemia (ALL).
age 16, Mandy's 16-year-old daughter has hepatitis A. Which of
the following statements made by Mandy indicates she
understands the teaching you've just completed?
1.
"I guess she needs to be hospitalized until she's recovered."
2.
"We'll keep her at home with strict isolation precautions."
3.
"We'll stop at the store and buy plastic eating utensils."
4.
"We'll stop at the drugstore and pick up prescription medications
immediately." Correct Answer "We'll stop at the store and buy
plastic eating utensils."
age 2, had a complete blood count (CBC) drawn at her last visit.
It indicates that she has a microcytic hypochromic anemia. What
should you do now at this visit?
1.
Obtain a lead level.
2.
Instruct Tina's parents to increase the amount of milk in her diet.
3.
, Start Tina on ferrous sulfate (Feosol) and check the CBC in 6
weeks.
4.
Recheck the CBC Correct Answer Obtain a lead level.
age 26, has AIDS and presents to the clinic with complaints of a
painful tongue covered with what look like creamy white,
curdlike patches overlying erythematous mucosa. You are able
to scrape off these "curds" with a tongue depressor, which
assists you in making which of the following diagnoses?
1.
Leukoplakia.
2.
Lichen planus.
3.
Oral candidiasis.
4.
Oral cancer. Correct Answer Oral candidiasis.
age 27, had her spleen removed after an automobile accident.
You are seeing her in the office for the first time since her
discharge from the hospital. She asks you how her surgery will
affect her in the future. How do you respond?
1.
"Your red blood cell production will be slowed."
2.
"Your lymphatic system may have difficulty transporting lymph
fluid to the blood vessels."
3.
"You'll have difficulty storing the nutritional agents needed to
make red blood cells."
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