DUNPHY - HEMATOLOGICAL AND IMMUNOLOGICAL
PROBLEMS EXAM QUESTIONS WITH CORRECT VERIFIED
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After returning from visiting his grandchildren in Connecticut, George, age
59, complains of a flulike illness, including fever, chills, and myalgia. He
reports having discovered a rash or red spot that grew in size on his right
leg. Which disease should the clinician be considering?
A. Rubella
B. Lyme disease
C. Fibromyalgia syndrome
D. Shingles - ANS ✓B. Lyme disease
Dryness of the eyes and mouth is typical of which condition?
A. Sjögren's syndrome
B. Allergic reaction
C. Hypothyroidism
D. Sideroblastic anemia - ANS ✓A. Sjögren's syndrome
Exposure to ultraviolet (UV)-B and UV-A rays is a triggering factor for acute
exacerbations of which condition?
A. Rheumatoid arthritis
B. Gout
C. Systemic lupus erythematosus
D. Sjögren's syndrome - ANS ✓C. Systemic lupus erythematosus
What is the current goal of treatment for a patient with HIV infection?
A. Viral suppression to undetectable levels
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B. Compete eradication of the virus
C. Limit contact with uninfected individuals
D. Total abstinence - ANS ✓A. Viral suppression to undetectable levels
Which test should the clinician use to initially screen for HIV?
A. Western blot
B. Enzyme-linked immunosorbent assay
C. HIV-1/2 antigen/antibody combination immunoassay
D. Nucleic acid amplification testing - ANS ✓C. HIV-1/2 antigen/antibody
combination immunoassay
Which lab test would the clinician order to monitor for a significant side
effect from tenofovir disoproxil fumarate?
A. Urine protein
B. Allele genetic testing
C. Sodium level
D. Hemoglobin - ANS ✓A. Urine protein
Which drug category of antiretroviral (ARV) therapy is generally effective
in crossing the blood-brain barrier and may be useful in managing HIV-
associated dementia?
A. Nucleoside reverse transcriptase inhibitors
B. Protease inhibitors
C. Integrase inhibitors
D. Nonnucleoside reverse transcriptase inhibitors - ANS ✓D. Nonnucleoside
reverse transcriptase inhibitors
Spontaneous bruising may be seen with platelet counts below what level?
A. 100,000 cells/mL
B. 75,000 cells/mL
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