Ch15 Hematological and Immune System Verified Test Bank

Chapter 15 Hematological and Immune System Disorders

Multiple Choice

1. Hematological and immune systems disorders are sometimes complicated because the

manifestations may appear in different organ systems. A complete detailed history, diagnostic testing, and which of the following must be performed for diagnosis?

1. Cognitive assessment

2. Ethnicity assessment

3. Patient education

4. Physical examination

2. To complete hematological assessment, a diagnostic should be performed. Which of the following should be tested to assess for blood loss or blood cell destruction?

1. Hemoglobin electrophoresis

2. Reticulocyte count

3. Vitamin B₁₂ and folate levels

4. Ferritin

3. Ellen is a 57-year-old woman diagnosed with iron-deficiency anemia (IDA). Her physician orders further diagnostic tests to rule out which of the following?

1. HIV

2. Malignancy

3. Gastritis

4. Stroke

4. Which of the following conditions has the presentation of increased platelet destruction by the

immune system?

1. ITP

2. CLL

3. ALL

4. AML

5. Jonathan was brought in to urgent care by his mother for symptoms of pain, frequent nosebleeds, weakness, and shortness of breath. Complete blood count (CBC) with differential and platelet count and a comprehensive chemistry panel were done. From which of the following conditions may Jonathan be suffering?

1. ITP

2. CLL

3. ALL

4. AML

6. The treatment of acute lymphoblastic leukemia (ALL) consists of the control of bone marrow

and systemic disease. Which of the following therapies eliminates any leukemic cells that may remain?

1. Consolidation therapy

2. Maintenance therapy

3. Induction remission

4. Central nervous system (CNS) prophylaxis

7. Acute myeloid leukemia (AML) is a rare and diverse group of diseases. Which of the

following statements is true regarding AML?

1. AML has no CNS involvement.

2. Laboratory evaluation includes urinalysis.

3. Initial work-up is to assess and characterize the disease based on prior exposure.

4. Comorbidities do not apply in the diagnosis of AML.

8. Which of the following medical providers is responsible for the early components of diagnostic work-up?

1. Primary care provider (PCP)

2. Anesthesiologist

3. Surgeon

4. Pulmonologist

Multiple Response

9. IDA is multifactorial and is common in men 65 years and older. Patients

present symptoms of nonspecific fatigue and/or weakness, dizziness, and shortness of breath. Which of the following are the contributing factors for IDA in older adults? Select all that apply.

1. Inadequate diet

2. Peptic ulcer disease

3. Malabsorption syndromes

4. Podiatric surgery

5. Weight gain

10. Tanya came in for an office visit due to recurrent epistaxis. She also has a diagnosis of

systemic lupus erythematosus. CBC with peripheral blood smear was performed and confirmed that she has idiopathic thrombocytopenic purpura (ITP). Which of the following is true relating to the condition of ITP? Select all that apply.

1. ITP affects women more than men.

2. ITP is more common in children.

3. ITP etiology is known.

4. Patients 65 years or older have a higher risk of bleeding and mortality.

5. Asians are at higher risk for developing ITP.

11. Which of the following are contributing factors for ALL? Select all that apply.

1. Cancer

2. Chronic inflammation

3. Radiation exposure

4. Inherited syndromes

5. Smoking

12. Signs and symptoms of ALL are nonspecific. Patients with ALL may also present with which of these additional symptoms? Select all that apply.

1. Joint stiffness

2. Enlarged lymph nodes

3. Joint pain

4. Swelling in the abdomen

5. Impaired speech

13. AML is a condition more common in older adults age 67 years and older. Which of the following contributing factors increases the risk of the development of AML? Select all that apply.

1. Smoking

2. Blood disorder

3. African American ethnicity

4. Traumatic brain injury (TBI)

5. Genetic syndromes

14. Which of the following conditions may be a possible differential diagnosis for AML? Select all that apply.

1. Anemia

2. Myelophthisis

3. Meningitis

4. Bone marrow failure

5. Subdural hematoma

15. Martin is a 75-year-old patient diagnosed with chronic lymphatic leukemia (CLL). Which of

the following statements is true relating to CLL? Select all that apply.

1. CLL is a rare type of adult leukemia in the Western world.

2. CLL is a disease of the older adult.

3. CLL manifests symptoms of fatigue, feeling of fullness in the abdomen, and weight loss.

4. CLL is more likely to be found in men than in women.

5. CLL treatment is divided into induction and post-remission or consolidation therapy.

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