Full Test Bank Blood and Lymph Systems Chapter 8

Acquiring Medical Language, 2e (Jones)

Chapter 8 The Blood and Lymphatic Systems — Hematology and Immunology

1) What are the three main types of cells in the blood?

A) Erythrocytes, leukocytes, and thrombocytes

B) Immunoglobulins, platelets, and vessels

C) Leukopenia, lymphopenia, and neutropenia

D) Lymphocyts, myelocytes, and immunoglobulin

E) Neutrophils, basophils, and eosinophils

2) Which of the following is NOT a true statement about the lymphatic system?

A) Lymph nodes and the spleen act as filters in the body, filtering out dangerous things like infectious agents and cancerous cells.

B) Lymph vessels carry immune proteins to all parts of the body.

C) The lymph system consists of the lymph vessels, lymph nodes, tonsils, spleen, and thymus.

D) The lymphatic system is the body's primary method of communication, keeping all systems linked to one another.

E) The lymphatic system provides constant protection by repairing injuries and fighting infections.

3) Which word part refers to the blood's ability to form clots?

A) coagul/o

B) cyt/o

C) hemat/o

D) thromb/o

E) -penia

4) Which root refers to the bone marrow?

A) hemat/o

B) my/o

C) myel/o

D) oste/o

E) ven/o

5) Which root is used to refer to the thymus?

A) myel/o

B) splen/o

C) thym/o

D) thyr/o

E) ven/o

6) Which root is used to refer to a vein?

A) coagul/o

B) cyt/o

C) hemat/o

D) lymph/o

E) ven/o

7) Choose the correct translation of the root phleb/o.

A) Blood

B) Blood condition

C) Clotting

D) Deficiency

E) Vein

8) Choose the correct translation of the root hemat/o.

A) Blood

B) Blood condition

C) Clotting

D) Deficiency

E) Vein

9) Choose the correct translation of the suffix - penia.

A) Blood

B) Blood condition

C) Clotting

D) Deficiency

E) Vein

10) Which of the following roots is NOT part of the lymph system?

A) cyt/o

B) lymph/o

C) splen/o

D) thym/o

E) tonsill/o

11) Identify and define the root in the medical term hemoptysis.

A) hem break

B) hemo blood

C) op eye

D) ptysis coughing

E) is condition

12) Identify and define the roots in the medical term lymphoblastic leukemia.

A) lympho lymph

B) leuk white

C) emia blood condition

D) All of these

E) None of these

13) Identify and define the root in the medical term thromboplastin.

A) thro before

B) thrombo clot

C) op eye

D) plastin reconstruction

E) in cell

14) Identify and define the root in the medical term anisocytosis.

A) an not

B) iso isolated; alone

C) cyt cell

D) osis condition

E) is pertaining to

15) Identify the correct pronunciation of the medical term lymphangitis.

A) LAIM-fan-GAI-tis

B) LAIM-fan-JAI-tis

C) LAIM-pan-GAI-tis

D) LIM-fan-JAI-tis

E) LIM-pan-GAI-tis

16) Identify the correct pronunciation of the medical term elliptocyte.

A) ee-lip-toh-KAIT

B) ee-LIP-toh-SAIT

C) el-aip-tuh-KAIT

D) el-ihp-tuh-SAIT

17) Which is the correct breakdown of the medical term elliptocytosis into its component parts?

A) ellipto/cytosis

B) ellipto/cyt/osis

C) el/lipto/cyt/osis

D) el/lipto/cytos/is

E) el/lip/to/cy/tos/is

18) Which is the correct breakdown of the medical term oligocythemia into its component parts?

A) oligo/cythemia

B) oligocyth/emia

C) oligo/cyt/hemia

D) oli/gocyt/hemia

E) o/li/go/cyt/hem/ia

19) Which is the correct breakdown of the medical term myelodysplasia into its component parts?

A) myelo/dysplasia

B) myelo/dys/plas/ia

C) my/elo/dys/plasia

D) my/elo/dys/plas/ia

E) my/e/lo/dys/plas/ia

20) Which is the correct breakdown of the medical term phlebarteriectasia into its component parts?

A) phlebarteri/ectasia

B) phleb/arteriectasia

C) phleb/arteri/ectasia

D) phle/barter/iec/tasia

E) phleb/art/er/iec/tas/ia

21) Which is the correct breakdown of the medical term hemostatic?

A) hemo/static

B) hemostat/ic

C) hem/os/tatic

D) hem/os/tat/ic

E) he/mos/tat/ic

22) Which is the correct breakdown and translation of the medical term lymphedema?

A) lymph (immunity) + edema (deficient) = deficient immune system

B) lymph (immunity) + edema (excessive) = overactive immune system

C) lymph (lymph) + edema (deficient) = deficient lymph nodes

D) lymph (lymph) + edema (excessive) = overactive lymph nodes

E) lymph (lymph) + edema (swelling) = swelling caused by abnormal accumulation of lymph, usually in the extremities

23) Which is the correct breakdown and translation of the medical term erythrocytosis?

A) erythro (clotting) + cyt (blood) + osis (disease) = disease pertaining to the clotting of the blood

B) erythro (lymph) + cyt (cell) + osis (disease) = disease that originates in the lymph nodes

C) erythro (platelets) + cyt (coagulation) + osis (insufficiency) = insufficient blood platelets that causes a difficulty in blood coagulation

D) erythro (red) + cyt (cell) + osis (condition) = "red cell condition": abnormal increase in the number of red blood cells

E) erythro (white) + cyt (cell) + osis (condition) = "white cell condition": abnormal increase in the number of white blood cells

24) Which is the correct breakdown and translation of the medical term hematopoiesis?

A) hemato (blood) + poiesis (breakdown) = breakdown of blood cells

B) hemato (blood) + poiesis (flow) = flow of blood

C) hemato (blood) + poiesis (formation) = formation of blood cells

D) hemato (vein) + poiesis (binding) = binding of veins

E) hemato (vein) + poiesis (formation) = formation of veins

25) Which is the correct breakdown and translation of the medical term hemolysis?

A) hemo (blood) + lysis (breakdown) = breakdown of blood cells

B) hemo (blood) + lysis (flow) = flow of blood

C) hemo (blood) + lysis (formation) = formation of blood cells

D) hemo (vein) + lysis (binding) = binding of veins

E) hemo (vein) + lysis (formation) = formation of veins

26) Which is the correct breakdown and translation of the medical term leukocytosis?

A) leuko (clotting) + cyt (blood) + osis (disease) = disease pertaining to the clotting of the blood

B) leuko (lymph) + cyt (cell) + osis (disease) = disease that originates in the lymph nodes

C) leuko (platelets) + cyt (coagulation) + osis (insufficiency) = insufficient blood platelets that causes a difficulty in blood coagulation

D) leuko (red) + cyt (cell) + osis (condition) = "red cell condition": abnormal increase in the number of red blood cells

E) leuko (white) + cyt (cell) + osis (condition) = "white cell condition": abnormal increase in the number of white blood cells

27) Which is the correct breakdown and translation of the medical term pancytopenia?

A) pan (all) + cyto (blood) + penia (deficiency) = deficiency in all types of blood cells

B) pan (many) + cyto (blood) + penia (excess) = excessive amounts of most types of blood cells

C) pan (all) + cyto (cell) + penia (deficiency) = deficiency in all cellular components of the blood

D) pan (all) + cyto (cell) + penia (excess) = excessive amounts of all cellular components of the blood

E) pan (many) + cyto (cell) + penia (blood condition) = abnormal levels in most cellular components of the blood

28) Which is the correct breakdown and translation of the medical term hematology?

A) hemato (blood) + logy (pertaining to) = pertaining to the blood

B) hemato (blood) + logy (process of recording) = process of recording the components of the blood

C) hemato (blood) + logy (specialist) = specialist in the study of the blood

D) hemato (blood) + logy (study) = study of the blood

E) hemato (blood) + logy (written record) = written record of the blood

29) Which is the correct breakdown and translation of the medical term osteomyelitis?

A) osteo (bone) + myel (bone marrow) + itis (condition) = condition of the bone and bone marrow

B) osteo (bone) + myel (bone marrow) + itis (disease) = disease of the bone and bone marrow

C) osteo (bone) + myel (bone marrow) + itis (inflammation) = inflammation of the bone and bone marrow

D) osteo (bone) + myel (muscle) + itis (condition) = condition of the bone and muscle

E) osteo (bone) + myel (muscle) + itis (inflammation) = inflammation of the bone and muscle

30) Which is the correct breakdown and translation of the medical term hepatosplenitis?

A) hepato (liver) + splen (immune system) + itis (condition) =condition of the liver and immune system

B) hepato (liver) + splen (immune system) + itis (disease) = disease of the liver and immune system

C) hepato (liver) + splen (lymph) + itis (inflammation) = inflammation of the liver and surrounding lymph nodes

D) hepato (liver) + splen (spleen) + itis (inflammation) = inflammation of the liver and spleen

E) hepato (liver) + splen (spleen) + itis (pertaining to) = pertaining to the liver and spleen

31) Which is the correct breakdown and translation of the medical term bilirubinemia?

A) bili (bile) + rubin (red) + emia (blood) = presence of bilirubin (red bile) in the blood

B) bili (bile) + rubin (red) + emia (blood condition) = presence of bilirubin (red bile) in the blood

C) bili (bile) + rubin (red) + emia (blood deficiency) = deficiency of bilirubin (red bile) in the blood

D) bili (bile) + rubin (red) + emia (deficiency) = absence of bilirubin (red bile) in the blood

E) bili (bile) + rubin (red) + emia (removal) = removal of bilirubin (red bile) from the blood

32) Which is the correct breakdown and translation of the medical term thrombophlebitis?

A) thrombo (coagulation) + phleb (blood) + itis (inflammation) = inflammation caused by over coagulation of the blood

B) thrombo (coagulation) + phleb (vein) + itis (pertaining to) = pertaining to the coagulation of blood within the veins

C) thrombo (clot) + phleb (blood) + itis (condition) = condition of the blood caused by a clot

D) thrombo (clot) + phleb (vein) + itis (inflammation) = inflammation of the vein caused by a clot

E) thrombo (tumor) + phleb (vein) + itis (disease) = disease of the veins that causes the creation of tumors

33) Which is the correct breakdown and translation of the medical term hypercoagulability?

A) hyper (over) + coagul (cell) + ability (ability) = increased ability of the blood to coagulate

B) hyper (over) + coagul (coagulation) + ability (ability) = increased ability of the blood to coagulate

C) hyper (under) + coagul (blood) + ability (ability) = decreased ability of the blood to coagulate

D) hyper (under) + coagul (coagulation) + ability (ability) = decreased ability of the blood to coagulate

34) Which is the correct breakdown and translation of the medical term laparosplenectomy?

A) laparo (abdomen) + splen (spleen) + ectomy (incision) = incision into the spleen through the abdomen

B) laparo (abdomen) + splen (spleen) + ectomy (removal) = surgical removal of the spleen through the abdomen

C) laparo (abdomen) + splen (vein) + ectomy (incision) = incision into a vein in the abdomen

D) laparo (abdomen) + splen (vein) + ectomy (removal) = surgical removal of a vein in the abdomen

35) Which is the correct breakdown and translation of the medical term nephrosplenopexy?

A) nephro (kidney) + spleno (spleen) + pexy (binding) = binding of the spleen and a kidney

B) nephro (kidney) + spleno (spleen) + pexy (loosen) = loosening of the spleen and a kidney

C) nephro (kidney) + spleno (spleen) + pexy (reconstruction) = reconstruction of the spleen and a kidney

D) nephro (kidney) + spleno (spleen) + pexy (surgical fixation) = surgical fixation of the spleen and a kidney

E) nephro (kidney) + spleno (spleen) + pexy (suture) = suture of the spleen and a kidney

36) Which is the correct breakdown and translation of the medical term cytapheresis?

A) cyt (blood) + apheresis (separation) = "blood separation"; drawing of the patient's blood, removal of the cells, and then returning the rest of the blood to the patient's body

B) cyt (cell) + apheresis (separation) = "cell separation"; drawing of the patient's blood, removal of the cells, and then returning the rest of the blood to the patient's body

C) cyt (clot) + apheresis (dialysis) = drawing of a patient's blood in order to remove clots

D) cyt (clot) + apheresis (drawing) = drawing of a patient's blood in order to remove clots

E) cyt (cell) + apheresis (excessive flow) = excessive flow of the blood cells through the veins

37) Translate the term hemorrhage.

A) Breakdown of blood

B) Condition in which the blood doesn't clot

C) Drug that stops the flow of blood

D) Excessive blood loss

E) Mass of blood within an organ, cavity, or tissue

38) Translate the term splenodynia as literally as possible.

A) "Spleen breakdown"; breakdown (destruction) of spleen tissue

B) Spleen condition

C) Spleen enlargement

D) Spleen pain

E) Spleen rupture

39) Translate the term macrocytosis as literally as possible.

A) "Large cell condition"; condition characterized by large blood cells

B) "Many cell blood condition"; excess of red blood cells

C) "Over volume blood condition"; increased blood volume

D) "Small cell condition"; condition characterized by small blood cells

E) "Under volume blood condition"; decreased blood volume

40) Translate the term splenolysis as literally as possible.

A) "Spleen breakdown"; breakdown (destruction) of spleen tissue

B) Spleen condition

C) Spleen enlargement

D) Spleen pain

E) Spleen rupture

41) Translate the term hepatosplenomegaly as literally as possible.

A) Liver spleen condition

B) Liver spleen decrease

C) Liver spleen enlargement

D) Liver spleen inflammation

E) Liver spleen rupture

42) Translate the term lymphocyte as literally as possible.

A) "Clot cell"; platelet

B) "Lymph cell"

C) "Normal cell"; normal-sized red blood cell

D) "Red cell"; red blood cell

E) "White cell"; white blood cell

43) Translate the term splenorrhexis as literally as possible.

A) "Spleen breakdown"; breakdown (destruction) of spleen tissue

B) Spleen condition

C) Spleen enlargement

D) Spleen pain

E) Spleen rupture

44) Translate the term hypersplenism as literally as possible.

A) Over spleen condition

B) Over spleen inflammation

C) Spleen enlargement

D) Under spleen condition

E) Under spleen inflammation

45) Translate the term hypervolemia as literally as possible.

A) "Large cell condition"; condition characterized by large blood cells

B) "Many cell blood condition"; excess of red blood cells

C) "Over volume blood condition"; increased blood volume

D) "Small cell condition"; condition characterized by small blood cells

E) "Under volume blood condition"; decreased blood volume

46) Translate the term hyperlipidemia as literally as possible.

A) "Over cholesterol blood condition"; excessive cholesterol in the blood

B) "Over fat blood condition"; excessive fat in the blood

C) "Under cholesterol blood condition"; decreased cholesterol in the blood

D) "Under fat blood condition"; decreased fat in the blood

47) Translate the term lymphadenectomy.

A) Incision into a lymph node

B) Presence of a lymph node

C) Puncture of a lymph node

D) Surgical removal of a lymph node

E) Suture of a lymph node

48) Translate the term tonsillectomy.

A) Incision into a tonsil

B) Presence of a tonsil

C) Puncture of a tonsil

D) Surgical removal of a tonsil

E) Suture of a tonsil

49) Build a medical term that means "blood tumor" and refers to a mass of blood within an organ, cavity, or tissue.

A) Hematoma

B) Hemoglobin

C) Hemolysis

D) Hemophilia

E) Hemorrhage

50) Build a medical term that means "spleen pain."

A) Splenalgia

B) Splenectopy

C) Splenitis

D) Splenolysis

E) Splenopathy

51) Build a medical term that means "lymph deficiency."

A) Leukopenia

B) Leukemia

C) Lymphedema

D) Lymphoma

E) Lymphopenia

52) Build a medical term that means "white cell" and refers to white blood cells.

A) Elliptocyte

B) Erythrocyte

C) Leukocyte

D) Leukocytosis

E) Thrombocyte

53) Build a medical term that means "bone marrow formation."

A) Hematopoiesis

B) Lymphangiectasia

C) Myelodysplasia

D) Myelopoiesis

E) Myodysplasia

54) Build a medical term that means "capable of producing a clot."

A) Anticoagulant

B) Hypercoagulability

C) Thromboembolism

D) Thrombogenic

E) Thrombolytic

55) Build a medical term that means "spleen drooping condition."

A) Asplenia

B) Hepatosplenitis

C) Hypersplenism

D) Splenectomy

E) Splenoptosis

56) Build a medical term that means "lymph vessel record."

A) Lymphangiogram

B) Lymphangiography

C) Lymphangiometer

D) Lymphangiometry

57) Build a medical term that means "a disease of the thymus."

A) Thymectomy

B) Thymic hyperplasia

C) Thymitis

D) Thymoma

E) Thymopathy

58) Build a medical term that means "inflammation of a tonsil."

A) Tonsilectomy

B) Tonsillitis

C) Tonsilopathy

D) Tonsilopexy

E) Tonsilotomy

59) Build a medical term that means "inflammation of a lymph gland (node)."

A) Lymphadenitis

B) Lymphadenopathy

C) Lymphangiectasia

D) Lymphangitis

E) Lymphopenia

60) Build a medical term that means "bone marrow tumor" and is a cancerous tumor of the bone marrow.

A) Hemolytic anemia

B) Lymphangiectasia

C) Myelodysplasia

D) Myeloma

E) Osteomyelitis

61) Build a medical term that means "clot breakdown agent" and is a drug that breaks down blood clots.

A) Anticoagulant

B) Hypercoagulability

C) Thromboembolism

D) Thrombogenic

E) Thrombolytic

62) Build a medical term that means "the surgical removal of a lymph gland (node)."

A) Leukocytosis

B) Lymphadenectomy

C) Lymphadenotomy

D) Lymphangiectomy

E) Lymphangiotomy

63) Build a medical term that means "surgical removal of the thymus."

A) Thymectomy

B) Thymitis

C) Thymoma

D) Thymotomy

E) Thymopathy

64) Which term comes from the Greek "to pour out," and refers to a large bruise?

A) Ecchymosis

B) Hematoma

C) Hemorrhage

D) Petechia

E) Reperfusion injury

65) Which term refers to an injury to tissue that occurs after blood flow is restored?

A) Ecchymosis

B) Hematoma

C) Hemorrhage

D) Petechia

E) Reperfusion injury

66) What is the difference between a thrombus and an embolus?

A) A thrombus is a clot of blood and is in motion. An embolus is foreign material and is stationary. When an embolus breaks off, it becomes a thromboembolus.

B) A thrombus is a clot of blood and is stationary. An embolus is foreign material and is in motion. When a thrombus breaks off, it becomes a thromboembolus.

C) An embolus is a clot of blood and is in motion. A thrombus is foreign material and is stationary. When a thrombus breaks off, it becomes a thromboembolus.

D) An embolus is a clot of blood and is stationary. A thrombus is foreign material and is in motion. When an embolus breaks off, it becomes a thromboembolus.

67) An instrument used to measure blood pressure is called a(n):

A) angiogram.

B) hypoperfusion.

C) lymphangiogram.

D) hematocrit.

E) sphygmomanometer.

68) A specialist in drawing blood is called a:

A) hematocrit.

B) phlebologist.

C) phlebotomist.

D) phlebotomy.

E) sphygmomanometrist.

69) A blockage in a blood vessel caused by a mass of matter in the blood is called a(n):

A) embolism.

B) embolus.

C) thrombocyte.

D) thrombosis.

E) thrombus.

70) A process in which a certain type of white blood cells destroys (or "eats") foreign microorganisms or cell debris is called:

A) elliptocytosis.

B) hemolysis.

C) leukocytosis.

D) phagocytosis.

E) poikilocytosis.

71) Which term refers to an excess of red blood cells?

A) Macrocytosis

B) Microcytosis

C) Oligocythemia

D) Pancytopenia

E) Polycythemia

72) The formation of a blood clot is called:

A) embolism.

B) embolus.

C) thrombocyte.

D) thrombosis.

E) thrombus.

73) Which statement shows the correct relationship between the terms antibody and antigen?

A) "Antibody" is a shortened form of antitoxic (against poison) body; the body views most antigens as poison and thus produces an antibody in defense.

B) An antibody is a substance produced by the body in response to an antigen.

C) An antigen is a substance that causes the body to produce antibodies.

D) All of these.

E) None of these.

74) Which of the following statements is NOT true about the medical term lymphangiectasia?

A) It breaks into lymph (lymph) + angi (vessel) + ectasia (dilation).

B) It is a condition normally noticed by swelling in the extremities.

C) It is a term associated with the body's lymphatic system, which is responsible for repairing injuries and fighting infections.

D) It means that a patient is immunocompromised.

E) It means the expansion or widening of a lymph vessel.

75) Which is the correct definition for the term phlebarteriectasia?

A) Constriction of blood vessels

B) Dilation of blood vessels

C) Inflammation of a vein

D) Rupture of a vein

E) Shrinking of blood vessels

76) Which is the best definition for aplastic anemia?

A) Anemia cause by the destruction of red blood cells

B) Anemia caused by inadequate iron intake

C) Anemia caused by red blood cells not being formed in sufficient quantities

D) Anemia that decreases the overall volume of blood

E) Reduced red blood cells

77) Blockage of blood flow to an organ is called:

A) apheresis.

B) hypoperfusion.

C) ischemia.

D) petechial.

E) reperfusion injury.

78) For the abbreviations AIDS and HIV, which is true about the letter "I"?

A) The "I" in AIDS and HIV stands for "immunocompromised," and means the person has an immune system incapable of responding normally and completely to a pathogen or disease.

B) The "I" in AIDS and HIV stands for "immunodeficiency," and means the immune system has a decreased or compromised response to disease-causing organisms.

C) The "I" in AIDS and HIV stands for "immunopathy," and means the person has a disease caused by the body's immune system attacking the body's own healthy tissue.

D) The "I" in AIDS and HIV stands for "immunosuppression," and refers to the reduction in the activity of the body's immune system.

79) What is the correct abbreviation for thrombotic thrombocytopenic purpura?

A) TCP

B) ThP

C) TTCP

D) TTCPP

E) TTP

80) Which of the following is a correct definition for the abbreviation NCAT?

A) Neocoaulopathy

B) No cervical adenopathy or tenderness

C) No critical anemia treatment

D) Noncoagulant cytapheresis therapy

E) Normocytosis antithrombolytic

81) Which of the following statements is NOT true about the abbreviation LAD?

A) It breaks into lymph (lymph) + adeno (gland) + pathy (disease).

B) It is caused by an abnormal accumulation of lymph, usually in the extremities.

C) It is used to refer to noticeably swollen lymph nodes, especially in the neck.

D) It means any disease of a lymph gland (node).

E) It stands for lymphadenopathy.

82) Which of the following statements is NOT true about the abbreviation ITP?

A) It stands for idiopathic thrombocytopenic purpura.

B) It is related to a low platelet count.

C) It is related to an elevated white blood count.

D) It is related to a red blood cell count.

E) None of these are true.

83) An ESR measures how quickly ________ settle in a test tube.

A) clotting cells

B) hemoglobin

C) platelets

D) red blood cells

E) white blood cells

84) Which of the following abbreviations does NOT refer to a virus or syndrome?

A) AIDS

B) EBV

C) HIV

D) HUS

E) INR

85) What is the correct definition for the abbreviation BMT?

A) Basic myeloid transfusion

B) Blood macrothrombosis

C) Blood myeloid thromboplastin

D) Bone marrow tenderness

E) Bone marrow transplant

86) Which of the following pairs of abbreviations are opposites?

A) AIDS, HIV

B) AML, CML

C) CBC, PLT

D) PT, PTT

E) RBC, WBC

87) Which is the correct breakdown and translation of the abbreviation ALL?

A) acute (persistent, long-lasting) + lympho (lymph) + blast (immature) + ic (pertaining to) + leuk (red) + emia (blood condition) = slowly developing cancer of the red blood cells characterized by the overproduction of immature red blood cells (lymphoblasts)

B) acute (persistent, long-lasting) + lympho (lymph) + blast (immature) + ic (pertaining to) + leuk (white) + emia (blood condition) = slowly developing cancer of the white blood cells characterized by the overproduction of immature white blood cells (lymphoblasts)

C) acute (sudden or severe) + lympho (lymph) + blast (immature) + ic (pertaining to) + leuk (red) + emia (blood condition) = sudden onset of a cancer of the red blood cells characterized by the overproduction of immature red blood cells (lymphoblasts)

D) acute (sudden or severe) + lympho (lymph) + blast (immature) + ic (pertaining to) + leuk (white) + emia (blood condition) = sudden onset of a cancer of the white blood cells characterized by the overproduction of immature white blood cells (lymphoblasts)

88) Which is a correct use of abbreviations for the laboratory data shown below?  

OBJECTIVE 

Abd: Soft, nontender, nondistended. Mild hepatosplenomegaly. No masses. 

Neuro: CN II-XII grossly intact. No focal neurologic deficit. 

Ext: Distal left femur has mild edema and is tender to palpation. No erythema, warmth, or induration. Multiple palpable inguinal lymph nodes on the left. 

Skin: Scattered petechiae generalized over body, both above and below the midchest. 

Genitalia: SMR I male testes descended bilaterally. 

Laboratory Data: white blood count: 6,200 (20 neutrophils, 2 bands, 10 lymphocytes, 1 mono, 67 lymphoblasts); hemoglobin 10.1, hematocrit 30.6, platelet count 54,000.

A) WBC: 6,200 

Hgb: 10.1 

Hct: 30.6 

PLT: 54,000

B) WBC: 6,200 

Hb: 10.1 

Hct: 30.6 

PC: 54,000

C) WBC: 6,200 

Hb: 10.1 

Ht: 30.6 

PT: 54,000

D) WB: 6,200 

Hg: 10.1 

Hc: 30.6 

PL: 54,000

E) WC: 62,000 

Hgb: 10.1 

H: 30.6 

PLC: 54,000

89) Read the following excerpt from a patient's health record: 

ASSESSMENT 

4-year-old male with anemia, leukopenia, and thrombocytopenia. The lymphoblasts on the peripheral blood smear indicate an acute lymphoblastic leukemia. 

According to the excerpt, which of the following statements is TRUE?

A) The patient has a deficiency in the number of red and white blood cells and difficulty forming clots. The presence of lymphoblasts on the patient's blood smear indicates he has a cancer of the bone marrow characterized by the abnormal increase in white blood cells.

B) The patient has a deficiency in the number of red and white blood cells, as well as a low platelet count. The presence of lymphoblasts on the patient's blood smear indicates he has a difficulty producing white blood cells.

C) The patient has a deficiency in the number of red blood cells and platelets, and difficulty forming clots. The presence of lymphoblasts on the patient's blood smear indicates he has a difficulty producing white blood cells.

D) The patient has an excessive number of red and white blood cells as well as platelets. The presence of lymphoblasts on the patient's blood smear indicates he has a difficulty producing white blood cells.

E) The patient has an excessive number of red and white blood cells as well as platelets. The presence of lymphoblasts on the patient's blood smear indicates he has a cancer of the bone marrow characterized by the abnormal increase in white blood cells.

90) Read the following excerpt from a patient's health record: 

Mrs. Campos was admitted last night for fever and elevated WBC. Initial blood culture is coming back positive from gram-positive cocci. She has been on antibiotics for 10 hours now. Last night, the nurses noted hemorrhages. She had hematuria, hemoptysis, and epistaxis. In addition, she developed painful swelling in her right calf. She remains febrile, but the fever is improving since admission. She is still very tired. She denies vomiting.

Which of the following symptoms was NOT recorded in this health record?

A) Blood in her urine

B) Edema

C) Elevated white blood count

D) Excessive blood loss

E) Large bruises

91) Read the information in the Hospital Progress Note below: 

Objective 

RR: 18; HR: 70; Temp: 101.2; BP: 102/74. 

General: Sleeping. Tired but responsive to questions. 

HEENT: NCAT, dried bloody crusts in nostrils, Mucous membranes moist and pink; PERRLA, EOMI, conjunctivae clear. 

Neck: Supple, no adenopathy, no JVD. 

Resp: No increased effort, clear breath sounds. 

CV: Regular, S1, S2, no murmur/rub; pedal pulses 21. 

Abd: Soft, nontender, nondistended, normoactive bowel sounds, no HSM. 

Lymph: No enlarged cervical, axillary, or inguinal lymph nodes. 

Skin: Scattered petechiae, CR 2 seconds. 

Ext: Right swelling with tender subcutaneous nodule. 

Neuro: Alert and oriented, CN II-XII grossly intact, normal and symmetric strength in UEs and LEs, DTRs 2+ and symmetric. 

According to the information in the note, which of the following statements is TRUE?

A) The patient does not have a fever.

B) The patient does not have a spleen.

C) The patient has small bruises scattered on her skin.

D) The patient has swollen glands.

E) The patient's spleen is enlarged.

92) The following lab results were found in a patient's Hospital Progress Note: 

Labs 

Total bilirubin: 6.2 

Hgb: 9.2; WBC: 20.2; PLT: 24. 

PT and PTT both elevated. 

Microangiopathic hemolysis seen on peripheral smear.  

Which of the following is a correct interpretation of the data?

A) Hematocrit = 9.2 

White Blood Count = 20.2 

Phagocyte count = 24 

Prothrombin and prothromboplastin times are elevated

B) Hematocrit = 9.2 

White Blood Count = 20.2 

Platelet count = 24 

Prothrombolysis and partial thromboplastin times are elevated

C) Hemoglobin = 9.2 

White Blood Count = 20.2 

Phagocyte count = 24 

Thromboplastin and partial thromboplasia times are elevated

D) Hemoglobin = 9.2 

White Blood Count = 20.2 

Platelet count = 24 

Prothrombin and partial thromboplastin times are elevated

E) Hemoglobin = 9.2 

White Blood Count = 20.2 

Platelet count = 24 

Purpura thrombolysis and partial thromboplastin times are elevated

93) Read the information in the Hospital Progress Note below: 

Assessment/Plan 

1. Septicemia: Fever down slightly and WBC decreased from 25.4 to 20.2. Continue current IV antibiotics. 

2. Anemia/Coagulopathy/Thrombocytopenia: Clinically consistent with DIC. We will transfuse a unit of platelets and follow labs in 6 hours. 

3. Calf swelling: Suspect superficial thromboembolism. We will consult hematology/oncology in regard to their opinion on beginning anticoagulant medicine. 

4. Hyperbilirubinemia: I suspect the etiology is liver dysfunction from DIC. Follow labs in the AM.

According to the information in the note, which of the following statements is NOT true?

A) The author of the health record suspects that a clot is blocking a blood vessel in the patient's calf and has prescribed a drug that will prevent the blood from clotting.

B) The patient has a deficiency in the number of red blood cells, platelets (cells that help the blood to clot), and difficulty forming clots.

C) The patient will continue to receive intravenous antibiotics in order to decrease the presence of disease-causing microorganisms in the blood.

D) The patient's blood conditions are consistent with disseminated intravascular coagulopathy, which is also causing him to have too much bilirubin in his blood.

E) The patient's white blood count has decreased.

94) Read the following excerpt from a health record: 

Subjective 

Reason for Consult: I was asked to see this 8-year-old boy to evaluate his anemia. History of Present Illness: Billy Caspar presented initially to his primary care provider with decreased energy and pallor. He had recently had a rash on his hands and a fever, both of which have improved over the past few days. A hematocrit was performed in the office and it was critically low. In addition, the patient had a flow murmur and appeared lethargic. He was sent to the hospital for admission. He was transfused with 2 units of prbcs and hematology was consulted. 

According to the information from this health record, which of the following statements is TRUE?

A) A Hct was performed in the office.

B) The medical profession caring for Billy Caspar wanted to determine the ratio of red blood cells to his total blood volume.

C) The patient was given a test that separated his blood.

D) All of these.

E) None of these.

95) Read this excerpt from the patient's medical history: 

Past Medical History: Term delivery. Normal newborn screen. Specifically, no hemoglobinopathy on screen. Normal development. 

Past Surgical History: None. 

Family History: Father with hereditary spherocytosis. 

Medications: Daily vitamin. 

According to the patient's medical history, which of the following statements is TRUE?

A) The father's blood cells are normal in shape and the patient has a history of hemoglobin disease.

B) The father's blood cells have multiple shapes and the patient has a history of hemoglobin disease.

C) The father's blood cells are sickle in shape and the patient did not exhibit any signs of hemoglobin disease in the past.

D) The father's blood cells are spherical in shape and the patient did not exhibit any signs of hemoglobin disease in the past.

E) The father's blood cells are spherical in shape and the patient has a history of hemoglobin disease.

96) Read the laboratory data below: 

Laboratory Data 

CBC: Normocytic anemia. Reticulocytosis. 

BMP: Hyperbilirubinemia. 

Smear: Poikilocytosis. 

According to the laboratory data, which of the following statements is NOT true?

A) According to the patient's complete blood count, there are a reduced number of red blood cells.

B) The patient has a deficiency in all cellular components of the blood.

C) The patient has too much bilirubin (red bile) in his blood.

D) The patient's blood cells are not all the same shape.

E) The patient's complete blood count revealed a condition related to his immature red blood cells.

97) Read the following excerpt from a Hospital Consult:

Assessment 

Billy clearly has a hemolytic anemia that is consistent with hereditary spherocytosis. I believe that, given his sudden and severe presentation along with his recent illness, he has aplastic crisis. This is likely brought on from infection from the parvo B19 virus. His flow murmur and slow cap refill are concerning for continued hypovolemia.

According to the information, which of the following statements is TRUE?

A) Billy clearly has a reduced blood cell count caused by red blood cells not being formed.

B) Billy continues to have too much blood in his system.

C) Billy's condition can be classified as both abrupt and acute.

D) Billy's symptoms are consistent with blood cells that are shaped like crescents.

E) Even though no one in his family has this condition, Billy has developed a condition in which his red blood cells are abnormally shaped.

98) Read the information in the Hospital Consult below: 

Recommendation 

Billy needs another transfusion immediately. I have already ordered this. Once his anemia is stabilized, I think he should be seen by surgery to assess for a splenectomy. If he does get a splenectomy, he will, of course, need a pneumococcus vaccine, as he will be partially immunocompromised due to asplenia. Thank you for this interesting consult. I will continue to follow up on a daily basis. 

According to the information, which of the following statements is NOT true?

A) A splenectomy results in asplenia.

B) Billy immediately needs more blood from another source.

C) Billy is recovering from having his spleen removed.

D) If Billy undergoes surgery, he will need to have a vaccine because his immune system will not be capable of responding normally and completely to a pathogen or disease.

E) The author of this health record wants to assess Billy and potentially remove Billy's spleen.

99) Which is a step in the coagulation and forming of a blood clot?

A) Vascular spasm

B) Platelet plug formation

C) Coagulation

D) All of these

E) None of these

100) A "sickle" is?

A) hard rigid shape

B) illness

C) white blood cell

D) All of these

E) None of these