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Progression to Acute Myelogenous Leukemia (AML) is a risk for untreated or
poorly responsive:
A. Pancytopenia
B. Aplastic anemia
C. Macrocytic anemia
D. Myelodysplastic syndrome
D
Treatment for symptomatic aplastic anemia includes all the following except:
A. Bone marrow transplant
B. PRBC/Platelet/WBC transfusions
C. Prophylactic antibiotics
D. Removal of bone marrow stimulants
D
,A patient diagnosed with iron deficiency anemia requires iron supplementation.
Which of the following treatments would likely be ineffective?
A. Ferrous sulfate 325 mg PO BID for a 43 y.o. F s/p gastric bypass 2 years ago
B. Iron sucrose 200 mg IV infusion weekly x 8 weeks in a 26 y.o. F at 34
weeks of pregnancy
C. Ferrous sulfate 325 mg PO TID for a 25 y.o. F with menorrhagia
D. Ferrous sulfate 325 mg PO BID for a 63 y.o. M with ulcerative colitis
A
Which of the following is not a common mechanism of neutrophil expenditure
and resultant neutropenia?
A. Decreased neutrophil production in the bone marrow
B. Redistribution of neutrophils to the spleen or vascular endothelium
C. Loss of circulating neutrophils in acute blood loss
D. Immune destruction
C
Which of the following blood lead levels (BLL) would likely require chelation
therapy?
A. < 80 mcg/dL
B. 35 mcg/dL
C. >100 mcg/dL
D. 75 mcg/dL
C
,A geriatric patient with anemia, back pain, osteoporosis, and elevated
erythrocyte sedimentation rate should be evaluated for:
A. cauda equina syndrome.
B. renal dystrophy.
C. Paget's disease.
D. multiple myeloma.
D
Overactivation of coagulation and fibrinolysis resulting in thrombosis and
hemorrhage is a trademark of which of the following?
A. Thrombocytopenia
B. Aplastic anemia
C. Myelodysplastic syndrome
D. Disseminated intravascular coagulation
D
, A patient on warfarin (Coumadin) therapy for recurrent deep vein thrombosis
(DVT) is about to have lumbar spinal fusion surgery. The patient's warfarin is
put on hold starting 5 days prior to the surgery and subcutaneous enoxaparin
(Lovenox) has been ordered for DVT prophylaxis until the resumption of the
warfarin. The nurse practitioner knows that the patient's postoperative
warfarin dose should be restarted based on the:
A. Value of her morning Prothrombin time
B. baseline PT and INR values
C. target INR of 2.5
D. Loading dose of 20 mg, plus the previous warfarin dose
B
Your patient presented yesterday to urgent care with symptoms of lower
extremity weakness and then went home for observation with family. They
have returned to urgent care, and it now appears to be affecting the patient’s
abdomen in just the past few hours. What is your priority intervention?
A. Order physical therapy evaluation and treatment
B. Immediate transportation to the hospital and monitor for airway involvement
C. Apply oxygen via nasal cannula
D. Assess muscular strength in bilateral lower extremities
B