MP8888 QUESTIONS WITH ACCURATE ANSWERS
A client with HIV infection has a CD4 count of 305 and an HIV RNA level of 13,549.
The client is asymptomatic. What is your course of action?
A. Negotiate with your client a time to start therapy
B. Recheck the laboratory results in 1 month. If the counts remain like this, start
treatment.
C. Start therapy now because the client's CD4 count is less than 500 and the HIV
RNA level is greater than 10,000.
D. Wait to start therapy until the client becomes asymptomatic correct answer C.
Start therapy now because the client's CD4 count is less than 500 and the HIV
RNA level is greater than 10,000.
- Regardless of being asymptomatic, CDC recommends starting treatment in a
patient with CD4 less than 500 and HIV RNA levels greater than 10,000
A client with HIV infection has a fever of unknown origin (FUO). Which of the
following is a possible cause of an FUO in a client with HIV?
A. Drug fever
B. Upper respiratory infection
C. Nothing specific; this is a systemic disease manifestation
D. Urinary tract infection correct answer A. Drug fever
- A fever of unknown origin in clients with HIV is defined as temperature > 101 on
multiple occasions over 4 weeks duration in an outpatient and 3 weeks duration
in an inpatient, with an uncertain diagnosis after three appropriate investigations
of cultures and the like.
A loss of DNA control over differentiation that occurs in response to adverse
conditions is referred to as
,A. Hyperplasia
B. Metaplasia
C. Anaplasia
D. Dysplasia correct answer D. Dysplasia
- Dysplastic cells show an abnormal degree of variation in size, shape and
appearance and a disturbance in the usual arrangement.
A metastatic tumor from below the diaphragm is suspected when you palpate
which of the following nodes in the left supraclavicular space?
A. Wringer's node
B. Sims' node
C. Wiskott-Aldrich node
D. Virchow's node correct answer D. Virchow's node
- Virchow's node is an enlarged left supraclavicular node usually infiltrated with a
metastatic tumor from below the diaphragm, especially of gastrointestinal origin
A platelet count less than 150,000/mm3 may indicate
A. Possible hemorrhage
B. Hypersplenism
C. Polycythemia vera
D. Malignancy correct answer B. Hypersplenism
- As well as possible bone marrow failure or accelerated consumption of platelets
Allie, age 5, is being treated with radiation for cancer. Her mother asks about the
effect radiation will have on Allie's future growth. Although she knows that a
,specialist will be handling Allie's care, her mother asks for your opinion. How do
you respond?
A. "Let's worry about the cancer first, then see how her growth is affected."
B. "Chemotherapy may effect her futur growth, but not radiation."
C. "She will probably have growth hormone problems, in which case she can then
begin growth hormone therapy."
D. That's the least of your worries now; everything will turn out ok." correct
answer C. "She will probably have growth hormone problems, in which case she
can then begin growth hormone therapy."
An increase of which immunoglobulin (Ig) signifies atopic disorders such as
allergic rhinitis, allergic asthma, atopic dermatitis, and parasitic infection?
A. IgG
B. IgM
C. IgA
D. IgE correct answer D. IgE
Antibodies (inhibitors) directed against factor VIII can arise spontaneously in a
number of situations. These include
A. Clients who have mitral regurgitation
B. As sequelae to a strep infection
C. Clients on antibiotics
D. Women who are several weeks postpartum after a normal labor and delivery
correct answer D. Women who are several weeks postpartum after a normal
labor and delivery
, Barbie, 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?
A. "Your red blood cell production will be slowed."
B. "Your lymphatic system may have difficulty transporting lymph fluid to the
blood vessels."
C. "You'll have difficulty storing the nutritional agents needed to make red blood
cells."
D. "You may have difficulty salvaging iron from old red blood cells for use."
correct answer D. "You may have difficulty salvaging iron from old red blood cells
for use."
Before initiating cancer therapy, the first crucial step is to
A. Stage the disease
B. Define the goals of therapy
C. Confirm the diagnosis using tissue biopsy
D. Choose a treatment plan from the many therapeutic options correct answer C.
Confirm the diagnosis using tissue biopsy
Bladder cancer can be detected early by
A. An annual urine culture
B. A bladder tumor marker blood test
C. An annual cystoscopy
D. None of the above, there is no early detection correct answer D. None of the
above, there is no early detection
A client with HIV infection has a CD4 count of 305 and an HIV RNA level of 13,549.
The client is asymptomatic. What is your course of action?
A. Negotiate with your client a time to start therapy
B. Recheck the laboratory results in 1 month. If the counts remain like this, start
treatment.
C. Start therapy now because the client's CD4 count is less than 500 and the HIV
RNA level is greater than 10,000.
D. Wait to start therapy until the client becomes asymptomatic correct answer C.
Start therapy now because the client's CD4 count is less than 500 and the HIV
RNA level is greater than 10,000.
- Regardless of being asymptomatic, CDC recommends starting treatment in a
patient with CD4 less than 500 and HIV RNA levels greater than 10,000
A client with HIV infection has a fever of unknown origin (FUO). Which of the
following is a possible cause of an FUO in a client with HIV?
A. Drug fever
B. Upper respiratory infection
C. Nothing specific; this is a systemic disease manifestation
D. Urinary tract infection correct answer A. Drug fever
- A fever of unknown origin in clients with HIV is defined as temperature > 101 on
multiple occasions over 4 weeks duration in an outpatient and 3 weeks duration
in an inpatient, with an uncertain diagnosis after three appropriate investigations
of cultures and the like.
A loss of DNA control over differentiation that occurs in response to adverse
conditions is referred to as
,A. Hyperplasia
B. Metaplasia
C. Anaplasia
D. Dysplasia correct answer D. Dysplasia
- Dysplastic cells show an abnormal degree of variation in size, shape and
appearance and a disturbance in the usual arrangement.
A metastatic tumor from below the diaphragm is suspected when you palpate
which of the following nodes in the left supraclavicular space?
A. Wringer's node
B. Sims' node
C. Wiskott-Aldrich node
D. Virchow's node correct answer D. Virchow's node
- Virchow's node is an enlarged left supraclavicular node usually infiltrated with a
metastatic tumor from below the diaphragm, especially of gastrointestinal origin
A platelet count less than 150,000/mm3 may indicate
A. Possible hemorrhage
B. Hypersplenism
C. Polycythemia vera
D. Malignancy correct answer B. Hypersplenism
- As well as possible bone marrow failure or accelerated consumption of platelets
Allie, age 5, is being treated with radiation for cancer. Her mother asks about the
effect radiation will have on Allie's future growth. Although she knows that a
,specialist will be handling Allie's care, her mother asks for your opinion. How do
you respond?
A. "Let's worry about the cancer first, then see how her growth is affected."
B. "Chemotherapy may effect her futur growth, but not radiation."
C. "She will probably have growth hormone problems, in which case she can then
begin growth hormone therapy."
D. That's the least of your worries now; everything will turn out ok." correct
answer C. "She will probably have growth hormone problems, in which case she
can then begin growth hormone therapy."
An increase of which immunoglobulin (Ig) signifies atopic disorders such as
allergic rhinitis, allergic asthma, atopic dermatitis, and parasitic infection?
A. IgG
B. IgM
C. IgA
D. IgE correct answer D. IgE
Antibodies (inhibitors) directed against factor VIII can arise spontaneously in a
number of situations. These include
A. Clients who have mitral regurgitation
B. As sequelae to a strep infection
C. Clients on antibiotics
D. Women who are several weeks postpartum after a normal labor and delivery
correct answer D. Women who are several weeks postpartum after a normal
labor and delivery
, Barbie, 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?
A. "Your red blood cell production will be slowed."
B. "Your lymphatic system may have difficulty transporting lymph fluid to the
blood vessels."
C. "You'll have difficulty storing the nutritional agents needed to make red blood
cells."
D. "You may have difficulty salvaging iron from old red blood cells for use."
correct answer D. "You may have difficulty salvaging iron from old red blood cells
for use."
Before initiating cancer therapy, the first crucial step is to
A. Stage the disease
B. Define the goals of therapy
C. Confirm the diagnosis using tissue biopsy
D. Choose a treatment plan from the many therapeutic options correct answer C.
Confirm the diagnosis using tissue biopsy
Bladder cancer can be detected early by
A. An annual urine culture
B. A bladder tumor marker blood test
C. An annual cystoscopy
D. None of the above, there is no early detection correct answer D. None of the
above, there is no early detection
