A patient currently D
undergoing concurrent
chemotherapy/radiation
treatment for glottic
squamous cell
carcinoma is admitted to
the rehab unit you
oversee for management
of intractable nausea,
vomiting, and
dehydration. Admission
CBC showed WBC 1.3,
Hgb 7.5, PLT 45, ANC
0.8. Which of the
following conditions is
this patient at risk for?
A. Macrocytic anemia
due to B12 deficiency
B. Iron deficiency
anemia due to chronic
blood loss
C. Microcytic anemia
due to chronic kidney
disease
D. Aplastic anemia due
to bone marrow
suppression
Your patient presents to C
the urgent care clinic
with a swollen exudative
pharynx, profound
fatigue, and a very
tender left upper
quadrant abdomen.
What is the most likely
diagnosis?
A. Strep pharyngitis
B. Tonsillitis
C. Epstein Barr virus
(EBV)
D. Pancreatitis
,Which of the following B
best characterizes
presbycusis in the older
adult?
A. Bilateral low-
frequency sensorineural
hearing loss
B. Bilateral high-
frequency sensorineural
hearing loss
C. Unilateral high-
frequency sensorineural
hearing loss
D. Unilateral low-
frequency sensorineural
hearing loss
A 35-year-old woman C
presents with allergic
rhinitis, experiencing
significant nasal
congestion, sneezing,
and itchy eyes. She has
tried over-the-counter
antihistamines with
limited relief. What is the
most appropriate next
step in management?
A. Oral decongestants
B. Nasal saline irrigation
C. Intranasal
corticosteroids
D. Referral to an allergist
for immunotherapy
A patient currently D
undergoing concurrent
chemotherapy/radiation
treatment for glottic
squamous cell
carcinoma is admitted to
the rehab unit you
oversee for management
of intractable nausea,
,vomiting, and
dehydration. Admission
CBC showed WBC 1.3,
Hgb 7.5, PLT 45, ANC
0.8. Which of the
following conditions is
this patient at risk for?
A. Iron deficiency
anemia due to chronic
blood loss
B. Microcytic anemia
due to chronic kidney
disease
C. Macrocytic anemia
due to B12 deficiency
D. Aplastic anemia due
to bone marrow
suppression
A 78 y.o. M patient B
reports chronic
infections, bruising,
fatigue, SOB, and
fevers. He has a history
of rectal
adenocarcinoma and
completed concurrent
chemotherapy/radiation
earlier this year. His
CBC shows Hgb 7.5,
PLT 88, WBC 1.2, ANC
0.8, and peripheral
smear shows dysplasia.
What additional work-up
would you anticipate for
this patient?
A. Colonoscopy and
fecal occult blood test
B. Bone marrow biopsy
and flow cytometry
C. No additional work-up
is required, these are
expected sequela of his
oncologic treatment
D. Repeat
, CBC/CMP/peripheral
smear in eight weeks
Progression to Acute D
Myelogenous Leukemia
(AML) is a risk for
untreated or poorly
responsive:
A. Pancytopenia
B. Aplastic anemia
C. Macrocytic anemia
D. Myelodysplastic
syndrome
Treatment for D
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
A patient diagnosed with A
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
undergoing concurrent
chemotherapy/radiation
treatment for glottic
squamous cell
carcinoma is admitted to
the rehab unit you
oversee for management
of intractable nausea,
vomiting, and
dehydration. Admission
CBC showed WBC 1.3,
Hgb 7.5, PLT 45, ANC
0.8. Which of the
following conditions is
this patient at risk for?
A. Macrocytic anemia
due to B12 deficiency
B. Iron deficiency
anemia due to chronic
blood loss
C. Microcytic anemia
due to chronic kidney
disease
D. Aplastic anemia due
to bone marrow
suppression
Your patient presents to C
the urgent care clinic
with a swollen exudative
pharynx, profound
fatigue, and a very
tender left upper
quadrant abdomen.
What is the most likely
diagnosis?
A. Strep pharyngitis
B. Tonsillitis
C. Epstein Barr virus
(EBV)
D. Pancreatitis
,Which of the following B
best characterizes
presbycusis in the older
adult?
A. Bilateral low-
frequency sensorineural
hearing loss
B. Bilateral high-
frequency sensorineural
hearing loss
C. Unilateral high-
frequency sensorineural
hearing loss
D. Unilateral low-
frequency sensorineural
hearing loss
A 35-year-old woman C
presents with allergic
rhinitis, experiencing
significant nasal
congestion, sneezing,
and itchy eyes. She has
tried over-the-counter
antihistamines with
limited relief. What is the
most appropriate next
step in management?
A. Oral decongestants
B. Nasal saline irrigation
C. Intranasal
corticosteroids
D. Referral to an allergist
for immunotherapy
A patient currently D
undergoing concurrent
chemotherapy/radiation
treatment for glottic
squamous cell
carcinoma is admitted to
the rehab unit you
oversee for management
of intractable nausea,
,vomiting, and
dehydration. Admission
CBC showed WBC 1.3,
Hgb 7.5, PLT 45, ANC
0.8. Which of the
following conditions is
this patient at risk for?
A. Iron deficiency
anemia due to chronic
blood loss
B. Microcytic anemia
due to chronic kidney
disease
C. Macrocytic anemia
due to B12 deficiency
D. Aplastic anemia due
to bone marrow
suppression
A 78 y.o. M patient B
reports chronic
infections, bruising,
fatigue, SOB, and
fevers. He has a history
of rectal
adenocarcinoma and
completed concurrent
chemotherapy/radiation
earlier this year. His
CBC shows Hgb 7.5,
PLT 88, WBC 1.2, ANC
0.8, and peripheral
smear shows dysplasia.
What additional work-up
would you anticipate for
this patient?
A. Colonoscopy and
fecal occult blood test
B. Bone marrow biopsy
and flow cytometry
C. No additional work-up
is required, these are
expected sequela of his
oncologic treatment
D. Repeat
, CBC/CMP/peripheral
smear in eight weeks
Progression to Acute D
Myelogenous Leukemia
(AML) is a risk for
untreated or poorly
responsive:
A. Pancytopenia
B. Aplastic anemia
C. Macrocytic anemia
D. Myelodysplastic
syndrome
Treatment for D
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
A patient diagnosed with A
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
