Deck 5: Screening for Hematologic Disease

Question 1

Which of the following is a sign or symptom of primary polycythemia?

A) Weight gain
B) Hypotension
C) Gout
D) Increased urine production

Answer 1

C
Gout is sometimes the primary complication of primary polycythemia, and a typical attack of acute gout may be the first symptom of polycythemia. Hypertension and weight loss are also symptoms of polycythemia.

Question 2

Which of the following are primary bleeding sites associated with thrombocytopenia?

A) Bone marrow/spleen
B) Mucosa/bone marrow
C) Mucosa/skin
D) Mucosa/brain

Answer 2

A
Primary bleeding sites associated with thrombocytopenia include the bone marrow/spleen; secondary bleeding occurs from small blood vessels in the skin, mucosa, and the brain.

Question 3

Which of the following types of anemia is characterized by the presence of an abnormal form of hemoglobin?

A) Primary polycythemia
B) Secondary polycythemia
C) Hypochromia
D) Sickle cell anemia

Answer 3

D
Sickle cell disease is a generic term for a group of inherited autosomal recessive disorders characterized by the presence of an abnormal form of hemoglobin, the oxygen-carrying constituent of erythrocytes.

Question 4

Which of the following is a neoplastic disease of the bone marrow?

A) Primary polycythemia
B) Secondary polycythemia
C) Primary anemia
D) Secondary anemia

Question 5

In severe anemia which of the following body structures will receive the least amount of blood?

A) Brain
B) Heart
C) Muscles
D) Kidneys

Question 6

Which of the following are the largest circulating blood cells?

A) Lymphocytes
B) Monocytes
C) Granulocytes
D) Erythrocytes

Question 7

Which of the following is a symptom of leukopenia?

A) Fever and chills
B) Headache
C) Abdominal pain
D) Dyspnea

Question 8

Which of the following individuals is likely to have the most erythrocytes?

A) A sedentary woman
B) A sedentary man
C) An athletic woman
D) An athletic man

Question 9

Which of the following is the normal hemodynamic presentation of an individual with anemia?

A) Systolic blood pressure lower than normal, diastolic blood pressure lower than normal, decrease in resting pulse rate
B) Systolic blood pressure unaffected, diastolic blood pressure lower than normal, increase in resting pulse rate
C) Systolic blood pressure unaffected, diastolic blood pressure higher than normal, increase in resting pulse rate
D) Systolic blood pressure lower than normal, diastolic blood pressure unaffected, increase in pulse rate

Question 10

What vitamin primarily affects the function of platelets?

A) Vitamin A
B) Vitamin B
C) Vitamin C
D) Vitamin K

Question 11

Which of the following physical therapy interventions is contraindicated for an individual with thrombocytopenia?

A) Exercise bike
B) Soft tissue mobilization
C) Biceps curls
D) Ultrasound

Question 12

Which of the following is the part of blood that carries antibodies and nutrients to tissues?

A) Erythrocytes
B) Leukocytes
C) Plasma
D) Platelets

Question 13

Adults with pernicious anemia have significantly higher risks for

A) Rib fracture
B) Hip fracture
C) Stroke
D) Lumbar compression fracture

Question 14

What is the most common site of bleeding in an individual with hemophilia?

A) Muscles
B) Brain
C) Lungs
D) Joints

Question 15

When is a patient most susceptible to infections after receiving chemotherapy or radiation therapy?

A) 1-3 days
B) 3-7 days
C) 7-14 days
D) 14-21 days