Deck 10: The Hematologic System

Question 1

Anemia may be related to which of the following vitamin deficiencies?

A) vitamin A
B) vitamin B₁₂
C) vitamin C
D) vitamin D

Answer 1

vitamin B₁₂

Question 2

__________________ is a malignancy that increases the rate of cell division of plasma cells produced in bone marrow.

A) Hodgkin's lymphoma
B) multiple myeloma
C) non-Hodgkin's lymphoma
D) leukocytosis

Answer 2

multiple myeloma

Question 3

Which of the following red blood cell changes are associated with iron deficiency anemia?

A) smaller than normal
B) larger than normal
C) sickle cell shaped
D) convex rather than concave

Answer 3

smaller than normal

Question 4

Livedo reticularis is a secondary occurrence of what myeloproliferative disorder?

A) polycythemia vera
B) idiopathic myelofibrosis
C) central thrombocythemia
D) chronic myeloid leukemia

Question 5

A patient is thought to be in stage 3 of Hodgkin's disease if ______.

A) there is involvement of a single lymph node.
B) there is involvement of two or more lymph node regions on one side of the diaphragm.
C) there is involvement of lymph node regions or structures on both sides of the diaphragm.
D) there is wide spread extra lymphatic involvement.

Question 6

Which of the following signs is most likely to be present with classic Hodgkin's lymphoma?

A) involvement of the inguinal lymph node chains
B) one node involvement rather than groups of nodes
C) disorderly pattern of spread
D) splenic involvement

Question 7

Which of the following can be associated with leukocytosis?

A) Leukocytosis is never beneficial to the body.
B) Leukocytosis is greater with internal acute hemorrhage than with external acute hemorrhage.
C) Leukocytosis develops within 4 to 6 hours after acute hemorrhage.
D) Leukocytosis frequently results from an increase in circulating lymphocytes.

Question 8

A patient with hemophilia presents to physical therapy after a recent episode within the quadriceps.Which of the following exercises is most appropriate to begin during the first session of physical therapy?

A) resistive terminal knee extension
B) quadriceps sets
C) exercise bike
D) full squats

Question 9

Which of the following activities would be considered dangerous for someone diagnosed with hemophilia?

A) swimming
B) bicycling
C) racquetball
D) martial arts

Question 10

What joint is the most common for patients with hemophilia to experience hemarthrosis?

A) shoulder
B) hip
C) wrist
D) knee

Question 11

Lack of which of the following clotting factors will result in hemophilia A?

A) factor I
B) factor II
C) factor VI
D) factor VIII

Question 12

Which of the following would not be a cause of anemia?

A) significant trauma
B) bleeding within the gastrointestinal (GI) tract
C) decreased leukocyte production
D) sickle cell disease

Question 13

What type of leukemia is most common in children?

A) acute myelogenous leukemia
B) chronic lymphocytic leukemia
C) chronic myeloid leukemia
D) acute lymphoblastic leukemia

Question 14

Which of the following would be considered an abnormal age-related change in the peripheral blood?

A) diminishing size of lymph nodes
B) increased hemoglobin count
C) decreased function of lymphocytes
D) decline in cellular immunity

Question 15

In secondary hemostasis,tissue factor is triggered when there is vascular damage.Tissue factor is not found in which of the following structures?

A) the brain
B) smooth muscle
C) skeletal muscle
D) epithelium

Question 16

Chronic lymphocytic leukemia is most often caused by mutations of what cell?

A) T cells
B) B cells
C) granulocytes
D) macrophages

Question 17

It is noted on the patient's chart that the current platelet level is 50,000.Which of the following exercise routines would be most appropriate for this patient?

A) Exercise is contraindicated at this time.
B) Low intensity exercise with no weights or resistance would be appropriate.
C) Exercise at intense levels would be appropriate.
D) Low-load resistance exercise with 1- to 2-pound weights would be appropriate.

Question 18

_________________ is an accumulation of excessive blood within the blood vessels of an organ or tissue.

A) edema
B) congestion
C) infarction
D) thrombus

Question 19

The physician has communicated that there is more than 50% cortical metastatic involvement of the patient's bone metastases.Which of the following is the recommended weight-bearing status for this patient?

A) full weight bearing
B) partial weight bearing
C) partial weight bearing and avoid twisting or stretching
D) non-weight bearing/toe touch-weight bearing

Question 20

Deoxygenation of red blood cells in sickle cell anemia induces efflux of what ion?

A) sodium
B) calcium
C) nitrogen
D) potassium