Deck 15: Hematological and Immune System Disorders

Question 1

Signs and symptoms of ALL are nonspecific.Patients with ALL may also present with which of these additional symptoms? Select all that apply.
1)Joint stiffness
2)Enlarged lymph nodes
3)Joint pain
4)Swelling in the abdomen
5)Impaired speech

Answer 1

2, 3, 4

Question 2

AML is a condition more common in older adults age 67 years and older.Which of the following contributing factors increases the risk of the development of AML? Select all that apply.
1)Smoking
2)Blood disorder
3)African American ethnicity
4)Traumatic brain injury (TBI)
5)Genetic syndromes

Answer 2

1, 2, 5

Question 3

Acute myeloid leukemia (AML)is a rare and diverse group of diseases.Which of the following statements is true regarding AML?
1)AML has no CNS involvement.
2)Laboratory evaluation includes urinalysis.
3)Initial work-up is to assess and characterize the disease based on prior exposure.
4)Comorbidities do not apply in the diagnosis of AML.

Answer 3

3

Question 4

Hematological and immune systems disorders are sometimes complicated because the manifestations may appear in different organ systems.A complete detailed history, diagnostic testing, and which of the following must be performed for diagnosis?
1)Cognitive assessment
2)Ethnicity assessment
3)Patient education
4)Physical examination

Question 5

Tanya came in for an office visit due to recurrent epistaxis.She also has a diagnosis of systemic lupus erythematosus.CBC with peripheral blood smear was performed and confirmed that she has idiopathic thrombocytopenic purpura (ITP).Which of the following is true relating to the condition of ITP? Select all that apply.
1)ITP affects women more than men.
2)ITP is more common in children.
3)ITP etiology is known.
4)Patients 65 years or older have a higher risk of bleeding and mortality.
5)Asians are at higher risk for developing ITP.

Question 6

Which of the following conditions may be a possible differential diagnosis for AML? Select all that apply.
1)Anemia
2)Myelophthisis
3)Meningitis
4)Bone marrow failure
5)Subdural hematoma

Question 7

Which of the following are contributing factors for ALL? Select all that apply.
1)Cancer
2)Chronic inflammation
3)Radiation exposure
4)Inherited syndromes
5)Smoking

Question 8

Martin is a 75-year-old patient diagnosed with chronic lymphatic leukemia (CLL).Which of the following statements is true relating to CLL? Select all that apply.
1)CLL is a rare type of adult leukemia in the Western world.
2)CLL is a disease of the older adult.
3)CLL manifests symptoms of fatigue, feeling of fullness in the abdomen, and weight loss.
4)CLL is more likely to be found in men than in women.
5)CLL treatment is divided into induction and post-remission or consolidation therapy.

Question 9

Ellen is a 57-year-old woman diagnosed with iron-deficiency anemia (IDA).Her physician orders further diagnostic tests to rule out which of the following?
1)HIV
2)Malignancy
3)Gastritis
4)Stroke

Question 10

To complete hematological assessment, a diagnostic should be performed.Which of the following should be tested to assess for blood loss or blood cell destruction?
1)Hemoglobin electrophoresis
2)Reticulocyte count
3)Vitamin B₁₂ and folate levels
4)Ferritin

Question 11

IDA is multifactorial and is common in men 65 years and older.Patients present symptoms of nonspecific fatigue and/or weakness, dizziness, and shortness of breath.Which of the following are the contributing factors for IDA in older adults? Select all that apply.
1)Inadequate diet
2)Peptic ulcer disease
3)Malabsorption syndromes
4)Podiatric surgery
5)Weight gain

Question 12

The treatment of acute lymphoblastic leukemia (ALL)consists of the control of bone marrow and systemic disease.Which of the following therapies eliminates any leukemic cells that may remain?
1)Consolidation therapy
2)Maintenance therapy
3)Induction remission
4)Central nervous system (CNS)prophylaxis

Question 13

Which of the following medical providers is responsible for the early components of diagnostic work-up?
1)Primary care provider (PCP)
2)Anesthesiologist
3)Surgeon
4)Pulmonologist

Question 14

Jonathan was brought in to urgent care by his mother for symptoms of pain, frequent nosebleeds, weakness, and shortness of breath.Complete blood count (CBC)with differential and platelet count and a comprehensive chemistry panel were done.From which of the following conditions may Jonathan be suffering?
1)ITP
2)CLL
3)ALL
4)AML

Question 15

Which of the following conditions has the presentation of increased platelet destruction by the immune system?
1)ITP
2)CLL
3)ALL
4)AML