HSCI 4080: Quiz 3

A rare illness that involves the overgrowth of lymphoid tissue, although not itself considered a cancer is:

Castleman disease.

How is the articular cartilage damaged in rheumatoid arthritis?

Enzmatic destruction by the pannus

A 22-year-old female just delivered a healthy baby girl. She suffered from eclampsia during her pregnancy, and on the second postpartum day she complained of bleeding gums and bruising on her arms and legs. Hematology lab tests indicate that she had disseminated intravascular coagulation (DIC). Further review of lab tests by the health care professional revealed an increase in:

Fibrin degradation products (FDPs)

What factor is causing non-Hodgkin's lymphomas to increase in prevalence?

HIV

A 2-year-old male presented with growth and maturation retardation and splenomegaly. He died shortly after arriving at the ER. Autopsy revealed thalassemia secondary to defective:

Hemoglobin synthesis

A 34-year-old male presents in the emergency room with extreme fatigue and shortness of breath. His skin and sclera appear to have a yellowish discoloration. These assessment findings are consistent with which type of anemia?

Hemolytic anemia

A 5-year-old male was diagnosed with normocytic-normochromic anemia. Which of the following anemias does the health care professional suspect the patient has?

Hemolytic anemia

A 62-year-old female tells her health care provider she has been experiencing regular night sweats that cause her to wake up drenched. She also remarks that she has been unintentionally losing weight. Physical exam reveals enlarged lymph nodes on her neck that do not appear to be painful. She should be screened for which of the following cancers?

Hodgkin lymphoma

Which mother is at most risk for a maternal-fetal blood incompatibility?

Mother is Rh-negative, and fetus is Rh-positive

A 58-year-old female presents in the clinic presenting with fatigue, weight loss, and tingling in her fingers. Laboratory findings show low hemoglobin and hematocrit, a high mean corpuscular volume, and normal plasma iron. These assessment findings are consistent with which type of anemia?

Pernicious anemia

A newborn is diagnosed with congenital intrinsic factor deficiency. Which of the following types of anemia will the health care professional see documented on the chart?

Pernicious anemia

A 57-year-old male presents to his primary care provider for red face, hands, feet, ears, and headache and drowsiness. A blood smear reveals an increased number of erythrocytes, indicating:

Polycythemia vera (PV)

Which of the following distinguishes septic arthritis?

Purulent synovial fluid present in a single, swollen joint

How does the joint appear during an exacerbation of rheumatoid arthritis?

Red, warm, swollen, and tender to touch

A 35-year-old male has enlarged lymph nodes in the neck and a mediastinal mass. He was diagnosed with Hodgkin lymphoma. Which of the following abnormal cells would the health care professional expect to find with this disease?

Reed-Sternberg cell

The atypical cell that serves as a marker for diagnosing Hodgkin's lymphoma is the:

Reed-Sternberg cell

What is a common outcome of fibrosis, calcification and fusion of the spine in ankylosing spondylitis?

Rigidity, postural changes, and osteoporosis

Rickets results from

a deficit of vitamin D and phosphates

Which of the following may precipitate an attack of gout?

A sudden increase in serum uric acid levels

Which of the following individuals should the health care professional assess first for a vitamin B12 deficiency anemia?

47-year-old male who had a gastrectomy procedure (removal of the stomach)

What is the typical joint involvement with rheumatoid arthritis?

Bilateral small joints, symmetrical progression to other joints

In disseminated intravascular coagulation (DIC), the health care professional assesses for active bleeding after intravascular clotting because:

Clotting factors are depleted

A 45-year-old male is diagnosed with macrocytic, normochromic anemia. The health care professional suspects the most likely cause of this condition is:

Defective DNA synthesis

Which of the following is characteristic of osteoarthritis?

Degeneration of articulating cartilage occurs in the large joints

A 65-year-old male is diagnosed with multiple myeloma. He reports severe pain. This pain can be attributed to:

Destruction of bone tissue

A 10-year-old male is diagnosed with leukemia. The health care professional assesses for which other condition that could be associated with his disease?

Down syndrome

Mrs. Smith has been diagnosed with Hodgkin's disease. She has cancer involving the nodes on both sides of the diaphragm and the spleen. According to the Ann Arbor staging system which stage is she in?

Stage III

Which of the following is true about Duchenne's muscular dystrophy?

There is difficutly climbing stairs or standing up at 2 to 3 years of age

The mother of a 3-year-old child speaks to the pediatrician because the child took several hours to stop bleeding following a minor scrape. Testing reveals that the child has hemophilia A resulting from a deficiency in factor:

VIII

A woman is complaining about a persistent fever, weight loss and weakness. She notifies that there is a lump on her neck, which suggests she has lymphoma. the woman also has persistent infections and she asks you why they won't disappear. You tell her it is most likely due to

abnormal lymphocytes interfering with the immune-response allowing infections to keep re-surfacing.

The condition called elephantiasis where there is extreme swelling, frequent infections, skin ulcerations and fever is caused by

bacteria, diseases, and the filarial parasitic worm

Systemic effects of rheumatoid arthritis are manifested as:

nodules in various tissues, severe fatigue, and anorexia

Which of the following is not a symptom of Hodgkin's lymphoma?

non-organized lymph node involvement

What is a common effect of long-term use of glucocorticoids to treat rheumatoid arthritis?

osteoporosis

Which of the following does NOT occur in patients with aplastic anemia?

decreased fatty tissue

Therapeutic measures for osteoporosis include:

dietary supplements of calcium and vitamin D

The function of the hormones secreted by the thymus gland is to:

enable lymphocytes to develop into mature T cells.

Bone marrow function can be assessed by all of the following EXCEPT:

hematocrit values

One of the reasons non-Hodgkin's lymphomas are harder to treat than Hodgkin's lymphomas is that they:

involve multiple nodes and widespread metastases.

What is the most common form of anemia?

iron deficiency anemia

Occurring as a result of an obstruction within a blood vessel supplying blood to the brain, with an underlying condition being development of fatty deposits lining the vessels. The condition/s is/are known as:

ischemic stroke with atherosclerosis

Multiple myeloma is a neoplastic disease of unknown etiology occurring in older adults and involving:

plasma cells.

Where does inflammation usually begin in an individual with ankylosing spondylitis?

sacroiliac joints with progression up the spine

Joints affected by osteoarthritis can sometimes affect healthy joints by:

the affected individual's exerting stress on the normal joint to protect the damaged one

What limits joint movement in osteoarthritis?

the osteophytes and irregular cartilage surface