HEME-ONCOLOGY-7
A 4-year-old boy is brought to the physician because of a 1-month history of generalized fatigue. During the past week, he has also had fever and severe leg pain that keeps him awake at night. Examination shows cervical and axillary lymphadenopathy. His liver is palpated 4 cm below the right costal margin and the spleen is palpated 3 cm below the left costal margin. His hemoglobin concentration is 10.2 g/dL, leukocyte count is 64,500/mm3, and platelet count is 29,000/mm3. A bone marrow aspirate
Acute lymphoblastic leukemia
A 67-year-old man comes to the physician because of a 2-month history of generalized fatigue. On examination, he appears pale. He also has multiple pinpoint, red, nonblanching spots on his extremities. His spleen is significantly enlarged. Laboratory studies show a hemoglobin concentration of 8.3 g/dL, a leukocyte count of 81,000/mm3, and a platelet count of 35,600/mm3. A peripheral blood smear shows immature cells with large, prominent nucleoli and pink, elongated, needle-shaped cytoplasmic inc
Acute myelogenous leukemia
A 47-year-old woman comes to the physician because of easy bruising and fatigue. She appears pale. Her temperature is 38°C (100.4°F). Examination shows a palm-sized hematoma on her left leg. Abdominal examination shows an enlarged liver and spleen. Her hemoglobin concentration is 9.5 g/dL, leukocyte count is 12,300/mm3, platelet count is 55,000/mm3, and fibrinogen concentration is 120 mg/dL (N = 150-400). Cytogenetic analysis of leukocytes shows a reciprocal translocation of chromosomes 15 a
All-trans retinoic acid
Seven days after undergoing bilateral total knee arthroplasty, a 65-year-old man comes to the physician with a dark discoloration and blisters on his abdomen. Current medications include simvastatin, aspirin, and low molecular weight heparin. His vital signs are within normal limits. Examination of the skin shows multiple coalescing blisters with areas of necrosis around the umbilicus. Laboratory studies show a platelet count of 32,000/mm3. Which of the following is the most likely underlying ca
Antibody formation against heparin-PF4 complex
A 45-year-old man comes to the physician because of a 3-month history of recurrent headaches. The headaches are of a dull, nonpulsating quality. The patient denies nausea, vomiting, photophobia, or phonophobia. Neurologic examination shows no abnormalities. The physician prescribes a drug that irreversibly inhibits cyclooxygenase-1 and cyclooxygenase-2 by covalent acetylation. Which of the following medications was most likely prescribed by the physician?
Aspirin
A 53-year-old man is brought to the emergency department because of wheezing and shortness of breath that began 1 hour after he took a new medication. Earlier in the day he was diagnosed with stable angina pectoris and prescribed a drug that irreversibly inhibits cyclooxygenase-1 and 2. He has chronic rhinosinusitis and asthma treated with inhaled β-adrenergic agonists and corticosteroids. His respirations are 26/min. Examination shows multiple small, erythematous nasal mucosal lesions. After t
Blockage of P2Y12 component of ADP receptors
A 6-year-old boy is brought to the physician because of worsening fatigue for the past 4 weeks. Examination of the head and neck shows conjunctival pallor, grayish-brown spots on the irises, prominent epicanthal folds, and a broad nasal bridge. He has a single transverse palmar crease, and there are scattered petechiae over the chest. An ultrasound of the abdomen shows enlargement of the liver and spleen. Analysis of the bone marrow aspirate of this patient is most likely to show which of the fo
CD10 positive cells
A 14-year-old boy is brought to the emergency department because of a 4-hour history of vomiting, lethargy, and confusion. Three days ago, he was treated with a low-dose over-the-counter medication for fever and a runny nose. He is oriented only to person. His blood pressure is 100/70 mm Hg. Examination shows bilateral optic disc swelling and hepatomegaly. His blood glucose concentration is 65 mg/dL. Toxicology screening for serum acetaminophen is negative. The over-the-counter medication that w
Decreased uric acid elimination
A 54-year-old man comes to the physician for a follow-up examination. One week ago, he was treated in the emergency department for chest pain, palpitations, and dyspnea. As part of his regimen, he was started on a medication that irreversibly inhibits the synthesis of thromboxane A2 and prostaglandins. Which of the following is the most likely adverse effect of this medication?
Gastrointestinal hemorrhage
A 77-year-old man with type 2 diabetes mellitus is admitted to the hospital because of chest pain and dyspnea. Serum troponin levels are elevated and an ECG shows ST-segment depressions in the lateral leads. Percutaneous coronary angiography is performed and occlusion of the distal left anterior descending coronary artery is identified. Pharmacotherapy with eptifibatide is initiated and a drug-eluting stent is placed in the left anterior descending coronary artery. The mechanism by which eptifib
Glanzmann thrombasthenia
A 26-year-old woman, gravida 2, para 1, at 26 weeks' gestation, comes to the emergency department because of pain and swelling in her right calf. Physical examination shows an increased circumference of the right calf. The leg is warm and tender on palpation. Dorsiflexion of the right foot elicits calf pain. An ultrasound of the right leg shows a noncompressible popliteal vein. Which of the following is the most appropriate pharmacotherapy for this patient's condition?
Heparin
A previously healthy 5-year-old girl is brought to the emergency department by her parents because of a severe headache, nausea, and vomiting for 6 hours. Last week she had fever, myalgias, and a sore throat for several days that resolved with over-the-counter medication. She is oriented only to person. Examination shows bilateral optic disc swelling. Serum studies show: Glucose61 mg/dLAspartate aminotransferase (AST)198 U/LAlanine aminotransferase (ALT)166 U/LProthrombin time18 sec Which of the
Hepatic mitochondrial injury
A 5-year-old girl is brought to the physician by her mother for a 6-week history of fatigue, fever, and recurrent epistaxis. She has a history of duodenal atresia and an atrioventricular septal defect. She is at the 5th percentile for height and 30th percentile for weight. Physical examination shows painless cervical lymphadenopathy. Her hands are short and broad and there is a space between the first and second toes bilaterally. The spleen tip is palpated 3 cmbelow the left costal margin. Bone
Meiotic nondisjunction
A 55-year-old man comes to the physician because of worsening fatigue and recurrent bleeding from his gums for 2 weeks. Physical examination shows marked pallor. There are scattered red, nonblanching pinpoints spots on his trunk and extremities. Laboratory studies show a hemoglobin of 8.0 g/dL, a leukocyte count of 80,000/mm3, and a platelet count of 104,000/mm3. Genetic analysis of a bone marrow aspirate shows leukemic cells with a balanced translocation between the long arms of chromosome 15 a
Myeloperoxidase
A 7-year-old girl is brought to the physician by her mother because of a 2-week history of generalized fatigue, intermittent fever, and progressively worsening shortness of breath. Physical examination shows pallor, jugular venous distention, and nontender cervical and axillary lymphadenopathy. Inspiratory stridor is heard on auscultation of the chest. The liver is palpated 3 cm below the right costal margin. Her hemoglobin concentration is 9.5 g/dL, leukocyte count is 66,000 mm3, and platelet c
Positive CD3/CD7 staining
A 3-year-old boy is brought to the physician by his mother because of a 2-week history of generalized fatigue, intermittent fever, and occasional bleeding from his nose. His temperature is 38.3°C (100.9°F). He appears pale. Physical examination shows cervical lymphadenopathy and multiple petechiae on his trunk. The spleen is palpated 3 cm below the left costal margin. His hemoglobin concentration is 9.3 g/dL, leukocyte count is 63,000/mm3, and platelet count is 30,000/mm3. A bone marrow aspira
Pre-B-cell acute lymphoblastic leukemia
A 28-year-old woman, gravida 1, para 0, at 32 weeks' gestation is evaluated for vaginal bleeding. Five days ago, she was admitted to the hospital and started on treatment for a deep vein thrombosis in the right leg. Her pulse is 125/min and blood pressure is 95/67 mm Hg. Physical examination shows large hematomas on the upper limbs and swelling in the right calf. There is a large amount of bright red blood in the vaginal vault. Laboratory studies show a hemoglobin of 8.9 mg/dL, platelet count of
Protamine sulfate
A 65-year-old man is brought to the emergency room 30 minutes after an acute onset of chest pain and shortness of breath. He appears anxious and diaphoretic. His temperature is 36.9°C (98.4°F), pulse is 110/min, respirations are 16/min, and blood pressure is 115/78 mm Hg. Physical examination shows an S4 gallop. ECG shows ST-segment elevation in leads I, aVL, and V1-V6. Emergency percutaneous coronary angiography shows complete occlusion of the left main coronary artery. The release of which o
Thromboxane A2 (TXA2)
A 58-year-old man comes to the physician because of a sore throat and painful lesions in his mouth for the past few days. Six weeks ago, he underwent cardiac catheterization and stent implantation of the left anterior descending artery for treatment of acute myocardial infarction. Pharmacotherapy with dual antiplatelet medication was started. His temperature is 38.1°C (100.6°F). Oral examination shows several shallow ulcers on the buccal mucosa. Laboratory studies show: Hematocrit41.5%Leukocyt
Ticlopidine
A 35-year-old woman is brought to the emergency department 30 minutes after the onset of severe dyspnea. On arrival, she is unresponsive. Her pulse is 160/min, respirations are 32/min, and blood pressure is 60/30 mm Hg. CT angiography of the chest shows extensive pulmonary embolism in both lungs. She is given a drug that inhibits both thrombin and factor Xa. Which of the following medications was most likely administered?
Unfractioned heparin
