PATH 370- Quiz 2

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Which type of leukemia primarily affects children?

ALL (acute lymphoid leukemia)

Which form of leukemia demonstrates the presence of the Philadelphia chromosome?

CML (chronic myeloid leukemia)

(T/F) The anemia resulting from a deficiency of either vitamin B 12 (cobalamin) or folate is caused by a disruption in DNA synthesis of the blast cells in the bone marrow that produces very large abnormal bone marrow cells called megaloblasts.

True

(T/F) The liver is responsible for the synthesis of coagulation factors, with the exception of part of VIII.

True

(T/F) The only known curative treatment for CML is allogeneic bone marrow transplantation from a suitable donor.

True

(T/F) Two of the most serious oncology emergencies associated with non-Hodgkin lymphoma are obstruction of the superior vena cava and compression of the spinal cord.

True

The Philadelphia chromosome is a balanced chromosome translocation that forms a new gene called

bcr-abl

Most carbon dioxide is transported in the bloodstream as

bicarbonate ion

Velocity of blood flow is measured in

centimeters per second

A cause of thrombocytopenia includes

chemotherapy

The final step in clot formation is

clot retraction

Patients with immunodeficiency disorders are usually first identified because they

develop recurrent infections

Widespread activation of the clotting cascade secondary to massive trauma is called

disseminated intravascular coagulation (DIC)

The most effective therapy for anemia associated with kidney failure is

erythropoietin administration

The prothrombin time (PT) and INR (international normalized ratio) measure the integrity of

extrinsic pathway

Red blood cells differ from other cell types in the body, because they

have no cytoplasmic organelles

Risk factors for atherosclerosis include

hyperlipidemia

The effects of histamine release include

increased vascular permeability

Venous obstruction leads to edema because it ________ pressure.

increases capillary hydrostatic

Disseminated intravascular coagulation may be treated with heparin therapy to

inhibit clotting factor consumption

Pernicious anemia is caused by a lack of

intrinsic factor

The primary source of erythropoietin is provided by the

kidney

Which causes vasoconstriction?

norepinephrine

A deficiency of von Willebrand factor impairs

platelet adhesion to injured tissue

The goal of long term heparin for the management of a deep vein thrombosis is to

prevent further clot formation

The most common primary immune deficiency that affects only B cells is

selective IgA

Autologous stem cell transplantation is a procedure in which

stem cells are harvested from the patient and then returned to the same patient

A newborn has melena, bleeding from the umbilicus, and hematuria. The newborn most likely experiencing

vitamin K deficiency bleeding

In general, the best prognosis for long-term disease-free survival occurs with

ALL (acute lymphoid leukemia)

A commonly ingested substance associated with prolongation of the bleeding time is

Aspirin

A diagnostic laboratory finding in myeloma is

Bence Jones proteins in the urine

Burkitt lymphoma is most closely associated with

Epstein-Barr virus

Treatment for hemophilia A includes

Factor VIII replacement

(T/F) Vaccination for pneumococcal pneumonia should be performed before 1 year of age in patients with sickle cell anemia.

False

Which disorder is considered a primary immunodeficiency disease?

HIV/AIDS

A child with a history of recent strep throat infection develops glomerulonephritis. This is most likely a type _____ hypersensitivity reaction.

III

Which group of clinical findings describes the typical presentation of ALL (acute lymphoid leukemia)?

Pain in long bones, infection, fever, bruising

What laboratory finding is usually found in aplastic anemia?

Pancytopenia

The relationship of blood flow (Q), resistance (R), and pressure (P) in a vessel can be expressed by which equation?

Q=P/R

What is the effect on resistance if the radius of a vessel is halved?

Resistance increases by a factor of 16


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