1.
Which of the following statements is TRUE?
A. White cell disorders are caused by excessive proliferation having a neoplastic basis
B. Hemostatic disorders lead to red cell deficiency
C. Plasma cell dyscrasias originate from a cone of B cells that differentiate into neoplastic plasma cells
Correct Answer
E. A and C
Explanation
Option B = Hemostatic disorders result in hemorrhagic diathesis, e.g. bleeding orders
2.
Which of the following are causes of anemia?
A. Diminished erythropoiesis
B. Hemplysis
C. Hemorrhage
Correct Answer
A. All of the above
Explanation
All of the above are causes of anemia. Diminished erythropoiesis refers to a decrease in the production of red blood cells, which can lead to anemia. Hemolysis refers to the destruction of red blood cells, which can also result in anemia. Hemorrhage, or excessive bleeding, can cause a significant loss of red blood cells and lead to anemia as well. Therefore, all three options listed (A, B, and C) are valid causes of anemia.
3.
Which of the following is NOT a component of a CBC?
A. WBC
B. Platelets
C. Glucose content
D. Hemoglobin
E. Indicies of RBC
Correct Answer
C. C
Explanation
Glucose content is not a component of a complete blood count (CBC). A CBC typically includes the measurement of white blood cells (WBC), platelets, hemoglobin, and indices of red blood cells. Glucose content is not directly related to the composition of blood and is typically measured separately in a blood glucose test.
4.
Which of the following is a FALSE statement regarding acute hemorrhage?
A. Hemodilution occurs which reveal the extent of the blood loss
B. Leads to anemia of underproduction
C. Due to ulceration and bleeding disorders
D. Normocytic and normochromic
Correct Answer
B. B
Explanation
Option B refers to Chronic Hemorrhage
5.
Which of the following is NOT a characteristic of hemolytic anemia?
A. Iron retention
B. Increased rate of cell destruction
C. Low reticulocyte count
Correct Answer
C. C
Explanation
A high reticulocyte count indicates that the anemia is not due to a production issue. Low reticulocytosis points to a possible defect in the bone marrow.
6.
Which of the following statements pretain to Intravascular hemolytic anemias?
A. It is more common than extravascular hemolytic anemia
B. It takes place in the spleen or liver
C. May be caused due to mechanical trauma, biochemical/physical agents
Correct Answer
C. C
Explanation
Intravascular hemolytic anemias are characterized by the destruction of red blood cells within the blood vessels. The correct answer, option C, states that intravascular hemolytic anemias may be caused due to mechanical trauma, biochemical/physical agents. This means that factors such as physical injury or exposure to certain chemicals or substances can lead to the destruction of red blood cells within the blood vessels. Options A and B are incorrect because they do not pertain specifically to intravascular hemolytic anemias.
7.
Which of the following statements is TRUE?
A. Cells of individuals with hereditary spherocytosis are spherical instead of the biconcave disc
B. Sickling of RBC occurs in individuals with sickle cell anemia when blood flow slows.
C. Treatment for sickle cell anemia only includes pain management.
Correct Answer
D. A and B only
Explanation
Treatment for sickle cell anemia includes: oxygen, IV fluids, antibiotics, and pain management
8.
Which of the following is NOT a place where you would encounter slow blood flow?
A. Areas of inflammation and infection
B. Spleen
C. Liver
D. Bone Marrow
Correct Answer
D. One of the above
Explanation
Sickling occurs with slow blood flow: areas of inflammation, infection and dehydration. Blood flow is slow in the spleen and bone marrow.
9.
Which of the following is NOT characteristic of Sickle Cell anemia
A. Autosplenectomy
B. Disease is apparent in patients after 6 months of age
C. Hematocrit: 30-40% range
D. Pain can occur in many areas, with bone being the least common site of pain.
Correct Answer
F. C and D
Explanation
Hematocrit levels for sickle cell anemia is 18-30% Pain can occur in many areas but bone is MOST common
10.
Which of the following statements regarding thalassemia is TRUE?
A. Indices of a patient may look like iron deficiency anemia
B. There are two forms intravascular and extravascular
C. Normocytic and normochromic
Correct Answer
A. A
Explanation
Thalassemia = is microcytic and hypochromic due to the precipitation of Hb; has two forms major and minor
11.
Which of the following statements is false regarding malaria?
A. It is endemic in Asia and Africa
B. Red cells are destroyed and the patient suffers from chills and fever
C. Malarial parasite is released approximately every 48 hours.
D. HbA is protective against malaria
Correct Answer
D. D
Explanation
HbA is not protective against malaria. Malaria is caused by the Plasmodium parasite, which infects and destroys red blood cells. This leads to symptoms such as chills and fever. Malaria is endemic in Asia and Africa, and the malarial parasite is released approximately every 48 hours as part of its life cycle. However, HbA, which is the normal adult hemoglobin, does not provide any protection against malaria.
12.
Anemias of diminished erythropoiesis can be caused by bone marrow failure or replacement by tumor or inflammatory cells.
Correct Answer
A. True
Explanation
This statement is true because anemias of diminished erythropoiesis can indeed be caused by bone marrow failure or replacement by tumor or inflammatory cells. Bone marrow failure can occur due to various reasons such as genetic disorders, radiation or chemotherapy, or certain medications. Additionally, tumors or inflammatory cells can infiltrate the bone marrow, leading to a decrease in the production of red blood cells and resulting in anemia.
13.
Which statement concerning iron deficiency anemia is FALSE?
A. Microcytic/hypochromic anemia
B. Affects 10% of the population in developed countries
C. May be caused by chronic slow blood loss from peptic ulcers, colon cancer, menses
D. There is an excess of substances for hematopoiesis that are then sequestered in the liver.
Correct Answer
D. D
Explanation
Additional facts about anemias of diminished erythropoiesis - clinical symptoms include weakness, listlessness, pallor, and pica.
14.
Both folate deficiency and Vitamin B12 deficiency are examples of macrocytic anemias.
Correct Answer
A. True
Explanation
Both folate deficiency and Vitamin B12 deficiency can lead to macrocytic anemia, which is characterized by the presence of larger than normal red blood cells. This condition occurs when there is a disruption in the production of red blood cells, leading to fewer and larger cells being produced. Folate and Vitamin B12 are both essential for the production of red blood cells, and a deficiency in either nutrient can result in macrocytic anemia. Therefore, the statement is true.
15.
Which of the following is FALSE regarding folate deficiency?
A. Caused by a poor diet
B. Associated with pregnancy and alcohol abuse
C. Common clinical symptoms include symmetric numbness, tingling, and burning in the hands or feet
D. Macrocytic anemia
Correct Answer
C. C
Explanation
Option C: Refers to Vitamin B12 deficiency - pernicious anemia
16.
Which of the following is NOT a cause for the malabsorption in pernicious anemia?
A. Gastrectomy
B. Diseases involving the distal ileum
C. Resection of the ileum
D. Due to the autoimmune reaction against intrinsic factor
Correct Answer
B. NONE of the above
Explanation
The correct answer is "NONE of the above." This means that all of the options listed (A, B, C, and D) are causes for malabsorption in pernicious anemia. Pernicious anemia is caused by a deficiency of intrinsic factor, which is necessary for the absorption of vitamin B12. Gastrectomy, diseases involving the distal ileum, and resection of the ileum can all lead to malabsorption of vitamin B12. Additionally, the autoimmune reaction against intrinsic factor can also cause malabsorption. Therefore, none of the options listed are excluded as causes for malabsorption in pernicious anemia.
17.
Which of the following pairs are causes for aplastic anemia?
A. Certain viral infections and myelotoxic drugs
B. Sulfonamides and Chloramphenicol
C. Poor diet and inadequate dietary supply of substances from hematopoiesis
Correct Answer
D. A and B only
Explanation
In aplastic anemia -multipotent myeloid stem cells are suppressed, marrow failure and pancytopenia. 50% of cases the cause is idiopathic
18.
Which of the following statements regarding Polycythemia is FALSE?
A. It correlates with the increase in Hb concentration
B. Blood is thickened leading to thrombosis
C. Dilated, engorged, and tortuous retinal veins and arteries are visible ocular manifestations
D. There are two types of polycythemia: primary and secondary
Correct Answer
D. Three of the above is true
Explanation
There are two types of polycythemia: Relative and Absolute. Absolute polycythemia can be further divided into primary and secondary
19.
Which of the following statements apply to Non-Hodgkin lymphomas instead of Hodgkin lymphoma
A. Arise anywhere in the body where there is lymphatic tissue.
B. Has a bimodal age distribution
C. Stage IV is a disseminated disease with bone marrow or liver involvement
Correct Answer
A. A
Explanation
Non-Hodgkin lymphomas arise anywhere in the body where there is lymphatic tissue, while Hodgkin lymphoma typically originates in the lymph nodes. Therefore, statement A applies to Non-Hodgkin lymphomas instead of Hodgkin lymphoma.
20.
Acute leukemia is a malignancy of the hematopoietic progenitor cells, cells lose their ability to mature and differentiate, proliferate in an uncontrolled manner and replace normal bone marrow.
Correct Answer
A. True
Explanation
Acute leukemia is indeed a malignancy of the hematopoietic progenitor cells. In this condition, these cells lose their ability to mature and differentiate as they normally would. Instead, they proliferate in an uncontrolled manner and replace the normal bone marrow. This leads to an overproduction of immature white blood cells, which can be seen in the blood and bone marrow of individuals with acute leukemia. Therefore, the statement "Acute leukemia is a malignancy of the hematopoietic progenitor cells, cells lose their ability to mature and differentiate, proliferate in an uncontrolled manner and replace normal bone marrow" is true.
21.
The signs and symptoms of Acute myelogenous leukemia closely resemble the signs and symptoms of Acute lymphocytic leukemia.
Correct Answer
A. True
Explanation
Both exhibit fatigue and bleeding
22.
Which of the lab findings correspond to Acute lymphocytic leukemia (ALL)?
A. WBC > 100,000 and Platelets < 100,00
B. WBC >200,000
C. WBC >100,000
Correct Answer
A. A
Explanation
The lab findings that correspond to Acute Lymphocytic Leukemia (ALL) are a white blood cell count (WBC) greater than 100,000 and platelets less than 100,000. This combination of elevated WBC and low platelet count is commonly seen in ALL, which is a type of cancer that affects the white blood cells. The high WBC count is due to the overproduction of immature lymphocytes, while the low platelet count is a result of the bone marrow being crowded with cancerous cells, leading to a decrease in platelet production.
23.
Chronic Myelogenous Leukemia (CML) has a diagnostic _______ chromosome. Treatment occurs by way of a _____ ( type of procedure).
Correct Answer
Philadelphia
Bone marrow transplant
Explanation
Chronic Myelogenous Leukemia (CML) is diagnosed through the presence of the Philadelphia chromosome. This chromosome is a genetic abnormality that is found in the cancer cells of individuals with CML. The treatment for CML often involves a bone marrow transplant. This procedure replaces the diseased bone marrow with healthy bone marrow from a donor, which can help to eliminate the cancer cells and restore normal blood cell production.
24.
Acute Lymphocytic Leukemia (ALL) has a ____ onset of very high lymphocyte count, very immature malignant cells. Chronic Lymphocytic Leukemia (CLL) has a _____ onset and is often discovered on routine blood exam.
Correct Answer
Rapid
Slow
Explanation
Acute Lymphocytic Leukemia (ALL) is characterized by a rapid onset, with a sudden increase in lymphocyte count and the presence of very immature malignant cells. On the other hand, Chronic Lymphocytic Leukemia (CLL) has a slow onset and is often discovered during routine blood exams, as it progresses slowly over time.
25.
Which of the following does NOT result in increased vessel fragility?
A. Vit C deficiency
B. Petechiae and ecchymosis in skin and mucus membranes
C. Infectious and hypersensitivity vasculitides
D. Vit B deficiency
Correct Answer
D. D
Explanation
Steroid use also increases vessel fragility
26.
Which of the following statements is FALSE?
A. Von Willebrand disease is a defect in platelet function and depressed factor VIII level.
B. Pleural diseases of the liver cause hemorrhagic diatheses.
C. Vit. K is essential for the synthesis of prothrombin and clotting factors Vii, IX, X
D. Factor VIII deficiency is treated with an infusion of Factor VIII (prepared from human plasma)
Correct Answer
B. B
Explanation
Pleural diseases of the liver do not cause hemorrhagic diatheses.
27.
Which of the following is NOT a cause for bleeding disorders?
A. Increased vessel fragility
B. Deficiencies of platelets
C. Derangements of clotting mechanisms (something is wrong with clotting)
Correct Answer
E. B and C only All of the above are causes for bleeding disorders.
Explanation
The correct answer is B and C only. Increased vessel fragility and derangements of clotting mechanisms are both causes for bleeding disorders. Deficiencies of platelets, on the other hand, are not a cause for bleeding disorders.