Understanding Pathophysiology Study Set 3

Medicine

Quiz 22 :
Alterations of Hematological Function in Children

Quiz 22 :
Alterations of Hematological Function in Children

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A 2-year-old male presented with growth and maturation retardation and splenomegaly. He died shortly after arriving at the ER. Autopsy revealed thalassemia, a condition involving what feature?
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Multiple Choice
Answer:

Answer:

D

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A 1-year-old female is diagnosed with anemia secondary to insufficient erythropoiesis. What is the most likely cause?
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Multiple Choice
Answer:

Answer:

B

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A 12-month-old toddler weighing 8 kilograms is brought to the clinic because of weakness, slow physical growth, and developmental delays. His mother reports that the only food he will consume is cow's milk. The symptoms support a diagnosis of which form of anemia?
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Multiple Choice
Answer:

Answer:

B

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A 16-month-old female presents with tachycardia, pallor, anorexia, and systolic murmur. The nurse is checking the laboratory results, and the hemoglobin determination indicates a level below _____ mmol/L.
Multiple Choice
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Which mother-fetus combination is at most risk for a maternal-fetal blood incompatibility?
Multiple Choice
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Which of the following amino acids is present in Hb S and not present in normal Hb?
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In Canada, which group of people should be assessed first for sickle cell disease?
Multiple Choice
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A mother has a child that is diagnosed with sickle cell anemia. While the mother does not have the disease, which characteristic of her genetic makeup is responsible for the child's disease?
Multiple Choice
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What organ is responsible for removing sickled cells from circulation?
Multiple Choice
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Which major symptom indicates to the nurse that patient diagnosed with sickle cell anemia is experiencing a vaso-occlusive crisis?
Multiple Choice
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Which type of sickle cell crisis occurs only in young children?
Multiple Choice
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A 6-year-old male presents with marked fatigue, jaundice, and irritability. A blood smear shows the presence of sickled cells. Erythropoiesis is compromised in this child. Which crisis should the nurse monitor the patient for?
Multiple Choice
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What is the most likely cause of death associated with sickle cell disease?
Multiple Choice
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What type of genetic disorders are the alpha and beta thalassemias?
Multiple Choice
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Autopsy on a stillborn fetus reveals cardiomegaly, hepatomegaly, edema, and ascites as well as fulminant intrauterine heart failure. Considering these findings, what is the most likely cause of death?
Multiple Choice
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If an infant has hydrops fetalis, which type of thalassemia does the nurse know this to be?
Multiple Choice
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Testing reveals that a child has hemophilia A. This bleeding disorder results from a deficiency in factor:
Multiple Choice
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By what other name is the clotting factor IX disorder, hemophilia B, known as?
Multiple Choice
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A 3-year-old child presents with bruising on the legs and trunk and a petechial rash. The mother also reports frequent nosebleeds. Lab tests reveal a decreased platelet count. This symptomology supports which medical diagnosis?
Multiple Choice
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A 5-year-old male is diagnosed with immune thrombocytopenic purpura (ITP). What is the most common cause of this condition?
Multiple Choice
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