iRAT 5 Flashcards
Which of the following is associated with leukemia?
- slight increase in WBC
- marked increase in WBC
- decrease in WBC
- increase in RBC
marked increase in WBC
Leukemia: cancer of WBC forming elements in bone marrow, malignant transformation at expense of RBC and platelets - causes thrombocytopenia
According to CDC, AIDS diagnosis is based on HIV positive status as well as a CD4 below:
- 500/ml
- 200/ml
- 800/ml
- 1000/ml
200/ml
CD4: T-cell count
norm WBC count is 1000-1500/ml
important to make lifestyle modifications with HIV
Presence of ketones in urine suggest what?
- fasting or dieting
- TB
- high protein diet
- high carbohydrate diet
fasting or dieting
ketones = burning fat and protein
26 yo constructor worker presents with LBP, central, does not radiate. Had condition since 17 yo, but increased in severity over past year. No neuro abnormalities, but decreased thoracolumbar ROM and chest expansion. Which lab procedure is most useful in confirming your initial impression?
- ANA
- alkaline phosphatase
- HLA-B27
- C-reactive protein
- erythrocyte sedimentation rate
HLA-B27 (for AS)
ANA = SLE
alkaline phosphatase = liver and bone, Paget’s
HLA-B27 = AS, Reiter’s, Psoriatic, IBS, uveitis,
C-reactive protein = inflammation
ESR = inflammation from infection, inflammation, cancer
Pancytopenia entails all except?
- anemia
- polycythemia
- leukopenia
- thrombocytopenia
polycythemia
pancytopenia: blood cell (red, white, platelets) are decreased in number, depressed bone marrow
Direct bilirubin is increased in?
- iron deficiency anemia
- obstructive jaundice
- hepatitis
- hemolytic jaundice
obstructive jaundice
hemolytic jaundice = indirect
Which of the following STDs is implicated in cervical cancer?
- syphilis
- gonorrhea
- chlamydia
- HPV
HPV (human papilloma virus)
Chancre is what stage of syphilis?
- 1
- 2
- 3
1
Which of the following is most common STD?
- syphilis
- gonorrhea
- chlamydia
- HPV
chlamydia
Most common cause for occasional blood in urine is?
- malignancy
- hypertension
- diabetes
- physical activity
physical activity
- acute cholecystitis
- acute cystitis
- acute pyelonephritis
- ureteral stone
ureteral stone
39 yo, headaches for 3 months that are slow progressive, dull, aching pain. Normal vitals. BP 130/85 mm/Hg. Physical exam is unrewarding. Neuro exam shows visual field abnormalities in confrontation test. Other cranial nerves are WNL. Leaning forward and coughing, sneezing, straining aggravates headache. No other neuro findings are detected. What is most likely clinical cause of visual abnormalities?
- suffering from SOL
- suffering from classic migraine
- must be referred out for further investigation
- most common visual field abnormalities with optic tract lesion is bitemporal hemianopia
a. all are true
b. 1 and 3 are true
c. 2 and 4 are true
d. only 4 is true
1 and 3 are true
suffering from SOL and must be referred out for further investigation
confrontation test: optic nerve
Which of the following is true with regard to precaution/contraindication for chiropractic management?
- iron deficiency anemia
- diabetes
- grade 2 spondylolisthesis
- cauda equina syndrome
a. all are true
b. 1 and 3 are true
c. 2 and 4 are true
d. only 4 is true
only 4 is true?
30 yo male, swelling at angle of mandible, slight fever, malaise for 3 days. Exam shows hotness, redness and tenderness with obvious swelling of right cheek and mandibular angle area. Which of the following lab findings is most likely to help in establishing clinical impression?
- eosinophil count
- lipase and amylase
- reticulocytes
- ANA
- C-reactive protein
lipase and amylase
Mumps and pancreatitis
Spinal x-rays of 50 yo reveals generalized osteopenia. Her hematology exam shows mild ESR elevation. There are generalized small lytic lesions around pelvis, skull and sternum. Which are the 2 most relevant findings?
- increased albumin
- decreased albumin
- increased acid phosphatase
- increased globulin
- bence jones proteinuria
D and E
bence jones proteinuria and increased globulin
multiple myeloma
24 yo female complaining of joint pain. Indicates history of kidney disorder that was investigated in last years. Presence of rosy butterfly erythema like discoloration on her cheeks. Which 2 are mostly associated with her condition?
- anti-nucleic antibody
- Reiter’s syndrome
- osteoarthritis
- systemic lupus
- fungus infection
A and D
anti-nucleic antibody and systemic lupus