Lecturio quiz questions Flashcards

1
Q

Which type of cell is the characteristic histologic feature of Hodgkin’s lymphoma?

A

Reed-Sternberg cells

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2
Q

What is the function of The regulatory protein BCL2?

A

Inhibit Apoptosis

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3
Q

What is the most common type of non-Hodgkin lymphoma?

A

Diffuse large B-cell lymphoma

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4
Q

What histological feature is seen in Burkitt lymphoma?

A

Starry sky

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5
Q

To which of the following body parts is lymphoblastic lymphoma more likely to metastasize?

A

Testicles

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6
Q

Which of the following cells are most often associated with chronic lymphocytic leukemia?

A

Smudge Cells

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7
Q

which white blood cells respond in the acute phase of inflammation?
Neutrophils
Basophils
Lymphocytes
Monocytes

A

neutrophils

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8
Q

How might the nurse be able to tell the difference between a viral infection and a bacterial infection through the results of a complete blood count (CBC)?

A

Neutrophils are elevated in bacterial infections, and lymphocytes are elevated in viral infections.

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9
Q

What is likely to occur in a client’s WBCs if the client is infected with human immunodeficiency virus (HIV)?

A

Lymphocytopenia

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10
Q

What is expected to occur to the hematocrit level collected from a dehydrated client?

A

Hematocrit levels will rise

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11
Q

How much is each unit of packed red blood cells (PRBCs) expected to raise the hematocrit level?

A

~3%

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12
Q

Which component of a complete blood count (CBC) is used to help diagnose the type, cause, and severity of an anemia?

A

MCHC

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13
Q

What can cause a decrease to both the mean corpuscular volume (MCV) and mean corpuscular hemoglobin (MCH)?

A

Anemia of chronic disease

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14
Q

Which component of the red blood cell count is most affected by the client’s hydration status?

A

Hematocrit

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15
Q

An important mediator of primary hemostasis is…

A

…von Willebrand factor.

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16
Q

What is the end product of the coagulation cascade?

A

Fibrin

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17
Q

What factor activates the extrinsic pathway?

A

Tissue factor

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18
Q

What principally drives the coagulation cascade after an injury?

A

Extrinsic pathway

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19
Q

Thrombin cleaves which of the following factors?

A

V, VIII, XIII

5, 8, 13

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20
Q

Thrombin is necessary for which of the following events?

A

Endothelial activation

21
Q

What factor do the endothelial cells synthesize?

22
Q

What is the function of the heparin-like molecule?

A

Inhibits Thrombin

23
Q

Thrombomodulin acts as a…

A

Coagulation inhibitor

24
Q

What substances play an essential role in the extrinsic pathway?

A

Ca ions and factor 7a

25
Antithrombin III activity is enhanced by...
Heparin
26
What cleaves the fibrin clot?
Plasmin
27
Thrombolysis results in the formation of...
...fibrin degradation products.
28
Fibrin degradation products are important prognostic indicators of what condition?
Pulmonary Embolism
29
Coagulation factors assemble on the phospholipid surface of what substance?
Platelets
30
What test helps to diagnose a disease that causes uncontrollable clotting?
D-dimer
31
Platelet dysfunction and decreased platelet aggregation may be caused by which of the following?
NSAIDs
32
PTT is particularly useful to measure which of the following?
Intrensic pathway
33
PTT has to be monitored in patients who are on which drug?
Heparin
34
Which of the following is found in higher amounts in beta-thalassemia major?
Hb F
35
Which of the following conditions will result in a mild increase in HbA2, mild decrease in HbA1, a normal fetal hemoglobin, and absent Hb H on electrophoresis ?
Beta-thalassemia trait
36
What is the common complication of treatment of thalassemia?
Iron Overload
37
Which of the following does NOT cause a decrease in red blood cell production? Aplastic anemia Polycythemia Vera Carcinoma infiltration Myeloproliferative disease Leukemia
Polycythemia Vera
38
Which red cell mass and plasma volume would you expect in a patient with primary polycythemia?
Increased Red cell mass and normal plasma volume
39
Which gene is commonly associated with polycythemia vera?
JAK 2
40
What cell types are predominantly involved in acute leukemia?
Early hemopoietic progenitor cells
41
Which of the following cells is is seen in myeloid leukemia on a bone marrow aspirate?
Primitive myeloblasts
42
what is the most common presentation of chronic lymphoid leukemia?
Elevated lymphocites noted on labs ordered for other reasons
43
Which B-cell receptor signalling pathway is blocked in order to inhibit the proliferation signals produced by tumor cells?
BTK (Burton's kinases)
44
Which of the following is a characteristic feature of the blood smear in chronic lymphocytic leukemia?
Smudge Cells
45
The characteristic feature is the presence of what kind of cells in Hodgkin lymphoma
Reed Sternberg cells
46
Which of the following viruses is implicated in a subset of cases of Hodgkin lymphoma?
EBV
47
Which of the following is required to make a definitive diagnosis of Hodgkin lymphoma?
Biopsy of affected tissue
48