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PATHOLOGY > Midterms: Hema and Lymph > Flashcards

Midterms: Hema and Lymph Flashcards

1
Q

The major clinical manifestation of multiple myeloma is:

A

Bone loss that results to pathologic fracture

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2
Q

T or F
Assess whether the statement is True or False: Malignant nodes are often firm and enlarged but not tender or
mobile.

A

TRUE

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3
Q

Individuals with pernicious anemia are deficient of:

A

cobalamin

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4
Q

This theory in the development of lymphatic system states that it developed from stem type mesenchymal cells:

A

Centripetal

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4
Q

The following hematologic parameters decrease with aging, except:
a. Red cell rigidity
b. hematocrit
c. Marrow tissue
d. Hemoglobin

A

a. Red cell rigidity

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4
Q

Fungal infection is a common skin complication of lymphedema in what part of the body?

A

Foot

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4
Q

A 30 year old female has a wound on her right breast. She has fever and has a tender enlarged right axillary
lymph node. The right axillary lymph node has:
a. lymphangioma
b. lymphadenitis
c. lymphangitis
d. lymphedema

A

b. lymphadenitis

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4
Q

What is the most common cause of lymphedema worldwide?

A

Filariasis

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5
Q

Which of the following can be a clinical manifestation of hereditary hemochromatosis?
a. Weakness
b. All of the given options
c. Chronic fatigue
d. Myalgia

A

b. All of the given options

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5
Q

Lymphedema is commonly seen in what region of the body?

A

Extremities

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5
Q

What is the most common transfusion-related reaction?

A

Febrile nonhemolytic reaction

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5
Q

Lack of erythropoietin will cause anemia due to:

A

decreased RBC production

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6
Q

The following are characteristics of a lymph node with acute lymphadenitis, except:
a. red in color
b. tender on palpation
c. warm to touch
d. scarred and large

A

d. scarred and large

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7
Q

Based on the hypothesis of Starling, which pressure will prevent lymphedema?

A

Plasma colloidal osmotic pressure

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8
Q

This type of shock is due to the failure of the heart to propel the blood into the systemic circulation?

A

Cardiogenic

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8
Q

This type of thalassemia is due to lack of beta globin chain synthesis:
a. Beta thalassemia trait
b. Cooley anemia
c. Alpha thalassemia
d. Beta thalassemia intermedia

A

b. Cooley anemia

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8
Q

A localized region of necrosis caused by reduction of arterial perfusion below a level required for cell viability is
called:
a. edema
b. embolus
c. thrombus
d. infarct

A

d. infarct

9
Q

T or F
Assess whether the statement is True or False: Ninety percent of the fluid in the interstitium is reabsorbed on the
venous end of the capillary.

A

TRUE

10
Q

T or F
Assess whether the statement is True or False: The presence of grossly dilated and enlarged lymphatics that can become varicosed is the most common cause of primary lymphedema.

A

FALSE

10
Q

The most common cause of lymphedema in the USA is associated with treatment of this disease:

A

cancer

11
Q

Which of the following hematologic neoplasms has “bone loss that results to pathologic fracture” as its major clinical manifestation?
A. Polycythemia vera
C. Essential thrombocythemia.
B. Multiple myeloma
D. Acute myelogenous leukemia

A

B. Multiple myeloma

11
Q

Assess whether the statement is True or False: In thalassemia, red cells are structurally impaired with defective synthesis of hemoglobin.
A. True
B. False

A

A. True

11
Q

. Patients who have been diagnosed with pernicious anemia are deficient of:
A. iron
B. cobalamin
C. erythropoietin
D. folic acid

A

B. cobalamin

12
Q

Anemia among patients with deficiency of erythropoietin is due to:
A. increased RBC destruction
B. excessive blood loss
C. decreased RBC production

A

C. decreased RBC production

12
Q

What is the most common leukemia in adults?
A. Acute myelogenous leukemia.
B. Chronic myelogenous leukemia
C. Acute lymphocytic leukemia
D. Chronic lymphocytic leukemia

A

C. Acute lymphocytic leukemia

13
Q

What is the most common transfusion-related reaction?
A. Febrile nonhemolytic reaction
B. Acute hemolytic transfusion reaction
-C. Transfusion-related acute lung injury
D. Delayed hemolytic transfusion reaction

A

A. Febrile nonhemolytic reaction

14
Q

What is the most common abnormality involving the blood?
A. Leukemia
C. Lymphoma
B. Thalassemia
D. Anemia

A

D. Anemia

15
Q

Among patients with viral infections, the expected physiologic response involving blood leukocyte is:
A. leukopenia
B. eosinophilia
C. lymphocytosis
D. neutrophilia:

A

C. lymphocytosis

16
Q

This type of shock is due to the failure of the heart to propel the blood into the systemic circulation?

A

Cardiogenic

17
Q

Fungal infection is a common skin complication of lymphedema in what part of the body?

A

Foot

17
Q

The most common location of lymphedema is/are:
A. Extremities
C. Head
B. Neck
D. All of the given options.

A

A. Extremities

18
Q

A localized region of necrosis caused by reduction of arterial perfusion below a level required for cell viability is called:

A

infarct

19
Q

The most common malformation that is associated with primary lymphedema is:

A

Hypoplasia

19
Q

The most common cause of lymphedema in the USA is associated with treatment of this disease:

A

Cancer

19
Q

A 23 year old female has a wound on her left breast. She has fever and has a tender enlarged left axillary lymph node. The left axillary lymph node has:
A. lymphedema
C. lymphangitis.
B. lymphadenitis
D. lymphangioma

A

B. lymphadenitis

20
Q

Which of the following is considered as the most common cause of lymphedema worldwide?

A

Filariasis.

21
Q

Severe nonpitting fibrotic lymphedema with hardening of dermal tissue and atrophic changes in the skin are seen in what stage of lymphedema?

A

II

21
Q

Based on the hypothesis of Starling, which pressure will prevent lymphedema?

A

Plasma colloidal osmotic pressure

21
Q

Assess whether the statement is True or False: The tissue colloidal osmotic pressure causes a net movement of fluid from capillaries into the tissue.
A. True.
B. False

A

A. True.

22
Q

.Assess whether the statement is True or False: The centrifugal theory states that the lymphatic endothelium developed from venous endothelium.
A. True -
B. False

A

A. True -

PATHOLOGY (15 decks)

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