PreTest Pediatrics: "Hematologic and Neoplastic Diseases"

Question 1

Normal lead levels are less than ___________.

Answer 1

10

Question 2

True or false: elevated free protoporphyrin levels are only found in lead poisoning.

Answer 2

False

Whenever the body cannot make heme, such as in lead deficiency and other kinds of anemia like iron deficiency, free protoporphyrin rises.

Question 3

What two things should you do when a child with sickle cell presents with stroke symptoms?

Answer 3

• Transfuse blood (to remove sickle cells)

* Image the brain

Question 4

Kaposiform hemangioendothelioma can cause what hematologic anomalies?

Answer 4

RBC sequestration

Question 5

You might give G-CSF to a child with cyclic fevers and infections who has ______________.

Answer 5

cyclic neutropenia, a hereditary disorder in which the neutrophil levels drop every few weeks

Question 6

Automated CBCs can sometimes report __________ as atypical lymphocytes.

Answer 6

blast cells

Question 7

A newborn has hemolytic anemia. What feature on the smear can tell you that it’s hereditary spherocytosis versus Rh incompatibility?

Answer 7

Spherocytes are not usually seen in Rh incompatibility.

Question 8

If you suspect Hodgkin disease based on clinical history, then you should first order ________________.

Answer 8

a chest radiograph looking for mediastinal masses