posted practice qs Flashcards

(30 cards)

1
Q

The most common type of anemia worldwide is:

Group of answer choices

Iron deficiency anemia

Anemia of chronic disease

Acute blood loss

B12 deficiency

A

ida

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2
Q

Laurie, age 28, appears with the following signs: pale conjunctiva and nailbeds, tachycardia, heart murmur, koilonychia, and glossitis. What do you suspect?

Group of answer choices

iron-deficiency anemia

Aplastic anemia

Anemia of chronic disease

Pernicious anemia

A

ida

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3
Q

Mrs Smith presents with the following CBC result:

Hgb 89

WBC 5.9

Plts: 300

RBC 4.28

MCV: 70

HCT 30

MCHC 31 (not 35)

Based on these results you correctly describe this as:

A

Microcytic normochromic anemia

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4
Q

After the endothelium is injured, platelets will aggregate at the site of injury and form a plug. What stabilizes the plug?

Group of answer choices

Neutrophils

Fibrin

D-dimer

Hematocytes

A

fibrin

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5
Q

Individuals with chronic kidney disease often have anemia as well. This is because there is often a need for supplementation of which of the following?

Group of answer choices

fibrinogen

erythropoetin

B12

folate

A

eryth epo

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6
Q

Which of the following best describes D-dimer?

Group of answer choices

An enzyme that removes clots from the circulation

Decreased in oncology patients

A fibrin degradation product

A protein that breaks down iron in the body

A

degredation

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7
Q

Megakaryocytes are the precursor of which cell type?

Group of answer choices

red blood cells

blasts

platelets

neutrophils

A

plt

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8
Q

Andy is a 39 yo who was found to have a hemoglobin of 79 g/L, with microcytosis and a ferritin of 500 ng/ml. What is the next best therapeutic intervention for Andy?

Group of answer choices

B12 supplements

iron supplements

folate supplements

further testing

A

testing

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9
Q

In the coagulation cascade, activated factor 11 activates which of the following?

Group of answer choices

Factor 12

Factor 9

Factor 7

Thromboplastin

A

9

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10
Q

One of the cardinal signs and symptoms of advanced B12 deficiency is:

Group of answer choices

tingling of the hands and feet

microcytosis

hyperchromic RBC

pika

A

tingling

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11
Q

The T in the TNM staging system refers to:

Appearance of the tumour cells
Tolerance to chemotherapy
Tumour oncogenic markers
Primary tumour size and extent

A

Primary tumour size and extent

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12
Q

Which of the following play a large part in the development of childhood cancers?

Maternal exposure to stress
Environmental exposure
Poor eating habits
Gene related abnormalities

A

Gene related abnormalities

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13
Q

Why are cancer cells considered “immortal”?

Cancer cells do not grow and divide but rather continue to grow unchecked
The process of apoptosis has been “turned on”
They contain cell adhesion molecules
Cancer cells fail to inhibit telomere growth

A

Cancer cells fail to inhibit telomere growth

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14
Q

The primary adverse events associated with immune targeted therapies such as tyrosine kinase inhibitors (TKI) are related to:

Up regulation of the immune system

Stimulation of paracrine cells
destruction of rapidly dividing cells such as hair follicles
Irritation of the gut

A

Up regulation of the immune system

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15
Q

Which of the following is a screening test for prostate cancer?

Barium Swallow
Polyp biopsy
PSA
FISH

A

PSA

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16
Q

Which of the following is a characteristic of a benign tumour cell?

Ability to migrate
Cells maintain specific differentiated functions
Lacks resemblance to parent cells
Have large nucleus

A

Cells maintain specific differentiated functions

17
Q

One of the three main treatments for cancer are?

Surgery
Analgesia
Hormone therapy
EPO supplement

18
Q

VEGF is implicated in which of the following pro-cancer activities?

Paracrine metabolism
Anaplasia
Angiogenesis
Proto-oncogene proliferation

19
Q

The shortening of telomeres results in…

Cellular immortality
Apoptosis
Cancer
Proto-oncogenes

20
Q

You are working in a walk in clinic. Jay received chemotherapy 10 days ago and comes to your clinic complaining of high fevers. Your most appropriate action is:

Send him home and ask him to return if he feels worse tomorrow
Prescribe acetaminophen
Complete a full set of vital signs and if febrile, send to ED for further assessment
Start antibiotics

A

Complete a full set of vital signs and if febrile, send to ED for further assessment

21
Q

What does activation of the classical pathway begin with?
Viruses
Antigen-antibody complexes
Macrophages
Mast cells

22
Q

What plasma protein system forms a fibrinous meshwork at an inflamed site?
Complement
Coagulation
Kinin
Fibrinolysis

23
Q

What is the function of opsonization related to the complement cascade?
To promote anaphylatoxic activity, resulting in mast cell degranulation
To process pathogenic microorganisms so that activated lymphocytes can be created for acquired immunity
To destroy glycoprotein cell membranes of pathogenic microorganisms
To tag pathogenic microorganisms for destruction by neutrophils and macrophages

A

To tag pathogenic microorganisms for destruction by neutrophils and macrophages

24
Q

Which of the following is NOT an antimicrobial peptide utilized as a biochemical barrier in the 1st line of defence?
Leukotrienes
Cathelicidins
Defensin
Collectins

25
The acute inflammatory response is characterized by fever that is produced by the hypothalamus being affected by what? Endogenous pyrogens Antigen-antibody complexes Exogenous pyrogens bacterial endotoxin
Endogenous pyrogens
26
Mast cells release which of the following molecules during inflammation that stimulate nociceptive receptors resulting in pain? Histamine Chemotactic factor Prostaglandin Platelet-activating factor
Prostaglandin
27
In the Complement Cascade/System, what is the direct role of C3b? Opsonization that coats bacteria to increase phagocytosis Chemotaxis and directional migration of neutrophils and macrophage Anaphylatoxin impacting degranulation of mast cells to produce vasodilation and capillary permeability Activation of the clotting cascade
Opsonization that coats bacteria to increase phagocytosis
28
In the Kinin System, which of the following describes the action of the inflammatory mediator bradykinin? Activates clotting cascade and regulates clot formation Stimulation of Factor X, thrombin and fibrinogen Dilates blood vessels and increases vascular permeability Facilitates phagocytosis of a bacterial pathogen through opsonin
Dilates blood vessels and increases vascular permeability
29
Physiological changes to the immune system of older adults include: Incidence of chronic inflammation is higher, due to an increased production of proinflammatory mediators A high rate of T-lymphocyte proliferation An increase in the number of cytotoxic T cells An increase in CD8, which affects regulation of the immune system
Incidence of chronic inflammation is higher, due to an increased production of proinflammatory mediators
30
Alex is a 52-year-old biologically female person [pronounce she/her] with an early diagnosis of rheumatoid arthritis. Which of the following is an appropriate first line treatment strategy: Methotrexate and folic acid supplementation Cyclosporin Infliximab (Remicade) Azathoprine (Imuran)
Methotrexate and folic acid supplementation