An adult patient has a white blood count of 80 x 109/L. The differential has 92% Sudan black B–positive blasts and 8% lymphocytes
Which of the following is most likely?
a. Acute myeloid leukemia, minimally differentiated
b. Acute myeloid leukemia without maturation
c. Immature B-cell acute lymphoblastic leukemia
d. Acute megakaryocytic leukemia
ANS: B
Positive staining with either or both the Sudan black B and peroxidase stain characterize acute myeloid leukemia without maturation.
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The family of a patient in hospice care for the final stage of lung cancer has summoned 911 because their father is short of breath. The patient is responsive to verbal stimuli and has an open airway with adequate respiration of 18 to 20 per minute. His skin is cool and diaphoretic with diminished breath sounds bilaterally. Your partner reports a heart rate of 112, blood pressure 96/44 mmHg, and
an SpO2 of 82%. He has a valid DNR, but family is scared and wants him transported to the ED for evaluation. Your next action would be to: A) monitor during transport but avoid providing physical care. B) place an oral airway and start positive pressure ventilation. C) provide high-concentration oxygen, monitor vitals, and transport to the ED. D) administer oxygen at 2 lpm and provide emotional support during transport.
When counting the years in a retention schedule, you should begin counting
A. from the year after the file was produced. B. from the year the file was produced. C. two years after the file was produced. D. six months after the file was produced.
What should the surgical technologist do before handing a retractor to the surgeon for use in orbital floor fracture?
a. Bend it to a curved configuration. b. Lubricate it with mineral oil. c. Pad it with a Cottonoid. d. Moisten it with saline.
Classic signs and symptoms of hypoglycemia include:
A. cool, clammy skin; weakness; tachycardia; and rapid respirations. B. cold, clammy skin; bradycardia; hunger; and deep, rapid respirations. C. warm, dry skin; irritability; bradycardia; and rapid respirations. D. warm, dry skin; hunger; abdominal pain; and deep, slow respirations.