Following an extensive diagnostic workup, an older adult patient has been diagnosed with a secondary myelodysplastic syndrome (MDS). What assessment question most directly addresses the potential etiology of this patient's health problem?
A) "Were you ever exposed to toxic chemicals in any of the jobs that you held?"
B) "When you were younger, did you tend to have recurrent infections of any kind?"
C) "Have your parents or siblings had any disease like this?"
D) "Would you say that you've had a lot of sun exposure in your lifetime?"
Ans: A
Feedback:
Secondary MDS can occur at any age and results from prior toxic exposure to chemicals, including chemotherapeutic medications. Family history, sun exposure, and previous infections are unrelated to the pathophysiology of secondary MDS.
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