The following are preliminary screening test results. Name the suspected disorder associated with each finding, and explain how you would confirm each
a. Positive sugar-water test
b. Positive hemolysis after both incubation periods
c. Normal sTFR levels
d. Many spherocytes noted on PB smear
e. Blasts noted on PB smear
What will be an ideal response?
Answer:
a. Suspected disorder: PNH; confirmation: flow cytometry for an absence of CD55 and CD59
b. Suspected disorder: PCH; confirmation: Donath-Landsteiner test. Further testing is not warranted.
c. Suspected disorder: anemia of chronic disease; confirmation: increased ferritin; low iron and TIBC
d. Suspected disorder: hereditary spherocytosis or hemolysis; confirmation: osmotic fragility
e. Suspected disorder: acute leukemia; confirmation: bone marrow aspirate and cytochemical stains and immunophenotyping
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Indicate whether the statement is true or false
Potential adverse effects of Prolastin administration include which of the following? 1. Hypertension 2. Fever 3. Arrhythmias 4. Exacerbation 5. Flulike symptoms
a. 1 and 3 only b. 2, 4, and 5 only c. 1, 2, and 4 only d. 1, 2, 3, 4, and 5
-30 × (-5) =
What will be an ideal response?
The elderly are increasingly more difficult to evaluate medically due to the three major changes in the patients. Which of the following is NOT one of them?
A) Worsening vision B) Declining cognitive abilities C) Decreased hearing D) Increased memory