Answer 35

35.  Choice B is the correct answer.  DKA is capable of triggering destruction in G6PD deficiency due to hyperglycemia and acidosis.  Other known triggers are chemicals and infections (E Coli and salmonella)

Question 35

35.  Which of the following is a known trigger for G6PD deficiency?

A.  Pregnancy
B.  DKA
C.  Obesity
D.  Osteoarthritis

Answer 34

34.  Choice B is the correct answer.  Surgery is not a known cause of aplastic anemia.  Pregnancy is a cause but is usually reversible at time of delivery. Some viruses and ionized radiation are known causes of aplastic anemia.

Question 34

34.  Which of the following is not a known cause of aplastic anemia?

A.  Pregnancy

B.  Surgery

C.  Ionized radiation

D.  Some viruses

Answer 33

33.  Choice C is the correct answer.  Most patients with anemia of chronic disease are not symptomatic.  The bone marrow with anemia of chronic disease is hypoproliferative.  Preferred treatment is treatment of the underlying disorder rather than transfusions.

Question 33

33.  Which of the following is is true regarding anemia of chronic disease?

A.  Typically higher doses of EPO will overcome bone marrow responsiveness in the anemia of chronic disease
B.  Most patients with anemia of chronic disease are chronically fatigued and exhibit shortness of breath with exertion
C.  Preferred treatment of anemia of chronic disease is treatment of the underlying disorder rather than replacement therapy with RBC transfusions
D.  Typically the bone marrow is not hypoproliferative

Answer 32

32.  Choice D is the correct answer.  Heparin and Lovenox do not cross the placental barrier and are generally okay in pregnancy.  However, heparin has a much shorter half life than lovenox and can be reversed with protamine sulfate.  Most obstetricians prefer their patients to be switched to from Lovenox to Heparin around 37 weeks because if there is any bleeding problems around delivery or a C-Section.  Coumadin does cross the placental barrier.