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.

Question 32

32.  Your patient is a 24 year old female that presents with an extensive DVT in her right leg extending up to the femoral vein.  She is approximately 38 weeks pregnant.  Which of the following is the ideal therapy?

A.  Lovenox
B.  Heparin
C.  Coumadin
D.  ASA

Answer 31

31.  Choice D is the correct answer.  NSAID use is not an example of acquired risk factors for thrombosis.  NSAIDS inhibit platelet aggregation and do not put a patient at risk for thrombosis.  IV drug use, tamoxifen, smoking with oral contraceptive use, immobility in last month, hospitalization in the last month, hospitalization in last 3 months, surgery in 3 months, trauma, pregnancy, and malignancy are all acquired risk factors for thrombosis.

Question 31

31.  All of the following are acquired risk factors for thrombosis except:

A.  IV drug use
B.  Tamoxifen
C.  Smoking with oral contraceptive use
D.  NSAID use