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Test #4
Structure and Patho of Hemo, Alter. of CV Function
117
Pathology
Undergraduate 3
02/07/2012

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Term
Which is NOT a plasma component?
Definition
e. platelets
Term
Which is the most abundant protein in blood plasma?
Definition
b. albumins
Term
Eosinophils:
Definition
a. can phagocytize
b. ingest antigen-antibody complexes
c. can be induced to attak parasites
e. a,c,and c are correct
Term
The precursor of granulocytes is the:
Definition
d. myeloblast
Term
Indentify the correct sequence in the differentiation of erythrocytes.
Definition
a. proerythroblast, normoblast, reticulocyte
Term
A differential count of WBCs includes all of the following EXCEPT:
Definition
c. 3% reticulocytes
Term
The purpose of erythropoietin is to:
Definition
c. control erythrocyte production
Term
The main regulator of platelet circulating mass is:
Definition
c. thrombopoietin
Term
About how many time more RBCs than WBCs are there in a mm3 of blood?
Definition
d. 1000
Term
If the total leukocyte count of an individual was 7000/mm3, about how many neutrophils would normally be present in a mm3 of blood?
Definition
e. 4200
Term
Which granulocyte function is similar to that of tissue mast cells?
Definition
d. basophils
Term
Erythropoeitin:
Definition
a. is secreted by the kidney
b. production is stimulated by tissue hypoxia
e. Both a and b are correct
Term
Which is NOT on agranulocyte?
Definition
a.mast cell
d. reticulocyte
e. Both a and d are correct
Term
Which are the most effective phagocytes?
Definition
d. neutrophils and monocytes
Term
Which vitamins are needed for erythropoiesis?
Definition
a. C and E
b. B2 and B12
d. Both a and b are correct
Term
Kupffer cells are found in the:
Definition
a. liver
Term
Which test reflects bone marrow activity?
Definition
a. Reticulocyte count
Term
As an individual ages:
Definition
b. lymphocytic functin decreases
Term
Hemostasis involves all all of the following EXCEPT:
Definition
e. prostacyclin I
Term
When a blood vessel is damaged:
Definition
a. subendothelial collagen is exposed
b. platelets are attracted to collagen
c.platelets degranulate
e. a,b,and c are correct
Term
The biochemical mediators released by adhering platelets cause:
Definition
b. vasoconstriction of the injured vessel
Term
Which is the correct sequence in coagulation?
Definition
d. damaged tissue, VII, prothrombin
Term
Which is the correct sequence in fibrinolysis?
Definition
d. plasmin, FDP
Term
Anemia refers to a deficiency of:
Definition
b. erythrocytes
c. platelets
e. Both b and d are correct
Term
Morphologic classification of anemia is based on all of the following EXCEPT:
Definition
d. cause
Term
Hypoxemia causes:
Definition
a. arterioles, capillaries, and venules to dialate
b. the heart rate to contract more forcefully
c. the rate and depth of breathing to increase
e. a,b,and c are correct
Term
Vitamin B12 deficiency
Definition
macrocytic-normochromic
Term
Iron deficiency
Definition
microcytic-hypochromic
Term
Folic acid deficiency
Definition
macrocytic-normochromic
Term
Excessive bleeding
Definition
microcytic-hypochromic
Term
Which symptoms are consistent with aplastic anemia BUT NOT WITH pernicious anemia?
Definition
a. hemorrhage into tissues
Term
A cause of macrocytic-normochromic anemia is:
Definition
b. antibodies against parietal cells
Term
An individual with chronic gastritis and tingling in the fingers requires which of the following for treatment?
Definition
b. B12 by intramuscular injection
Term
Secondary polycythemia may be caused by:
Definition
a. dehydration
b. chronic obstructive pulmonay disease
c. living at high altitudes
e. a,b,and c are correct
Term
The symptoms of polycythemia are essentially casued by:
Definition
c. increased blood viscosity
Term
Leukocytosis is found in all of the following EXCEPT:
Definition
d. bone marrow depression
Term
What is the most notable characteristic of infectious mononucleosis?
Definition
c. The presence of heterophil antibody is diagnostically helpful
Term
Which likey does NOT play a role in leukemia?
Definition
e. diet
Term
CML is characterized by its:
Definition
c. presence of the Philadelphia chromosome
Term
Clinical manifestations of multiple myeloma include all of the following EXCEPT:
Definition
b. decreased serum calcium
Term
A thrombocytopenia with a platelet count below 50,000/mm3 likely will cause:
Definition
a. hemorrhage from minor trauma
Term
Thromboembolic disease can be caused by all of the following EXCEPT:
Definition
d. deficient dietary intake of vitamin K
Term
DIC is associated with:
Definition
a.endothelial damage
b.activation of factor X
c.release of tissue factor
e.a,b,and c are correct
Term
Arteriosclerosis raises the systolic blood pressure by:
Definition
d. decreases arterial distensibility and lumen diameter
Term
Events in the development of atherosclerosis plaque inculude all of the following EXCEPT:
Definition
e. complement activation
Term
G.P is a 50-year-old male who was referred for evaluation of blood pressure. If he has a high diastolic blood pressure, which of the following is G.P.'s reading?
Definition
c. 130/95 mm Hg
Term
The complications of uncontrolled hypertension include all of the following EXCEPT:
Definition
b. anemia
Term
Primary hypertension:
Definition
a. is essentially idiopathic
Term
Orhtostatic hypotension is caused by all of the following EXCEPT:
Definition
d. increased blood volume
Term
Localized outpouching of a vessel wall or heart chamber is:
Definition
d. an aneurysm
Term
Which is a possible cause of varicose veins?
Definition
a. gravitational forces of blood
b. long periods of standing
c. trauma to the saphenous veins
e. a,b,and c are correct
Term
A 76-year-old male came to the emergency room after experiencing chest pain while shoveling snow. Laboratory tests revealed essentially normal blood levels of SGOT, CPK, and LDH enzymes. The chest pain was relieved following rest and nitroglycerin therapy. The most probably diagnosis is:
Definition
c. angina pectoris
Term
Complications of an infarcted myocardium likely could include:
Definition
b. heart failure
d. death
e. systemic thromboembolism
Term
In pericardial effusion:
Definition
c. tamponade compresses the right heart before affecting other structures
d. arterial blood pressure during expiration exceeds that during inspiration
e. Both c and d are correct
Term
Chamber volume increase is observed in _______ cardiomyopathy.
Definition
a. dilated
Term
Which statement is true regarding rheumatic heart disease?
Definition
b. it is caused by hypersensitivity/immunity to streptococci
d.It usually damages the mitral valves
Term
Which is NOT an expected finding in acute rheumatic fever?
Definition
c. leukopenia
Term
Bacterial infective endocarditis differs from rheumatic heart disease because of which of the following?
Definition
a. Bacterial endocarditis is an infection of the heart, endocardium and valves.
c. It may occur following dental or bladder catheterization procedures
Term
Individuals with only left heart failure would exhibit which of the following?
Definition
b. dyspnea
d. pulmonary edema
Term
In congestive heart failure, the pump or myocardium itself fails because of which of the following?
Definition
a. loss of contractile force
b. hypertension
c. cardiac dysrhythmias
Term
Shock is a complex pathophysiologic process involving all of the following EXCEPT:
Definition
d. hypertension
Term
Systemic inflammatory response syndrome (SIRS) begins with an infection that progresses to:
Definition
a. bacteremia
b. sepsis
c. septic shock
d. multiple organ dysfunction syndrome
e. ALL OF THE ABOVE ARE CORRECT
Term
Which statement is INCORRECT concerning hypertension?
Definition
c. Headache is the most reliable symptom
Term
A 53-year-old male was admitted to the emergency room after experiencing shortness of breath, weakness, cardiac dysrhythmias, and chest pain that did not subside after nitroglycerin therapy. Laboratory tests revealed the patient had an elevated serum CPK, troponin, and SCOT or AST level. EKG tracings revealed a prominent Q wave and an elevated ST segment. The most probable diagnosis is:
Definition
b. an acute myocardial infarct
Term
Which of the following is TRUE regarding hemoglobin?
Definition
d. Deliver carnon dioxide to lungs for removal.
Term
Which of the following lymphoid organs cluster around lymphatic veins and collect intersitial fluid from tissues?
Definition
c. Lymph nodes
Term
Which of the following is TRUE regarding the constituents of blood?
Definition
b. Blood volume is adults is about 6 L
Term
In which of the following locations does hematopoieses occur following birth?
Definition
B. bone marrow
Term
Which componentof the blood system is responsible for the critical colloid pressure?
Definition
B. Albumin
Term
Which of the following is NOT a granulocyte?
Definition
d. monocyte
Term
Which of the following is responsible for lysis or the breakdown of blood clots?
Definition
d. Fibrinolytic system
Term
A pt develops a severe urinary tract infection. Which of the following is the predominant cell of early inflammation?
Definition
b. neutrophil
Term
Which of the following is NOT one of the three characteristics of the triad of Virchow?
Definition
d. decreased clotting factor
Term
Which of the following forms of leukemia is the most common in children?
Definition
a. Acute lymphoblastic leukemia
Term
Which of the following is a TRUE statement regarding Burkitt lymphoma?
Definition
c. It is a fast-growing tumor of the jaw and facial bones.
Term
Which of the following is the appropriate term for the increase in red cell production?
Definition
c. Polycythemia
Term
Which of the following is the most common cause of drug-induced thrombocytopenia?
Definition
a. Heparin
Term
Which of the following is TRUE regarding immune thrombocytopenia purpura?
Definition
a. it is more common in females
Term
Which of the following is a description for the term anemia?
Definition
c. decreased eryhtrocytes in circulating blood
Term
A pt displays a reduction in red blood cells, white blood cells, and platelets. Which of the following is the most appropriate term for this condition?
Definition
a. aplastic anemia
Term
Which of the following is NOT a true statement regarding thrombotic thrombocytopenia purpura?
Definition
c. the most common age-group is infants
Term
Which form of anemia is caused by a deviation in mitochondrial metabolism?
Definition
c. sideroblastic
Term
Which of the following is TRUE regarding posthemorrhagic anemia?
Definition
b. it resulsts in normocytic and normochromic anemia.
Term
Which of the following is NOT one of the current criteria for overactive spleen?
Definition
d. leukocytosis
Term
Which of the following is NOT a condition that causes lymphadenopathy?
Definition
d. cardiac disease
Term
Which of the following is a TRUE statement regarding infectious mononucleosis?
Definition
b. it is commonly caused by Epstein-Barr virus.
Term
Which of the following factors is NOT regulated by vitamin K?
Definition
c. VIII
Term
Which of the following is a TRUE statement regarding pernicious anemia?
Definition
b. associated with end-stage type A chronic atrophic gastritis
Term
Which of the following is NOT a cause of neutropenia?
Definition
d. increased vitamin storage
Term
Which if the following is a TRUE statement regarding Hodgkin lymphoma?
Definition
a. incidence peaks in the early 20s through 30s and then later in life
Term
Which of the following is NOT a cause of microcytic-hypochromic anemia?
Definition
d. disorders of vitamin b12 absorption
Term
Which of the following is NOT a cause of eosinophilia?
Definition
b. prolonged infection
Term
Which of the following is a TRUE statemnt regarding lymphona?
Definition
c. it usually starts in the lymph nodes of the stomach or intestines
Term
Which of the following is an indicator of poorer prognosis for Hidgkin lymphoma?
Definition
b. Increased white count
Term
Which of the following is a TRUE statement regarding folate?
Definition
a. dietary intake is about 50 to 200 mcg/day
Term
At which level of plateles can spontaneous bleeding occur?
Definition
d. Less than 10,000
Term
A pt has impaired blood flow from the left atrium to the left ventricle. Which of the following valvular promblems does this describe?
Definition
a. Mitral stenosis
Term
Which of the following is a TRUE statment regarding cigarette smoke?
Definition
c. Increase in thrmobotic state
Term
A pt presents with chest pain that occurs at rest. She is found to have abnormal vasospasm of her coronary arteries. Which of the following is the BEST description of this case?
Definition
b. Prinzemetal angina
Term
A pt is diagnosed with inflammation of the endocardium by Staphylococcus aureus. Which of the following is the most likely diagnosis?
Definition
a. Inefective endocarditis
Term
Which of the following is the MOST common complication of AMI?
Definition
b. Dysrhythmia
Term
Which of the following terms describes the condition of an occlusion in a blood vessel from a bolus of circulating matter in the blood stream?
Definition
b. Embolus
Term
Which of the following is NOT an enzyme released by the myocardial muscle?
Definition
c. AST
Term
A patient has a loud pansystolic murmur that radiates to the back and axilla. Which of the following valvular abnormalities is this describing?
Definition
b. Mitral regurgitation
Term
A pt has been diagnosed with a pericardial effusion that is frank blood. Which of the following is associated with a bloody effusion?
Definition
b. coagulation defect
Term
Which of the following is TRUE regarding cellular injury of the mycardium?
Definition
c. Myocardial cells remain viable if blood flow returns w/in 20 minutes
Term
Which of the complications occurs secondary to hypertension?
Definition
c. Congestive heart failure
Term
A young woman presents with pallor, numbness, and a sensation of cold temperature of her digits. Which of the following is the most likely cause?
Definition
a. Raynaud phenomenon
Term
A pt experiences an elevated systolic pressure accompanied by normal diastolic (less than 90 mmHg). Which of the following is the correct term for this condition?
Definition
d.isolated systolic hypertension
Term
Which of the following pairs associated in regard to dyslipidemia is correct?
Definition
b. Very low-density lipoproteins-triglycerides and proteins
Term
A male pt experiences spinal cord damage following a motorcycle accident. Which type of shock would he most likely experience?
Definition
b. Vasogenic
Term
A 23-year-old pt presents with severe chest pain that worsens with respiratory movements and with lying down. On examination, there is a friction rub. Which of the following treatments is the most appropriate for this condition?
Definition
a. analgesics
Term
A pt has rheumatic fever. Which of the following valves is most commonly affected?
Definition
d. Mitral
Term
A condition in which blood has pooled, producing distended and palpable vessels is referred to as:
Definition
c. vericose veins
Term
Which of the following is TRUE regarding arteriosclerosis?
Definition
b. Atherosclerosis is thickening and hardening of the vessel wall.
Term
Which of the following is NOT associated with hypertension?
Definition
b. Asian race
Term
A pt is being transferred from another medical facility with a diagnosis of acute myocardial infarction. Which of the following is NOT a typical symptom of acute myocardial infarction?
Definition
a. Cough
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