#04 Flashcards
In a child with a low hemoglobin level, which one of the following diagnostic tests should generally be performed first?
A. Ferritin level.
B. Reticulocyte count.
C. Hemoglobin electrophoresis.
D. Complete blood count.
D. Complete blood count.
Which one of the following children does not need iron supplementation to prevent iron deficiency anemia?
A. A full-term, three-month-old infant who is exclusively breastfed.
B. A full-term, six-month-old infant who is exclusively breastfed.
C. A preterm, two-month-old infant who is exclusively breastfed.
D. A full-term eight-month-old infant who is fed iron-free formula. [This answer option has been updated since publication.]
A. A full-term, three-month-old infant who is exclusively breastfed.
When evaluating a patient with a suspected bleeding disorder, which one of the following steps should be taken after ruling out medications and trauma?
A. Administer the bleeding assessment tool from the International Society on Thrombosis and Hemostasis.
B. Liver function test.
C. Order platelet function analyzer-100 testing.
D. Order a partial thromboplastin time mixing study.
A. Administer the bleeding assessment tool from the International Society on Thrombosis and Hemostasis.
Which one of the following diagnoses is most likely in a patient who has had six nosebleeds in the past year, and who has a normal prothrombin time and partial thromboplastin time, and low level of factor VIII?
A. Von Willebrand disease.
B. Hematologic malignancy.
C. Vitamin K deficiency.
D. Disseminated intravascular coagulation.
A. Von Willebrand disease.
A patient using a nonsteroidal anti-inflammatory drug for arthritis presents with recent-onset bruising and a low platelet count. The drug is stopped and platelets return to normal, with no further episodes of bruising noted. Which one of the following is the best next step?
A. Discontinue the medication with no additional testing.
B. Administer vitamin K.
C. Check prothrombin time.
D. Refer to a hematologist.
A. Discontinue the medication with no additional testing.
A 45-year-old man presents with a three-month history of dysuria, frequency, and nocturia. The patient has been treated several times for urinary tract infections, and the culture has been positive for Enterococcus each time. Testing is negative for sexually transmitted infections. First-line treatment involves an extended course of which one of the following therapies?
A. Gabapentin (Neurontin).
B. A fluoroquinolone.
C. An alpha blocker.
D. A macrolide.
B. A fluoroquinolone.
A patient with chronic nonbacterial prostatitis/chronic pelvic pain syndrome has severe ongoing pain after treatment with acetaminophen. Initiating which one of the following therapies would be the most appropriate next step in treatment?
A. Pelvic floor physical therapy.
B. Opiates.
C. Alpha blocker combined with an antibiotic.
D. Phytotherapy.
C. Alpha blocker combined with an antibiotic.
