Chapter 17 Hematological And Immune Problems Flashcards
***7. Which statement about HIV postexposure prophylaxis (PEP) for health-care workers is the most accurate?
PEP should be started within hours of exposure.
b.
PEP should be started within 72 hours of exposure.
c.
Renal and hepatic function tests should be done 6 weeks after beginning PEP.
d.
PEP will prevent potential hepatitis C infection if present.
A. PEP should be started within hours of exposure.
*******8. Which household solution should be used to clean a bathroom if sharing with a friend who has HIV? a. 100% bleach b. 50% bleach and 50% vinegar c. Nine parts H2O to one part bleach d. The friend must have his or her own bathroom.
c.
Nine parts H2O to one part bleach
- Reuben, age 24, has HIV and just had a routine viral load test done. The results show a falling viral load. What does this indicate?
a.
A favorable prognostic trend
b.
Disease progression
c.
The need to be more aggressive with Reuben’s medications
d.
The eradication of the HIV
- ANS: A PTS: 1
a.
A favorable prognostic trend
35. Which person is four times more likely to develop SLE than a Caucasian? a. Persons of African descent b. Asians c. Hispanics d. Middle Eastern Jews
- ANS: A PTS
a.
Persons of African descent
34. Keratoconjunctivitis sicca is a classic sign of which condition? a. SLE b. Sjögren’s syndrome c. CFS/FMS d. Lyme disease
Sjögren’s syndrome
34. ANS: B PTS: 1
33. If left untreated, this condition will progress to complaints that include multiple joint arthritis. a. Sjögren’s syndrome b. HIV/AIDS c. Guillain-Barré d. Lyme disease
- ANS: D PTS: 1
32. The exanthem of Lyme disease is: a. Erythema infectiosum b. Laterothoracic exanthem c. Erythema migrans d. Morbilli exanthem
Erythema migrans
32. ANS: C PTS: 1
31. CFS tends to occur in which individuals? a. Active, highly functional adults b. Depressed middle-aged persons c. Individuals with a depressed immune system d. Individuals who are hypochondriacs
- ANS: A PTS: 1
Active, highly functional adults
30. What is the mainstay of management for infectious mononucleosis? a. Antivirals b. Symptom control c. Corticosteroids d. Isolation
- ANS: B PTS: 1
Symptom control
29. Which test is diagnostic of rheumatoid arthritis? a. Rheumatoid factor b. ESR c. CRP d. Anti-CCP titers
- ANS: D PTS:
Anti-CCP titers
- Early rheumatoid disease is characterized by:
a.
Pain and swelling in both small and large peripheral joints
b.
Rigid joints with diminished range of motion
c.
Joint swelling and immobility on rising
d.
A cardiac rub or pulmonary friction rub
- ANS: C PTS: 1Joint swelling and immobility on rising
27. Which type of the following is characterized by fatigue on awakening that may improve with exercise? a. Functional fatigue b. Fatigue with an organic origin c. Fatigue of chronic anemia d. Fatigue of depression and anxiety
- ANS: A PTS: 1a.
Functional fatigue
26. Spontaneous bruising may be seen with platelet counts below what level? a. 100,000 cells/mL b. 75,000 cells/mL c. 50,000 cells/mL d. 30,000 cells/ml
. ANS: C PTS: 1
c.
50,000 cells/mL
- Which drug category of ARV therapy is generally effective in crossing the blood–brain barrier and may be useful in managing HIV-associated dementia?
a.
Nucleoside reverse transcriptase inhibitors
b.
Protease inhibitors
c.
Integrase inhibitors
d.
Nonnucleoside reverse transcriptase inhibitors
- ANS: D PTS: 1
- An important complication of antiretroviral (ARV) therapy in patients with advanced AIDS is which of the following?
a.
Immune reconstitution inflammatory syndrome
b.
Improvement in opportunistic infections
c.
Restoration of immune system to preinfection status
d.
Progression to AIDS
. S: B PTS: 1
11. ANS: D PTS: 1 12. ANS: B PTS: 1 13. ANS: C PTS: 1 14. ANS: A PTS: 1 15. ANS: C PTS: 1 16. ANS: D PTS: 1 17. ANS: A PTS: 1 18. ANS: C PTS: 1 19. ANS: B PTS: 1 20. ANS: A PTS: 1 21. ANS: C PTS: 1 22. ANS: A PTS: 1 23. ANS: B PTS: 1 24. ANS: A PTS: 1
23. The most cost-effective screening test for determining HIV status is which of the following? a. Western blot b. Enzyme-linked immunosorbent assay c. Venereal Disease Research Laboratory test d. Viral load
. S: B PTS: 1
11. ANS: D PTS: 1 12. ANS: B PTS: 1 13. ANS: C PTS: 1 14. ANS: A PTS: 1 15. ANS: C PTS: 1 16. ANS: D PTS: 1 17. ANS: A PTS: 1 18. ANS: C PTS: 1 19. ANS: B PTS: 1 20. ANS: A PTS: 1 21. ANS: C PTS: 1 22. ANS: A PTS: 1 23. ANS: B PTS: 1 24. ANS: A PTS: 1
____ 22. The current goal of treatment for a patient with HIV infection is which of the following?
a.
Viral suppression of HIV to undetectable levels in the peripheral blood
b.
Compete eradication of the virus
c.
Encouraging the person to have no contact with uninfected individuals
d.
Complete abstinence
. S: B PTS: 1
11. ANS: D PTS: 1 12. ANS: B PTS: 1 13. ANS: C PTS: 1 14. ANS: A PTS: 1 15. ANS: C PTS: 1 16. ANS: D PTS: 1 17. ANS: A PTS: 1 18. ANS: C PTS: 1 19. ANS: B PTS: 1 20. ANS: A PTS: 1 21. ANS: C PTS: 1 22. ANS: A PTS: 1 23. ANS: B PTS: 1 24. ANS: A PTS: 1
\_\_\_\_ 21. Triggering factors for acute exacerbations of which of the following conditions include exposure to ultraviolet (UV)-B and UV-A rays? a. Rheumatoid arthritis b. Scleroderma c. SLE d. Sjögren’s syndrome
. S: B PTS: 1
11. ANS: D PTS: 1 12. ANS: B PTS: 1 13. ANS: C PTS: 1 14. ANS: A PTS: 1 15. ANS: C PTS: 1 16. ANS: D PTS: 1 17. ANS: A PTS: 1 18. ANS: C PTS: 1 19. ANS: B PTS: 1 20. ANS: A PTS: 1 21. ANS: C PTS: 1 22. ANS: A PTS: 1 23. ANS: B PTS: 1 24. ANS: A PTS: 1
20. Dryness of the eyes and mouth is typical of which condition? a. Sjögren’s syndrome b. CFS c. FMS d. Hypothyroidism
____
. S: B PTS: 1
11. ANS: D PTS: 1 12. ANS: B PTS: 1 13. ANS: C PTS: 1 14. ANS: A PTS: 1 15. ANS: C PTS: 1 16. ANS: D PTS: 1 17. ANS: A PTS: 1 18. ANS: C PTS: 1 19. ANS: B PTS: 1 20. ANS: A PTS: 1 21. ANS: C PTS: 1 22. ANS: A PTS: 1 23. ANS: B PTS: 1 24. ANS: A PTS: 1
\_\_\_\_ 19. After returning from visiting his grandchildren in England, George, age 59, complains of a flulike illness, including fever, chills, and myalgia. He reports having discovered a rash or red spot that grew in size on his right leg. What disease are you considering? a. A viral syndrome b. Lyme disease c. Rocky Mountain spotted fever d. Relapsing fever
. S: B PTS: 1
11. ANS: D PTS: 1 12. ANS: B PTS: 1 13. ANS: C PTS: 1 14. ANS: A PTS: 1 15. ANS: C PTS: 1 16. ANS: D PTS: 1 17. ANS: A PTS: 1 18. ANS: C PTS: 1 19. ANS: B PTS: 1 20. ANS: A PTS: 1 21. ANS: C PTS: 1 22. ANS: A PTS: 1 23. ANS: B PTS: 1 24. ANS: A PTS: 1
\_\_\_\_ 18. What is the most common cause of generalized musculoskeletal pain in women ages 20 to 55? a. Chronic fatigue syndrome (CFS) b. Anemia c. Fibromyalgia syndrome (FMS) d. Sports-related injuries
. S: B PTS: 1
11. ANS: D PTS: 1 12. ANS: B PTS: 1 13. ANS: C PTS: 1 14. ANS: A PTS: 1 15. ANS: C PTS: 1 16. ANS: D PTS: 1 17. ANS: A PTS: 1 18. ANS: C PTS: 1 19. ANS: B PTS: 1 20. ANS: A PTS: 1 21. ANS: C PTS: 1 22. ANS: A PTS: 1 23. ANS: B PTS: 1 24. ANS: A PTS: 1
17. Infectious mononucleosis results from an acute infection with which of the following? a. Epstein-Barr virus b. Acute HIV infection c. Guillain-Barré d. Hepatitis
____
. S: B PTS: 1
11. ANS: D PTS: 1 12. ANS: B PTS: 1 13. ANS: C PTS: 1 14. ANS: A PTS: 1 15. ANS: C PTS: 1 16. ANS: D PTS: 1 17. ANS: A PTS: 1 18. ANS: C PTS: 1 19. ANS: B PTS: 1 20. ANS: A PTS: 1 21. ANS: C PTS: 1 22. ANS: A PTS: 1 23. ANS: B PTS: 1 24. ANS: A PTS: 1
\_\_\_\_ 16. Which blood test is a nonspecific method and most helpful for evaluating the severity and course of an inflammatory process? a. Erythrocyte sedimentation rate b. White blood cell count c. Polymorphonuclear cells d. C-reactive protein (CRP)
. S: B PTS: 1
11. ANS: D PTS: 1 12. ANS: B PTS: 1 13. ANS: C PTS: 1 14. ANS: A PTS: 1 15. ANS: C PTS: 1 16. ANS: D PTS: 1 17. ANS: A PTS: 1 18. ANS: C PTS: 1 19. ANS: B PTS: 1 20. ANS: A PTS: 1 21. ANS: C PTS: 1 22. ANS: A PTS: 1 23. ANS: B PTS: 1 24. ANS: A PTS: 1
\_\_\_\_ 15. In the United States, what is the second most common connective tissue disease and the most destructive to the joints? a. Osteoarthritis b. Systemic lupus erythematosus (SLE) c. Rheumatoid arthritis d. Sjögren’s syndrome
… S: B PTS: 1
11. ANS: D PTS: 1 12. ANS: B PTS: 1 13. ANS: C PTS: 1 14. ANS: A PTS: 1 15. ANS: C PTS: 1 16. ANS: D PTS: 1 17. ANS: A PTS: 1 18. ANS: C PTS: 1 19. ANS: B PTS: 1 20. ANS: A PTS: 1 21. ANS: C PTS: 1 22. ANS: A PTS: 1 23. ANS: B PTS: 1 24. ANS: A PTS: 1