APEA 3P Question Bank with answers | 100% correct answers with explanations | 98 PAGES

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A patient with iron deficiency anemia takes iron supplementation daily. What should he be advised to avoid within a couple of hours of taking iron? An antacid Leukemia may have varied clinical ... presentations. Which characteristic would be unusual to find in a patient with leukemia? Sickle shaped cells A 66 year-old African American male complains of pain in his trunk, especially his ribs. Cardiovascular disease is ruled out. He has a normocytic, normochromic anemia with hypercalcemia. The differential diagnosis should include: multiple myeloma. What hallmark finding is associated with both B12 and folate deficiencies? Macrocytosis A patient demonstrates leukocytosis. This means: he has an infection of unknown origin. What statement is true about anemia in older adults? Anemia may have more than one origin and co-exist in older adults. A patient has been treated for HIV infection with anti-retroviral therapy. He is stable. How often should CD4 counts be repeated? Every 3-6 months A patient presents with hematuria, RBC casts, and proteinuria. What is a likely explanation? Glomerulonephritis A patient demonstrates leukocytosis. This means: he has an infection of unknown origin. A patient is having an allergic reaction to seafood. Which white cell will probably be increased? Eosinophils A female patient has been diagnosed with Glucose-6-phosphate dehydrogenase deficiency (G6PD). What should be done to prevent lysis of red cells in this patient? Avoid aspirin and sulfa drugs A 75 year-old patient who has multiple chronic diseases has been in very poor health for a decade. What type of anemias is he most likely to exhibit? Folic acid and pernicious A patient has been diagnosed with HIV. The patient’s viral load was ordered. What other test may be ordered to assess the status of the patient’s immune system? CD4 cell count A 70 year-old male has lymph nodes in his axillary and inguinal areas that are palpable but non-tender. He states that he feels well today. What should be included in a Lymphoma differential diagnosis for this patient? A two year-old with sickle cell anemia (SCA) should receive which immunizations? All routine childhood immunizations at the usual time A three year-old child presents with hematuria, petechiae, and a platelet count of 50,000 (Normal = 150,000-450,000/ml). The rest of his CBC is normal. He had an upper respiratory infection about 2 weeks ago. On exam today, he is found to have petechiae and bruises. The most likely diagnosis is: idiopathic thrombocytopenia purpura (ITP). A child and father live in an old house. They both are found to be lead toxic. What type anemia is typically observed in patients who are lead toxic? Iron deficiency anemia A patient with diarrhea has a stool specimen positive for WBCs. What does this indicate? A viral infection A 26 year-old female has thalassemia minor. What should be limited in her diet to avoid hepatotoxicity? Multi-vitamin with iron A patient is found to have eosinophilia. An expected finding is: asthma exacerbation. An African American male complains of pain in his back and trunk. He is diagnosed with multiple myeloma. He is probably: about 65 years old. . A patient has heavy menses. Which lab value below reflects an iron deficiency anemia? Increased TIBC An obese 78 year-old male with poorly controlled hypertension and diabetes has a normocytic, normochromic anemia. This anemia is likely: associated with chronic disease. . An elderly male diagnosed with a microcytic, hypochromic anemia: may have a GI bleed. Which suggestion below is the standard for treating iron deficiency anemia in infants and children? Iron supplementation in divided doses between meals with orange juice A patient with pernicious anemia may be observed to have: glossitis. Lead toxicity can be associated with: sideroblastic anemia. [Show More]

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