It is used in evaluation of ADH
a. Osmolarity Blood
b. Osmolarity Urine
c. Osmolarity Serum
d.
When are serum and urine being done?
a. Morning
b. Same time
c. Evening
d. It depends
W/c is higher normally,serum or urine?
a. Osmolarity Blood
b. Osmolarity Urine
c. Growth hormone
d. has the same result
Normal result of ACTH suppression?
a. 39% lower in cortisone production
b. 25% lower in cortisone production
c. 45% lower in cortisone production
d. 50% lower in cortisone production
ACTH Suppression Test an overnight test?
a. No
b. MAybe
c. Yes
d.
Term for ACTH Suppression?
a. Plasma Cortisol Test
b. Dexamethasone Suppression Test
c. Blood Urine Test
d.
N value of cortisol?
a. <5 mcg/dl
b. >5 mcg/dl
c. <10mcg/dl
d. <25 mcg/dl
In ACTH Suppression Test, When to admin dexamethasone?
a. Morning
b. Afternoon
c. Evening
d. Depends
When to eval serum & urine
a. Evening
b. Midnight
c. Morning
d. depends
Plasma cortisol increase
a. Morning
b. Afternoon
c. Evening
d. depends
Plasma cortisol decrease
a. Morning
b. Afternoon
c. Evening
d. depends
N:24 hour urine for hydroxycorticosteroids ketosteroids for male?
a. 16-30mg/24 hour
b. 15-40mg/24 hour
c. 2-10mg/24 hour
d. 6-20mg/24 hour
Increase in the 24 hour urine for hydroxycorticosteroids indicates
a. Hypoadrenal fx
b. Hyperadrenal Fx
c.
d.
N plasma cortisol level at 8am?
a. 34-49mcg/dl
b. 24-30mcg/dl
c. 2-4mcg/dl
d. 5-23mcg/dl
signs of allergic reaction of Blood Transfusion
a. Facial flushing
b. Pruritus
c. Urticaria(hives)
d. ABC
Signs of allergic reaction of Blood Transfusion
a. Severe SOB
b. Bronchospasm
c. AB
d.
N plasma cortisol level at 4pm?
a. 15-18mcg/dl
b. 3-13mcg/dl
c. 19-21mcg/dl
d.
N:24 hour urine for hydroxycorticosteroids ketosteroids for F?
a. 6-17mg/24 hour
b. 21-26mg/24 hour
c. 27-32mg/24 hour
d.
N/I for allergic reaction from Blood Transfusion?
a. Notify the MD
b. Give some H2O
c. Give Some O2
d. Stop the BT
N:24 hour urine for hydroxycorticosteroids ketosteroids for child under 15y/o
a. >7 mg/24 hour
b. <5mg/24 hour
c. >5mg/24 hour
d. >2mg/24 hour
S/sx of febrile reaction from BT
a. Chills
b. Fever
c. Inc Anxiety
d. ABC
S/sx of febrile reaction from BT
a. Headache
b. Flushing
c. Ms stiffness/pain
d. ABC
Most common Rx from BT?
a. Febrile Rx
b. Resp Rx
c. Allergic Rx
d.
N/I for febrile RX from BT
a. Notify the MD
b. Keep pt warm
c. Stop the BT
d. BC
Purpose of Bone MArrow Transplant?
a. restore GI fx
b. restore musculo fx
c. restore neuro fx
d. restore hemato and immuno fx
Adult:ml of bone marrow aspirated from donor's iliac crest?
a. 350-380 ml
b. 900-1120ml
c. 400-800 ml
d. 680-900 ml
BMT Typing:matches with histocompatible donor?
a. Allogenic
b. Autologous
c. Syngeneic
d.
Uses client's bone marrow?
a. Allogenic
b. Autologous
c. Syngeneic
d.
Donor is the identical twin with perfect tissue match?
a. Allogenic
b. Autologous
c. Syngeneic
d.
Complications of BMT
a. Infx
b. GI prob
c. Alt Liver enzyme
d. ABC
Complications of BMT
a. Sev Thrombocytopenia
b. Erhymatous
c. Rash on feet/palm
d. ABC
RBC,WBC,platelets start to form?
a. 6-8wks after BMT
b. 2-5wks after BMT
c. 10-12wks after BMT
d. 12-13wks after BMT
Do before BT
a. Med Hx
b. Pt Social HX
c. Inf Consent
d.
Check before BT
a. ABO grp
b. Rh type
c. name
d. ABC
Check before BT
a. Hosp #
b. Crossmatch
c. Exp Date
d. ABC
Admin Blood immed after rec from the bank
a. Yes
b. No
c. Maybe
d.
Store blood @ rm temp
a. No
b. Yes
c. Maybe
d.
Store blood in unit ref
a. No
b. Yes
c. Maybe
d.
Max time blood can be out of storage
a. 1 hour
b. 50 mins
c. 40 mins
d. 30 mins
To DO's for BT
a. Dont add med to blood
b. Dont warm blood
c. No microwave
d. ABC
To DO's for BT:Inspect
a. leaks,air
b. AbN color
c. Bubbles
d. ABC
Infusion pump in BT?
a. Yes
b. No
c. Inc RBC hemolysis
d. BC
Ave rate of BT in adult
a. 1"u"of blood(6 hrs)
b. 1"u"of blood(3-4hr)
c. 2"u"of blood(3-4hr)
d.
TO DO's for Platelet/FF admin
a. type and crossmatch rec
b. unit ID
c. Infuse fast
d. ABC
Goal Leukemia
a. Restore ms strength
b. Prevent body weakness
c. Prevent infx
d. Maintain N skin int
N/I for Leukemia
a. Monitor Temp
b. skin care
c. oral hygiene
d. ABC
N/I for Leukemia
a. perineal care
b. adeq protein
c. adeq calorie
d. ABC
Leukemia:Avoid
a. Polio
b. Varicella
c. MMR
d. ABC
Leukemia:Avoid
a. Urin Cath
b. Aspirin
c. AB
d.
Bleeding Prec for Leukemia
a. Xoverinflated BPcuff
b. Xvigorous coughing
c. Xnose blowing
d. ABC
Bleeding Prec for Leukemia
a. Xcatheters
b. GUAIAC Test
c. Soft TB
d. ABC
GUAIAC Test
a. Stool
b. Urine
c. Blood
d.
MAlignancy of plasma cells
a. Hematoma
b. Multiple Myeloma
c. Hemophilia
d.
Cells inv in Multiple Myeloma
a. platelets
b. RBC
c. Lymphocytes
d.
Infiltration in bones
a. Hematoma
b. Hypercalcemia
c. Multiple Myeloma
d.
Char of Multiple Myeloma?
a. Bone pain
b. HyperCa
c. Renal Fail
d. ABC
Tx for Multiple Myeloma
a. Ca and rad
b. Chemo & Rad Therapy
c. P. Rad & Ca
d.
Dx Test for Multiple Myeloma
a. Serum Test
b. Protein Electrophoresis
c. Urine Test
d. AB
For Multiple Myeloma
a. hydration
b. analgesic
c. AB
d.
Not allowed for Multiple Myeloma
a. less than 10 lbs
b. less than 20 lbs
c. more than 10 lbs
d.
Defect in clotting mechanism,rec during toddler
a. Anemia
b. Sickle Cell
c. Multiple Myeloma
d. Hemophilia
Carrier of Hemophilia
a. Gay
b. Male
c. Female
d. Guys
Types of Hemophilia
a. Hem A
b. Hem B
c. AB
d.
Fx of Hemophilia types
a. FactorVIII
b. FactorIX
c. AB
d.
Names of Hemophilia types
a. Xmas
b. Def Fx
c. AB
d.
Risk Fx:Hemophilia
a. Male
b. female
c. AB
d.
S/sx:Hemophilia
a. Hematuria
b. Hematoma
c. Hemiarthrosis
d. ABC
S/sx:Hemophilia
a. IC Hemorrhage
b. Exc bleeding
c. Petechiae
d. ABC
Dx:Hemophilia
a. Hx
b. Family inheritance
c. AB
d.
N in Hemophila
a. Platelet
b. Plasma
c. RBC
d.
Tx:Hemophilia
a. DDAVP
b. FF plasma
c. Sterile H2O
d. ABC
Tx:FxVIII Hemo
a. Sterile H2O
b. O2
c. none
d.
N/I:Hemophilia
a. Reg exercise
b. dental care
c. N weight
d. ABC
Hemophilia:Avoid
a. Aspirin
b. Acetaminophen
c. Tylenol
d.
Tx:Bleeding
a. P,cold pack
b. Immobilize
c. Elev joint
d. ABC
S/sx:Internal Bleeding
a. Tarry stools
b. slur speech
c. H/A
d. ABC
Prevent:Joint Deg
a. Elev joint
b. immob
c. Passive ROM
d. ABC
Clotting in small vessels
a. Hematoma
b. Hemophilia
c. DIC
d.
It is a 2nd Coagulation
a. Hemophilia
b. DIC
c. Hemiarthrosis
d.
S/sx:DIC
a. Thrombocyt
b. Bleeding
c. hypotension
d. ABC
Fibrin Level of DIC
a. Increase
b. Decrease
c. Normal
d.
Phrothrombin:DIC
a. Normal
b. Prolonged
c. Depends
d.
Tx:DIC
a. Platelet
b. FFplasma
c. heparin
d. ABC
Hydration:SC Anemia
a. IVHypotonic
b. Hypertonic
c. Isotonic
d.
Longterm Cx of Leukemia
a. Sickling episode
b. Vomiting
c. Hypovolemic
d.
Dec sickling episode
a. IV
b. Morphine
c. HydroxyureaDroxia
d.
Pain:SC Anemia
a. Morphine,pca
b. Methadone
c. Hydromorphone
d. ABC
Proliferation of Red marrow cells
a. Molycythemia
b. Polycythemia
c. Hemophilia
d.
S/sx:Polycythemia
a. Inc RBC
b. Inc Hematocrit
c. Inc WBC
d. ABC
polycythemia:Inc platelets
a. Yes
b. No
c.
d.
3H:Polycythemia
a. Headache
b. HPN
c. Hepatospleno
d. ABC
CAT:Polycythemia
a. Claudication
b. Angina
c. Thrombophlebitis
d. ABC
Tx:Polycythemia
a. Phlebotomy
b. Anticoagulants
c. AB
d.
Polycythemia:Phlebotomy
a. 2-3x/wk
b. 0-2x/wk
c. 7x/wk
d.
Most curable Lymphoma
a. Hodgkin's Dse
b. NonHodgkin's
c. Tumor
d.
Painless enlargement of L nodes
a. Hodgkin's Dse
b. NonHodgkin's
c. Tumor
d.
Organs inv w/ hodgkin's Dse
a. Liver
b. Spleen
c. Heart
d. AB
Hodgkin:Common Metastatic Sites
a. Spleen
b. Lungs
c. Liver,BM
d. ABC
Tx:Hodgkin's Dse
a. Chemo
b. Radiation
c. Operation
d. AB
S/sx:Hodgkin's Lymphoma
a. Fever
b. Malaise
c. Night Sweat
d. ABC