If your patient has type O+ blood, what other blood type(s) can she receive? a. O- b. AB- c. AB+ d. AB- and O-
Key Terms
Your patient is a 23-year-old female who is 6 hours postpartum after a traumatic delivery resulting in a massive blood transfusion. She is to be transferred from a community hospital to a speciality hospital for further care. She is unconscious and intubated, with a number of intravenous lines. Your physical examination reveals a purpuric rash over the chest and abdomen and mottling on the fingers and toes and all of the venous access sites are oozing blood. In addition, auscultation of the lung fields reveals rales to the dependent regions. HR = 112, BP = 82/60, RR = 12 via ventilator. Which of the following best describes the patient's condition and treatment needs. In addition to continued ventilation and fluid administration?
a. DIC; type O negative blood
b. Idiopathic hemophilia' corticosteroids
c. DIC; fresh frozen plasma and platelet administration
d. Idiopathic hemophilia; factor VIIa administration
c. DIC; fresh frozen plasma and platelet administration
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| Term | Definition |
|---|---|
If your patient has type O+ blood, what other blood type(s) can she receive? a. O- b. AB- c. AB+ d. AB- and O- | a. O- |
A smoker who also takes supplemental vitamin K would be expected to: a. Have a higher incidence of polycythemia b. Have enhanced clotting ability c. Have a lower risk of developing pulmonary embolism d. Be unable to generate active forms of clotting factors, II, VII, IX and X. | b. Have enhanced clotting ability |
Patient with lymphoma are most likely to experience abnormal function of: a. Throbocytes b. B cells c. Erythrocytes d. Neutrophils | b. B cells |
The more acidic the blood is, the more readily hemoglobin: a. Binds carbon dioxide b. Releases oxygen c. Releases carbon dioxide d. Binds oxygen | d. Binds oxygen |
Of the following, which would be the most likely dysfunction experienced by a patient with multiple myeloma? a. Increased T cell production b. Decreased T cell production c. Decreased blood cell production d. Increased blood cell production | c. Decreased blood cell production |
Your patient is a 23-year-old female who is 6 hours postpartum after a traumatic delivery resulting in a massive blood transfusion. She is to be transferred from a community hospital to a speciality hospital for further care. She is unconscious and intubated, with a number of intravenous lines. Your physical examination reveals a purpuric rash over the chest and abdomen and mottling on the fingers and toes and all of the venous access sites are oozing blood. In addition, auscultation of the lung fields reveals rales to the dependent regions. HR = 112, BP = 82/60, RR = 12 via ventilator. Which of the following best describes the patient's condition and treatment needs. In addition to continued ventilation and fluid administration? | c. DIC; fresh frozen plasma and platelet administration |
Which of the following statements regarding hemophilia is most accurate? a. Hemophilia is a hereditary abnormality of the platelets. b. Hemophilia is a hereditary lack of certain proteins needed in the clotting cascade c. Hemophilia is a hereditary disease that causes fibrin clots to dissolve prematurely. d. Hemophilia is a hereditary disease in which the body is unable to produce vitamin K | b. Hemophilia is a hereditary lack of certain proteins needed in the clotting cascade |
Which of the following circumstances would result in activation of the coagulation cascade via the intrinsic pathway? a. Development of a plaque in a coronary artery resulting in turbulent blood flow b. Administration of warfarin c. Blunt-force trauma d. Penetrating trauma resulting in soft tissue damage | a. Development of a plaque in a coronary artery resulting in turbulent blood flow |
A cat scratches a patient on the arm. Twenty-four hours later, the area is swollen and red. What additional signs or symptoms is the patient most likely to exhibit? a. Fever and hypotension b. Loss of appetite c. Pain and warmth at the injury site d. Urticaria | c. Pain and warmth at the injury site |
Which of the following situations would result in a more rapid response by the immune system to an infection? a. First-time exposure to an antigen with memory T cell activation b. First-time exposure to an antigen with memory B cell activation c. First-time exposure to an antigen d. First-time exposure to an antigen with memory B cell activation | d. First-time exposure to an antigen with memory B cell activation |
Your patient is suffering from end-stage liver disease. In which of the following ways would impairment of the hematologic system most likely be evident? a. Jaundice b. Polycythemia resulting in a florid appearance c. Vaso-occlusive crisis resulting in joint pain d. Leukocytosis | a. Jaundice |
You are caring for a patient with a known history of sickle cell disease. The patient has severe abdominal and back pain. The patient is tachycardic and tachypneic. The blood pressure is normal. What should be one of the paramedic's first interventions? a. Administer Oxygen b. Initiate IV c. Give oral analgesics d. Put the patient in a supine position | a. Administer Oxygen |
In which of the following situations is hemolytic disease of the newborn most likely to occur? a. An Rh positive mother delivers a first Rh negative newborn b. An Rh positive mother delivers a second Rh negative newborn c. An Rh negative mother delivers a first Rh positive newborn d. An Rh negative mother delivers a second Rh Positive newborn | d. An Rh negative mother delivers a second Rh Positive newborn |
What ethnicity is most likely to suffer from sickle cell disease? a. Native American b. Asian c. African American d. Mediterranean Italian | c. African American |
A male will express hemophilia if he acquires ___________ chromosome(s) a. Defective X and Y b. One defective X c. Two defective X d. One defective Y | b. One defective X |
A smoker who also takes supplemental vitmain K would be expected to: | b. Have enhanced clotting ability |