Appointment with his primary physician

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Reference no: EM133874586

Question

Robert White has an appointment with his primary physician today because he has been seeing blood in his urine. After arriving at his appointment, a nurse asked him to collect a urine sample for a urinalysis. The doctor examined Mr. White and assessed the results of the urinalysis. He then explained to Mr. White that he may have glomerulonephritis, and he ordered additional lab tests to confirm his diagnosis.

1. Mr. White is also displaying classic symptoms of glomerulonephritis. They are:

a. Headache and dark-colored concentrated urine
b. Polyuria
c. Generalized edema, low blood-pressure, and dilute urine
d. Glycosuria and ketonuria

2. Mr. White explained to the nurse that he had never had kidney problems before. The nurse informed him that acute glomerulonephritis is usually caused by:

a. A chromosome abnormality
b. Major trauma to the kidney
c. A streptococcal infection elsewhere in the body
d. Adhesion in the kidney following surgery

3. What blood test will the doctor order to confirm his diagnosis of glomerulonephritis?

a. BUN
b. CBC
c. Fasting Glucose
d. Uric Acid

4. What would the results of Mr. White's urinalysis been?

a. Presence of streptococcal bacteria
b. Presence of glucose
c. Presence of protein
d. Presence of ketones

5. Mr. White's treatment for glomerulonephritis will likely include:

a. Chemotherapy and radiation
b. Blood transfusions
c. Renal angioplasty
d. Administration of antibiotics and steroids

SCENARIOS CONTINUED

Tyler Jackson, 2 year old male, was seen by Dr. Bill Freeman in the outpatient Hematology Clinic today. The child presented symptoms of fever of 102°, bleeding gums, and fatigue. Dr. Freeman ordered a Complete Blood Count (CBC), and the results showed marked thrombocytopenia, decreased hematocrit, a few lymphoblasts, and a WBC count of 102,000. RBCs were also noted to be slightly hypochromic. A bone marrow biopsy was performed with predominately immature lymphocytes present.

6. Dr. Freeman diagnosed the child with Acute Lymphocytic Leukemia. Evaluate the patient's WBC count:

a. The WBC count is normal
b. Abnormally increased
c. Abnormally decreased
d. Slightly decreased

7. What is causing his gums to bleed?

a. Hypochromic RBCs
b. Presence of lymphoblasts
c. Thrombocytopenia
d. Fever

8. The likely cause of Tyler's fatigue is:

a. Fever
b. Anemia
c. Thrombocytopenia
d. leukocytosis

9. The presence of which type of cell is definitive for a diagnosis of acute lymphocytic leukemia?

a. Hypochromic RBCs
b. Lymphoblasts
c. Lymphocytes
d. Myeloblasts

10. Why was a bone marrow biopsy performed?

a. To treat the leukemia
b. To perform the CBC
c. To build up the hematocrit
d. To diagnose the leukemia

11. Treatment for Acute Lymphocytic Leukemia always begins with:

a. Radiation therapy
b. Chemotherapy
c. Bone marrow transplant
d. Autologous transfusion

Reference no: EM133874586

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