Question 1

A sickle cell crisis occurs when&#10;A) a patient with sickle cell disease seeks medical assistance.&#10;B) the blood has a less than normal amount of red blood cells.&#10;C) painful swelling affects the hands and feet at the same time.&#10;D) sickled cells plug blood vessels and cause ischemia.

Accepted Answer

Sickle cell crisis, also known as a vaso-occlusive crisis, occurs when the sickle-shaped red blood cells block blood flow through the blood vessels. This blockage leads to pain and organ damage due to the lack of oxygen (ischemia) reaching tissues.

Question 2

Which organ is often damaged by sickle cell disease?&#10;A) Pancreas&#10;B) Stomach&#10;C) Intestine&#10;D) Spleen

Accepted Answer

Sickle cell disease can lead to damage in the spleen because the misshaped red blood cells can block blood flow in this organ, leading to a condition known as splenic sequestration. This can impair the spleen's ability to filter blood and fight infections.

Question 3

A patient with sickle cell disease is most likely to seek medical attention when he has&#10;A) a high fever.&#10;B) a headache.&#10;C) generalized pain.&#10;D) abnormal fatigue.

Accepted Answer

a high fever.&#10;

Question 4

A person with hemophilia&#10;A) has visible internal bleeding.&#10;B) has reduced external bleeding.&#10;C) will feel &#34;looseness&#34; in his joints.&#10;D) will often bruise easily.

Accepted Answer

Hemophilia is a genetic disorder that affects the blood's ability to clot, leading to easy bruising and prolonged bleeding.

Question 5

This picture depicts:&#10; &#10;A) a leg ulcer.&#10;B) frost bite.&#10;C) hand-foot syndrome.&#10;D) hemophilia.

Accepted Answer

The answer of This picture depicts:&#10; &#10;A) a leg ulcer.&#10;B)...

Question 6

What are common signs and symptoms of a splenic crisis?&#10;A) Pale skin, left side abdominal pain, cyanosis, and hemophilia.&#10;B) Abdominal cramping, cyanosis, hemophilia, and exhaustion.&#10;C) Irritability, weakness, tachycardia, pale skin, and left side abdominal pain.&#10;D) Weakness, exhaustion, jaundice, tachycardia, and generalized pain.

Accepted Answer

Splenic crisis often presents with irritability, weakness, tachycardia (rapid heart rate), pale skin, and left side abdominal pain due to the spleen's location and its involvement in filtering abnormal red blood cells, leading to these symptoms.

Question 7

Your patient complains of abdominal pain and has a history of sickle cell anemia. He is pale and his extremities are cool to the touch. You should&#10;A) provide blankets to keep him warm.&#10;B) encourage him to drink water to prevent dehydration.&#10;C) assist him in taking ibuprofen to relieve the pain.&#10;D) stimulate his hands and feet to promote circulation.

Accepted Answer

Providing blankets to keep him warm is appropriate as patients with sickle cell anemia can experience vaso-occlusive crises, leading to pain and poor circulation. Keeping the patient warm can help improve circulation and comfort.

Question 8

Hemophilia almost exclusively affects&#10;A) European Americans.&#10;B) African Americans.&#10;C) males.&#10;D) females.

Accepted Answer

Hemophilia is a genetic disorder that impairs the body's ability to make blood clots, a process needed to stop bleeding. It is an X-linked recessive condition, which means it is primarily associated with males. Males have one X and one Y chromosome, so if their X chromosome carries the hemophilia gene, they will exhibit symptoms of the disorder. Females have two X chromosomes, so even if one carries the hemophilia gene, the other X chromosome can often compensate, making females carriers who are less likely to exhibit symptoms of the disorder.

Question 9

Compared to a normal person, a cut for a hemophiliac patient will bleed&#10;A) less.&#10;B) longer.&#10;C) faster.&#10;D) slower.

Accepted Answer

Hemophiliacs have a blood clotting disorder, which means their blood doesn't clot properly. As a result, a cut will not bleed faster or slower, but it will bleed for a longer period of time because the blood cannot clot as efficiently to stop the bleeding.

Question 10

Sickle cell disease is acquired through&#10;A) poisoning.&#10;B) blood contact.&#10;C) heredity.&#10;D) viral infection.

Accepted Answer

Sickle cell disease is a genetic condition passed down from parents to their children through genes, making it hereditary.

Deck 31: Hematological Disorders