Hematology
1. Physiologic Anemia.
???) A 2 months old infant
brought to you because his hemoglobin was 9,5gm%. One of the following is true:
Give him iron
Give him blood
Assure the parents only
Do reticulocytes level
Do bilirubin level
Answer: 3* Assure the parents
only
???) The normal platelet count
per cubic millimeter in one month old infant is:
10 x 10
20 x 10
40 x 10
70 x 10
250 x 10
Answer: E* 250 x 10
???) A white blood cell count of
18,000/mm3 is normal for what age:
One day old full term
Two months
Six months
Twelve months
Six years
Answer: A* One day old full term
2. Iron Deficiency Anemia.
***) The most common cause of
anemia worldwide is:
A.
Folate deficiency
B.
Vitamin B12 deficiency
C.
Thalassemia major
D.
Iron deficiency
E.
Glucose 6 phosphate deficiency
Answer: D* Iron deficiency
***) A major health problem in
Jordan is:
A.
Vitamin A deficiency
B.
Thalassemia
C.
Rickets
D.
Iron deficiency anemia
E.
Pellagra
Answer: D* Iron deficiency
anemia
***) The commonest type of
anemia in pediatrics is :
Thalassemia
Sickle cell anemia
Hereditary spherocytosis
Iron deficiency anemia
Megaloblastic anemia
Answer: D* Iron deficiency
anemia
***) Effects of iron deficiency
anemia in children may include all of the following, except:
A.
Retardation of growth
B.
Compromised cellular immunity
C.
Direct effect on respiratory function
D.
Direct effect on muscle function
E.
Impaired intellectual function
Answer: D* Direct effect on
muscle function
3. Anemia of Chronic Disease.
???) All of the following about
megaloblastic anemia in children are true, except:
Results from deficiency of folic
acid or vitamin B12, or both
An important consideration in
children fed exclusively with goat's milk
Considerable variation in red
cell shape and size
More common in children than in
adults
The neutrophils are large and
hypersegmented
Answer: 4* More common in
children than in adults
1. Immune Thrombocytopenic Purpura.
***) One of the following is
true regarding Idiopathic thrombocytopenic purpura ITP:
A.
Platelets count is less than 50,000
B.
Normal WBC count
C.
Normal PT and PTT
D.
Decreased megakaryocytes in bone marrow
E.
Normal RBC count
Answer: D* Decreased
megakaryocytes in bone marrow (It is increased)
***) Which of the following
statements about idiopathic thrombocytopenic purpura (ITP) in children is not
true:
Most children with acute ITP
recover within 2 months
Bone marrow examination is
not helpful in diagnosis
Early use of steroids may
enhance platelet recovery but has no effect on chronicity
Intracranial bleeding is a
risk at any stage of the disease
For older children with
chronic ITP splenectomy offer the best chance of remission
Answer: 2* Bone marrow
examination is not helpful in diagnosis
***) Regarding ITP
(idiopathic thrombocytopenic purpura) all are true, except:
High bleeding time
Decreased platelets count
Decreased megakaryocytes in
bone marrow
Intracranial hemorrhage is
the most serious complication
Steroid therapy is helpful
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