Answer 10

10.  Choice D is the correct answer.  Acute chest syndrome usually involves lower lobes of lungs, low oxygenation, and decking hemoglobin levels.  

Question 10

10.  Which of the following is true regarding acute chest syndrome with patients with sickle cell disease?

A.  Predominately involves the lower lobes of the lungs
B.  Usually have declining oxygenation
C.  Usually have declining hemoglobin levels
D.  All the above

Answer 9

9.  Choice C is the correct answer.  Most sickle cell patients are dehydrated and do need IV fluids as well as oxygen.  Analgesics are needed for sickle cell crisis.

Question 9

9.  All of the following are true about sickle cell anemia except?

A.  Sickle Cell Anemia is a chronic hemolytic state with usual hematocrit of 20-30%

B.  There is an increased possibility for infection

C.  Most sickle cell patients in a pain crisis are well hydrated and to not require IV fluids

D.  Analgesia is useful in the Emergency Department management of sickle cell crisis

Answer 8

8.  Choice D is the correct answer.  The vitamin K dependent factors are Factors II, VII, IX, and X.

Question 8

8.  Which of the following are Vitamin K dependent factors?

A.  Factor II
B.  Factor VII
C.  Factor IX
D.  All the above

Answer 7

7.  Choice B is the correct answer.  Increased bleeding time, normal platelet count, normal PT, and increased PTT.

Question 7

7.  Von Willebrand's disease is characterized by:

A.  Normal bleeding time, normal platelet count, normal PT, and increased PTT
B.  Increased bleeding time, normal platelet count, normal PT, and increased PTT
C.  Increased bleeding time, decreased platelet count, normal PT, and increased PTT
D.  Decreased bleeding time, decreased platelet count, normal PT and normal PTT

Answer 6

6.  Choice C is the correct answer.  Platelet counts below 10, 000 put the patient at risk for spontaneous bleeding.  Surgical bleeding is a concern when the platelet count is less than 50, 000.  

Question 6

6.  At what level do platelets if they are below put the patient at risk for series bleeding?

A.  100, 000
B.  50, 000
C.  10, 000
D.  Low platelets do not cause spontaneous bleeding