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Pre-Test
1. Which of the following is
not a true
statement about acute myeloid leukemia (AML)?
*
a. It is a cancer of the blood and marrow cells
b. It is the most common form of acute leukemias in adults
c. It affects the lymphoid progenitor cells
2. True or false. Approximately half of patients with acute myeloid leukemia present for the first time with their acute symptoms through the emergency department?
*
a. True
b. False
3. If AML is suspected, all of the following labs may be ordered as part of the initial diagnostic workup,
except
:
*
a. CBC with differential
b. Biopsy
c. Coagulation studies
d. Blood chemistry
4. If AML is present, a CBC with differential will show:
*
a. White count can be high, normal or low
b. Platelets and red cells are usually high
c. Peripheral smear- blasts are not typically present
d. Auer rods will always be present
5. What risk factors are associated with neutropenic fevers?
*
a. >65 years of age
b. Prolonged duration of neutropenia
c. Low body mass index
d. All of the above
6. Tumor lysis syndrome:
*
a. Frequently occurs as a result of induction therapy
b. Is never a spontaneous event
c. Can result in death
d. A and C
e. All of the above
7. Survival differences in patients with leukemia is closely aligned with disparities such as access to care, exclusion from clinical trials, and socio-economic factors.
*
a. True
b. False
8. When referring a patient to a hematologist/oncologist, which of the following communication strategies
is incorrect
?
*
a. Verbal communication is key only in the absence of electronic medical records
b. Questions should be stated clearly
c. Plan of timely follow-up should be in place before patient is discharged from the emergency department (ED)
d. Communicate with treating physician to better understand complexities of disease/treatment and determine if admission needed
9. Which of the following clinical presentations is associated with fever and infection?
*
a. Anemia
b. Thrombocytopenia
c. Neutropenia
d. All of the above
10. Leukostasis:
*
a. Is seen in 10 – 30% of AML cases
b. Is not considered a medical emergency
c. Is most common when blasts >20,000
d. Symptoms include: petechia, bleeding
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