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  • 1/19 Questions

    Which is the main reason for selecting appropriate access site to perform bone marrow aspiration?

    • The access site is convenient
    • The access site is the center of one of the major marrow producing bones
    • The access site hurts less
    • The access site is where infection attack first
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  • 2. 

    Which is the access site for bone marrow aspiration?

    • Compact bone

    • Terminal crest

    • Juglans regia

    • iliac crest

    Correct Answer
    A. iliac crest
    Explanation
    The iliac crest is the correct answer because it is a common access site for bone marrow aspiration. The iliac crest is the curved ridge at the top of the hip bone, and it provides easy access to the bone marrow for aspiration procedures. This site is often chosen because it is easily accessible and provides a sufficient amount of bone marrow for sampling.

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  • 3. 

    Where is bone marrow found?

    • It is found in trombone

    • It is found in the hollow part of most bones

    • It is found in the non hollow part of most bones

    • It is found in James Bone

    • It is found in Cubone

    Correct Answer
    A. It is found in the hollow part of most bones
    Explanation
    Bone marrow is found in the hollow part of most bones. Bone marrow is a soft, spongy tissue found inside the hollow part of bones. It is responsible for the production of blood cells, including red blood cells, white blood cells, and platelets. The bone marrow also plays a crucial role in the immune system and the storage of important nutrients.

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  • 4. 

    Cord blood can be use to substitue bone marrow for transplantation

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Cord blood can be used as a substitute for bone marrow in transplantation procedures. This is because cord blood contains stem cells that can develop into different types of blood cells. These stem cells can be used to treat various diseases, such as leukemia, lymphoma, and certain genetic disorders. Transplanting cord blood is often a safer and less invasive procedure compared to traditional bone marrow transplantation. Therefore, the statement "Cord blood can be used to substitute bone marrow for transplantation" is true.

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  • 5. 

    Bone marrow aspiration is done to:

    • Know if the bone is breathing

    • Find out if the bone have enough calcium

    • Find out the reason for many blood disorders

    • Find out if the bone is yours

    • Find out if cancer or infection has spread to the bone marrow

    Correct Answer(s)
    A. Find out the reason for many blood disorders
    A. Find out if cancer or infection has spread to the bone marrow
    Explanation
    Bone marrow aspiration is a medical procedure used to determine the cause of various blood disorders and to investigate whether cancer or infection has spread to the bone marrow. By extracting a small sample of bone marrow, doctors can examine the cells and identify any abnormalities or signs of disease. This procedure is crucial in diagnosing and monitoring conditions such as leukemia, lymphoma, anemia, and other blood-related disorders. It helps healthcare professionals make informed decisions regarding treatment and management plans for patients.

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  • 6. 

    What are the names of the creators of the web page?

    • Itchy, Scratchy, Fidgety, Allergy and 2 other extras angi and golgi body

    • Ah ma, Maria, Fatimah

    • Lyn, Georgina, Angela, H Hui, Vivian and Y Ning

    Correct Answer
    A. Lyn, Georgina, Angela, H Hui, Vivian and Y Ning
    Explanation
    Because they are total geniuses

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  • 7. 

    Choose the most appropriate answer regarding bone marrow biopsy and bone marrow aspiration.

    • The patient is placed in the lateral decubitus position in bone marrow aspiration while the patient is place in the prone position while performing bone marrow biopsy

    • The main purpose of bone marrow aspiration is to collect Bone marrow fluid while the main purpose of bone marrow biopsy is to collect an actual solid piece from the bone

    • Sternum is an access site for both bone marrow biopsy and bone marrow aspiration

    • A marrow aspiration is generally performed before biopsy

    Correct Answer
    A. The main purpose of bone marrow aspiration is to collect Bone marrow fluid while the main purpose of bone marrow biopsy is to collect an actual solid piece from the bone
    Explanation
    The main purpose of bone marrow aspiration is to collect bone marrow fluid, which contains cells and other components that can be analyzed for diagnostic purposes. On the other hand, the main purpose of bone marrow biopsy is to collect an actual solid piece of bone marrow tissue, which can provide more detailed information about the structure and composition of the bone marrow. Both procedures can be performed at the sternum, which is a common access site for bone marrow sampling. In general, a marrow aspiration is usually performed before a biopsy to obtain the fluid sample first.

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  • 8. 

    ASPIRATE: % Blasts 45 Promyelocytes 6 Myelocytes 9 Metamyelocytes 4 Neutrophils 6 Eosinophils 4 Basophils 1 Monocytes 10 Lymphocytes 5 Plasma cells - Megakaryocytes - Macrophages - Pronormoblasts 2 Normoblasts 7 M:E ratio 10:1 This question is obtained fom http://www.med-ed.virginia.edu/courses/path/innes/wcd/leukmorph.cfm A 57 year old woman complains of unexplained fatigue and small bruises over her ankles and lower legs. The peripheral blood WBC was normal. Platelets were severely decreased in number. Her marrow aspirate results are shown at left. What is the most important observation made from the aspirate?

    • Decreased megakaryocytes

    • Normal numbers of myelocytes

    • Too little iron

    • Too many blasts

    • Decreased red cells

    Correct Answer
    A. Too many blasts
    Explanation
    The most important observation made from the aspirate is that there are too many blasts. Blasts are immature cells that are normally found in the bone marrow, but if they are present in excessive numbers in the peripheral blood or bone marrow, it can indicate a problem such as leukemia. In this case, the patient's symptoms of unexplained fatigue and small bruises, along with the presence of too many blasts in the marrow aspirate, suggest a possible diagnosis of leukemia.

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  • 9. 

    Which is false about bone marrow aspiration?

    • Contact of aspiration needle with the marrow cavity is usually noted by a sudden increase in pressure.

    • Bone marrow aspiration may cause infection of the skin or the bone.

    • Bone marrow aspiration is to find out if Hodgkin's lymphoma or non-Hodgkin's lymphoma, has spread to the bone marrow.

    • Mild soreness lasting 12-24 hours is common after a bone marrow examination

    Correct Answer
    A. Contact of aspiration needle with the marrow cavity is usually noted by a sudden increase in pressure.
    Explanation
    Bone marrow aspiration is a procedure used to collect a sample of the liquid portion of the bone marrow for examination. During the procedure, a needle is inserted into the bone marrow cavity, and the sample is withdrawn. The statement that contact of the aspiration needle with the marrow cavity is usually noted by a sudden increase in pressure is false. In fact, the needle is carefully inserted into the bone marrow cavity, and the aspiration is usually done slowly and gently, without causing a sudden increase in pressure.

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  • 10. 
    This picture shows:This Picture is obtained from http://library.med.utah.edu/WebPath/HEMEHTML/HEME052.html - ProProfs

    This picture shows:This Picture is obtained from http://library.med.utah.edu/WebPath/HEMEHTML/HEME052.html

    • Leukemia

    • Aplastic anaemia

    • Non-Hodgkin's Lymphomas

    • Hodgkin's lymphoma

    Correct Answer
    A. Aplastic anaemia
    Explanation
    Aplastic anaemia
    Aplastic anemia is a condition where bone marrow does not produce sufficient new cells to replenish blood cells

    Describtion of the picture
    Hematopoietic elements in this bone marrow biopsy are markedly reduced. This is a case of aplastic anemia. Of course, besides, RBC's the platelets and granulocytes will often be diminished. Sometimes a drug or toxin is the cause and sometimes infection. When no known cause can be found, it is termed idiopathic aplastic anemia.

    Non- Hogkin's Lymphoma
    Non-Hodgkin's lymphoma is a malignant (cancerous) growth of B or T white blood cells (lymphocytes) in the lymph system.

    Hodgkin's lymphoma
    Hodgkin's disease is a type of lymphoma. Lymphoma is cancer of lymph tissue found in the lymph nodes, spleen, liver, and bone marrow.

    Differences between hodgkin's and non- hodgkin's lymphoma
    Both Hodgkin's disease and non-Hodgkin's lymphoma are lymphomas.The main difference is in the specific lymphocyte each involves. If the Reed-Sternberg cell is not present, the lymphoma is classified as non-Hodgkin's whereas if the Reed-Sternberg cell is present, it is classified as Hodgkin's

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  • 11. 

    Bone marrow may be used to treat male infertility

    • True

    • Flase

    Correct Answer
    A. True
    Explanation
    Bone marrow may be used to treat male infertility because it contains stem cells that have the potential to differentiate into different types of cells, including sperm cells. These stem cells can be extracted from the bone marrow and used in procedures such as stem cell transplantation or in vitro fertilization to help restore or enhance fertility in males. This treatment option is still being researched and developed, but it shows promise in potentially offering a solution for male infertility.

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  • 12. 

    The purpose of Wright or Giemsa stain is to: 

    • Detect the presence of Iron

    • Categorize acute myeloid leukemias

    • Enhance cytologic detail

    • Identify the presence of glycogen

    Correct Answer
    A. Enhance cytologic detail
    Explanation
    Wright or Giemsa stain is used to enhance cytologic detail. This staining technique allows for better visualization of cellular structures and components, such as nuclei, cytoplasm, and organelles. It is commonly used in the field of hematology to examine blood and bone marrow samples, as it helps in identifying different types of blood cells and abnormalities in their morphology. By enhancing the cytologic detail, this stain aids in the accurate diagnosis and classification of various diseases and conditions.

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  • 13. 

    Please open the 'Contact us' page to a new tab on our very informative website. With reference to the picture, answer this question!!!!where is the picture taken?

    • HSBC TreeTop walk

    • Singapore Zoological Gardens

    • Forest walk

    • Mount Faber Park

    Correct Answer
    A. Forest walk
    Explanation
    The correct answer is Forest walk. The picture is most likely taken at a forest walk based on the options provided. The other options, such as HSBC TreeTop walk, Singapore Zoological Gardens, and Mount Faber Park, do not match the scenery shown in the picture. Therefore, the picture is likely taken at a forest walk.

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  • 14. 

    Which of the following is/ are not found in a normal result?

    • Presence of haematopoietic cells

    • Normal numbers of both mature and immature bone marrow cells present.

    • Presence of Lymphoma:

    • The bone marrow has been replaced by scar tissue.                                                           

    • Presence of White Blood Cells

    Correct Answer(s)
    A. Presence of Lymphoma:
    A. The bone marrow has been replaced by scar tissue.                                                           
  • 15. 

    Bone marrow aspiration is also known as:

    • Three way tap

    • Lliac crest tap

    • Water tap

    • Sternal tap

    • Crest tap

    Correct Answer(s)
    A. Lliac crest tap
    A. Sternal tap
    Explanation
    Bone marrow aspiration is a medical procedure where a small sample of bone marrow is taken for diagnostic purposes. It is commonly performed by inserting a needle into the iliac crest (hip bone) or the sternum (breastbone) to extract the bone marrow. Therefore, the correct answer is "Iliac crest tap" and "Sternal tap" as they both refer to the same procedure of bone marrow aspiration.

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  • 16. 

    Bone marrow fluid may be taken from:

    • Front of the pelvic bone

    • Just below the knee.

    • Front of the lower leg bone,

    • From the skull

    • From the saliva

    Correct Answer(s)
    A. Front of the pelvic bone
    A. Just below the knee.
    A. Front of the lower leg bone,
    Explanation
    Bone marrow fluid can be taken from the front of the pelvic bone, just below the knee, and the front of the lower leg bone. These locations are commonly used for bone marrow aspiration and biopsy procedures. The front of the pelvic bone, also known as the iliac crest, is a common site for bone marrow aspiration due to its accessibility and abundance of bone marrow. Just below the knee and the front of the lower leg bone are also viable sites for bone marrow extraction, as they contain a significant amount of bone marrow.

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  • 17. 

    Abnormal bone marrow aspiration resuts may be due to

    • Primary thrombocytopenia

    • Folate deficiency anaemia

    • Lousy technique

    • Pernicious anaemia

    Correct Answer(s)
    A. Primary thrombocytopenia
    A. Folate deficiency anaemia
    A. Lousy technique
    A. Pernicious anaemia
    Explanation
    Abnormal bone marrow aspiration results can be caused by various factors. Primary thrombocytopenia refers to a condition where there is a decrease in the number of platelets in the blood, leading to abnormal clotting. Folate deficiency anemia occurs when there is a lack of folate, a B vitamin, which is necessary for the production of red blood cells. Lousy technique refers to errors or mistakes made during the bone marrow aspiration procedure, which can affect the accuracy of the results. Pernicious anemia is a type of anemia caused by the body's inability to absorb vitamin B12, resulting in a decrease in red blood cell production.

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  • 18. 

    Bone marrow aspiration removes

    Correct Answer(s)
    Bone marrow fluid
    Bone marrow aspirate
    Explanation
    Bone marrow aspiration is a medical procedure that involves the removal of bone marrow fluid and bone marrow aspirate. The bone marrow fluid refers to the liquid portion of the bone marrow, which contains various cells, including red blood cells, white blood cells, and platelets. On the other hand, the bone marrow aspirate refers to the solid portion of the bone marrow, which contains stem cells and other cellular components. Both the fluid and aspirate are collected during a bone marrow aspiration procedure for diagnostic or therapeutic purposes.

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  • 19. 

    List one of the risk factors after a bone marrow aspiration.

    Correct Answer(s)
    Bleeding from the aspiration site
    Mild soreness
    Infection of skin or the bone at the biopsy site
    Injury to your heart, lung, or a major blood vessel if the sample is taken from the sternum
    Explanation
    One of the risk factors after a bone marrow aspiration is bleeding from the aspiration site. This can occur due to the needle puncturing a blood vessel during the procedure. It is important to monitor for excessive bleeding and apply pressure to the site if necessary.

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  • Jun 05, 2024
    Quiz Edited by
    ProProfs Editorial Team
  • Dec 23, 2008
    Quiz Created by
    Cardiacgirls

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