Rei Sample Quiz
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Please complete the following multiple choice questions.
- 1.A patient with idiopathic thrombocytopenic purpura (ITP) is MOST likely to have which of the following laboratory abnormalities?
- A.
Decreased megalokaryocytes on bone marrow biopsy
- B.
Elevated partial thromboplastin time
- C.
Decreased percentage of large platelets on peripheral blood smear
- D.
Increased levels of platelet-associated immune globulin
- E.
Decreased hemoglobin levels
- 2.A 32-year-old, G2 P1, at 39-weeks estimated gestational age presents with abdominal pain and lack of fetal cardiac activity. She is type 0 negative and an indirect Coombs test is negative. A Kleihauer-Betke test gives an estimate of 25cc of fetal RBC (50cc fetal blood) being present. How many standard vials of RhoGAM SHOULD be given in this setting?
- A.
0
- B.
1
- C.
3
- D.
5
- E.
10
- 3.A 25-year-old schoolteacher at 19-weeks estimated gestational age reports one of her students being diagnosed with fifths disease. Serum testing shows positive IgM titer and negative IgG titer. The MOST appropriate action would be:
- A.
Vaccine for parvovirus B19
- B.
Oral immunoglobulin
- C.
Termination of pregnancy
- D.
Serial ultrasound evaluation
- E.
Amniocentesis for delta 450
- 4.Your patient has a microcytic anemia on her first set of prenatal labs. All of the following statements are correct EXCEPT:
- A.
The most commonly encountered anemia in pregnancy is Iron Deficiency Anemia which has the following characteristics: microcytic, hypochromic, MCV < 80 f/L, Serum Fe < 50 mcg/dL, MCHC < 30%, Serum ?Ferritin, ?TIBC
- B.
Combined Fe / folate deficiency is never normocytic, normochromic anemia
- C.
Folate deficiency is a risk for Neural Tube Defect.
- D.
Most common megaloblastic anemia is folate deficiency.
- E.
Vitamin B12 deficiency is associated with malabsorption diseases.
- 5.The following statements are correct regarding Varicella-Zoster during pregnancy EXCEPT:
- A.
Varicella-Zoster immune globulin [V-ZIG] should be administered to the newborn if the mother developed chickenpox within 5 days prior to or 2 days following delivery
- B.
Maternal administration of V-ZIG reduces the occurrence of congenital varicella syndrome
- C.
V-ZIG can be considered to treat the pregnant women herself to prevent the complications of chickenpox
- D.
All of the above
- E.
None of the above
- 6.A 47-year-old woman presents to your office complaining of post coital spotting for the past three months. Her last pap smear was ten years ago. Pelvic exam reveals a fungating cervical mass, which extends one-third of the way down the vagina. The uterus is normal size and shape. Bimanual and rectovaginal exam reveal smooth parametria and pelvic sidewalls. Cervical biopsy returns poorly differentiated squamous cell carcinoma. IVP reveals right-sided hydronephrosis. Her FIGO state is:
- A.
IIA
- B.
IIB
- C.
IIIA
- D.
IIIB
- E.
IVA
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