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    Question 1
    A 38-year-old woman has become increasingly fatigued for the past 3 months. During the past week she has noted purple blotches on her skin. On physical examination there are purpuric areas of skin on her trunk and extremities. She has no hepatosplenomegaly and no lymphadenopathy. Laboratory studies show Hgb 6.8 g/dL, Hct 20.7%, MCV 91 fL, platelet count 28,760/microliter, and WBC count 1940/microliter. Which of the following is the most likely diagnosis?

    A Aplastic anemia
    B Chronic myelogenous leukemia
    C Infectious mononucleosis
    D Large B cell lymphoma
    E Hereditary spherocytosis




    Question 2 A 45-year-old man has noted a change in the appearance of his face over the past 7 months. On physical examination his facial skin is thickened and reddened. A punch biopsy of skin is performed and on microscopic examination shows infiltration by neoplastic T lymphocytes. Which of the following is the most likely diagnosis?

    A Hodgkin lymphoma
    B Mycosis fungoides
    C Burkitt lymphoma
    D Acute lymphocytic leukemia
    E Hairy cell leukemia



    Question 3 A 49-year-old man has had increasing fatigue for the past 4 months. On physical examination he has massive splenomegaly but no lymphadenopathy. Laboratory studies show a Hgb of 10.1 g/dL, Hct 30.3%, MCV 90 fL, WBC count 1600/microliter, and platelet count 48,000/microliter. Examination of his peripheral blood smear shows increased numbers of peripheral blood lymphocytes containing tartrate-resistant acid phosphatase. Which of the following is the most likely diagnosis?


    A Chronic lymphocytic leukemia
    B HTLV-1 infection with leukemia
    C Hairy cell leukemia
    D Gaucher disease
    E Myelodysplasia





    Question 4

    A 10-year-old girl has exhibited increasing sluggishness with poorer performance in school over the past year. She has not had increased numbers of infections. The child now complains of headaches. A physical examination shows no hepatosplenomegaly or lymphadenopathy. A CBC shows: Hgb 11.8 g/dL, Hct 33.9%, MCV 71 fL, platelet count 293,000/microliter, and WBC count 8160/microliter. Examination of her peripheral blood smear shows basophilic stippling of erythrocytes. The serum haptoglobin is 5 mg/dL. Which of the following laboratory test findings is most likely to be present in this girl


    A Hemoglobin S on electrophoresis
    B Increased osmotic fragility
    C Positive direct Coombs test
    D Decreased serum iron
    E Elevated free erythrocyte protoporphyrin

  • #2
    Q1 : A

    Q2 : B
    (مع اني غير متاكد من اجابة هذه الفقرة )

    Q3 : C

    Q4 : E

    اتمنى اني اصبت الاجابات
    التعديل الأخير تم بواسطة hematologist; الساعة 16-08-2009, 09:22 PM.

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    • #3
      q1=A

      Q2=B

      Q3=C

      Q4=E

      for more questions and answers

      http://library.med.utah.edu/WebPath/...G/hem1frm.html

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      • #4
        q1=A

        Q2=B

        Q3=C

        Q4=E
        دآمك لنى ـآ يآوطن ... وش لنى ـآ وشل القمر

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