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الاجابات الصحيحة ليوم الاثنين هي:
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الاجابات الصحيحة ليوم الاثنين هي:
111- A 50-year-old man has been treated for rheumatoid arthritis for many years. He is currently taking corticosteroids for the disease. On examination, he has stigmata of rheumatoid arthritis and some fullness on his left upper abdomen. His platelet count is slightly low at 56,000/mm3. His WBC count is 3,100/mm3 and Hb 9.0 g/dL. Which of the following is the most likely etiology of the thrombocytopenia?
A. Steroid induced
B. Sequestration
C. Rheumatoid arthritis autoimmune induced
D. Prior gold therapy
Look at the question carefully it says left upper fullness in the abdomen, which means he has splenomegaly, this causes sequenstration of all cell
112- A 30-year-old woman with ITP has been taking maximum corticosteroid doses and still has a platelet count of 20,000/mm3 and frequent bleeding episodes. Which of the following should she receive before her splenectomy?
A. Washed leukocyte transfusion
B. Intravenous interferon therapy
C. Pneumococcal vaccine
D. Bone marrow radiotherapy
Before splenectomy, when we remove the spleen patients will be prone to infections, this is why we will give them prophylactic antibiotics
.A. Steroid induced
B. Sequestration
C. Rheumatoid arthritis autoimmune induced
D. Prior gold therapy
Look at the question carefully it says left upper fullness in the abdomen, which means he has splenomegaly, this causes sequenstration of all cell
112- A 30-year-old woman with ITP has been taking maximum corticosteroid doses and still has a platelet count of 20,000/mm3 and frequent bleeding episodes. Which of the following should she receive before her splenectomy?
A. Washed leukocyte transfusion
B. Intravenous interferon therapy
C. Pneumococcal vaccine
D. Bone marrow radiotherapy
Before splenectomy, when we remove the spleen patients will be prone to infections, this is why we will give them prophylactic antibiotics
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