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Preguntas del test (50)
1351. Regarding the physical examination of the urine, it is true that:
- AA. A low specifc gravity suggests dehydration or diabetes mellitus
- BB. Jaundice can also cause yellow-orange or brown urine
- CC. In urinary tract infection with E. coli the urine is clear and odourless
- DD. Beetroot consumtion can cause pink urine
- EE. Normal volume/24h is 300-800 ml
- FF. Urine may smell like ammonia
- GG. A high specific gravity suggests diabetes insipidus
- HH. Normal concentrated urine has the colour of amber
2352. Regarding the chemical analysis of the urine, it is true that:
- AA. Bladder bleeding blood appers at the beginning of the urinary stream
- BB. Exercise may produce increased proteinuria in persons without renal disease
- CC. Urethral bleeding tend to be present at the end of the urinary stream
- DD. Glomerulonephritis can be a cause of hematuria
- EE. The normal adult excretes more than 500mg proteins/24 hours
- FF. Anticoagulant therapy can cause hematuria
- GG. Urine may become alkaline in case of vegetarian diet
- HH. Normal urine is nearly always acid
3353. Regarding the analysis of the urine, it is true that:
- AA. Red blood cells (RBC) are usually seen more than 10 RBC/low power field
- BB. Bilirubinuria occurs in obstructive jaundice
- CC. Bence-Jones protein is found in multiple myeloma
- DD. A signifcant urine culture means more than 1000 organisms/ml of urine
- ED. A signifcant urine culture means more than 1000 organisms/ml of urine
E. > 10 White blood cells (WBC) /low power feld are abnormal and indicates urinary tract infection - FF. Normal urine is not sterile
- GH. Urobilinogen is present in excess in hemolytic diseases
- HJ. Glycosuria usually indicates diabetes mellitus
4354. Regarding the renal function, it is true that:
- AA. The concentration of serum creatinine increases as renal impairment advances
- BB. Plasma creatinine levels are the best single guide to renal function
- CC. Blood urea is more useful than plasma creatinine level for measuring renal function
- DD. The most widely used measurement of glomerular fltration rate (GFR) is the clearence of endogenous
creatinine - EE. High blood urea or plasma creatinine are contraindications for intravenous urography (IVU)
- FF. Blood urea level it is not infuenced by dietary protein intake
- GG. The normal glomerular fltration rate (GFR) is about 60 ml/minute
- HH. Normal plasma creatinine levels are between 0.7 and 2.2mg/dl
5355. Regarding the renal imaging techniques, it is true that:
- AA. Intravenous urography (IVU) can determine anaphylactoid reactions
- BB. Renal ultrasonography (US) can’t differentiate solid from cystic masses
- CC. Plain abdominal X-ray is performed to demonstrate the position of the kidneys
- DD. Ultrasonography (US) can demonstrate the size and shape of the kidneys
- EE. Cystography involves catheterization and instillation of contrast medium into the bladder
- FF. Imaging in polycystic kidney disease reveals bilateral small kidneys
- GI. Cystoscopy means exmination of kidneys
- HJ. Computer tomography (CT) is indicated for diagnosis of renal or bladder tumours
6356. Regarding the characteristics of renal colic, it is true that:
- AA. The character of the pain is of high intensity
- BB. Radiation: hypochondrium, groin, knees
- CC. Site: interscapular space and fank (usually unilateral)
- DD. Duration : 20-30 minutes
- EE. Site: costovertebral angle (usually unilateral)
- FF. The patient associates fever, lombar and neck stifness
- GG. Radiation: fank, groin, testicles or labium and upper thigh
- HH. Sudden onset, usually at night
7357. Regarding the causes of polyuria and the diseases in the context of which it is found, it is true that:
- AA. It is found in diabetes insipidus
- BB. It is found in psychogenic polyphagia
- CC. It is found in patients receiving diuretic treatment
- DD. It is found in chronic renal failure due to oncotic diuresis caused by glycosuria
- EE. It is found in heart renal failure
- FF. It is found in psychogenic polydipsia
- GG. It is found in chronic renal failure due to osmotic diuresis caused by urea
- HH. It is found in diabetes mellitus due to osmotic diuresis because of glycosuria
8358. Regarding the disorders of micturition, it is true that:
- AA. Enuresis is a sign of renal cancer
- BB. Double urination means returning to urinate shortly after emptying the bladder
- CE. Incontinence of urine is caused by bladder-colic fstula
- DF. Enuresis means bed-wetting at night and it is physiologc during first 3 years of life
- EG. Frequency of micturition implies that urine is passed more often than normal (4 to 7/day)
- FH. Incontinence of urine is defned as a loss of urine without warning
- GI. Dysuria is cause by infections
- HJ. Dysuria is defned as pruritus on passing urine
9359. Regarding the general examination during to physical examination of renal sistem, it is true that:
- AA. The patients develop local edema
- BB. The patients have clubbing nails
- CC. Regarding the edema, pitting edema of the hands and neck puffness are present in nephrotic syndrome
- DD. “Green apple” fetor is associated with bladder stones
- EF. The skin could have a “muddy” pigmentation
- FG. The skin could have a “whitish” pigmentation
- GH. “Urea frost” represent the precipitation of urea crystals on the skin when blood urea is very high
- HI. An uremic “fetor” may be present in end-stage chronic kidney disease
- IJ. The nails could be white and opaque in nephrotic syndrome
10360. Regarding kidney examination, it is true that:
- AA. Palpation of the kidney could be made bimanually
- BB. Check for renal tenderness by fngertip pressure localized to each costovertebral angle – pain suggests kidney
infection - CC. Regarding left kidney, staying to the patient’s left side use left hand to lift from behind and right hand place
anterior - DD. Regarding right kidney, staying to the patient’s left side, place left hand behind the patient just below the last
rib and right hand anterior in the right upper quadrant - EE. Palpation of either kidney should always be made monomanually
- FF. Palpate the right kidney by staying to the patient’s right side
- GG. At inspection we pay attention to scars from previous surgery being relevant to the patient’s current illness
- HH. Check for renal tenderness by fngertip pressure localized to each cranio-vertebral angle – pain suggests
kidney infection
11361. In regards to disorders of micturition, it is true:
- AA. Urinary incontinence is the voluntary loss of urine
- BB. Urinary retention is defned as the inability of the bladder to empty its contents
- CC. Pneumaturia means passage of gas in the urine
- DD. Enuresis in children occurs during the day
- EE. They can include polakiuria, polyuria, oliguria, dysuria
- FF. Polakiuria is characterized by frequent urination, with no direct relation to the 24-hour urinary volume
- GH. Dysuria is defned as itching to urinate
- HJ. Painful urination occurs in cystitis, urethritis and prostatitis
12362. Regarding hematuria, the following statements are true:
- AA. It always has an organic cause
- BB. It is always symptomatic
- CC. In relation to the moment of onset, the terminal haematuria is of urethro-prostatic cause
- DE. In relation to the moment of appearance, the total hematuria is of renal cause
- EF. Macroscopic hematuria is defned by the presence in the urinary sediment of < 10 red blood cells/feld, the
appearance of the urine being normal - FG. Microscopic hematuria is defined by the presence in the urinary sediment of > 3 red blood cells/feld, the
appearance of the urine being normal - GH. In relation to the moment of appearance, the initial hematuria is of urethro-prostatic cause
- HI. It signifes the presence of blood in the urine originating from the kidneys and/or urinary tract
- IJ. In relation to the time of onset, the initial hematuria is of vesical origin
13363. Renal colic is characterized by the following:
- AA. Typical irradiation is on the right shoulder
- BB. Lumbar seat, usually unilateral
- CC. Dehydration relieves pain
- DD. The patient adopts the ventral decubitus, pressing the epigastric region with his fst
- Epts the ventral decubitus, pressing the epigastric region with his fst
E - FF. Trepidation and physical exertion are contributing factors
- GG. High intensity pain
- HI. The typical irradiation is downward, along the ureter – fank and iliac fossa, at the level of the external genital
organs and on the inner thigh - IJ. Insidious onset
14364. About anuria the following sentences are true:
- AA. Ureteral obstruction by calculus can cause anuria
- BB. Anuria is differentiated from urinary retention by bladder probe
- CC. Acute renal failure is a cause of false anuria
- DD. Anuria can be physiological or pathological
- EF. Anuria is always pathological
- FG. Ureteral obstruction by calculus can cause false anuria
- GH. Severe dehydration can cause anuria by decreasing circulating blood volume
- HI. It represents the decrease in urine formation in the kidneys, with diuresis below 100-150 ml/24 hours
15365. The following statements about oliguria are true:
- AA. Partial ureteral obstructions are a renal cause of oliguria
- BB. In glomerulonephritis, oliguria occurs due to the reduction of glomerular fltration surface
- CC. Urine density has increased values in oliguria of renal origin The decrease in glomerular fltrate by reducing
the fltration surface causes physiological oliguriaIt represents the decrease in urine volume below
1500 ml/24 hours - DD. Profuse sweating is the cause of physiological oliguria
- EE. Hemorrhagic shock causes oliguria by decreasing renal blood fow
- FG. Oliguria is always pathological
- GH. Oliguria can be physiological or pathological
- HI. It represents the decrease in diuresis below 800 ml/24 hours
16366. The following are true about urine retention:
- AA. It represents the inability of the bladder to empty its contents
- BB. Incomplete retention of urine is always associated with severe suprapubic pain
- CC. Acute retention of urine is more frequent in children
- DD. It can be complete or incomplete
- EF. Chronic retention of urine is determined by chronic glomerulonephritis
- FG. Complete retention of urine manifests objectively through the bladder globe
- GI. The percussion reveals dullness with upward convexity
- HJ. Bladder is a painful and can be palpated in the hypogastric area
17367. The following statements about proteinuria are true:
- AA. Selective proteinuria occurs in the presence of minimal glomerular lesions
- BB. Physiological proteinuria is less than 500 mg in the 24-hour urine
- CC. Normally, less than 150 mg of protein is eliminated in the urine in 24 hours
- DD. The most quantitatively important is proteinuria from glomerular diseases
- EF. Non-selective proteinuria consists only of globulins
- FG. Selective proteinuria is made up of more than 85% albumin
- GI. Bence-Jones proteinuria is caused by cold
- HJ. Proteinuria is classifed into selective and non-selective
18368. The following statements about complete urinary retention are true:
- AA. The patient has pollakiuria
- BB. It represents incomplete emptying of the bladder
- CC. The patient is agitated, anxious
- DD. Urinary causes include pregnancy
- EE. Percussion of the bladder globe delimits tympanism at the level of the hypogastrium
- FG. Percuţia globului vezical delimitează matitate la nivelul hipogastrului
- GH. Percussion of the bladder globe delineates dullness at the level of the hypogastrium
- HI. Palpation of the bladder causes pain
19369. The following statements about hematuria are true:
- AA. Initial hematuria occurs in urethro-prostatic conditions
- BB. Gross hematuria occurs in renal diseases
- CC. Macroscopic hematuria is visible to the naked eye
- DD. The three glasses test is especially useful in profuse hematuria
- EE. Microscopic hematuria is visible to the naked eye
- FG. Microscopic hematuria is not visible to the naked eye
- GH. Hematuria is not accompanied by pain
- HI. Terminal hematuria occurs in bladder disorders
20370. The following statements about urinary incontinence are true:
- AA. True incontinence occurs in neurological conditions (medullary lesions S3-S5)
- BB. True incontinence involves the continuous leakage of urine through complete loss of sphincter control
- CC. In true incontinence the bladder is empty
- DD. In false incontinence, the bladder still contains urine after leakage
- EE. In true incontinence, the bladder probe allows the elimination of a large amount of urine
- FF. Enuresis is specifc to the elderly
- GG. False incontinence involves the complete loss of sphincter control
- HH. Enuresis is specifc to children under 3-4 years of age
21371. The following statements about palpating the kidneys are true:
- AA. Kidney enlargement can occur in renal neoplasm
- BB. Grade I renal ptosis involves a palpable kidney in the fank or iliac fossa
- CC. Grade III renal ptosis involves a palpable kidney in the fank or iliac fossa
- DD. In very weak people, the lower pole of the right kidney can be palpated
- EE. The Guyon and Israel methods are bimanual
- FH. The Guyon and Israel methods are monomanual
- GI. Grade II renal ptosis involves palpation of only the lower renal pole
- HJ. The Glenard method is monomanual
22372. The following statements about the local examination of the renal system are true:
- AA. The costo-muscular point is located at the level of the angle between the 12th rib and the external edge of the
lumbar muscle mass - BB. The lower ureteral point is examined by rectal or vaginal palpation
- CC. In the Giordano maneuver, the sacral region is struck
- DD. Auscultation is not practiced in the examination of the renal system
- EE. The inspection does not provide information on pathologies of the renal system
- FH. The upper ureteral point is located at the intersection of the horizontal line passing through the navel with
the vertical line passing through the MacBurnley point - GI. Auscultation of the kidney may reveal the presence of a systolic murmur in renal artery stenosis
- HJ. The costo-vertebral point is located at the angle between the last rib and the spine
- AA. The costo-muscular point is located at the level of the angle between the 12th rib and the external edge of the
23373. The following statements about the general examination of the renal system are true:
- AA. In renal pathologies, edemas are absent
- BB. The attitude of the patient with renal colic is that of a gun cock
- CC. The facies is not specifc in kidney diseases
- DD. Integuments in acute renal failure show grating lesions or haemorrhages
- EG. Facies and integuments have an earthy-earthy hue in IRC
- FH. Renal edema is white, soft, fuffy, painless
- GI. Eyelid edema occurs in GNA
- HJ. In BCR the integuments have the appearance of powdery skin due to the whitish deposits of urea crystals
24374. The following statements about micturition disorders are true:
- AA. Painful urination occurs in cystitis, urethritis, prostatitis
- BB. Dysuria is the imminent sensation of urinating
- CC. Urgent urination occurs in cystitis or prostatitis
- DD. Two nocturnal urinations are considered to be physiological
- EG. Dysuria is only of vesical origin
- FH. Polakiuria involves the emission of at least 2 liters of urine in 24 hours
- GI. Dysuria can be caused by urethritis or urethral strictures
- HJ. Infrequent urination may occur in case of congenital megabladder
25375. The following statements about the evaluation of urine are true:
- AA. Hyperchromic urine occurs in diabetes
- BB. The increase in blood glucose above 180 mg/dl causes glycosuria
- CC. Urine is normally odorless
- DD. Pyuria can occur in prostatitis
- EE. Glycosuira can also be found in myocardial infarction
- FF. The presence of ketone bodies in the urine can be associated with decompensated diabetes
- GG. Normal urinary osmolarity is 1500-2200 mOsm/l
- HH. Extraurinary pyuria is the most common
- IJ. Bence-Jones proteinuria in multiple myeloma is proteinuria with abnormal proteins
26376. Regarding kidney palpation:
- AA. A normal kidney is tender upon palpation
- BB. In order to perform kidney palpation, the patient should be positioned in ventral decubitus
- CC. The left kidney can be usually palpated in the left fank
- DD. When palpable, kidney surface is smooth upon palpation
- EF. In order to facilitate kidney palpation, the maneuver is always performed after a forced expiration
- FG. When palpable, kidney consistency is elastic upon palpation
- GH. Polycystic kidney disease (PKD) can be a cause of kidney enlargement
- HI. Hydronephrosis can be a cause of kidney enlargement
- I. Renal tumors can be a cause of kidney enlargement
27377. Regarding renal semiology:
- AA. In patients with acute urinary retention, clinical examination reveals diffuse hypogastric tympanism
(hyper sonority) upon percussion - BB. Benign prostatic hyperplasia can cause dysuria
- CC. Dysuria is defned as an abnormally frequent urination
- DD. Benign prostatic hyperplasia can cause urinary retention
- EE. Dysuria is defned as discomfort associated with urination
- FF. In patients with acute urinary retention, the urinary bladder is tender and palpable in the mesogastrium
- GH. Diabetic patients can present polyuria
- HI. Pollakiuria is defned as an abnormally frequent urination
- AA. In patients with acute urinary retention, clinical examination reveals diffuse hypogastric tympanism
28378. Regarding the anamnesis of a patient with renal pathology:
- AA. Acute pyelonephritis is more frequent in female patients
- BB. kidney stones (nephrolithiasis) is an autosomal recessive genetic disorder
- CC. Excessive vegetable consumption can cause kidney stones (nephrolithiasis) due to high oxalate concentration
- DD. Acute glomerulonephritis is a potential complication of a streptococcal infection
- EE. Benign prostatic hyperplasia is more frequent among elderly males
- FF. Benign prostatic hyperplasia is more frequent among young males (20-30 years old)
- GG. Renal cancer is more frequent in children and adolescents
- HH. Renal colic has an abrupt onset
29379. Regarding renal colic:
- AA. It has a sudden onset
- BB. Usually occurs at night
- CC. The patient adopts an antalgic position called opisthotonos
- DD. Is caused by chronic treatment with high-dose opioids
- EE. The pain originates in the fank
- FH. The pain originates in the fank and radiates upwards, toward the costovertebral angle
- GI. The pain radiates laterally to the groin
- HJ. Is an intense pain
30380. Regarding the pain encountered in reno-urinary pathology:
- AA. renal colic is a continuous severe pain, usually lasting several weeks
- BB. prostatitis and urethritis cause chronic low back pain
- CC. renal colic may be accompanied by hematuria
- DD. Pelviperineal pain originates in the pelvis and radiates along the perineum and urethra
- EE. renal colic is also called lumbago
- FF. Migration of a renal calculus in the ureter is the most common cause of renal colic
- GG. Vesical tenesmus is defned as an imperative need to urinate
- HJ. noncolic lumbar pain of renal origin can be unilateral or bilateral
31381. Regarding the physical-chemical examination of urine:
- AA. Normal urinary pH is acidic
- BB. pyuria is defned as the presence of red blood cells in the urine
- CC. urinary pH varies with individual diet
- DD. a high protein diet acidifes the urine
- EE. hematuria is defned by the presence of red blood cells in the urine
- FF. a vegetarian diet acidifes the urine
- GG. hyposthenuria is defned as a urine density equal to that of plasma
- HH. excessive fuid losses (fever, vomiting, diarrhea) cause increased urine density and reduced diuresis
32382. Regarding the macroscopic examination of urine:
- AA. In the case of pyuria, the urine is cloudy and does not clear when the urine is heated to the boiling point
- BB. fresh urine is milky
- CC. normal urine color is light yellow
- DD. fresh urine is clear
- EE. chyluria can be caused by nephrotic syndrome
- FF. the "fruity” smell of urine can be found in urinary infections
- GG. fresh urine is transparent
- HI. fresh urine is cloudy
- IJ. fresh urine has a mild odor (almond-like)
33383. Regarding urine sediment examination:
- AA. pathological hematuria is defned as less than 1000 red blood cells /ml / min in the Addis test
- BB. pathological leukocyturia is defned as more than 2000 leukocytes / ml / min in the Addis test
- CC. Sternheimer-Malbin cells are modifed erythrocytes that present numerous cytoplasmic granulations, and
are a diagnostic criteria for acute cystitis - DD. pathological leukocyturia is defned as less than 2000 red blood cells/ ml / min in the Addis test
- EF. depending on the predominance of proteins or cellular elements, urinary casts are classifed into
noncellular and cellular - FH. A normal urine sediment may contain rare leukocytes
- GI. Urinary casts are formed at the level of renal tubules by the precipitation of the proteins
- HJ. pathological hematuria is defned as more than 1000 red blood cells / ml / min in the Addis test
34384. Regarding imaging and functional tests of the reno-urinary system:
- AA. pathological bacteriuria is defned by the presence of more than 1,000,000 bacteria/ml
- BB. renal ultrasound is nephrotoxic
- CC. in the three-glass test, initial hematuria is suggestive of bladder disease
- DD. renal biopsy is indicated in nephrotic syndrome
- EE. By defnition, renal clearance is the volume of plasma completely cleared of a substance by the kidneys per
unit time - FH. the bacteriological examination of the urine is performed by collecting a mid-stream sample (10-15 ml) of
urine, in a sterile test tube - GJ. intravenous urography requires the administration of a contrast agent
- HI. renoal ultrasonography is a non-invasive imaging test
35385. The neuro-psihiatric symptoms associated with anemic syndrome include:
- AA. Pruritus
- BB. Headache
- CC. Paresthesia
- DD. Dizziness
- EE. Fatigue
- FG. Thoracic anterior pain
- GF. Nausea
- HH. Asthenia
36386. The physical examination in hematological diseases can reveal:
- AA. Petechiae blanch when pressure is applied
- BB. In acute posthemoragic anemia, the skin color is brown pale
- CC. Mickulicz syndrome is associated with chronic leukemia and consists of symmetrical infltration of the
lacrimal and parotide glands - DD. The clinical examination in hemolytic anemia can reveal jaundice
- EE. In Biermer anemia, the skin is yellow pale
- FG. Patients with poliglobulia have a green paleness of the skin
- GH. In spherocytosis: asymmetric, exaggerated skull bone in contrast with facial massive
- HI. In chronic leukemia patients can have the “red man” appearance
37387. Splenomegaly is specifc for the following diseases:
- AA. Hemolytic anemia
- BB. Hemophilia
- CC. Splenic infarction
- DD. Neoplazic anemia
- EE. Chronic mieloid leukemia
- FF. Iron defciency anemia
- GG. Von Willebrand disease
- HH. Idiopathic thrombocytopenic purpura
- II. Myeloproliferative disorders
38388. Osteo-articular pain is a general symptom associated with the following hematological disorders:
- AA. Hemophilia
- BB. Acute leukemia
- CC. Acute intermittent porphyria
- DD. Von Willebrand disease
- EE. Multiple myeloma
- FF. Iron defciency anemia
- GI. Poliglobulia
- HJ. Chronic leukemia
39389. In iron defciency anemia, the clinical examination can reveal the following features:
- AA. The “red man” facies
- BB. Diastolic murmur
- CC. Cheilosis
- DD. Diffuse nonscarring hair shedding
- EE. Koilonychia (spoon shaped nails)
- FF. Angular stomatitis
- GG. Jaundice
- HI. Systolic fow murmur
40390. Which of the following statements about acute posthemorrhagic anemia are true?
- AA. A loss of less than 500 ml of blood leads to a decrease in cardiac output and blood pressure
- BB. Hemorrhage can be external, intracavitary or interstitial
- CC. The clinical consequences of hemorrhage depend on the amount of blood lost
- DD. Among the most common causes are: trauma and gastroduodenal ulcer
- EG. Macrocytic anemia is the most common characteristic of posthemorrhagic anemia
- FH. In an acute hemorrhage, the anemia is hypochromic, microcytic
- GI. Tachycardia, hypotension, wet skin are signs of persistent bleeding
- HJ. A signifcant blood loss (500-1000ml) will cause peripheral vasoconstriction
41391. The following statements about iron defciency anemia are true:
- AA. The symptoms of iron defciency anemia appear at Hb values below 11g/dl
- BB. Clinically, in iron defciency anemia the nails are brittle, fat, dull and sometimes with inverted concavity (koilonychia)
- CC. It can occur in the elderly due to the increased need for uncompensated iron
- DD. Occurs as a consequence of iron defciency in the body
- EE. Iron absorption disorders such as hyperchlorhydria can lead to iron defciency anemia
- FF. One of the causes of iron defciency anemia is excessive loss of iron through gastrointestinal bleeding
- GG. It can occur in growing children or pregnant women
- HH. Hypochromia is determined by the value of VEM<80 µ3
- It develops quickly, which is why it is diffcult to tolerate
42392. The following statements about megaloblastic anemia are true:
- AA. The prototype of megaloblastic anemia is Biermer anemia, due to an excess of intrinsic factor
- BB. Megaloblastic anemia occurs in pregnant women due to the increased need for folic acid
- CC. It is an anemia caused by folic acid defciency
- DD. Megaloblastic anemia occurs as a result of a defciency in the synthesis of cytoplasmic components and
acceleration of cell division - EE. Megaloblastic anemia occurs due to an imbalance in the DNA/RNA ratio (decreased DNA synthesis while
keeping RNA synthesis within normal limits) - FF. It is an anemia caused by a lack of vitamin B6
- GI. Alcoholism is a common cause of megaloblastic anemia
- HJ. Folic acid defciency anemia can occur in celiac disease
43393. The following sentences regarding blood components are true:
- AA. The increased number of leukocytes in the blood is called leukocytosis
- BB. Platelets have small dimensions of 2-3 µm
- CC. Erythrocytes have a biconvex shape, with a pale central area
- DD. The normal value of platelets in the blood is 50x103/mm3
- EE. The average lifespan of platelets is 9 – 12 days
- FH. Erythrocytes are anucleated cells
- GI. The normal blood leukocyte count is 22x103/mm3
- HJ. The average lifespan of erythrocytes is 110 - 120 days
44394. The following statements about Biermer anemia are true:
- AA. Biermer anemia is an autoimmune condition
- BB. Biermer anemia is clinically associated with neuropsychiatric syndrome: paresthesias, loss of vibratory
perception, depression or agitation - CC. Biermer anemia is clinically associated with the digestive syndrome: inappetence, diarrhea, Hunter's glossitis.
- DD. Anemia is mild, with brownish pallor
- EE. Biermer anemia is characterized by the appearance of anti-intrinsic factor antibodies
- FF. The laboratory diagnosis consists in highlighting microcytosis and vitamin B12 defciency
- GG. The onset of anemia is insidious, progressive
- HH. It occurs more frequently in males, at the age of 20-30
45395. The following statements about hemolytic anemia are true:
- AA. In hemolytic anemia, the urine is dark in color due to the presence of Hunter’s glossitis.
- BB. Hemolytic anemias are accompanied by a low reticulocyte count
- CC. Red blood cells are retained (slowed down) in the spleen if they are stiff
- DD. Hemolytic anemia occurs when the hematogenous marrow can compensate for the increased destruction
- EE. The eritrocytes normally decrease in diameter as they pass through the narrow elliptical fenestrations at the
splenic level - FF. Hemolysis can be intravascular or extravascular
- GG. In hemolytic anemia, jaundice occurs due to excess conjugated bilirubin resulting from the destruction of
red blood cells - HH. Hemolytic anemia is caused by increased destruction of red blood cells (life span less than 120 days)
- II. Hemolytic anemia is characterized by the triad of anemia + jaundice + splenomegaly
46396. Which of the following statements regarding the nails and hair changes in iron defciency anemias are true?
- AA. The nails show marginal onycholysis
- BB. The nails are flat and concave upwards in the shape of a "spoon"
- CC. Nails may show striations
- DD. The nails have a layered appearance and transverse striations
- EE. The hair may show increased friability and may fall out easily
- FH. The hair has increased resistance
- GI. Nails become thin and brittle
- HJ. The hair is brittle and lacks luster
47397. Which of the following can be causes of neutrophilia?
- AA. Allergic diseases (asthma)
- BB. Severe bleeding
- CC. Blood marrow aplasia
- DD. Acute bacterial infections
- EF. Agranulocytosis
- FG. Endogenous intoxications (uremia, metabolic acidosis)
- GH. Myeloproliferative syndrome
- HI. Exogenous intoxications (led, mercury)
48398. Which of the following are causes of thrombocytosis?
- AA. Polycythemia essential
- BB. Chronic myeloid leukemia
- CC. Bone marrow failure
- DD. Essential thrombocytopenia
- EE. Trauma and surgery
- FG. Acquired thrombopenias
- GH. Acute hemolysis
- HI. Essential thrombocythemia
49399. The following statements about anemia syndrome are true:
- AA. The skin and mucous membranes do not appear in severe posthemorrhagic anemia
- BB. Vitamin B12 and folic acid defciencies are possible causes of anemia
- CC. Palpitations, tachycardia, and exertional dyspnea are not found in severe posthemorrhagic anemias
- DD. Vitamin B12 and folic acid defciency is not a possible cause of anemia
- EG. A possible cause of the anemic syndrome is medullary aplasia
- FH. Anemia means a decrease in hemoglobin of less than 13 g% in men and 11 g% in women
- GI. Iron defciency is a cause of iron defciency anemia
- HJ. A possible cause of the anemic syndrome is chronic (small and repeated) hemorrhages
- IF. Anemia means a hemoglobin value greater than 14 g% in men
50400. Regarding the clinical observation sheet:
- AA. Family history is signifcant in hemolytic anemias
- BB. Hemorrhagic syndromes due to coagulation factor defciencies or hereditary thrombopathies occur in the
elderly - CC. Posthemorrhagic anemias are more common in adults
- DD. The posthemorrhagic anemias are more frequent in newborns
- EE. The hemolytic disease is more frequent in newborns
- FF. Malignant lymphomas occur in the elderly
G. In men, the most frequent hematological pat - GI. Family history is signifcant in anemias with iron defciency
- HJ. In men, the most frequent hematological pathologies are the lymphoproliferative disorders
Información
- Descripción
- medium semiomed sem1 Test sobre bulk8, creado por Smaranda Grigorescu el 12/01/2026.
- Autor
- Smaranda Grigorescu
- Idioma
- English
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