A geriatrician is following a number of clients on a subacute ...

[Jkov05]

A geriatrician is following a number of clients on a subacute geriatric medical unit, some of whom require diagnostic blood work.
 
  Which of the following clients would be most likely to have an erythrocyte sedimentation rate (ESR) screening test ordered? An adult with
  A)
  a diagnosis of Alzheimer disease and depression.
  B)
  orthostatic hypotension and syncopal episodes.
  C)
  congestive heart failure.
  D)
  systemic lupus erythematosus.

Question 2

A 70-year-old woman has received a diagnosis of chronic myelogenous leukemia (CML) after a clinical investigation sparked by the presence of leukocytosis in her routine blood work.
 
  What clinical course should her care provider tell her to expect?
  A)
  You can expect your blood results, fatigue, and susceptibility to infection to gradually worsen over a few years.
  B)
  You could remain the chronic stage of CML for several years before it accelerates and culminates in a crisis.
  C)
  It's likely that this will give you chronic fatigue and malaise for the rest of your life, but that will probably be the extent of your symptoms.
  D)
  Unfortunately, your leukemia will likely enter a crisis mode within a few weeks if we don't treat it immediately.

[helenmarkerine]

Answer to Question 1

Ans:
D

Feedback:

Inflammatory diseases, such as systemic lupus erythematosus, are a common indicator for an ESR test. The other health problems noted are less commonly marked by inflammatory processes.

Answer to Question 2

Ans:
B

Feedback:

The clinical course of CML is commonly divided into three phases: (1) a chronic phase of variable length, (2) a short accelerated phase, and (3) a terminal blast crisis phase. Persons in the early chronic phase of CML generally are asymptomatic, but without effective treatment, most will enter the accelerated phase within 4 years.

[Jkov05]

Thank you

[helenmarkerine]

No problemo