Multiple Choice Questions (MCQ)

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Category: Surgery--->Spleen
Page: 2

Question 6#Print Question

The disproportionately high rate of overwhelming postsplenectomy infection (OPSI) in thalassemia patients is thought to be due to an immune deficiency. Which of the following strategies has been shown to reduce mortality?

a. Partial splenectomy
b. Prophylactic antibiotic therapy
c. Delaying splenectomy until after 2 years of age
d. Transfusion to maintain a hemoglobin (HGB) of >9 mg/dL

Question 7#Print Question

A 30-year-old woman presents to her primary care provider with complaints of bleeding gums while brushing her teeth as well as menorrhagia and several episodes of epistaxis within the past month. She has been previously healthy with no prior medical problems or surgeries. Examination reveals petechiae and ecchymosis over the lower extremities. Laboratory results show white blood cell (WBC) count 7000/mm3, HGB 14 g/dL, hematocrit (HCT) 42%, and platelet count 28,000/mm3 with numerous megakaryocytes on peripheral smear. First-line therapy for this condition would be:

a. Oral prednisone
b. Intravenous (IV) immunoglobulin
c. Rituximab
d. Splenectomy

Question 8#Print Question

The most common physical finding in a patient with hairy cell leukemia (HCL) is:

a. Massive splenomegaly
b. Shortness of breath
c. Abdominal pain
d. Joint pain

Question 9#Print Question

Which of the following is an indication for splenectomy in a patient with chronic myelogenous leukemia ( CML)?

a. Failure of chemotherapy to decrease splenomegaly
b. Sequestration requiring transfusion
c. Symptomatic relief of early satiety
d. Presence of bcr gene mutation

Question 10#Print Question

Which of the following is an indication for splenectomy in polycythemia vera (PV)?

a. Failure of aspirin to prevent thrombotic complications
b. Frequent need for phlebotomy
c. Symptoms related to splenomegaly
d. Prevention of progression to myeloid metaplasia

Category: Surgery--->Spleen
Page: 2 of 4