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1) A patient has been shot in his spleen. He was rushed to the ER and has alread

ID: 3518384 • Letter: 1

Question

1) A patient has been shot in his spleen. He was rushed to the ER and has already received 500ml of normal saline through his IV access, diluting his blood. Which of these alterations you should NOT see in his Complete Blood Count?

a)Decreased Hematocrit

b)Anemia

c)Lymphocytosis

d)Neutrophilia

2)Regarding strokes, select the correct answer:

a)There are more neurons responsible for sensitivity and motor function of the face than of the abdomen

b)Hands and feet have similar representation on the cortical homunculus

c)Interruption of blood supply to different areas of the brain will always cause the exact same signs/symptoms

d)Facial function is usually affected by strokes because the arteries that supply those neurons are the most fragile

3)Select the correct answer regarding Rheumatoid Arthritis

a)Lymphocyte cytokine production is one of the cornerstones of RA physiopathology

b)Autoimmune attack is exclusive to the hand joints in RA

c)The inflammation in the disease is indicative of bacterial infection

d)B lymphocytes recruit other immune cells to attack one's own body in this disease

Explanation / Answer

Question 1

Answer C ( Lymphocytosis )

The shot in the spleen may cause the blood loss that may lead to anemia. the anemia indicates the decreased hematocrit value. The neutrophils are also increased due to stress and infection.

The lymphocytes do not increase because the lymphocytes are mainly produced by spleen and spleen is the major lymphatic organ. so the lymphocytosis does not occur.

Question 2

Answer C (Interruption of blood supply to different areas of the brain will always cause the exact same signs/symptoms )

The stroke mainly affects the circulatory system and decreases the blood supply to the major organs like brain, liver, kidney etc and produces respective symptoms. it interrupts the blood supply to the brain.

Question 3

Answer B (Autoimmune attack is exclusive to the hand joints in RA )

The RA is the autoimmune diseases. In this body immune cells fails to recognize self-cells and causes the destruction of those cells. It mainly on joints and causes the abnormal twisting of fingers.