ATI RN
ASCP Hematology Questions Questions
Question 1 of 5
Of the following, the LEAST likely feature of acute immune thrombocytopenia (ITP) is
Correct Answer: D
Rationale: Acute ITP features viral trigger (A), thrombocytopenia (B), bleeding (C), and marrow megakaryocytes (E). Isolated splenomegaly (D) is rare, suggesting other causes like hypersplenism.
Question 2 of 5
Constrictive pericarditis secondary to radiation exposure with sings of increase in pulmonary pressure. The child received a course of irradiation which leads to
Correct Answer: B
Rationale: Radiation (B) is a known cause of constrictive pericarditis, supported by Kussmaul sign and right-sided signs. TB (A) is rare, others (C, D) less likely given history.
Question 3 of 5
Which of the following symptoms/sings is a manifestation of anemia?
Correct Answer: D
Rationale: Fatigue (D) is a classic anemia symptom due to reduced oxygen delivery; others are less specific.
Question 4 of 5
The urgency for packed cell transfusion in childhood anemia should be dictated by
Correct Answer: B
Rationale: Functional impairment (B) (e.g., tachycardia, hypoxia) dictates transfusion need, not just hemoglobin level (A).
Question 5 of 5
A 13-month-old girl presented with progressive pallor for the last 3 months. The mother noticed that she started to eat a non-nutritive and dirty substance. She is on breast feeding till this age. On examination, she is pale, apathetic looking, no LAP, no organomegaly, and no skin bleeds. Of the following, the MOST likely diagnosis is:
Correct Answer: A
Rationale: Iron deficiency anemia (A) fits pallor, pica, and prolonged breastfeeding without solids, common at this age.