Question 1

A common cause of IDA (iron deficiency anemia) in pediatric patients is

Accepted Answer

Drinking cows milk

Question 2

A pediatric patient accompanied by her father is brought to your clinic with behavioral concerns, like eating dirt, and fatigue.  Her PBS shows basohillic stippling. What diagnosis is likely?

Accepted Answer

Lead Poisoning

Question 3

A concerned parent brings their 14 year old daughter in for a wellness visit. She mentions having mennorrhagia & dyspnea. Her labs were positive for target cells. What should you tell her mother?

Accepted Answer

Her daughter would benefit from an iron supplement

Question 4

Pathologically, why is Barts Hydrops Fetalis lethal outside of the womb?

Accepted Answer

gamma chains take all the O2 in the blood, causes edema and death

Question 5

Which of these conditions does NOT show microcytic hypochromic cells?

Accepted Answer

G6PD

Question 6

A patient has returned to the clinic for evaluation of her genetic testing. To her surpise, she is found to be a silent carrier of a condition caused by gene deletion. What is her diagnosis?

Accepted Answer

Alpha Thalessemia

Question 7

What condtion is likely to occur in a child diagnosed with lead poisoning?

Accepted Answer

Iron Deficiency Anemia

Question 8

Once this becomes dysfunctional, the risk of infection increases for pediatric patients in sickle cell crisis:

Accepted Answer

spleen

Question 9

A concerned parent brings thier 4 year old son into the ER complaining of bone pain, lethergy, fever. Labs showed thrombocytopenia & immature blast cells. What will you see on the CXR for this patient

Accepted Answer

mediastinal mass

Question 10

What procedure is REQUIRED in patients with ALL?

Accepted Answer

Lumbar Puncture

Question 11

When a pediatric patient has Hemoglobin SS disease and a decrease in thier O2 saturation occurs, what happens to their RBCs?

Accepted Answer

sickling

Question 12

A 16 year old patient w/ a hx of sickle cell is rushed to the ED with tachycardia and dyspnea. His CXR shows infiltrate in the lower left lobe and atlectasis. What diagnosis is present?

Accepted Answer

Acute Chest Syndrome

Question 13

A 5 y/o patient complains of vomiting each morning and headache. She also noticed that despite a new pair of glasses, she is having trouble seeing. What is the first step you will perform for this pt

Accepted Answer

Surgery and oncology referral

Question 14

What is the underlying mechanism for CNS tumors in pediatric patients?

Accepted Answer

Obstruction of CSF, increasing ICP

Question 15

A 2 y/o is brought to the local children's hosptial by thier parents due to fever, constipation and a lump on LLQ. Thier urine sample showed hematuria. What malignancy is likely?

Accepted Answer

Wilms Tumor

Question 16

ALL that occurs from T-cells is different from that of B-cells because

Accepted Answer

T-cell ALL has a worse prognosis

Question 17

An 11 y/o patient with a hx of sickle cell is brought to the ED due to behavioral concerns. Her neuro exam is normal, but her TCD (doppler) was abnormal. What is the best treatment for her condition?

Accepted Answer

Blood Transfusion - This patient has a sickle cell induced silent stroke (cerebrovascular accident )

Question 18

A 6 y/o patient screens positive for lead exposure during a pediatric wellness visit. What treatment is reccommended to decrease her lead level?

Accepted Answer

Chelation Therapy

Question 19

A 12 year old patient with a history of pharyngitis arrives to the ED with a nonretractable fever of 102 for the last three days, and a PE finding of cellulitis. What diagnosis is most likely?

Accepted Answer

Neutropenia - This patient has Beta Thalessemia Major

Pediatric Heme/Onc Test Review

2) A pediatric patient accompanied by her father is brought to your clinic with behavioral concerns, like eating dirt, and fatigue. Her PBS shows basohillic stippling. What diagnosis is likely?

3) A concerned parent brings their 14 year old daughter in for a wellness visit. She mentions having mennorrhagia & dyspnea. Her labs were positive for target cells. What should you tell her mother?

4) Pathologically, why is Barts Hydrops Fetalis lethal outside of the womb?

5) Which of these conditions does NOT show microcytic hypochromic cells?

6) A patient has returned to the clinic for evaluation of her genetic testing. To her surpise, she is found to be a silent carrier of a condition caused by gene deletion. What is her diagnosis?

7) What condtion is likely to occur in a child diagnosed with lead poisoning?

8) Once this becomes dysfunctional, the risk of infection increases for pediatric patients in sickle cell crisis:

9) A concerned parent brings thier 4 year old son into the ER complaining of bone pain, lethergy, fever. Labs showed thrombocytopenia & immature blast cells. What will you see on the CXR for this patient

10) What procedure is REQUIRED in patients with ALL?

11) When a pediatric patient has Hemoglobin SS disease and a decrease in thier O2 saturation occurs, what happens to their RBCs?

12) A 16 year old patient w/ a hx of sickle cell is rushed to the ED with tachycardia and dyspnea. His CXR shows infiltrate in the lower left lobe and atlectasis. What diagnosis is present?

13) A 5 y/o patient complains of vomiting each morning and headache. She also noticed that despite a new pair of glasses, she is having trouble seeing. What is the first step you will perform for this pt

14) What is the underlying mechanism for CNS tumors in pediatric patients?

15) A 2 y/o is brought to the local children's hosptial by thier parents due to fever, constipation and a lump on LLQ. Thier urine sample showed hematuria. What malignancy is likely?

16) ALL that occurs from T-cells is different from that of B-cells because

17) An 11 y/o patient with a hx of sickle cell is brought to the ED due to behavioral concerns. Her neuro exam is normal, but her TCD (doppler) was abnormal. What is the best treatment for her condition?

18) A 6 y/o patient screens positive for lead exposure during a pediatric wellness visit. What treatment is reccommended to decrease her lead level?

19) A 12 year old patient with a history of pharyngitis arrives to the ED with a nonretractable fever of 102 for the last three days, and a PE finding of cellulitis. What diagnosis is most likely?