Download 1.Which one of the followings tests is used to diagnose chronic

1.Which one of the followings tests is used to diagnose chronic lymphocytic leukemia (CLL)
A．Lymph node biopsy
B．Protein electrophoresis
C．Bone marrow smear, biopsy and blood cell flow cytometry
D．Morphologic examination of peripheral blood smear
E. Complete blood cell (CBC)
2.Which one of the following statements is INCORRECT about idiopathic thrombocytopenic
purpura (ITP)
A．Pregnant women with ITP usually produce infant with thrombocytopenia
B．Transfusing serum from patient with ITP to healthy adult would cause thrombocytopenia
C．Patient with ITP would produce anti-platelet antibody in liver
D．Life span of platelets would be shortened
E．The number of megakaryocytes would be decreased
3.What is the most common reason of iron deficiency anemia?
A. Iron intake insufficiency
B. Increased need of iron
C. Malabsorption of iron
D. Chronic blood loss
E. The hemopoiesis of bone marrow decreased
4.Which one of the following coagulation factors is needed by both intrinsic and extrinsic
pathways?
A.Ⅹ
B.Ⅺ
C.Ⅸ
D.Ⅶ
E.Ⅲ
5.Which one of the followings is the most important difference between acute and chronic
leukemia?
A. White blood cell count
B. Platelet count
C. Content of hemoglobin
D. Differentiation of blood cell
E. Classification and count of bone marrow blast cells
6.The correct description about coagulation factor is
A．There are 13 coagulation factors named by Rome
B．All coagulation factors exist in blood
C．Most coagulation factors are synthetized by liver
D．All coagulation factors have enzymatic active
E．Newly discovered coagulation factor is prekalikrein
7.The synthesis of which coagulating factors is mainly influenced due to deficiency of
vitamin K
A．Ⅱ、Ⅶ、Ⅸ、Ⅹ
B．Ⅱ、Ⅶ、V、Ⅸ
C．Ⅴ、Ⅶ、Ⅷ、Ⅸ
D．Ⅴ、Ⅶ、Ⅷ、Ⅸ
E．Ⅴ、Ⅶ、Ⅷ、Ⅹ
8.A 20-year-old male complains of fatigue, fever, whole body ache and skin petechia for half
a month. Physical examination reveals a temperature of 38℃ and anemia. Heart and lung
examination are normal, sternum is tenderness. The liver can be palpated 1.5cm below the
costal margin, the spleen can be palpated 1cm below the costal margin. Laboratory test shows
Hb 60g/L, WBC 2×109/L, PLT 20×109/L. Which of the following is the most likely diagnosis?
A. Aplastic anemia
B. Hemolytic anemia
C. Macrocytic anemia
D. Thrombocytopenia purpura
E. Acute leukemia
9.A 30-year-old male presented with vague pain in the upper abdomen for 4 years. The pain is
related with taking food. There is tarry stool occasionally. Laboratory test shows: Hb
80g/L; RBC 3.2×1012/L; WBC 5×1019/L; PLT 150×1019/L. Which of the following is the most
likely diagnosis?
A. Macrocytic anemia
B. Iron deficiency anemia
C. Chronic infectious disease
D. Aplastic anemia
E. Thalassemia
10.A 24-year-old male presented with dazed and fatigue for 2 months. Physical examination
reveals skin sporadic petechia. The liver and spleen were not palpated. Laboratory values
included the following: Hb 80g/L; WBC 3.5×109/L, N 0.45, L 0.5; platelet count 50×109/L.
The acid serum hemolysis is negative. No megakaryocyte on the bone marrow slide. Which of
the following is the most likely diagnosis?
A. Acute myeloid leukemia
B. Chronic lymphocytic leukemia
C. Aplastic anemia
D. Primary thrombocytopenia purpura
E. Paroxysmal nocturnal hemoglobinuria
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