Which of following is an expected finding in myelodysplastic syndromes?

a. Ringed sideroblasts in the bone marrow and siderocytes in the blood
b. Thrombocytosis and leukocytosis
c. Increased number of morphologically normal red cells
d. Dysmyelopoiesis but normal red cell precursors in the bone marrow

ANS: A
Ringed sideroblasts and siderocytes in blood can be seen in myelodysplastic syndromes. Platelet and white counts are normal or decreased, red cell morphology is abnormal, and anemia is present. Dysmyelopoiesis and dyserythropoiesis are present in the bone marrow.

Health Professions

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You are performing a secondary assessment on the unrestrained adult passenger of a motor vehicle that rolled several times at a high rate of speed. The patient is responsive to painful stimuli and in a state of hypoperfusion. When assessing the head, which one of the following is appropriate?

a. Cleaning a scalp laceration b. Checking the pupils with a pen light c. Performing a blind finger sweep to clear the airway d. Applying pressure to a depressed area of the skull

Health Professions