Which of the following is true regarding the clinical course of the myelodysplastic syndromes?

a. The course is variable based on cell counts and type of myleodysplastic syndrome.
b. Most patients survive an average of 10 years with minimal symptoms.
c. It has an aggressive course with most patients succumbing to infection in less than 1 year.
d. All cases convert to acute leukemia.

ANS: A
The clinical course for the various myelodysplastic syndromes is variable depending on the cell counts and type of myleodysplastic syndrome.

Health Professions

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Your patient is a 12-year-old boy who was struck in the right temporal area of the head with a baseball. He had a brief loss of consciousness and is alert on your arrival. You note that he is becoming drowsy and has a strong radial pulse of 60, a blood pressure of 140/70, and a respiratory rate of 12. Which of the following best describes this patient's condition?

A) He is stable, and he most likely has a subarachnoid hemorrhage with no increase in intracranial pressure. B) He is critical, and he most likely has an epidural hematoma with rapidly increasing intracranial pressure. C) He is stable, and he most likely has a mild diffuse axonal injury with no increase in intracranial pressure. D) He is serious, and he most likely has a subdural hematoma with an increase in intracranial pressure.

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A nauseated patient with fever and abdominal pain states that he has not vomited. Which one of the following describes how that fact should be documented?

A) As a treatment finding B) As a subjective finding C) As a pertinent negative D) This fact would not be documented.

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