Name the two genetic forms of hemolytic anemia. What is the main cause of pernicious anemia and some s/s.  What are some general s/s of anemia.  What is the cause of the sickle cell crisis? What is polycythemia vera and how is it diagnosed

6)      What is Purpura and ecchymosis and what are the s/s of

7)      How does warfarin cause a bleeding disorder? What are some side effects of warfarin

8)      What is ITP and why is why is it considered a bleeding disorder

9)      Why should a patient with a bleeding disorder not take aspirin

10)   What is the main differences between Hodgkin’s and  non-Hodgkin lymphoma

11)   What is a Bence-Jones protein

12)   What are some differences between acute vs chronic leukemia’s

13)   What are the most common leukemia seen in adults

14)   What is a Philadelphia chromosome and why is it significant

15)   What are some s/s of leukopenia

16)   What are some causes of metabolic alkalosis

17)   how does the body compensate for respiratory acidosis

18)   What is the metabolic parameter, the respiratory parameter

19)   What electrolyte imbalances does one see in a person with prolonged metabolic acidosis

20)   What role do chemical and physiological buffer systems play in acid-base balance

You are an LPN working in the Emergency Room with a Registered Nurse when S.R. a 25-year old woman, came in with complaints of severe left flank and abdominal pain. She complaints of nausea and vomiting, her skin is pale and diaphoretic. The pain began in the morning and has been pretty steady for the past 6 hours. S.R. works as a landscraper and takes little time for water breaks. Her abdomen is soft and without tenderness , but her left flank is extremely tender to touch. You place S.R. in one of the examination rooms and take the following vital signs188/98 90 20 99% 99 F.

Alert & oriented X 3, speech clear, coherent, goal-directed, spontaneous. The self-reported mood is “sad”. The affect was somewhat blunted, but the child smiled appropriately at various points throughout the clinical interview. He denies visual or auditory hallucinations. No delusional or paranoid thought processes were noted. Judgment and insight appear to be age-appropriate. He is not endorsing active suicidal ideation, but does admit that he often thinks about himself being dead and what it would be like to be dead.

The PMHNP administers the Children’s Depression Rating Scale, obtaining a score of 30 (indicating significant depression)

What cells are produced in the lymphoid cell line, in the myeloid cell line: which cells are phagocytic and which cells are involved in immunity. What is the function of lymph nodes

1. What is neutropenia
2. Describe 2 types of congenital neutropenia and how they result in neutropenia
3. Describe the causes of acquired neutropenia and how they result in neutropenia
4. What is/are the consequences of leukopenia
5. What virus causes infectious mononucleosis and how is it spread from person to person
6. What is the most common childhood leukemia, adult leukemia
7. Describe the difference between acute and chronic leukemia
8. What would a blood test of a patient with acute leukemia show
9. How is leukemia treated
10. Describe the difference between ALL and CLL
11. What is a Philadelphia chromosome
12. List the different phases of CML and the characteristics of each phase
13. Why are leukemic patients susceptible to infection if they have so many leukocytes
14. Why do leukemic patients suffer from anemia and bleeding disorders
15. Why do the gums of leukemia patients bleed easily
16. Why might leukemia patients suffer from gout
17. Why do leukemia patients suffer from lymphadenopathy, splenomegaly, and hepatomegaly?
18. What is the difference between Hodgkin vs non-Hodgkin lymphoma
19.  What cell types are involved in Hodgkin vs non-Hodgkin lymphoma
20. What is the most common type of Hodgkin lymphoma
21. What is a Reed-Sternberg cell
22. List and describe the different stages of Hodgkin Lymphoma
23. What cells are involved in multiple myeloma
24. What are s/s of multiple myeloma
25. What is a M protein and a Bence Jones protein
26. Why might patients with multiple myeloma suffer from kidney failure
27. How is multiple myeloma diagnosed, how is it treated
28. What are some signs and symptoms of multiple myeloma

In the book “The Spirit Catches You and You Fall Down” discuss what could have been done differently by the providers to bridge the gap they experienced in communicating and understanding the Lee family.