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The patient, age 28, is admitted with complaints of nausea, sore tongue, tingling of the hands, and difficulty swallowing. Upon examination, her tongue is erythematous. What diagnostic procedure will support this diagnosis?

A.

Schilling test

B.

Erythrocyte Indices

C.

Bone Marrow Biopsy

D.

Radiologic Studies

Answer and Explanation

The Correct Answer is A

A.    Schilling test. The symptoms described are suggestive of pernicious anemia, which is typically diagnosed through a Schilling test to assess vitamin B12 absorption.
B.    Erythrocyte Indices. Erythrocyte indices are used to evaluate various aspects of red blood cell characteristics and are not specific to diagnosing pernicious anemia.
C.    Bone Marrow Biopsy. While bone marrow biopsy may be used to diagnose certain types of anemia, it is not the primary diagnostic test for pernicious anemia.
D.    Radiologic Studies. Radiologic studies are not typically used in the diagnosis of pernicious anemia.
 


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Related Questions

Correct Answer is B

Explanation

A. Phalitis: This term is not commonly used and does not specifically refer to swelling in the hands and feet.
B. Dactylitis: Dactylitis is a common manifestation of sickle cell disease in infants, characterized by painful swelling of the hands and feet due to vaso-occlusive episodes.
C. Erythromelaglia: Erythromelalgia is a condition characterized by burning pain, redness, and warmth in the extremities, but it is not typically associated with sickle cell disease.
D. Dyshidrotia: This term is not commonly used in medical terminology and does not specifically refer to swelling in the hands and feet.

Correct Answer is ["A","B","C","D","E","F"]

Explanation

A. Remove restrictive clothing or objects from the patient: This helps to promote comfort and improve circulation.
B. Administer IV Morphine per MD order: Morphine is a common medication used to manage severe pain associated with sickle cell crisis.
C. Administer oxygen per MD order: Oxygen may be needed to improve oxygen saturation and support respiratory function, especially if the patient is hypoxic.
D. Place on NPO: This is appropriate in case the patient needs any procedures or interventions that require fasting.
E. Start intravenous fluids per MD order: Intravenous fluids help to hydrate the patient and improve blood flow, which can help alleviate symptoms of sickle cell crisis.
F. Keep patient on bed rest: Bed rest is important to conserve energy and minimize the risk of further complications during a sickle cell crisis.

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