Check out today’s Step 2 CK Qmax Question Challenge.
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A 10-year-old boy with Down syndrome is brought to his primary care physician by his parents. They have noticed that he has been more fatigued and short of breath over the past few months. On physical exam, multiple enlarged lymph nodes are palpated. X-ray of the chest reveals a large mediastinal mass. Following bone marrow aspiration and biopsy, he is diagnosed with acute lymphoblastic leukemia and requires placement of a permanent intravenous access device.
Which sets of laboratory values above will allow the boy to undergo the procedure safely?
A. A
B. B
C. C
D. D
E. E
______________________
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B
B or C : platelets vs neutrophils ?
I would go for C ……..at 45 I think it is still safe……..and you can pour more, if you need it….
but you cannot add neutrophils…..
B
Best choice: C
B
C
B
Less than 50k platelets is unacceptable for any surgical procedure