Review of Systems Findings
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Questions and Answers

What is the most commonly reported symptom associated with hearing loss in leukemia patients?

  • Nausea
  • Vertigo
  • Tinnitus (correct)
  • Facial nerve palsy

Which symptom is much rarer compared to hearing loss with associated tinnitus in leukemia patients?

  • Headache
  • Vertigo
  • Dizziness
  • Facial nerve palsy (correct)

What type of symptoms have been reported as initial symptoms leading to the diagnosis of leukemia?

  • Only bilateral symptoms
  • Unilateral and vertigo symptoms
  • Only unilateral symptoms
  • Bilateral and unilateral symptoms (correct)

Which of the following is a less common initial symptom for the diagnosis of leukemia?

<p>Bilateral facial numbness (A)</p> Signup and view all the answers

Among the symptoms mentioned, which one is not typically associated with hearing loss in leukemia patients?

<p>Nausea (D)</p> Signup and view all the answers

What type of hearing loss did the patient experience?

<p>Sudden bilateral deafness (B)</p> Signup and view all the answers

What was the underlying medical condition that caused the sudden hearing loss?

<p>Chronic myeloid leukemia (D)</p> Signup and view all the answers

What is the significance of the term 'hyperleukocytosis' in this context?

<p>It describes an abnormally high white blood cell count (A)</p> Signup and view all the answers

What is the likely mechanism by which chronic myeloid leukemia led to the patient's sudden bilateral deafness?

<p>Nerve compression by leukemic infiltrates (A)</p> Signup and view all the answers

What is the significance of this case report in the medical literature?

<p>It highlights a rare complication of chronic myeloid leukemia (A)</p> Signup and view all the answers

What type of clinical practice guideline does the text discuss?

<p>Sudden hearing loss (B)</p> Signup and view all the answers

Which medical journal is the reference from?

<p>Acta Otolaryngologica (B)</p> Signup and view all the answers

In what year was the reference published?

<p>1979 (A)</p> Signup and view all the answers

Who are the authors of the clinical practice guideline?

<p>Stachler RJ, Chandrasekhar SS, Archer SM, et al. (C)</p> Signup and view all the answers

What is the title of the clinical practice guideline?

<p>Sudden hearing loss (C)</p> Signup and view all the answers

What happened to the patient's WBC count by the end of his 10-day admission?

<p>It decreased to 22,800/μL (B)</p> Signup and view all the answers

When did the patient's WBC count return to normal levels?

<p>Within 1 week of discharge (D)</p> Signup and view all the answers

What was the patient's WBC count at normal levels?

<p>6600/μL (B)</p> Signup and view all the answers

During the patient's hospital stay, did his WBC count increase significantly?

<p>No, it decreased (C)</p> Signup and view all the answers

How long did it take for the patient's WBC count to return to normal after discharge?

<p>1 week (B)</p> Signup and view all the answers

What is indicated by the phrase 'review of systems was negative'?

<p>No abnormalities were found during the review of body systems (D)</p> Signup and view all the answers

Which of the following symptoms was NOT mentioned as being absent during the review of systems?

<p>Nausea (D)</p> Signup and view all the answers

What does the term 'early satiety' refer to?

<p>Feeling full or satiated after eating a small amount of food (A)</p> Signup and view all the answers

Based on the information provided, which of the following can be inferred?

<p>The patient has no concerning symptoms or complaints (A)</p> Signup and view all the answers

Which of the following is the most likely reason for performing a review of systems?

<p>To assess the patient's overall health and identify any potential issues (D)</p> Signup and view all the answers

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