A patient with unexplained thrombocytopenia is scheduled for a bone marrow aspiration. What is the primary indication for this procedure in this patient?
To assess lung function
To diagnose a gastrointestinal disorder
To evaluate platelet production
To determine kidney health
The Correct Answer is C
Bone marrow aspiration is commonly used to evaluate the production of blood cells, including platelets. In a patient with thrombocytopenia (low platelet count), bone marrow aspiration can help identify the cause of decreased platelet production.
a. This choice is incorrect because bone marrow aspiration is not used to assess lung function. Lung function is typically evaluated through respiratory tests, such as spirometry or arterial blood gas analysis.
b. This choice is incorrect because bone marrow aspiration is not used to diagnose gastrointestinal disorders. Gastrointestinal disorders are typically diagnosed through various gastrointestinal tests and imaging studies.
d. This choice is incorrect because bone marrow aspiration is not used to determine kidney health. Kidney health is typically assessed through blood and urine tests.
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Correct Answer is C
Explanation
Bone marrow aspiration can be used to assess the iron stores in the bone marrow, providing valuable information about iron metabolism and helping to confirm a diagnosis of iron-deficiency anemia.
a. This choice is incorrect because bone marrow aspiration is not used to evaluate pancreatic function. Pancreatic function is typically assessed through blood tests, such as pancreatic enzyme levels.
b. This choice is incorrect because bone marrow aspiration is not used to diagnose skin conditions. Skin conditions are typically diagnosed through visual examination and skin biopsies, if necessary.
d. This choice is incorrect because bone marrow aspiration is not used to determine muscle strength. Muscle strength is typically assessed through physical examination and strength testing.
Correct Answer is D
Explanation
Common side effects of bone marrow aspiration include temporary pain or discomfort at the needle insertion site and bruising. These are generally minor and resolve on their own.
a. The risk of developing blood clots after bone marrow aspiration is minimal and not a common complication.
b. Fever and chills are not typical side effects of bone marrow aspiration. If these symptoms occur, they may indicate an infection or other complication that needs medical attention.
c. Bone marrow aspiration is not associated with liver or kidney damage. It is a relatively safe procedure when performed by experienced healthcare providers.
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