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Thalassemia major (Cooley's anemia) is treated primarily with:

A.

oxygen therapy.

B.

a diet high in iron.

C.

bed rest until the sedimentation rate is normal.

D.

multiple blood transfusions.

Answer and Explanation

The Correct Answer is D

A. Oxygen therapy: Oxygen therapy may be used during acute complications but is not the mainstay of treatment.
B. A diet high in iron: Iron overload is already a complication of repeated transfusions; high iron intake is contraindicated.
C. Bed rest until the sedimentation rate is normal: Bed rest is not a specific treatment for thalassemia and ESR is not a key indicator for this condition.
D. Multiple blood transfusions: Frequent transfusions are the primary treatment for thalassemia major to maintain normal hemoglobin levels and suppress ineffective erythropoiesis.


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Related Questions

Correct Answer is D

Explanation

A. Machine-like murmur: This is a hallmark finding of patent ductus arteriosus (PDA), not coarctation.
B. Severe cyanosis: Cyanosis is more typical in conditions with right-to-left shunting, not coarctation.
C. Pulmonary edema: May occur in heart failure but is not a primary or specific sign of coarctation.
D. Decreased blood pressure in the legs: Coarctation of the aorta causes narrowing, leading to higher BP in the upper extremities and lower BP in the legs.

Correct Answer is A

Explanation

A. 5 years: The American Heart Association recommends that children with rheumatic fever (without carditis) receive secondary prophylaxis with monthly benzathine penicillin G for at least 5 years or until age 21 (whichever is longer), to prevent recurrence.
B. 10 years: This duration is typically for children with carditis, not for those recovering without cardiac involvement.
C. 2 years: Too short. Recurrence risk remains for years after the initial illness.
D. 1 year: Inadequate duration to prevent recurrence of streptococcal infection and rheumatic fever.

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