What action should a person with sickle cell anemia take to prevent a sickling crisis?
Take prescribed pain medications
Avoid high altitudes
Eat a high-protein, high-fat diet
Avoid becoming dehydrated
The Correct Answer is D
Choice A reason: Taking pain medications manages symptoms of a sickling crisis but does not prevent it. Sickle cell crises occur due to hemoglobin S polymerization, triggered by hypoxia or dehydration, not directly prevented by analgesics, making this choice incorrect for prevention.
Choice B reason: Avoiding high altitudes reduces hypoxia, a trigger for sickling crises, as low oxygen levels promote hemoglobin S polymerization. While helpful, dehydration is a more significant and common trigger, making this choice less critical than avoiding dehydration.
Choice C reason: A high-protein, high-fat diet does not directly prevent sickling crises. Nutritional balance supports overall health, but sickle cell crises are triggered by dehydration, hypoxia, or infection, not dietary composition, making this choice incorrect for crisis prevention.
Choice D reason: Avoiding dehydration is critical in sickle cell anemia, as low fluid levels increase blood viscosity, promoting hemoglobin S polymerization and red cell sickling. This triggers vaso-occlusive crises, so maintaining hydration prevents these events, making this the correct choice.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Cell-mediated immunity, part of adaptive immunity, targets specific pathogens after exposure, not species-specific barriers. It is not the primary defense against cross-species transmission, making this choice incorrect for species-specific immunity.
Choice B reason: Natural immunity is a vague term, often meaning innate or acquired immunity. It is not specifically species-specific, as innate immunity provides the primary barrier to zoonotic diseases, making this choice incorrect.
Choice C reason: Acquired immunity develops after exposure or vaccination, targeting specific pathogens. It is not species-specific and does not primarily prevent animal-to-human disease spread, making this choice incorrect.
Choice D reason: Innate immunity, including species-specific barriers like skin and mucosal defenses, prevents pathogen transmission across species. These non-specific mechanisms reduce zoonotic disease risk, making this the correct choice for species-specific immunity.
Correct Answer is C
Explanation
Choice A reason: Autosomal dominant disorders affect both genders equally, as they are not sex-linked. Heterozygous individuals express the disorder, not just males, due to the dominant allele on an autosome. The idea of females being carriers only applies to X-linked recessive disorders, making this choice scientifically inaccurate.
Choice B reason: Autosomal dominant disorders are caused by mutations on autosomes, not the Y chromosome, which is sex-linked and primarily affects males. These disorders do not typically skip generations, as the dominant allele is expressed in every affected individual, making this choice incorrect.
Choice C reason: In autosomal dominant disorders, a single mutated allele is sufficient for expression. An affected parent (heterozygous) has one normal and one mutated allele, leading to a 50% chance of passing the mutated allele to each child, causing the disorder. This genetic inheritance pattern makes this the correct choice.
Choice D reason: In autosomal dominant disorders, there is no "carrier" state as in recessive disorders, because heterozygous individuals express the disorder. The 50% probability applies to inheriting the disorder itself, not a carrier genotype, which is a concept relevant to autosomal recessive disorders, making this choice incorrect.
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