MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Why is caring for a patient with myelodysplastic syndromes (MDSs) such a challenge?
A
Because the illness is unpredictable.
B
The goal of treatment is to obtain remission without excess toxicity and with a rapid hematologic recovery so that additional therapy can be administered if needed.
C
The results will show an excess of immature blast cells, which is the hallmark of the diagnosis.
D
The signs and symptoms result from insufficient production of normal blood cells.
Explanation: 

Detailed explanation-1: -In a patient with a myelodysplastic syndrome, the blood stem cells (immature cells) do not become mature red blood cells, white blood cells, or platelets in the bone marrow. These immature blood cells, called blasts, do not work the way they should and either die in the bone marrow or soon after they go into the blood.

Detailed explanation-2: -Increased risk of cancer. Some people with myelodysplastic syndromes might eventually develop a cancer of the bone marrow and blood cells (leukemia).

Detailed explanation-3: -Standard therapies include the hypomethylating agents azacitidine and decitabine, which should be administered for a minimum of 6 cycles, and continued for as long as a patient is responding.

Detailed explanation-4: -Providing support and encouragement. Talking with the health care team. Giving medications. Helping manage symptoms and side effects. Coordinating medical appointments. Providing a ride to and from appointments. Assisting with meals. Helping with household chores. More items

There is 1 question to complete.