AND ANSWERS WITH COMPLETE SOLUTIONS GRADED
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Which of the following patients would be considered anemia with a hemoglobin
value of 14.5g/dL?
a) an adult man
b) an adult woman
c) a newborn boy
d) a 10yr old girl
c) a newborn boy
Common clinical symptoms of anemia include:
a) Splenomegaly
b) Shortness of breath
c) Chills and fever
d) Jaundice an enlarged lymph nodes
b) Shortness of breath
Which of the following are important to consider in the patient's history when
investigating the cause of an anemia?
a) diet and medications
b) occupation, hobbies, and travel
,c) bleeding episodes in the patient or in his or her family members
d) all of the above
d) all of the above
Which of the following is reduced as an adaptation to long-standing anemia?
a) heart rate
b) respiratory rate
c) oxygen affinity of hemoglobin
d) volume of blood ejected from the heart with each contraction
c) oxygen affinity of hemoglobin
An autoimmune reaction destroys the hematopoietic stem cells in the BM of a
young adult patient, and the amount of active BM, including RBC precursors, is
diminished. The RBC precursors that are present are normal in appearance, but
there are too few to meet the demand for circulating RBCs, and anemia develops.
The reticulocyte count is low. The mechanism of the anemia would be described
as:
a) Effective erythropoiesis
b) Ineffective erythropoiesis
c) Insufficient erythropoiesis
c) Insufficient erythropoiesis
What are the initial laboratory test that are performed for the diagnosis of
anemia?
a) CBC, iron studies, and retic count
b) CBC, retic count, and peripheral blood film examination
, c) Retic count and serum iron, Vit. B12, and folate assay
d) BM study, iron studies, and peripheral blood film examination
b) CBC, retic count, and peripheral blood film examination
An increase in which of the following suggests a short ended life span of RBCs
and hemolytic anemia?
a) Hemoglobin
b) Hematocrit
c) Retic Count
d) Red cell distribution width
c) Retic Count
Which of the following is detectable only by examination of a peripheral blood
film?
a) Microcytosis
b) Anisocytosis
c) Hypochromia
d) Poikilocytosis
d) Poikilocytosis
Schistocytes, ovalocytes, and acanthocytes are examples of abnormal changes
in RBC:
a) Volume
b) Shape
c) Inclusions
d) Hemoglobin concentration