NUR 621 Exam 3 PlayPosit and Questions with verified ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
answers
What are the initial lab tests when working up anemia? - correct answer✔✔CBC - MCV
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Iron studies - ferritin, TIBC, %iron saturation
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Vitamin B12 and folate ||\\|//|| ||\\|//|| ||\\|//||
Retic count ||\\|//||
Smear
What is the 3-step approach to anemia? - correct answer✔✔1. Categorize as microcytic,
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
normocytic, or macrocytic based on MCV ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
2. Check for pancytopenia, if present, do bone marrow examination
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
3. Determine a cause by evaluating the retic count
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
IDA is what kind of anemia? - correct answer✔✔Microcytic hypochromic
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Which of the following can cause a B12 deficiency? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
- Crohn's
||\\|//||
- Celiac's
||\\|//||
- gastric bypass
||\\|//|| ||\\|//||
- tapeworms - correct answer✔✔All of the above
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
What is the most important part of treating a patient with suspected or confirmed anemia?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
- correct answer✔✔A thorough history
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
,How are thalassemias confirmed? - correct answer✔✔Hemoglobin electrophoresis and
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
genetic testing$ ||\\|//||
A 32yo African American woman c/o fatigue over the last 6 months. She works full time,
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
runs her own business. She has no other symptoms and has regular menstrual cycles.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Exam is unremarkable. ||\\|//|| ||\\|//||
Hgb 10.9 ||\\|//||
MCV 73 ||\\|//||
MCH 22.6 ||\\|//||
Ferritin 130 ||\\|//||
Serum iron 93 ||\\|//|| ||\\|//||
What is the most likely cause of her fatigue? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
- Alcoholism
||\\|//||
- IDA
||\\|//||
- Alpha-thalassemia minor
||\\|//|| ||\\|//||
- Stress - correct answer✔✔Alpha-thalassemia minor
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
An 8yo boy is in the ER with severe thigh and knee pain that started 4 months ago.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Ibuprofen gives minor relief. 3 weeks ago he had gastroenteritis. 2 weeks ago he developed ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
a limp and refuses to play. The family has a hx of sickle cell. Exam shows an antalgic gait.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
There is no tenderness, erythema, swelling, or warmth of the thigh or knee. The knee has
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
full ROM. Passive motion of the hip is guarded. A frog-leg film showing thinning and
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
sclerosis of the left femoral epiphysis. What is the etiology of this condition? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
- chronic infarction of the vessels feeding the femoral head
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
- hematogenous seeding of the joint space with bacteria
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
- joint space narrowing due to repetitive trauma
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
- lateral displacement of the capital femoral epiphysis - correct answer✔✔Chronic
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
infarction of the vessels feeding the femoral head ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
, A 50yo male presents for a checkup with no complaints. H&P are unremarkable. CBC
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
reveals Hgb 11.2, MCV 72, WBC 5.7, Hct 35%, and MCH 25. How would his anemia be
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
classified?
- Macrocytic hypochromic
||\\|//|| ||\\|//||
- Normocytic normochromic
||\\|//|| ||\\|//||
- Microcytic normochromic
||\\|//|| ||\\|//||
- Microcytic hypochromic - correct answer✔✔Microcytic hypochromic
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
A 73yo male has a macrocytic normochromic anemia. What should the next step include?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
- B12 and folate levels
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
- Bone marrow biopsy
||\\|//|| ||\\|//|| ||\\|//||
- Colonoscopy
||\\|//||
- MCV - correct answer✔✔B12 and folate levels
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
What does the treatment of anemia of chronic disease always include?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
- correct the underlying disorder
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
- PRBC transfusions
||\\|//|| ||\\|//||
- Vitamin C and iron
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
- erythropoietin - correct answer✔✔Correct the underlying disorder
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
The morphologic approach to classifying anemia begins with identifying which of the
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
following?
- MCV
||\\|//||
- MCH
||\\|//||
- MCHC
||\\|//||
- RDW - correct answer✔✔MCV
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
answers
What are the initial lab tests when working up anemia? - correct answer✔✔CBC - MCV
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Iron studies - ferritin, TIBC, %iron saturation
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Vitamin B12 and folate ||\\|//|| ||\\|//|| ||\\|//||
Retic count ||\\|//||
Smear
What is the 3-step approach to anemia? - correct answer✔✔1. Categorize as microcytic,
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
normocytic, or macrocytic based on MCV ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
2. Check for pancytopenia, if present, do bone marrow examination
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
3. Determine a cause by evaluating the retic count
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
IDA is what kind of anemia? - correct answer✔✔Microcytic hypochromic
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Which of the following can cause a B12 deficiency? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
- Crohn's
||\\|//||
- Celiac's
||\\|//||
- gastric bypass
||\\|//|| ||\\|//||
- tapeworms - correct answer✔✔All of the above
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
What is the most important part of treating a patient with suspected or confirmed anemia?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
- correct answer✔✔A thorough history
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
,How are thalassemias confirmed? - correct answer✔✔Hemoglobin electrophoresis and
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
genetic testing$ ||\\|//||
A 32yo African American woman c/o fatigue over the last 6 months. She works full time,
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
runs her own business. She has no other symptoms and has regular menstrual cycles.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Exam is unremarkable. ||\\|//|| ||\\|//||
Hgb 10.9 ||\\|//||
MCV 73 ||\\|//||
MCH 22.6 ||\\|//||
Ferritin 130 ||\\|//||
Serum iron 93 ||\\|//|| ||\\|//||
What is the most likely cause of her fatigue? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
- Alcoholism
||\\|//||
- IDA
||\\|//||
- Alpha-thalassemia minor
||\\|//|| ||\\|//||
- Stress - correct answer✔✔Alpha-thalassemia minor
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
An 8yo boy is in the ER with severe thigh and knee pain that started 4 months ago.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Ibuprofen gives minor relief. 3 weeks ago he had gastroenteritis. 2 weeks ago he developed ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
a limp and refuses to play. The family has a hx of sickle cell. Exam shows an antalgic gait.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
There is no tenderness, erythema, swelling, or warmth of the thigh or knee. The knee has
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
full ROM. Passive motion of the hip is guarded. A frog-leg film showing thinning and
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
sclerosis of the left femoral epiphysis. What is the etiology of this condition? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
- chronic infarction of the vessels feeding the femoral head
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
- hematogenous seeding of the joint space with bacteria
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
- joint space narrowing due to repetitive trauma
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
- lateral displacement of the capital femoral epiphysis - correct answer✔✔Chronic
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
infarction of the vessels feeding the femoral head ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
, A 50yo male presents for a checkup with no complaints. H&P are unremarkable. CBC
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
reveals Hgb 11.2, MCV 72, WBC 5.7, Hct 35%, and MCH 25. How would his anemia be
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
classified?
- Macrocytic hypochromic
||\\|//|| ||\\|//||
- Normocytic normochromic
||\\|//|| ||\\|//||
- Microcytic normochromic
||\\|//|| ||\\|//||
- Microcytic hypochromic - correct answer✔✔Microcytic hypochromic
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
A 73yo male has a macrocytic normochromic anemia. What should the next step include?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
- B12 and folate levels
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
- Bone marrow biopsy
||\\|//|| ||\\|//|| ||\\|//||
- Colonoscopy
||\\|//||
- MCV - correct answer✔✔B12 and folate levels
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
What does the treatment of anemia of chronic disease always include?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
- correct the underlying disorder
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
- PRBC transfusions
||\\|//|| ||\\|//||
- Vitamin C and iron
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
- erythropoietin - correct answer✔✔Correct the underlying disorder
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
The morphologic approach to classifying anemia begins with identifying which of the
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
following?
- MCV
||\\|//||
- MCH
||\\|//||
- MCHC
||\\|//||
- RDW - correct answer✔✔MCV
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
