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NR 283 Pathophysiology Exam 2 Exam Review Questions and Correct Answers_ Latest Update _ Already Graded .

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Practice questions for this set


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assessment of bone marrow function



Choose an answer



1 hemoglobin level 2 total lymphocyte count



3 reticulocyte count 4 absolute neutrophil count



Don't know?




arteries transport blood away from heart

veins transport blood to the heart

capillaries microcirculation within tissue

systemic circulation exchange of gases, nutrients, and wastes in tissues

pulmonary circulation gas exchange in the lungs

function of plasma proteins osmotic pressure, antibody, and blood clots

erythrocytes contain hemoglobin, life span of about 20 days

, erythropoietin produced in the kidney, stimulates erythrocyte production

1. vasoconstriction of vascular spasm after injury 2. platelet clot 3. coagulation
3 steps of blood clotting (hemostasis)
mechanism

Rh+ antigen D in plasma membrane

Rh- absence of antigen D

anemia causes a reduction in oxygen transport, basic problem is hemoglobin deficit

less energy production in all cells, tachycardia and peripheral vasoconstriction-
oxygen deficit leads to
compensation mechanisms

fatigue, pallor, dyspnea, tachycardia, decreased regeneration of epithelial cells,
general signs of anemia
severe anemia may lead to angina of CHF

iron deficiency anemia insufficient iron impairs hemoglobin synthesis

dietary intake of iron below minimum, chronic blood loss, impaired duodenal
etiology of iron deficiency anemia
absorption of iron, severe liver disease

signs and symptoms of iron deficiency general signs of anemia + spoon shaped and ridged nails, brittle hair, stomatitis,
anemia glossitis, menstrual irregularities, delayed healing

lack of intrinsic factor, intrinsic factor secreted by gastric mucosa, required for
pernicious anemia (vitamin B12 deficiency)
intestinal absorption of vitamin B12, B12 needed for function of neurons

etiology of pernicious anemia dietary insufficiency, malabsorption, surgery, such as gastrectomy

general signs, tongue enlarged, red, sore, and shiny, digestive discomfort, feeling of
signs and symptoms of pernicious anemia
pins and needles, tingling of limbs

aplastic anemia impairment or failure of bone marrow leading to loss of stem cells and pancytopenia

pancytopenia decreased numbers of erythrocytes, leukocytes, and platelets in the blood

etiology of aplastic anemia myelotoxins: radiation, industrial chemicals, drugs, genetic abnormalities, hep C, SLE

signs and symptoms of aplastic anemia general signs, leukopenia (recurrent infection), thrombocytopenia (petechiae)

caused by genetic condition, autosomal recessive disorder, more common in
sickle cell anemia
Africans

abnormal hemoglobin, sickle cell crisis occurs whenever oxygen levels are lowered,
etiology of sickle cell anemia sickle shaped cells have shorter lifespan, sickle cell hemoglobin leads to multiple
infarctions

general signs, severe pain because of ischemia of tissues and infarction, jaundice,
signs and symptoms of sickle cell anemia
hyperbillirubinemia, acute symptom of vaso-occlusive/painful crisis

increased production of erythrocytes and other cells in the bone marrow, neoplastic
primary polycythemia (polycythemia vera)
disorder, serum erythropoietin levels are low

increase in RBCs in response to prolonged hypoxia, increased erythropoietin
secondary polycythemia (erythrocytosis)
secretion, compensation mechanism to provide increased oxygen transport

plethoric and cyanotic, hepatomegaly, increased BP, thromboses and infarctions,
signs and symptoms of polycythemia
CHF can develop

blood clotting disorder spontaneous bleeding or excessive bleeding following minor tissue trauma

deficit or abnormality of factor VIII, x-linked recessive trait, manifested in men,
hemophilia A
carried by women

prolonged bleeding after minor tissue trauma, spontaneous bleeding into joints,
signs and symptoms of hemophilia A
possible hematuria or blood in feces

group of neoplastic disorders involving white blood cells, undifferentiated,
leukemias
immature, nonfunctional cells that multiply uncontrollably

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