APEA TEST BANK FLASH CARDS
Leukemia may have varied clinical
presentations. Which characteristic would
Sickle shaped cells
be unusual to find in a patient with leukemia?
A 66 year-old African American male
complains of pain in his trunk, especially his
ribs. Cardiovascular disease is ruled out. He
multiple myeloma.
has a normocytic, normochromic anemia
with hypercalcemia. The differential
diagnosis should include:
What hallmark finding is associated with
Macrocytosis
both B12 and folate deficiencies?
A patient demonstrates leukocytosis. This he has an infection of means:
unknown origin.
What statement is true about anemia in Anemia may have more than one older
adults? origin and co-exist in older adults.
A patient has been treated for HIV infection
with anti-retroviral therapy. He is stable. Every 3-6 months
How often should CD4 counts be repeated?
A patient presents with hematuria, RBC
casts, and proteinuria. What is a likely Glomerulonephritis
explanation?
A patient demonstrates leukocytosis. This he has an infection of means: unknown
origin.
A patient is having an allergic reaction to
seafood. Which white cell will probably be Eosinophils
increased?
,A female patient has been diagnosed with
Glucose-6-phosphate dehydrogenase
Avoid aspirin and sulfa drugs
deficiency (G6PD). What should be done to prevent lysis of red cells in this patient?
A 75 year-old patient who has multiple
chronic diseases has been in very poor
Folic acid and pernicious
health for a decade. What type of anemias is he most likely to exhibit?
A patient has been diagnosed with HIV. The
patient’s viral load was ordered. What
CD4 cell count
other test may be ordered to assess the status of the patient’s immune
system?
A 70 year-old male has lymph nodes in his
axillary and inguinal areas that are palpable
but non-tender. He states that he feels well Lymphoma
today. What should be included in a differential diagnosis for this patient?
All routine childhood
A two year-old with sickle cell anemia (SCA)
immunizations at the usual
should receive which immunizations? time
A three year-old child presents with hematuria, petechiae, and a platelet
count of 50,000 (Normal = 150,000-450,000/ml). idiopathic
The rest of his CBC is normal. He had an
thrombocytopenia
upper respiratory infection about 2 weeks
purpura (ITP).
ago. On exam today, he is found to have petechiae and bruises. The most likely
diagnosis is:
A child and father live in an old house. They
both are found to be lead toxic. What type
Iron deficiency anemia
anemia is typically observed in patients who are lead toxic?
A patient with diarrhea has a stool
specimen positive for WBCs. What does A viral infection
this indicate?
,A 26 year-old female has thalassemia
minor. What should be limited in her diet Multi-vitamin with iron
to avoid hepatotoxicity?
A patient is found to have eosinophilia. An expected
finding is: asthma exacerbation.
An African American male complains of pain in his back and trunk. He is diagnosed
about 65 years old. . with multiple myeloma. He is probably:
A patient has heavy menses. Which lab
value below reflects an iron deficiency Increased TIBC
anemia?
An obese 78 year-old male with poorly controlled hypertension and diabetes has a
associated with chronic disease. .
normocytic, normochromic anemia. This
anemia is likely:
An elderly male diagnosed with a microcytic, hypochromic anemia:
may have a GI bleed.
Which suggestion below is the standard for Iron supplementation in
treating iron deficiency anemia in infants divided doses between meals
and children? with orange juice
A patient with pernicious anemia may be
glossitis.
observed to have:
Lead toxicity can be associated with: sideroblastic anemia.
A patient is being treated for iron
on an empty stomach.
deficiency anemia. Iron is better absorbed:
What choice below can be attributed to the Gynecologic losses and bleeding
two most common causes of iron in the
deficiency anemia in adults?
gastrointestinal tract
, The laboratory identifies metamyelocytes
in a 50 year-old patient who had a CBC
performed. What might be an expected
finding in this patient? Splenomegaly
A patient is found to have an anemia. The
patient’s MCH is normal. The patient’s
anemia can be described as: normochromic.
Which statement is true about Vitamin Inadequate amounts can produce cognitive
B12? changes.
demonstrates the amount of
A serum ferritin level:
iron in storage.
Which anemias are described as microcytic, Iron deficiency anemia and
hypochromic anemias? thalassemia
The nurse practitioner sees a child who
presents with fatigue and purpura on his
lower extremities. His temperature is
normal. The differential includes: acute leukemia.
An older adult has suspected B12
deficiency. Which of the following lab
indices is most indicative of a B12
deficiency? Increased MCV
A patient with anemia of chronic disease
probably has a: normocytic anemia.
A vitamin B-12 deficiency might be
suspected in an older patient with what
complaints? Memory issues and glossitis
A measure of the degree of variation in red
RDW.
cell size is indicated by:
A definitive diagnosis of sickle cell anemia by a hemoglobin electrophoresis. .
can be made:
An example of a macrocytic anemia is: pernicious anemia.
Leukemia may have varied clinical
presentations. Which characteristic would
Sickle shaped cells
be unusual to find in a patient with leukemia?
A 66 year-old African American male
complains of pain in his trunk, especially his
ribs. Cardiovascular disease is ruled out. He
multiple myeloma.
has a normocytic, normochromic anemia
with hypercalcemia. The differential
diagnosis should include:
What hallmark finding is associated with
Macrocytosis
both B12 and folate deficiencies?
A patient demonstrates leukocytosis. This he has an infection of means:
unknown origin.
What statement is true about anemia in Anemia may have more than one older
adults? origin and co-exist in older adults.
A patient has been treated for HIV infection
with anti-retroviral therapy. He is stable. Every 3-6 months
How often should CD4 counts be repeated?
A patient presents with hematuria, RBC
casts, and proteinuria. What is a likely Glomerulonephritis
explanation?
A patient demonstrates leukocytosis. This he has an infection of means: unknown
origin.
A patient is having an allergic reaction to
seafood. Which white cell will probably be Eosinophils
increased?
,A female patient has been diagnosed with
Glucose-6-phosphate dehydrogenase
Avoid aspirin and sulfa drugs
deficiency (G6PD). What should be done to prevent lysis of red cells in this patient?
A 75 year-old patient who has multiple
chronic diseases has been in very poor
Folic acid and pernicious
health for a decade. What type of anemias is he most likely to exhibit?
A patient has been diagnosed with HIV. The
patient’s viral load was ordered. What
CD4 cell count
other test may be ordered to assess the status of the patient’s immune
system?
A 70 year-old male has lymph nodes in his
axillary and inguinal areas that are palpable
but non-tender. He states that he feels well Lymphoma
today. What should be included in a differential diagnosis for this patient?
All routine childhood
A two year-old with sickle cell anemia (SCA)
immunizations at the usual
should receive which immunizations? time
A three year-old child presents with hematuria, petechiae, and a platelet
count of 50,000 (Normal = 150,000-450,000/ml). idiopathic
The rest of his CBC is normal. He had an
thrombocytopenia
upper respiratory infection about 2 weeks
purpura (ITP).
ago. On exam today, he is found to have petechiae and bruises. The most likely
diagnosis is:
A child and father live in an old house. They
both are found to be lead toxic. What type
Iron deficiency anemia
anemia is typically observed in patients who are lead toxic?
A patient with diarrhea has a stool
specimen positive for WBCs. What does A viral infection
this indicate?
,A 26 year-old female has thalassemia
minor. What should be limited in her diet Multi-vitamin with iron
to avoid hepatotoxicity?
A patient is found to have eosinophilia. An expected
finding is: asthma exacerbation.
An African American male complains of pain in his back and trunk. He is diagnosed
about 65 years old. . with multiple myeloma. He is probably:
A patient has heavy menses. Which lab
value below reflects an iron deficiency Increased TIBC
anemia?
An obese 78 year-old male with poorly controlled hypertension and diabetes has a
associated with chronic disease. .
normocytic, normochromic anemia. This
anemia is likely:
An elderly male diagnosed with a microcytic, hypochromic anemia:
may have a GI bleed.
Which suggestion below is the standard for Iron supplementation in
treating iron deficiency anemia in infants divided doses between meals
and children? with orange juice
A patient with pernicious anemia may be
glossitis.
observed to have:
Lead toxicity can be associated with: sideroblastic anemia.
A patient is being treated for iron
on an empty stomach.
deficiency anemia. Iron is better absorbed:
What choice below can be attributed to the Gynecologic losses and bleeding
two most common causes of iron in the
deficiency anemia in adults?
gastrointestinal tract
, The laboratory identifies metamyelocytes
in a 50 year-old patient who had a CBC
performed. What might be an expected
finding in this patient? Splenomegaly
A patient is found to have an anemia. The
patient’s MCH is normal. The patient’s
anemia can be described as: normochromic.
Which statement is true about Vitamin Inadequate amounts can produce cognitive
B12? changes.
demonstrates the amount of
A serum ferritin level:
iron in storage.
Which anemias are described as microcytic, Iron deficiency anemia and
hypochromic anemias? thalassemia
The nurse practitioner sees a child who
presents with fatigue and purpura on his
lower extremities. His temperature is
normal. The differential includes: acute leukemia.
An older adult has suspected B12
deficiency. Which of the following lab
indices is most indicative of a B12
deficiency? Increased MCV
A patient with anemia of chronic disease
probably has a: normocytic anemia.
A vitamin B-12 deficiency might be
suspected in an older patient with what
complaints? Memory issues and glossitis
A measure of the degree of variation in red
RDW.
cell size is indicated by:
A definitive diagnosis of sickle cell anemia by a hemoglobin electrophoresis. .
can be made:
An example of a macrocytic anemia is: pernicious anemia.
