Quiz 2: NURS 5461 / NURS5461
(Latest Update ) Adult
Gerontology Management Across the
Continuum of Care | Questions &
Answers | Grade A | 100% Correct -
UTA
Question:
Most common cause of B12 deficiency
Answer:
Pernicious anemia (in the US its due to a proton pump inhibitor)
Question:
Homocysteine and methylmalonic serum
Answer:
Will be elevated in B12 deficiency before B12 falls
,Question:
Anti-intrinsic factor antibodies present in what?
Answer:
Pernicious anemia
Question:
myelodysplastic syndrome
Answer:
a group of bone marrow disorders that are characterized by the insufficient
production of one or more types of blood cells due to dysfunction of the bone
marrow
usually seen in seniors
25% of these ppl will develop non lymphocytic leukemia with 1 year - CHECK
CBC Q 3 MONTHS
Question:
diagnosis of hemolytic anemia
Answer:
Coombs test
,Question:
Hemoglobin and urine hemosiderin..
Answer:
Ask yourself if the person could be hemolyzing
Question:
in extravascular hemolysis what will be elevated?
Answer:
INDIRECT BILIRUBIN and fecal/urine urobilinogeno
be sure to look at smear
sphereocytes - seen w autoimmune hemolysis of Hbg C
Spiculated cells - seen in liver disease or hemolysis
bite / blister cells - seen in G6PD. Deficiency
Question:
A positive Coombs test is due to
Answer:
an antibody and/or complement on the RBC surface. You will need to
determine if the antibody is ALLOANTIBODY OR AUTOANTIBODY .
, Question:
Alloantibody are what?
Answer:
Antibodies present from previous transfusions or in women with placental
transfer or fetal RBC
if there IS NO HISTORY OF TRANSFUSION, THEN THERE WILL BE
AUTOANTI BODIES.
Question:
Autoantibodies are warm or cold
Answer:
Cold antibodies are IgM and cause direct agglutination of RBCs in the cold -
most common cause is from THE VIRUS MYCOPLASMA PNEUMONIA
Warm antibody can hemolyze due to drugs (autoimmune)
(Latest Update ) Adult
Gerontology Management Across the
Continuum of Care | Questions &
Answers | Grade A | 100% Correct -
UTA
Question:
Most common cause of B12 deficiency
Answer:
Pernicious anemia (in the US its due to a proton pump inhibitor)
Question:
Homocysteine and methylmalonic serum
Answer:
Will be elevated in B12 deficiency before B12 falls
,Question:
Anti-intrinsic factor antibodies present in what?
Answer:
Pernicious anemia
Question:
myelodysplastic syndrome
Answer:
a group of bone marrow disorders that are characterized by the insufficient
production of one or more types of blood cells due to dysfunction of the bone
marrow
usually seen in seniors
25% of these ppl will develop non lymphocytic leukemia with 1 year - CHECK
CBC Q 3 MONTHS
Question:
diagnosis of hemolytic anemia
Answer:
Coombs test
,Question:
Hemoglobin and urine hemosiderin..
Answer:
Ask yourself if the person could be hemolyzing
Question:
in extravascular hemolysis what will be elevated?
Answer:
INDIRECT BILIRUBIN and fecal/urine urobilinogeno
be sure to look at smear
sphereocytes - seen w autoimmune hemolysis of Hbg C
Spiculated cells - seen in liver disease or hemolysis
bite / blister cells - seen in G6PD. Deficiency
Question:
A positive Coombs test is due to
Answer:
an antibody and/or complement on the RBC surface. You will need to
determine if the antibody is ALLOANTIBODY OR AUTOANTIBODY .
, Question:
Alloantibody are what?
Answer:
Antibodies present from previous transfusions or in women with placental
transfer or fetal RBC
if there IS NO HISTORY OF TRANSFUSION, THEN THERE WILL BE
AUTOANTI BODIES.
Question:
Autoantibodies are warm or cold
Answer:
Cold antibodies are IgM and cause direct agglutination of RBCs in the cold -
most common cause is from THE VIRUS MYCOPLASMA PNEUMONIA
Warm antibody can hemolyze due to drugs (autoimmune)
