NR 507 Edapt Unit 2 Hematological Disorders questions
with verified answers
A 40-year old male reports to the primary care office with a chief complaint of
dyspnea, especially with activity, over the last 5 days. He also notices that several
times during the last two days that he could feel his heart "pounding and racing".
On collecting the medical history, the patient indicates that he had rheumatic
heart disease as a young child but remembers little about it. On exam, the NP
determines that he is tachycardic with a heart rate of 120 beats/minute that is
irregularly irregular. A low-pitched murmur is also auscultated and is heard most
prominently at the apex. The NP also notes jugular vein distention (JVD) and
bilateral crackles in the lung bases. The NP performs an ECG in the office that
reveals atrial fibrillation and left atrial hypertrophy.
a. Mitral Stenosis
b. Aortic Stenosis
c. Mitral Regurgitation
d. Mitral Valve Prolapse Ans✓✓✓ a
A 60-year old male reports to the primary care office with "shortness of breath"
that started a few days after being released from the hospital following
angioplasty and stent placement. Upon exam, the NP observes that the patient
does have dyspnea and jugular vein distention. Crackles are also noted in lung
bases bilaterally. A blowing holosystolic murmur is also heard at the heart's apex
with radiation into the axilla.
a. Aortic Regurgitation
b. Mitral Regurgitation
c. Mitral Valve Prolapse
d. Mitral Valve Stenosis Ans✓✓✓ b
,A 64-year old female reports to the primary care office with a complaint of
"fainting". She reported that the episode occurred while she was engaged in her
usual low impact aerobics class. She also noticed, for the first time, during
exercise that her heart "hurt". The NP conducts a symptom analysis of the chest
pain and determined that the patient describes it as chest pressure. The patient
reports no dyspnea with exercise and denies orthopnea or paroxysmal nocturnal
dyspnea. On examination, the NP notes that all vital signs are normal, lungs are
clear to auscultation; There is a laterally displaced, sustained apical impulse and a
grade 4/6 mid-systolic crescendo-decrescendo murmur, heard loudest at the base
and radiating to the neck. There is also an S4 gallop. no peripheral edema noted.
There is a laterally displaced, sustained apical impulse and a grade 4/6 mid-
systolic crescendo-decrescendo murmur, heard Ans✓✓✓ c
A deficiency of intrinsic factor will result in Ans✓✓✓ pernicious anemia
A non-megaloblastic anemia would be caused by
A. Liver disease
B. Folate deficiency
C. Vitamin B-12 deficiency
D. Iron deficiency Ans✓✓✓ A
a non-megaloblastic anemia would be caused by a ________. Ans✓✓✓ liver
disease
Liver disease causes a non-megaloblastic anemia.
Megaloblastic anemia is caused by a deficiency or impaired utilization of vitamin
B12 and/or folate, whereas nonmegaloblastic macrocytic anemia is caused by
various diseases such as myelodysplastic syndrome (MDS), liver dysfunction,
alcoholism, hypothyroidism, certain drugs, and less commonly by inherited
disorders of DNA synthesis (Nagao & Hirokawa, 2017).
, A patient with mitral regurgitation would most likely present with .
a. a blowing, holosystolic murmur
b. high-pitched murmur
c. clear lungs
d. bradycardia Ans✓✓✓ a
A patient with mitral stenosis would most likely present with:
a. Bradycardia.
b. Rumbling, decrescendo diastolic murmur heard at apex of the heart.
c. High-pitched murmur.
d. Holosystolic murmur. Ans✓✓✓ b
a transferrin deficiency will most likely result in _______. Ans✓✓✓ iron-
deficiency anemia
Transferrin saturation checks how many places on transferrin that can hold iron.
Normal values are 20% to 50%. In severe cases of iron-deficiency anemia, this
number may fall below 10%.
A woman brings her 67-year old father to see the NP at the primary care clinic.
The patient reports that he has experienced shortness of breath for the last two
months that has continued to get progressively worse. He expresses great
concern that this development has kept him from participating in his Silver
Sneaker's program that he enjoys with his friends. He reports that he can barely
walk a city block or walk up the stairs in his home without becoming short of
breath. Upon exam, the NP notes a blood pressure of 180/58 mmHg and
peripheral pulses are palpable at 4+. The cardiac exam reveals several murmurs:
an early diastolic murmur that is high-pitched located loudest at the left lower
with verified answers
A 40-year old male reports to the primary care office with a chief complaint of
dyspnea, especially with activity, over the last 5 days. He also notices that several
times during the last two days that he could feel his heart "pounding and racing".
On collecting the medical history, the patient indicates that he had rheumatic
heart disease as a young child but remembers little about it. On exam, the NP
determines that he is tachycardic with a heart rate of 120 beats/minute that is
irregularly irregular. A low-pitched murmur is also auscultated and is heard most
prominently at the apex. The NP also notes jugular vein distention (JVD) and
bilateral crackles in the lung bases. The NP performs an ECG in the office that
reveals atrial fibrillation and left atrial hypertrophy.
a. Mitral Stenosis
b. Aortic Stenosis
c. Mitral Regurgitation
d. Mitral Valve Prolapse Ans✓✓✓ a
A 60-year old male reports to the primary care office with "shortness of breath"
that started a few days after being released from the hospital following
angioplasty and stent placement. Upon exam, the NP observes that the patient
does have dyspnea and jugular vein distention. Crackles are also noted in lung
bases bilaterally. A blowing holosystolic murmur is also heard at the heart's apex
with radiation into the axilla.
a. Aortic Regurgitation
b. Mitral Regurgitation
c. Mitral Valve Prolapse
d. Mitral Valve Stenosis Ans✓✓✓ b
,A 64-year old female reports to the primary care office with a complaint of
"fainting". She reported that the episode occurred while she was engaged in her
usual low impact aerobics class. She also noticed, for the first time, during
exercise that her heart "hurt". The NP conducts a symptom analysis of the chest
pain and determined that the patient describes it as chest pressure. The patient
reports no dyspnea with exercise and denies orthopnea or paroxysmal nocturnal
dyspnea. On examination, the NP notes that all vital signs are normal, lungs are
clear to auscultation; There is a laterally displaced, sustained apical impulse and a
grade 4/6 mid-systolic crescendo-decrescendo murmur, heard loudest at the base
and radiating to the neck. There is also an S4 gallop. no peripheral edema noted.
There is a laterally displaced, sustained apical impulse and a grade 4/6 mid-
systolic crescendo-decrescendo murmur, heard Ans✓✓✓ c
A deficiency of intrinsic factor will result in Ans✓✓✓ pernicious anemia
A non-megaloblastic anemia would be caused by
A. Liver disease
B. Folate deficiency
C. Vitamin B-12 deficiency
D. Iron deficiency Ans✓✓✓ A
a non-megaloblastic anemia would be caused by a ________. Ans✓✓✓ liver
disease
Liver disease causes a non-megaloblastic anemia.
Megaloblastic anemia is caused by a deficiency or impaired utilization of vitamin
B12 and/or folate, whereas nonmegaloblastic macrocytic anemia is caused by
various diseases such as myelodysplastic syndrome (MDS), liver dysfunction,
alcoholism, hypothyroidism, certain drugs, and less commonly by inherited
disorders of DNA synthesis (Nagao & Hirokawa, 2017).
, A patient with mitral regurgitation would most likely present with .
a. a blowing, holosystolic murmur
b. high-pitched murmur
c. clear lungs
d. bradycardia Ans✓✓✓ a
A patient with mitral stenosis would most likely present with:
a. Bradycardia.
b. Rumbling, decrescendo diastolic murmur heard at apex of the heart.
c. High-pitched murmur.
d. Holosystolic murmur. Ans✓✓✓ b
a transferrin deficiency will most likely result in _______. Ans✓✓✓ iron-
deficiency anemia
Transferrin saturation checks how many places on transferrin that can hold iron.
Normal values are 20% to 50%. In severe cases of iron-deficiency anemia, this
number may fall below 10%.
A woman brings her 67-year old father to see the NP at the primary care clinic.
The patient reports that he has experienced shortness of breath for the last two
months that has continued to get progressively worse. He expresses great
concern that this development has kept him from participating in his Silver
Sneaker's program that he enjoys with his friends. He reports that he can barely
walk a city block or walk up the stairs in his home without becoming short of
breath. Upon exam, the NP notes a blood pressure of 180/58 mmHg and
peripheral pulses are palpable at 4+. The cardiac exam reveals several murmurs:
an early diastolic murmur that is high-pitched located loudest at the left lower
