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Hematology and Cardiology Study Guide: Anemia Classification & Heart Valve Disorders

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This study guide covers key concepts in hematology (focusing on classification, causes, and lab findings of various anemias like iron deficiency, B12 deficiency, folate deficiency, hemolytic, aplastic, sickle cell, and thalassemia) and cardiology (including CAD risk factors, heart failure stages, preload/afterload, and the pathophysiology, presentation, and murmurs associated with aortic stenosis, aortic regurgitation, mitral stenosis, and mitral regurgitation). Includes clinical case scenarios.

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□ Which of the following is considered one of the microcytic anemias?
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Iron deficiency.
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□ Which of the following is not a clinical characteristic of anemia? Options:
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Pallor, Bradycardia, Fatigue, Dyspnea.
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Answer: Bradycardia. m




□ Anemia can be caused from which of the following? (Select all that
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apply.) Impaired red blood cell production, Increased red blood cell
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destruction, or Excessive blood loss (all of them are true).
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□ Which of the following indices measures the average size of red blood cells?
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Mean Corpuscular Volume (MCV).
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□ Which of the following symptoms reflect decreased tissue oxygenation as an
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effect of anemia? Weakness, Fatigue, Dyspnea, Pallor, & Dizziness
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□ Which of the following is a type of macrocytic anemia? Vitamin B-12 Deficiency.
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□ True or False? The terms normocytic, microcytic, and macrocytic characterize
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red blood cells by their size. True.
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□ True or False: Identification of the type of anemia involves an examination
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mof size of the RBC only. False (color too).
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□ Which of the following anemias can be categorized as microcytic-
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hypochromic? Sideroblastic anemia, Iron deficiency anemia, and thalassemia
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□ Which of the following conditions could result in iron deficiency anemia?
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Excessive Bleeding.
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□ The treatment of iron deficiency anemia includes: Iron supplements.
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□ Which of the following would indicate that the patient’s iron stores are
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depleted? Ferritin Levels
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□ True or False? Although less common, transferrin deficiencies and
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mitochondrial defects can lead to iron deficiency anemia. True.
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□ True or False? The basic pathophysiology of iron deficiency anemia is that
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there are insufficient iron levels or the inability of the cell’s mitochondria to
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utilize iron effectively. True.
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□ A transferrin deficiency will most likely result in: Iron Deficiency Anemia.
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□ True or False? When iron stores are depleted, the cell’s mitochondria are still
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able to utilize iron effectively due to compensatory mechanisms. False.
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□ Loss of vibratory sense in a patient with Vitamin B-12 deficiency is due to which
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of the following pathophysiological changes:
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Posterior and lateral column spinal cord changes due to nerve
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demyelination.
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This study source was downloaded by 100000889304135 from nursinghero.com on 09-08-2024 18:29:15 GMT
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m-05:00

https://www.nursinghero.com/study-files/7028881

, □ True or False? One of the common precipitating factors of folate deficiency
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is alcohol abuse. True.
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□ A non-megaloblastic anemia would be caused by: Liver Disease
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□ Folic acid is essential to the body because it: Plays a major role in the maturing
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of RBCs.
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□ True or False? In a patient with pernicious anemia, folate lab values can be
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normal or low. True.
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□ True or False? MCHC (mean corpuscular hemoglobin concentration) lab values
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will be normal in a patient with pernicious anemia. True.
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□ Which of the following lab values will be low in a patient with folate
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deficiency? Reticulocyte count
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□ Which of the following will be elevated in a patient with pernicious anemia?
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MCV (mean corpuscular volume)
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□ An individual who has received an incorrect blood transfusion will exhibit signs
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of: Hemolytic Anemia.
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□ True or False? Acute blood loss of anemia is usually associated with acute
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GI bleeding and labor and delivery complications. True.
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□ In hemolytic anemia, the destruction of lysis of RBCs is due to: Enzymes or
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toxins produced by an infectious agent, Chemical release medication by one’s
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immune system, Effects of drugs, or All of the above will cause lysis of RBCs.
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□ Aplastic anemia can be caused by: Antibiotics. m m m m m m




□ The Reticulocyte count lab value will be high in post-hemorrhagic anemia.
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□ The MCV lab values are normal for hemolytic anemia.
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□ The Reticulocyte Count lab values are low in aplastic anemia.
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□ The MCHC will be normal in which of the following anemias? Aplastic anemia,
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Post- hemorrhagic anemia, Hemolytic anemia, or MCHC is normal in all the
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mabove anemias. m




□ Which of the following statements are correct regarding thalassemia? May have
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many possible genetic mutations.
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□ True or False? Cells that contain abnormal types of hemoglobin are
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more susceptible to infection by the parasite that causes malaria. False.
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□ True or False? The pathophysiology of sickle cell anemia involves a single
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amino- acid change on the betachain. True.
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□ True or False? The patient with sickle cell anemia is at high risk for stroke. True.
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□ True or False? There are four genes involved in encoding synthesis of the alpha
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protein chains for Hb and are located on chromosome number 16. True.
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This study source was downloaded by 100000889304135 from nursinghero.com on 09-08-2024 18:29:15 GMT
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m-05:00

https://www.nursinghero.com/study-files/7028881

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