NUR 621 Exam 3 PlayPosit and Questions with verified answers

NUR 621 Exam 3 PlayPosit and Questions with verified ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




answers


What are the initial lab tests when working up anemia? - correct answer✔✔CBC - MCV
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Iron studies - ferritin, TIBC, %iron saturation
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Vitamin B12 and folate ||\\|//|| ||\\|//|| ||\\|//||




Retic count ||\\|//||




Smear



What is the 3-step approach to anemia? - correct answer✔✔1. Categorize as microcytic,
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normocytic, or macrocytic based on MCV ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




2. Check for pancytopenia, if present, do bone marrow examination
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3. Determine a cause by evaluating the retic count
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IDA is what kind of anemia? - correct answer✔✔Microcytic hypochromic
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Which of the following can cause a B12 deficiency? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




- Crohn's
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- Celiac's
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- gastric bypass
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- tapeworms - correct answer✔✔All of the above
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What is the most important part of treating a patient with suspected or confirmed anemia?
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- correct answer✔✔A thorough history
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,How are thalassemias confirmed? - correct answer✔✔Hemoglobin electrophoresis and
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genetic testing$ ||\\|//||




A 32yo African American woman c/o fatigue over the last 6 months. She works full time,
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runs her own business. She has no other symptoms and has regular menstrual cycles.
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Exam is unremarkable. ||\\|//|| ||\\|//||




Hgb 10.9 ||\\|//||




MCV 73 ||\\|//||




MCH 22.6 ||\\|//||




Ferritin 130 ||\\|//||




Serum iron 93 ||\\|//|| ||\\|//||




What is the most likely cause of her fatigue? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




- Alcoholism
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- IDA
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- Alpha-thalassemia minor
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- Stress - correct answer✔✔Alpha-thalassemia minor
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An 8yo boy is in the ER with severe thigh and knee pain that started 4 months ago.
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Ibuprofen gives minor relief. 3 weeks ago he had gastroenteritis. 2 weeks ago he developed ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




a limp and refuses to play. The family has a hx of sickle cell. Exam shows an antalgic gait.
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There is no tenderness, erythema, swelling, or warmth of the thigh or knee. The knee has
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full ROM. Passive motion of the hip is guarded. A frog-leg film showing thinning and
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sclerosis of the left femoral epiphysis. What is the etiology of this condition? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




- chronic infarction of the vessels feeding the femoral head
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- hematogenous seeding of the joint space with bacteria
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- joint space narrowing due to repetitive trauma
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- lateral displacement of the capital femoral epiphysis - correct answer✔✔Chronic
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infarction of the vessels feeding the femoral head ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||

, A 50yo male presents for a checkup with no complaints. H&P are unremarkable. CBC
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reveals Hgb 11.2, MCV 72, WBC 5.7, Hct 35%, and MCH 25. How would his anemia be
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classified?

- Macrocytic hypochromic
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- Normocytic normochromic
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- Microcytic normochromic
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- Microcytic hypochromic - correct answer✔✔Microcytic hypochromic
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A 73yo male has a macrocytic normochromic anemia. What should the next step include?
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- B12 and folate levels
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- Bone marrow biopsy
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- Colonoscopy
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- MCV - correct answer✔✔B12 and folate levels
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What does the treatment of anemia of chronic disease always include?
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- correct the underlying disorder
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- PRBC transfusions
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- Vitamin C and iron
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- erythropoietin - correct answer✔✔Correct the underlying disorder
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The morphologic approach to classifying anemia begins with identifying which of the
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following?

- MCV
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- MCH
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- MCHC
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- RDW - correct answer✔✔MCV
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