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MMSC 433 Exam 1 Questions & Answers (Grade A+).docx

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MMSC 433 Exam 1 Questions &
Answers (Grade A+)
iron absorption -
correct answer ✅-ferric iron is taken in from diet
-ferric iron is reduced by duodenal cytochrome B to become ferrous
iron
-ferrous iron is absorbed into enterocytes by DMT 1
-absorbed iron is stored as ferritin, or sent into portal hepatic
circulation and carried by transferrin to developing RBCs


transferrin -
correct answer ✅plasma carrier protein for ferrous iron


high iron level regulation -
correct answer ✅-hepcidin is released from hepatocytes
-ferroportin is inactivated, leading to decreased iron being
transported into circulation


low iron level regulation -
correct answer ✅-hepcidin is down regulated by hepatocytes
-ferroportin becomes activated and transports iron out of the
enterocytes and into circulation

,MMSC 433 Exam 1 Questions &
Answers (Grade A+)
dietary iron sources -
correct answer ✅red meat, legumes, dark leafy vegetables, whole
grains


ferrous iron -
correct answer ✅the form of iron that is able to be utilized in the
body for developing red cells


prussian blue stain -
correct answer ✅stain that is used to identify iron in tissues and
bone marrow


thomas plot -
correct answer ✅a chart that is used to compare soluble
transferrin receptors/ log ferritin to hemoglobin concentration of
reticulocytes to identify the iron status of the patient
-iron status is used to correlate to certain diseases/ anemias


stage 1 iron deficiency (progressive loss of storage iron) -
correct answer ✅-asymptomatic
-RBCs develop normally
-*serum ferritin low*

, MMSC 433 Exam 1 Questions &
Answers (Grade A+)

stage 2 iron deficiency (exhaustion of iron storage pool) -
correct answer ✅-subclinical symptoms
-hemoglobin in retics is decreased, *hemogram appears normal
still*
-iron deficiency erythropoiesis is occurring
-hepcidin decreased
-serum iron and ferritin decreased
-RDW, TIBC and sTRs increased
-prussian blue stain of BM is negative for iron


stage 3 iron deficiency (frank anemia) -
correct answer ✅-patient exhibits fatigue, weakness, pallor,
glossitis, koilonychia and pica
-*H/H decreased*
-*hypochromic/ microcytic anemia*
-FEP, TIBC and sTR increased
-ferritin, hepcidin and serum iron decreased


sideroblastic anemia -
correct answer ✅-iron deposits in the mitochondria of

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