NR 511 Final Anemia & Men's Health

NR 511 Final Anemia & Men's He
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1.Mean Corpuscular Volume
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1. MCV indicates the average size of individual red blood cells (RBCs).
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The normal (normocytic) range: 1. is 76 to 96 fL.
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2.Macrocytic vs microcytic vs normocytic anemia (causes, symptoms, te
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st- ing)
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1. Mico- small size of RBCs,
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2. Micro causes ml

3. Macro-
4. Macro causes ml

5. Normocytic
6. Normocytic causes-: 1. MCV value of less than 80 fL.
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2.nutritional deficiency=iron. anemia of chronic disease, thalassemias,
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sideroblastic. Lead poisoning-(microcytic/hypochromic), RA
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3.MCV >100 fL ml ml

4.vitamin b12, folic acid, medication-
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induced (allopurinol, ASA, antacids, PPIs, Abx: tetracycline, erythromyc
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in, zidovudine), pernicious anemia, hypothyroidism, liver disease/
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ETOH,
5.MCV 80-100 fL ml ml

6.sepsis, hemorrhage, hemolysis, drug-
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induced, aplastic, radiation, or hereditary spherocytosis.
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3.Julia asks how smoking increases the risk of folic acid deficiency.
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You respond that smoking:
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1. Causes small vessel disease and constricts all vessels that transp
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ort essential nutrients.
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2. Decreases vitamin C absorption. ml ml ml

3. Affects the liver's ability to store folic acid.
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4. Causes nausea, thereby inhibiting the appetite and ingestion of foods r
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ich in folic acid: 2. Decreases vitamin C absorption.
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4.Macrocytic normochromic anemias are caused by: ml ml ml ml ml

1. Acute blood loss. ml ml

2. An infection or tumor.
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3. A nutritional deficiency of iron.
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4. A deficiency of folic acid: 4. A deficiency of folic acid
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5.Risks, diagnosis and treatment of hematological disorders:
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6.List types of anemia associated with Microcytic (MCV<80 fL): Iron defici
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ency Anemia ml


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, NR 511 Final Anemia & Men's He
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Sideroblastic




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, NR 511 Final Anemia & Men's He
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Thalassemia
Anemia of chronic disease ml ml ml




7.Identify if each item below is Hypochromic, Normochromic, or Hy
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per- chromic:
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Iron deficiency
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Anemia of inflammation and chronic disease Sid
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eroblastic
Hereditary spherocytosis Thalassemi ml ml

a: Microcytic Hypochromic Iron defi
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ciency
Sideroblastic T ml

halassemia
Microcytic Normochromic ml

Anemia of inflammation and chronic disease
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Microcytic Hyperchromic ml

Hereditary spherocytosis ml

8.A 28-year-
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old female presents to your primary care office for an annual physical. S
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he denies any complaints other than heavy menstrual bleeding, which is
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something she has experienced her whole life. On routine complete bloo
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d count (CBC) evaluation, her hemoglobin is 11.0. Other pertinent values
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include a decreased serum ferritin and elevated total iron-
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binding capacity (TIBC). Her mean corpuscular volume (MCV) is 75. Whic
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h of the following is the likely cause of her anemia?
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1. Iron deficiency anemia.
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2. Thalassemia.
3. Sideroblastic anemia. ml

4. Anemia of chronic disease (ACD).: 1. Iron deficiency anemia.
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9.52. Your client Shirley has an elevated mean corpuscular volume (M
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CV). What should you be considering in terms of diagnosis?
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1. Iron deficiency anemias.
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2. Hemolytic anemias. ml

3. Lead poisoning. ml

4. Liver disease: 4. Liver disease
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10.Sherri's blood work returns with a decreased mean corpuscular volu
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me (MCV) and a decreased mean corpuscular hemoglobin concentration (
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MCHC). What should you do next?
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1. Order a serum iron level and a total iron-binding capacity (TIBC) level.
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3ml/
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, NR 511 Final Anemia & Men's He
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2. Order a serum ferritin level.
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4ml/
ml49