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Case Study #7

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Exam of 3 pages for the course I-HUMAN CASE WK #7 56 Y/O FEMALE at I-HUMAN CASE WK #7 56 Y/O FEMALE (Case Study #7)

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Case Study #7 fi fi

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1.A 64 y/ fi fi
th weakness fi

o male was admitted to the hospital after presenting wi and pallo
fi fi fi fi fi fi fi fi fi fi fi

r.:
2.What is the most likely reason for this patient's anemia?: Iron d eficiency fro
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chronic blood loss fi m fi



3.The patient's bone marrow would likely show:: RBC hyperplas a with sma
fi fi fi fi fi fi fi fi fi fi

i pale red cell precursors and a negative Prussian Blue stain ll,
fi fi fi fi fi fi fi fi fi fi



4.After treatment of this type of anemia, which of the following fi rst returns to
fi fi fi fi fi fi fi fi fi fi fi fi fi fi

normal?: Hemoglobin fi



5.Records indicated a previous transfusion. fi fi fi fi


What is the most likely reason for the typing discrepancy?: Acqu ired B antig
fi fi fi fi fi fi fi fi fi fi fi fi



6.What type of red cells should be transfused until the typing di ren
fi screpancy is fi fi fi fi fi fi fi fi fi fi fi fi

esolved?: O+ fi



7.The patient was given three units of packed cells. Five days later, his
fi fi fi fi fi fi fi fi fi fi fi fi fi

hematocrit dropped and he became slightly jaundiced. fi fi fi fi fi fi

What is the most likely reason for these IAT and DAT results?: Delayed hemolyt
fi fi fi fi fi fi fi fi fi fi fi fi fi

ic transfusion reaction
fi fi fi


8.What antibodies are most often associated with this type of response?: JK a
fi fi fi fi fi fi fi fi fi fi fi fi

and Jk b
fi fi fi

9.Using the data provided, calculate the %transferrin saturatio n.: 3
fi fi fi fi fi fi fi fi

%

10.What is the carrier protein for iron?: Transferrin fi fi fi fi fi fi fi


11.Which set of data is most consistent with iron deficiency an emia?: D fi fi fi fi fi fi fi fi fi fi fi




12.Which set of data is most consistent with hemochromatosi s?: B fi fi fi fi fi fi fi fi fi




13.Which set of data is most consistent with anemia of chronic d isease?: A
fi fi fi fi fi fi fi fi fi fi fi fi




14.Which set of data is most consistent with b-thalassemia dis ease?: C fi fi fi fi fi fi fi fi fi fi




15.What commonly performed test is used as a screen for the early detection
fi fi fi fi fi fi fi fi fi fi fi fi fi


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