NURS 5461 Quiz 1 Complete
Questions And Correct Answers
Pernicious anemia - Ans--lack of intrinsic factor, decreased b12
Pernicious anemia s/s - Ans--beefy red tongue, fatigue, paresthesia of
hands/feet, fatigue
macrocytic anemias - Ans--Pernicious anemia, folate deficiency anemia
>103mm
causes of macrocytic anemias - Ans--liver disease, low b12 or folate,
gastrectomy, malabsorption, alcoholics
microcytic anemia - Ans--iron deficiency, anemia of chronic disease late
stage, lead poisoning, thalassemias,, occult blood in stool, menorrhagia,
<87mm
normocytic anemia - Ans--anemia of chronic disease, sickle cell, impaired
bone marrow, hemolytic anemia, 87-103mm
primary storage for iron - Ans--ferritin >100 = normal
increased ferritin - Ans--inflammatory disease, hepatitis, CRF,
transferrin - Ans--regulates iron absorption and transport in body, low levels
= protein malnutrition, >200 is normal
total iron binding capacity (TIBC) - Ans--high when iron low 240-450
> 400 with iron deficiency anemia
Primary hypothyroidism - Ans--High TSH, low T3 and T4
Secondary hypothyroidism - Ans--low TSH, low T3/T4, malfunction of
pituitary
, Hashimoto's thyroiditis - Ans--autoimmune thyroiditis, high TSH, low T3/T4
Myxedema - Ans--puffy face with hypothyroid
Grave's disease - Ans--autoimmune disorder leading to hyperthyroidism,
antibodies mimicking TSH, high T4/T3
Primary Hyperthyroidism - Ans--Low TSH High T3,T4
excessive iodine uptake - Ans--hyperthyroidism
first test for thyroid - Ans--TSH
TSH improvement after levothyroxine - Ans--6-8 weeks
subclinical hypothyroid - Ans--elevated TSH, normal T4 and Free T4
PTU, methimazole - Ans--treat hyperthyroidism- agranulocytosis and liver
disease SE
prevalence of HTN after 65 years of age - Ans--higher in women
DBP stabilizes? - Ans--age 50 and older, SBP worsens
nocturnal BP - Ans--dipping at night by 15%. non-dipper = high risk for CVD
and renal disease
most effective for decreasing LVH - Ans--ACE inhibitors
stage 1 HTN - Ans--140-159/90-99
stage 2 HTN - Ans-->160/>100
HTN Emergency - Ans-->180/120 with end organ damage
Treat with IV nitroprusside, labetalol, Clonidine, Cardene
Questions And Correct Answers
Pernicious anemia - Ans--lack of intrinsic factor, decreased b12
Pernicious anemia s/s - Ans--beefy red tongue, fatigue, paresthesia of
hands/feet, fatigue
macrocytic anemias - Ans--Pernicious anemia, folate deficiency anemia
>103mm
causes of macrocytic anemias - Ans--liver disease, low b12 or folate,
gastrectomy, malabsorption, alcoholics
microcytic anemia - Ans--iron deficiency, anemia of chronic disease late
stage, lead poisoning, thalassemias,, occult blood in stool, menorrhagia,
<87mm
normocytic anemia - Ans--anemia of chronic disease, sickle cell, impaired
bone marrow, hemolytic anemia, 87-103mm
primary storage for iron - Ans--ferritin >100 = normal
increased ferritin - Ans--inflammatory disease, hepatitis, CRF,
transferrin - Ans--regulates iron absorption and transport in body, low levels
= protein malnutrition, >200 is normal
total iron binding capacity (TIBC) - Ans--high when iron low 240-450
> 400 with iron deficiency anemia
Primary hypothyroidism - Ans--High TSH, low T3 and T4
Secondary hypothyroidism - Ans--low TSH, low T3/T4, malfunction of
pituitary
, Hashimoto's thyroiditis - Ans--autoimmune thyroiditis, high TSH, low T3/T4
Myxedema - Ans--puffy face with hypothyroid
Grave's disease - Ans--autoimmune disorder leading to hyperthyroidism,
antibodies mimicking TSH, high T4/T3
Primary Hyperthyroidism - Ans--Low TSH High T3,T4
excessive iodine uptake - Ans--hyperthyroidism
first test for thyroid - Ans--TSH
TSH improvement after levothyroxine - Ans--6-8 weeks
subclinical hypothyroid - Ans--elevated TSH, normal T4 and Free T4
PTU, methimazole - Ans--treat hyperthyroidism- agranulocytosis and liver
disease SE
prevalence of HTN after 65 years of age - Ans--higher in women
DBP stabilizes? - Ans--age 50 and older, SBP worsens
nocturnal BP - Ans--dipping at night by 15%. non-dipper = high risk for CVD
and renal disease
most effective for decreasing LVH - Ans--ACE inhibitors
stage 1 HTN - Ans--140-159/90-99
stage 2 HTN - Ans-->160/>100
HTN Emergency - Ans-->180/120 with end organ damage
Treat with IV nitroprusside, labetalol, Clonidine, Cardene
