NR 511 Final Exam Anemia & Men's
Health Questions and Answers
1. A 28-year-old female presents to your primary care office for an
annual
physical. She denies any complaints other than heavy menstrual
bleeding, which is something she has experienced her whole life.
On routine complete blood count (CBC) evaluation, her hemoglobin
is 11.0. Other pertinent values include a decreased serum ferritin
and elevated total iron-binding capacity (TIBC). Her mean
corpuscular volume (MCV) is 75. Which of the following is the likely
cause of her anemia?
1. Iron deficiency anemia.
2. Thalassemia.
3. Sideroblastic anemia.
4. Anemia of chronic disease (ACD).
Answer 1. Iron deficiency anemia.
2. 52. Your client Shirley has an elevated mean corpuscular volume
(MCV). What should you be considering in terms of diagnosis?
1. Iron deficiency anemias.
2. Hemolytic anemias.
3. Lead poisoning.
,4. Liver disease
Answer 4. Liver disease
3. Sherri's blood work returns with a decreased mean corpuscular
volume (MCV) and a decreased mean corpuscular hemoglobin
concentration (MCHC). What should you do next?
1. Order a serum iron level and a total iron-binding capacity (TIBC)
level.
2. Order a serum ferritin level.
3. Order a serum folate level.
4. Order a serum iron level, a total iron-binding capacity (TIBC) level,
and a serum ferritin level.
Answer 4. Order a serum iron level, a total iron-binding capacity (TIBC) level, and a serum
ferritin level.
1. Mean Corpuscular Volume
2. MCV indicates the average size of individual red blood cells
(RBCs). The normal (normocytic) range
Answer 1. is 76 to 96 fL.
3. Macrocytic vs microcytic vs normocytic anemia (causes, symptoms,
testing)
1. Mico- small size of RBCs,
2. Micro causes
,3. Macro-
4. Macro causes
5. Normocytic
6. Normocytic causes-
Answer 1. MCV value of less than 80 fL.
2. nutritional deficiency=iron. anemia of chronic disease, thalassemias, sideroblastic. Lead
poisoning-(microcyt- ic/hypochromic), RA
3. MCV >100 fL
4. vitamin b12, folic acid, medication-induced (allopurinol, ASA, antacids, PPIs, Abx
Answer tetracycline, erythromycin, zidovu- dine), pernicious anemia, hypothyroidism, liver
disease/ETOH,
5. MCV 80-100 fL
6. sepsis, hemorrhage, hemolysis, drug-induced, aplastic, radiation, or hereditary spherocytosis.
4. Julia asks how smoking increases the risk of folic acid deficiency.
You respond that smoking
1. Causes small vessel disease and constricts all vessels that
transport essential nutrients.
2. Decreases vitamin C absorption.
3. Affects the liver's ability to store folic acid.
4. Causes nausea, thereby inhibiting the appetite and ingestion of
foods rich in folic acid
, Answer 2. Decreases vitamin C absorption.
5. Macrocytic normochromic anemias are caused by
1. Acute blood loss.
2. An infection or tumor.
3. A nutritional deficiency of iron.
4. A deficiency of folic acid
Answer 4. A deficiency of folic acid
5. Risks, diagnosis and treatment of hematological disorders
Answer
6. List types of anemia associated with Microcytic (MCV<80 fL)
Answer Iron deficiency Anemia Sideroblastic
Thalassemia
Anemia of chronic disease
7. Identify if each item below is Hypochromic, Normochromic,
or Hyper- chromic
Iron deficiency
Anemia of inflammation and chronic disease
Health Questions and Answers
1. A 28-year-old female presents to your primary care office for an
annual
physical. She denies any complaints other than heavy menstrual
bleeding, which is something she has experienced her whole life.
On routine complete blood count (CBC) evaluation, her hemoglobin
is 11.0. Other pertinent values include a decreased serum ferritin
and elevated total iron-binding capacity (TIBC). Her mean
corpuscular volume (MCV) is 75. Which of the following is the likely
cause of her anemia?
1. Iron deficiency anemia.
2. Thalassemia.
3. Sideroblastic anemia.
4. Anemia of chronic disease (ACD).
Answer 1. Iron deficiency anemia.
2. 52. Your client Shirley has an elevated mean corpuscular volume
(MCV). What should you be considering in terms of diagnosis?
1. Iron deficiency anemias.
2. Hemolytic anemias.
3. Lead poisoning.
,4. Liver disease
Answer 4. Liver disease
3. Sherri's blood work returns with a decreased mean corpuscular
volume (MCV) and a decreased mean corpuscular hemoglobin
concentration (MCHC). What should you do next?
1. Order a serum iron level and a total iron-binding capacity (TIBC)
level.
2. Order a serum ferritin level.
3. Order a serum folate level.
4. Order a serum iron level, a total iron-binding capacity (TIBC) level,
and a serum ferritin level.
Answer 4. Order a serum iron level, a total iron-binding capacity (TIBC) level, and a serum
ferritin level.
1. Mean Corpuscular Volume
2. MCV indicates the average size of individual red blood cells
(RBCs). The normal (normocytic) range
Answer 1. is 76 to 96 fL.
3. Macrocytic vs microcytic vs normocytic anemia (causes, symptoms,
testing)
1. Mico- small size of RBCs,
2. Micro causes
,3. Macro-
4. Macro causes
5. Normocytic
6. Normocytic causes-
Answer 1. MCV value of less than 80 fL.
2. nutritional deficiency=iron. anemia of chronic disease, thalassemias, sideroblastic. Lead
poisoning-(microcyt- ic/hypochromic), RA
3. MCV >100 fL
4. vitamin b12, folic acid, medication-induced (allopurinol, ASA, antacids, PPIs, Abx
Answer tetracycline, erythromycin, zidovu- dine), pernicious anemia, hypothyroidism, liver
disease/ETOH,
5. MCV 80-100 fL
6. sepsis, hemorrhage, hemolysis, drug-induced, aplastic, radiation, or hereditary spherocytosis.
4. Julia asks how smoking increases the risk of folic acid deficiency.
You respond that smoking
1. Causes small vessel disease and constricts all vessels that
transport essential nutrients.
2. Decreases vitamin C absorption.
3. Affects the liver's ability to store folic acid.
4. Causes nausea, thereby inhibiting the appetite and ingestion of
foods rich in folic acid
, Answer 2. Decreases vitamin C absorption.
5. Macrocytic normochromic anemias are caused by
1. Acute blood loss.
2. An infection or tumor.
3. A nutritional deficiency of iron.
4. A deficiency of folic acid
Answer 4. A deficiency of folic acid
5. Risks, diagnosis and treatment of hematological disorders
Answer
6. List types of anemia associated with Microcytic (MCV<80 fL)
Answer Iron deficiency Anemia Sideroblastic
Thalassemia
Anemia of chronic disease
7. Identify if each item below is Hypochromic, Normochromic,
or Hyper- chromic
Iron deficiency
Anemia of inflammation and chronic disease
