NURS 6501 ADVANCED PATHOPHYSIOLOGY
MIDTERM 4 [ACTUAL EXAM 100%] WITH QUESTIONS
AND ANSWERS [ALREADY GRADED A+] REAL
EXAM!!!
The students learn that deficiencies in folate and vitamin B12 alter the synthesis of which of
these?
a. RNA
b. Cell membrane
c. DNA
d. Mitochondria - ANS✔✔---c. DNA
A patient has defective secretion of the intrinsic factor leading to anemia. What treatment
option does the healthcare professional discuss with the patient?
a. Increasing iron sources in the diet such as red meat.
b. Vitamin B12 injections initially given once a week.
c. Having relatives tested for bone marrow donation.
d. Better control of the patient's underlying disorder. - ANS✔✔---b. Vitamin B12 injections initially given
once a week
,After a person has a subtotal gastrectomy for chronic gastritis, which type of anemia will
result?
a. Iron deficiency
b. Aplastic
c. Folic acid
d. Pernicious - ANS✔✔---d. Pernicious
Which condition resulting from untreated pernicious anemia (PA) is fatal?
a. Brain hypoxia
b. Liver hypoxia
c. Heart failure
d. Renal failure - ANS✔✔---c. Heart Failure
What term is used to describe the capacity of some erythrocytes to vary in size, especially in
relationship to some anemias?
a. Poikilocytosis
b. Isocytosis
c. Anisocytosis
d. Microcytosis - ANS✔✔---c. Anisocytosis
What is the fundamental physiologic manifestation of anemia?
a. Hypotension
b. Hyperesthesia
c. Hypoxia
d. Ischemia - ANS✔✔---c. Hypoxia
The paresthesia that occurs in vitamin B12 deficiency anemia is a result of which of these?
a. Reduction in acetylcholine receptors in the postsynaptic nerves
, b. Myelin degeneration in the spinal cord
c. Destruction of myelin in peripheral nerves
d. Altered function of neurons in the parietal lobe - ANS✔✔---b. Myelin degeneration in the spinal cord
Which of these describes how the body compensates for anemia?
a. Increasing rate and depth of breathing
b. Decreasing capillary vasoconstriction
c. Hemoglobin holding more firmly onto oxygen
d. Kidneys releasing more erythropoietin - ANS✔✔---a. Increase rate and depth of breathing
Which of these classified as a megaloblastic anemia?
a. Iron deficiency
b. Pernicious
c. Sideroblastic
d. Hemolytic - ANS✔✔---b. Pernicious
Which anemia produces small, pale erythrocytes?
a. Folic acid
b. Hemolytic
c. Iron deficiency
d. Pernicious - ANS✔✔---c. Iron deficiency
A patient in the healthcare clinic reports fatigue, weakness, and dyspnea, as well as pale
conjunctiva of the eyes and brittle, concave nails. What assessment by the healthcare
professional is most appropriate for the suspected anemia?
a. Blood pressure and apical pulse
b. Oral mucus membranes and tongue
c. Ability to swallow foods and liquids
MIDTERM 4 [ACTUAL EXAM 100%] WITH QUESTIONS
AND ANSWERS [ALREADY GRADED A+] REAL
EXAM!!!
The students learn that deficiencies in folate and vitamin B12 alter the synthesis of which of
these?
a. RNA
b. Cell membrane
c. DNA
d. Mitochondria - ANS✔✔---c. DNA
A patient has defective secretion of the intrinsic factor leading to anemia. What treatment
option does the healthcare professional discuss with the patient?
a. Increasing iron sources in the diet such as red meat.
b. Vitamin B12 injections initially given once a week.
c. Having relatives tested for bone marrow donation.
d. Better control of the patient's underlying disorder. - ANS✔✔---b. Vitamin B12 injections initially given
once a week
,After a person has a subtotal gastrectomy for chronic gastritis, which type of anemia will
result?
a. Iron deficiency
b. Aplastic
c. Folic acid
d. Pernicious - ANS✔✔---d. Pernicious
Which condition resulting from untreated pernicious anemia (PA) is fatal?
a. Brain hypoxia
b. Liver hypoxia
c. Heart failure
d. Renal failure - ANS✔✔---c. Heart Failure
What term is used to describe the capacity of some erythrocytes to vary in size, especially in
relationship to some anemias?
a. Poikilocytosis
b. Isocytosis
c. Anisocytosis
d. Microcytosis - ANS✔✔---c. Anisocytosis
What is the fundamental physiologic manifestation of anemia?
a. Hypotension
b. Hyperesthesia
c. Hypoxia
d. Ischemia - ANS✔✔---c. Hypoxia
The paresthesia that occurs in vitamin B12 deficiency anemia is a result of which of these?
a. Reduction in acetylcholine receptors in the postsynaptic nerves
, b. Myelin degeneration in the spinal cord
c. Destruction of myelin in peripheral nerves
d. Altered function of neurons in the parietal lobe - ANS✔✔---b. Myelin degeneration in the spinal cord
Which of these describes how the body compensates for anemia?
a. Increasing rate and depth of breathing
b. Decreasing capillary vasoconstriction
c. Hemoglobin holding more firmly onto oxygen
d. Kidneys releasing more erythropoietin - ANS✔✔---a. Increase rate and depth of breathing
Which of these classified as a megaloblastic anemia?
a. Iron deficiency
b. Pernicious
c. Sideroblastic
d. Hemolytic - ANS✔✔---b. Pernicious
Which anemia produces small, pale erythrocytes?
a. Folic acid
b. Hemolytic
c. Iron deficiency
d. Pernicious - ANS✔✔---c. Iron deficiency
A patient in the healthcare clinic reports fatigue, weakness, and dyspnea, as well as pale
conjunctiva of the eyes and brittle, concave nails. What assessment by the healthcare
professional is most appropriate for the suspected anemia?
a. Blood pressure and apical pulse
b. Oral mucus membranes and tongue
c. Ability to swallow foods and liquids
