Quiz

Question 1

hematocrit

Answer 1

percentage of total blood volume made of RBCs

Question 2

if any of what three values are low = anemic

Answer 2

RBC, Hgb, Hct

Question 3

MCV

Answer 3

size: macro/micro

Question 4

MCH

Answer 4

hgb weight

Question 5

MCHC

Answer 5

concentration of RBC

Question 6

anemia due to what 3 things

Answer 6

decreased production, increased destruction, blood loss

Question 7

microcytic hypochromic anemia

Answer 7

IDA, ACD, C. blood loss, thalassemia

Question 8

macrocytic normochromic

Answer 8

B12/folic acid deficiency, alcoholism, liver disease

Question 9

normocytic, normochromic

Answer 9

ACD (75%), A. blood loss, hemolytic, aplastic

Question 10

what is the MC cause of anemia worldwide

Answer 10

IDA particularily from GI blood loss due to parasitic infection

Question 11

MC cause of anemia if post menopausal age (50)

Answer 11

GI bleeding due to nonparasitic causes such as ulcer/CA

Question 12

MC reason of anemia in developed world in pre-menopausal women

Answer 12

menses

Question 13

MC cause of IDA

Answer 13

C. blood loss (especially GI tract)

Question 14

TIBC

Answer 14

measures proteins capacity/affinity in the blood that are available to bind with iron

Question 15

what has increased TIBC

Answer 15

IDA and Chronic blood loss

think…if there is no iron…there are a lot of TIBC’s wanting to bing iron. to TIBC increases

Question 16

what has low TIBC

Answer 16

ACD

Question 17

what is ACD

Answer 17

inhibition of erythropoesis and altered iron metabolism

Question 18

where is alpha and beta thalassemai seen

Answer 18

alpha: china/SE Asia
beta: mediterranean

Question 19

s/s of cooleys/thalassemai major

Answer 19

growth failure, bone deformities, marrow expansion, wide diploic space, hair on end, rodent faces, hepatosplenomegaly, jaundice, gallstones

Question 20

what has normal TIBC

Answer 20

thalassemia

Question 21

what is done to differentiate alpha/beta thalassemia

Answer 21

hemoblobin electrophoresis

Question 22

what does megaloblastic infer

Answer 22

inhibition of DNA synthesis in RBC production likely due to folate/B12 deficiency

Question 23

what is the MC cause of B12 deficiency

Answer 23

deficiency of IF-pernicious anemia

Question 24

what is the 2/3 MC reasons for B12 deficiency

Answer 24

2: lack of gastric acid
3: malabsorption (worm/IBS)

Question 25

s/s of B12 deficiency

Answer 25

lemon-yellow skim, premature graying, weakness, sore tongue, GI s/s, paresthesias, loss of vibratory sensation, irritable, emotion instability

Question 26

s/s of megaloblastic

Answer 26

glossittis (tonuge) stomatitis (mouth)

Question 27

aplastic anemia

Answer 27

normocytic normochromic: decreased RBC, WBC, platlets