UA final review Q's 2

Question 1

10 mo. old is pale and listless upon physical examination, chiro ordered a CBC, platelet count, total serum iron and ferritin study. results are: HCT=24 & MCV=68.6
microscopic reveals significant anisocytosis, microcytosis, hypochromia, and piokilocytosis. a normal distribution of platelets was present. stool and urine studies are negative for blood or parasites. what category of anemia is suggested by the morphology of the RBC’s and blood results.

Answer 1

iron deficiency

Question 2

what other signs on inspection would aid you in ur dx?

Answer 2

-swelling of the tongue
-dry lips
-craving for ice chips
(all the above)

Question 3

the second leading cause of anemia worldwide is

Answer 3

chronic disease

Question 4

the infectious microorganism directly associated with hemolytic uremic syndrome is

Answer 4

E-coli 157-07

Question 5

a risk factor for vitamin B-12 anemia is:

Answer 5

vegetarian diet

Question 6

a pt. presents with abdominal distress, neurological disturbances and trouble seeing yellow and blue. you would order:

Answer 6

vit B-12 study

Question 7

which of the following is not associated with hemolytic anemia

Answer 7

increased haptoglobin

Question 8

john presents in ur office with dyspnea, jt. pain and fatigue. he is a 25 yoa black male who has experienced these symptoms on and off for several years. the crisis seem to come and go. what factors contribute to the erythrocyte disorder you suspect in this pt.?

Answer 8

sickling is spontaneous

Question 9

which of the following dx tests would provide aid in conformation of your suspicions? (john)

Answer 9

-CBC
-UA
-microscopic blood analysis
(all the above)

Question 10

what is the condition u would suspect?

Answer 10

sickle cell

Question 11

john’s prob. can be corrected by?

Answer 11

cannot be corrected bc its genetic in nature

Question 12

with iron deficiency anemia, u would suspect?

Answer 12

low MCV low hematite and low MCHC

Question 13

which of the following anemias are megaloblastic?

Answer 13

• B12 deficiency

- & folate deficiency

Question 14

cobalamin transport out of the gut is mediated by:

Answer 14

intrinsic factor

Question 15

aplastic anemia can be caused by:

Answer 15

-infection
-EBV
-radiation
(all the above)

Question 16

pts. with aplastic anemia need to be identified quickly as it will progress quickly and result in death. T/F?

Answer 16

true

Question 17

in a pt. with hereditary spherocytosis you would expect to ind this on palpation of the abdomen:

Answer 17

enlarged spleen

Question 18

in sickle cell anemia the pt. possesses an abnormal form of hemoglobin called:

Answer 18

hemoglobin S

Question 19

u receive a lab report on a pt. and u notice the number of WBC is 450,000. u would suspect?

Answer 19

leukemia

Question 20

polycythemia may be due to :

Answer 20

decreased plasma

Question 21

polycythemia may also be due to:

Answer 21

increase in number of cells

Question 22

the mild form of thallasemia responds to:

Answer 22

no treatment

Question 23

a pt. present with high fever, sore throat and achy muscles. she is a 22 yoa female. her blood work is: WBC differential, neutrophil-28%, lympo.-68%, mono.-2%, eosin.-2%, & baso.-1%. wat do u suspect is her problem?

Answer 23

viral infection

Question 24

if she reported a new boyfriend w/ similar symptoms you would suspect

Answer 24

mononucleosis

Question 25

if she had positive streptococcus culture or ASO, you wold now suspect:

Answer 25

strept throat

Question 26

what would u expect to find on the clinical exam of this pt.?

Answer 26

spleenomegally

Question 27

joe is an italian american. is is overweight and reports poor dietary habits. he has fatigue and pallor. he is 40 yoa, and has had mild symptoms like this on and off his whole life. his disease would be characterized by:

Answer 27

absence or decrease in synthesis of one or more goblin subunits

Question 28

vito spatfore has a fasting lipid profile of 300 (normal

Answer 28

LDL 250 HDL 50

Question 29

if you saw hair on end appearance on a cervical X-ray, you would suspect?

Answer 29

thallasemia

Question 30

which of the following anemias are microcytic?

Answer 30

-iron deficiency -chronic disease anemia -thallasemia (all of the above)

Question 31

ESR is __, but not __.

Answer 31

Sensitive/specific

Question 32

an iron deficiency anemia, the erythrocyte indices are typically:

Answer 32

MCV decreased, MCH decreased

Question 33

what is the most common cause of iron deficiency anemia?

Answer 33

loss of nutrient exceeding the replenishment of nutrient

Question 34

what is the combination which may result in erythroblastosis fetalis anemia?

Answer 34

Rh (+)father, Rh (-) mother, Rh (+) baby

Question 35

what is the normal response to living at high altitudes, in a lowered oxygenated environment?

Answer 35

physiologic polycythemia

Question 36

what does MCV tell u?

Answer 36

average size of the red blood cell

Question 37

what lab test would give information about a pt's electrolyte/hydration status?

Answer 37

complete metabolic panel

Question 38

hemophilia is a lack of __ and its severity is dependent on __.

Answer 38

factor VIII/ the severs of the genetic disorder

Question 39

bruising without a cause usually would most likely be classified as:

Answer 39

thrombocytopenia

Question 40

erythrocytes:

Answer 40

-are anucleated -outnumber the WBC -are dependent on structure (all of the above)

Question 41

if you see a pt with 400,00- platelets per ccm you would suspect:

Answer 41

a normal patient

Question 42

a platelet count of 50,000 will put the pt at risk for

Answer 42

spontaneous bleeding

Question 43

von willabrands disease is a problem w/

Answer 43

platelet adhesion

Question 44

a pt. with a sever deficiency of vit. K would be at risk for?

Answer 44

spontaneous bleeding

Question 45

glucose:

Answer 45

60-100 mg/dl

Question 46

sodium:

Answer 46

135-147 mEq/l

Question 47

calcium:

Answer 47

8.8-10.3 mEq/l

Question 48

chloride:

Answer 48

95-107 mEq/dl

Question 49

potassium:

Answer 49

3.5-5.2 mEq/dl