Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

UA > UA final review Q's 2 > Flashcards

UA final review Q's 2 Flashcards

1
Q

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.

A

iron deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

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

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

the second leading cause of anemia worldwide is

A

chronic disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

the infectious microorganism directly associated with hemolytic uremic syndrome is

A

E-coli 157-07

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

a risk factor for vitamin B-12 anemia is:

A

vegetarian diet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

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

A

vit B-12 study

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

which of the following is not associated with hemolytic anemia

A

increased haptoglobin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

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.?

A

sickling is spontaneous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

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

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is the condition u would suspect?

A

sickle cell

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

john’s prob. can be corrected by?

A

cannot be corrected bc its genetic in nature

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

with iron deficiency anemia, u would suspect?

A

low MCV low hematite and low MCHC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

which of the following anemias are megaloblastic?

A
  • B12 deficiency

- & folate deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

cobalamin transport out of the gut is mediated by:

A

intrinsic factor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

aplastic anemia can be caused by:

A

-infection
-EBV
-radiation
(all the above)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

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

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

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

A

enlarged spleen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

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

A

hemoglobin S

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

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

A

leukemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

polycythemia may be due to :

A

decreased plasma

21
Q

polycythemia may also be due to:

A

increase in number of cells

22
Q

the mild form of thallasemia responds to:

A

no treatment

23
Q

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?

A

viral infection

24
Q

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

A

mononucleosis

25
Q

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

A

strept throat

26
Q

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

A

spleenomegally

27
Q

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:

A

absence or decrease in synthesis of one or more goblin subunits

28
Q

vito spatfore has a fasting lipid profile of 300 (normal

A

LDL 250 HDL 50

29
Q

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

A

thallasemia

30
Q

which of the following anemias are microcytic?

A

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

31
Q

ESR is __, but not __.

A

Sensitive/specific

32
Q

an iron deficiency anemia, the erythrocyte indices are typically:

A

MCV decreased, MCH decreased

33
Q

what is the most common cause of iron deficiency anemia?

A

loss of nutrient exceeding the replenishment of nutrient

34
Q

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

A

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

35
Q

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

A

physiologic polycythemia

36
Q

what does MCV tell u?

A

average size of the red blood cell

37
Q

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

A

complete metabolic panel

38
Q

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

A

factor VIII/ the severs of the genetic disorder

39
Q

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

A

thrombocytopenia

40
Q

erythrocytes:

A

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

41
Q

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

A

a normal patient

42
Q

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

A

spontaneous bleeding

43
Q

von willabrands disease is a problem w/

A

platelet adhesion

44
Q

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

A

spontaneous bleeding

45
Q

glucose:

A

60-100 mg/dl

46
Q

sodium:

A

135-147 mEq/l

47
Q

calcium:

A

8.8-10.3 mEq/l

48
Q

chloride:

A

95-107 mEq/dl

49
Q

potassium:

A

3.5-5.2 mEq/dl

UA (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions