Understanding Hematological Disorders: Microcytic Anemia and Related Conditions, Quizzes of Nursing

An in-depth analysis of various hematological disorders, with a focus on microcytic anemia. It covers the characteristics, causes, and symptoms of microcytic anemia, including its subtypes like thalassemia and sickle cell anemia. The document also discusses other related disorders such as iron deficiency anemia, anemia of chronic disease, and hereditary spherocytosis. It offers insights into the pathophysiology, lab values, and treatment options for these conditions.

Typology: Quizzes

2023/2024

Available from 05/21/2024

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Hematological Disorder Week 2
Which of the following is considered a microcytic
anemia? Folate deficiency.
Hereditary
spherocytosis. B12
deficiency.
Iron deficiency.
Which of the following is not a clinical characteristic of
anemia? Pallor
Bradycardia
Fatigue
Dyspnea
The terms normocytic, microcytic, and macrocytic characterizes
red blood cells by their
Size
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Hematological Disorder Week 2

Which of the following is considered a microcytic anemia? Folate deficiency. Hereditary spherocytosis. B deficiency. Iron deficiency. Which of the following is not a clinical characteristic of anemia? Pallor Bradycardia Fatigue Dyspnea The terms normocytic, microcytic, and macrocytic characterizes red blood cells by their Size

Which of the following would normocytic-normochromic indicate? The cell is normal in size and normal in hemoglobin level The cell is normal in size, but low in hemoglobin level The cell is abnormal in shape, but normal in hemoglobin level The cell is abnormal in size and abnormal in hemoglobin level Which of the following symptoms reflect decreased tissue oxygenation as an effect of anemia? Symptoms of Decreased Tissue Oxygenation Dizziness, dyspnea, & weakness Which of the following is a type of macrocytic anemia? Thalassemia. Anemia of chronic disease. Vitamin B- deficiency. Iron-deficiency anemia. Which of the following would indicate that the patient’s iron stores are depleted? Ferritin level. Total iron binding capacity. Vitamin-B- level. Total RBC count. The most common type of anemia is Iron deficiency anemia

Increased absorption of iron-containing foods. Excessive bleeding. Reduced absorption of Vitamin B-12. The treatment of iron deficiency anemia includes: Blood transfusions. Vitamin-B- replacement. Ferritin replacement. Iron supplementation.

Microcytic Anemias

As you should recall, microcytic anemias result from conditions whereby the RBCs are small (MCV<80 dL). These anemias can also be classified according to their color, or amount of hemoglobin per RBC (MCHC). Identify if each item below is Microcytic Hypochromic, Microcytic Normochromic, or Microcytic Hyperchromic. Thalassemia Hereditary spherocytosis Sideroblastic Iron deficiency Anemia of inflammation and chronic disease Microcytic Hyperchromic Microcytic Normochromic Microcytic Hypochromic

The basic pathophysiology of iron deficiency anemia is that there are insufficient iron levels or the inability of the cell’s mitochondria to utilize iron effectively. True False Which of the following are iron-rich foods? Meat. Lima beans. Spinach. When iron stores are depleted, the cell’s mitochondria are still able to utilize iron effectively due to compensatory mechanisms. True False A transferrin deficiency will most likely result in: Pernicious anemia. Hemolytic anemia. Aplastic anemia. Iron-deficiency anemia. One of the common precipitating factors of folate deficiency is alcohol abuse. True False Folic acid is essential to the body because it: Plays a major role in the maturing of

Prevents cardiovascular disease. Impacts the absorption of vitamin B-12. A non-megaloblastic anemia would be caused by liver disease A deficiency of intrinsic factor will result in pernicious anemia The MCV lab values will be normal in a patient with pernicious anemia Which of the following lab values are normal for the patient with folate deficiency? Reticulocyte count. MCV. Folate. Ferritin. Which of the following will be elevated in a patient with pernicious anemia? Serum B-12. Folate. Reticulocyte count. MCV. Which of the following lab values will be low in a patient with folate deficiency? MCV. MCHC. Ferritin. Reticulocyte count.

An individual who has received an incorrect blood transfusion will exhibit signs of:

Post-hemorrhagic anemia Hemolytic anemia

Reticulocyte count MCHC is normal in all the above anemias The lab values are low in aplastic anemia. lab values are normal for hemolytic anemia. Which of the following statements are correct regarding thalassemia? Is characterized by acute and painful episodes. May have many possible genetic mutations. Maintains effective erythropoiesis. Involves a double amino acid change on the beta chain. The patient with sickle cell anemia is at high risk for stroke. True False The pathophysiology of sickle cell anemia involves a single amino- acid change on the beta-chain. True False There are four genes involved in encoding synthesis of the alpha protein chains for Hb and are located on chromosome number 16. True False Cells that contain abnormal types of hemoglobin are more susceptible to infection by the parasite that causes malaria True MCV

Sickle Cell Anemia Thalassemia Involves a single amino acid change on the beta-chain Increased red blood cell (RBC) hemoglobin S concentration, RBC dehydration, acidosis, and hypoxemia May have many possible genetic mutations Characterized by acute painful episodes Ineffective erythropoiesis Occurs primarily in persons from southeast Asia and China

X

The patient with thalassemia is at high risk for stroke. True False Sickle-cell anemia is an: Idiopathic in blood disorder. Autosomal dominant genetic

disorder. Autosomal recessive genetic disorder. Immunodeficiency disorder.