Practice quiz lecture 1.2-1.3 Flashcards
Which of the following is NOT a good source of heme iron?
a) Tofu
b) Eggs
c) Beef
d) Oysters
a) Tofu
In general, iron metabolism is balanced between absorption of and loss of how many milligrams per day?
a) 0.1mg/day
b) 1 mg/day
c) 10mg/day
d) 100mg/day
b) 1 mg/day
Which of the following are examples of causes of decreased iron absorption? Select all that apply.
a) Celiac disease
b) Gastric resection
c) Jejunal bypass surgery
d) Zinc deficiency
All of the above
What does pagophagia mean? Select the best answer.
a) Craving for non-food items
b) Craving for salt
c) Craving for ice
d) Craving for water
c) Craving for ice
Plummer-Vinson Syndrome was noted in the slides to be a cause of dysphagia in what condition?
a) Sideroblastic anemia
b) Polycythemia
c) Pancytopenia
d) Iron deficiency anemia
d) Iron deficiency anemia
Which of the following is an incorrect recommendation for the administration of ferrous sulfate (PO)?
a) Take with food
b) Avoid taking with food
c) Gastric acidity helps.
d) Vit. C may increase absorption; calcium may decrease it.
e) The pt should keep taking it for 3–6 months after restoration of normal hematologic values.
a) Take with food
Which of the following groups of patients is Ferric pyrophosphate citrate (Triferic) indicated for?
a) Pregnant patients
b) Intolerance of oral iron
c) Severe anemia
d) Hemodialysis
d) Hemodialysis
Anemia of Chronic disease (ACD)/AI occurs when an acute or chronic inflammatory condition leads to increased cytokine production and elevated _______________.
a) Ferritin
b) Hepcidin
c) Ferroportin
d) Heparin
b) Hepcidin
Which of the following are causes of anemia of chronic disease (ACD)/AI? Select all that apply.
a) CHF
b) COPD
c) IBS
d) Obesity
e) RA
f) Endometriosis
g) IBD
h) Aging
i) Lymphoma
a) CHF
b) COPD
d) Obesity
e) RA
g) IBD
h) Aging
i) Lymphoma
Which of the following is NOT decreased in ACD/AI?
a) RBC lifespan
b) RBC production
c) RBC apoptosis
d) Erythropoietin
e) Fe release from macrophages
c) RBC apoptosis
Which of the following lists the expected lab values for ACD/AI?
a) High or normal ferritin; low TIBC; normocytic MCV; normochromic anemia
b) Low or normal ferritin; low TIBC; normocytic MCV; hypochromic anemia
c) High or normal ferritin; high TIBC; microcytic MCV; normochromic anemia
d) Low or normal ferritin; high TIBC; microcytic MCV; hypochromic anemia
a) High or normal ferritin; low TIBC; normocytic MCV; normochromic anemia
Which of the following contains the usual findings with anemia of CKD?
a) Hypochromic; normocytic; low retic count; increased EPO
b) Normochromic; normocytic; low retic count; decreased EPO
c) Hypochromic; normocytic; low retic count; decreased EPO
d) Normochromic; macrocytic; low retic count; increased EPO
b) Normochromic; normocytic; low retic count; decreased EPO
With Sideroblastic Anemias, the synthesis of ___________ is decreased
a) Iron
b) Erythropoietic progenitor cells
c) Hgb
d) Lead
c) Hgb
Coarse basophilic stippling of RBCs & elevated serum lead levels are characteristic of what?
a) Sideroblastic anemia
b) Polycythemia vera
c) ACI
d) Iron deficiency anemia
a) Sideroblastic anemia
True or false: You should treat patients with bicytopenia the same as patients with pancytopenia.
True
Which of the following contains the correct definitions for neutropenia and thrombocytosis?
a) Neutropenia: absolute neutrophil count (ANC) <650. Thrombocytosis = platelet count >250,000/microL
b) Neutropenia: absolute neutrophil count (ANC) <6000. Thrombocytosis = platelet count >1,000,000/microL
c) Neutropenia: absolute neutrophil count (ANC) <1200. Thrombocytosis = platelet count >500,000/microL
d) Neutropenia: absolute neutrophil count (ANC) <1800. Thrombocytosis = platelet count >450,000/microL
d) Neutropenia: absolute neutrophil count (ANC) <1800. Thrombocytosis = platelet count >450,000/microL
“Generalized pruritus after bathing” is a characteristic symptom of what condition? Choose the best answer.
a) Polycythemia vera (PV) (a type of primary absolute polycythemia)
b) Polycythemia vera (PV) (a type of secondary absolute polycythemia)
c) Iron deficiency anemia (a type of macrocytic anemia)
d) Iron deficiency anemia (a type of microcytic anemia)
e) Hemoconcentration (decreased plasma volume) (relative polycythemia)
f) Hemoconcentration (decreased plasma volume) (absolute polycythemia)
a) Polycythemia vera (PV) (a type of primary absolute polycythemia)
Stomatitis is a clinical finding in what condition?
a) Thrombocytosis
b) Polycythemia vera
c) Erythrocytosis
d) Neutropenia
d) Neutropenia
Which of the following is the most common complication of polycythemia vera? Choose the best answer.
a) DVT
b) Thrombosis
c) Hypoxia
d) PE
b) Thrombosis
The most common cause of the condition that is life-threatening when accompanied by fever is what?
a) Iron deficiency
b) Infection
c) Drug reaction
d) CKD
c) Drug reaction
Which of the following is typically a microcytic anemia?
a) Anemia of kidney disease
b) Anemia of chronic disease (ACD/AI)
c) Sideroblastic Anemias
d) Aplastic anemia
c) Sideroblastic Anemias
