Unit 3 ANEMIAS chapters

Question 1

what is cobalamin

Answer 1

when the body has inadequate sources of vitamin b12 or malabsorption disorders.

Question 2

what deficiency impairs

RBC production, with a resulting decrease in tissue perfusion

Answer 2

vit b12

Question 3

what is only found in meat products

Answer 3

B12

Question 4

What its required for normal function if the CNS, RBC, REGULATION OF DNA

Answer 4

B12

Question 5

what anemia has this diagnostic test

CBC

Physical examination

MMA level ( methyl malonic acid)

Gastrin levels

Intrinsic factors levels

Schillings test- radio nuclear 24 hr urine test

Answer 5

b12

Question 6

what anemia has these At-Risk Groups

Gastrointestinal restrictions

Autoimmune disorders

Chrones disease

Celiac desiease

Medication that decreases gastric secreations

Low socioechonomic satus

vegan

Answer 6

b12

Question 7

what anemia has these Medications?

injections

Oral supplementation

Answer 7

B12

Question 8

what anemia has this Diet Teaching

Animal protiens

Meat

Seafood

Eggs

Dairy products

Answer 8

b12

Question 9

what anemia has this Complications

Impairs DNA synthesis and RBC production

Orthostatic hypotension

Answer 9

b12

Question 10

In what anemia is “blank” needed for DNA synthesis & maturation of heme?

Answer 10

folic acid

Question 11

what anemia has this Diagnostic Test

CBC

Serum folate levels- a fasting blood test

RBC folate level

Increased Serum MMA- best test to diagnose this deficiency

Homocysteine levels- best test to diagnose this deficiency

Answer 11

FAD

Question 12

what anemia has these At-Risk Groups

Pregant woman

Children 1>

Older adults with chronic iilness

Alchoholics

Extreme diets

Rheumatoid arthritis patients who take methotrexate

Patiets on hemodialysis

Answer 12

FAD

Question 13

what anemia has this Medication

Fortified cerial and grains

Oral supplementation

Answer 13

FAD

Question 14

what anemia has this
Diet Teaching

Green leafy vegatables

Bran

Yeast

Legumes

nuts

Answer 14

FAD

Question 15

what anemia has this Complications

During pregnancy= fetal neural tube defects, congenetal orofacial abnormalities

Spinabifeda, cleft palate and lip, neural tube defects

nterefere with th eformation of heme

Increase immune dysfunction

Impair thrmoregulation

In pregnancy= low birth weight, preterm labor, post partum mortality

Infant born with neuro tube defects or oreo facial abnormalities

Answer 15

FAD

Question 16

what anemia Develops due to bone marrow depression or damage

Aquired secondary to infetions like hepatitis & HIV

Answer 16

Aplastic anemia

Question 17

what anemia has this Diagnostic Test

CBC- reveal pancytopenia, decreased reticulocyte, WBC, platelet counts.

Coagulation test- due to the potential for thrombocytopenia

Iron levels

Hemoglobin electrophresis

Answer 17

Aplastic anemia

Question 18

wich anemia has this At-Risk Groups

20-25

Older than 60

Males in asia

Answer 18

Aplastic anemia

Question 19

what anemia has this Medication

Blood transfusion- primary treatment

Bone marrow transplant from an HLA- matched sibiling doner

Stimulating bone marrow production with neupogen,epogen

Over 60yrs immunosuppresive therapy is perfered

Answer 19

aplastic anemia

Question 20

what anemia has this Complications

70% mortality rate

Hemorrhage & infection due to decreased platelets and WBC

Risk of GVD due to bone marrow transplant

Answer 20

aplastic anemia

Question 21

what anemia has this outcome?

Stable cbc and platelets counts, with the absence of infection and bleeding

Answer 21

aplastic anemia

Question 22

what anemia has this etiology?

Hereditary disorder that leads to hemolysis when the patient is exposed to specific food, medication, stress, infections

Answer 22

G6PD

Question 23

what anemia has this diagnostic testing?

CBC

Reticulocyte count

Blood smear analysis for Heinz bodies

DNA testing & sequencing

Answer 23

G6PD

Question 24

what anemia has this
At-Risk Groups

Blacks

Men

Answer 24

G6PD

Question 25

what anemia has this Medication Prevention- avoid foods and medications that cause hemolysis Blood transfusion- Folic acid Splenectomy- enlarged spleen due to frequent episodes of hemolysis

Answer 25

G6PD

Question 26

what anemia has this Complications Splenomegaly- elevated numbers of lysed RBS circulating through the spleen Anemia Kidney damage Newborns * Bilirubin brain disorder * Kernicterus * Jaundice

Answer 26

G6PD

Question 27

what anemia has An increase in the production of RBCs Disorder of the bone marrow in wich there is an increase production of RBCs

Answer 27

Polycythemia vera

Question 28

what anemia occurs because of the bodys hypoxic state High altitudes Heavy smoke

Answer 28

secondary polycythemia vera

Question 29

what anemia causes a mutation of JAK 2?

Answer 29

polycythemia vera

Question 30

what anemia has this Diagnostic Test complete history Physical exam CBC Erythropoitein level Blood semar Bone marrow biopsy Genetic testing

Answer 30

polycythemia vera

Question 31

what anemia has this At-Risk Groups Men more than woman 60 yrs or older Exposure to radiation People inhigh altitutes People inheavy smoke

Answer 31

polycythemia vera

Question 32

what anemia has this Medication Therapeutic phlebotomy 350-500 mL a day Radiation To supress bone marrow Antiplatelet medication asprin

Answer 32

polycythemia vera

Question 33

what anemia has this Diet Teaching Quit smoking Avoid extreame temperatures Guard against injury and drinking Drink 3 L of fluid a day Avoid tight clothing

Answer 33

polycythemia vera

Question 34

what anemia has this Complications Thombosis Leads to pulmonary infraction Hemorage Gatrointestinal hemorage Acute myelogenous anemia Heart failure

Answer 34

polycythemia vera

Question 35

which anemia runs the risk of hemorage because of Reduced number of platelets Below avarage range 150,00-450,000 an is a complication of other disorders

Answer 35

Thrombocytopenia Hemophilia

Question 36

what anemia is a hereditary disorder carried by females on the X chromosome but manifestation occures only in males

Answer 36

Thrombocytopenia Hemophilia

Question 37

what anemia has this etiology? Decreased production of platelets by the bone marrow or increased platelet distruction Malignacy Infections Certain medications Autoimmune disease Viral infection or immunisation inchildren

Answer 37

Thrombocytopenia Hemophilia

Question 38

what anemia has this Diagnostic Test CBC Bone marrow biopsy PPT Clotting facotors Blood smear Thrombin time

Answer 38

Thrombocytopenia Hemophilia

Question 39

what anemia has these At-Risk Groups Children *.As a viralinfection Pragnacy *Low platelet count may develop in 3rd trimester aka gastational thrombocypenia African decent obease

Answer 39

Thrombocytopenia Hemophilia

Question 40

what anemia has this Medication Glucocorticoids Increase platelet count splenectomy Splene is the primary cite of platelet distruction Replace missing clotting factors Stop heparin administration Do not use warfarin Approved annticuagolents

Answer 40

Thrombocytopenia Hemophilia

Question 41

what anemia has this Complications Risk of hemorage

Answer 41

Thrombocytopenia Hemophilia