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    Chapter 15: Hematological and Immune System Disorders: Multiple Choice

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    Jamie
    This document contains a 15 question multiple choice quiz about hematological and immune system disorders discussed in Chapter 15, including iron deficiency anemia (IDA), anemia of chronic disease (ACD), and HIV/AIDS. Key points covered include the laboratory findings associated with IDA, initial therapy for IDA, appropriate next steps in evaluating a patient with IDA, when to change IDA therapy, appropriate patient education on iron therapy, expected laboratory findings in ACD, the pathophysiology and treatment focus of ACD, the most useful laboratory test for diagnosing IDA and ACD, appropriate patient education on ACD, initial symptoms of HIV infection, primary transmission of HIV in the US, group with highest HIV/AIDS rate in older adults, contributing

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    Chapter 15: Hematological and Immune System Disorders: Multiple Choice

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    Jamie
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    This document contains a 15 question multiple choice quiz about hematological and immune system disorders discussed in Chapter 15, including iron deficiency anemia (IDA), anemia of chronic disease (ACD), and HIV/AIDS. Key points covered include the laboratory findings associated with IDA, initial therapy for IDA, appropriate next steps in evaluating a patient with IDA, when to change IDA therapy, appropriate patient education on iron therapy, expected laboratory findings in ACD, the pathophysiology and treatment focus of ACD, the most useful laboratory test for diagnosing IDA and ACD, appropriate patient education on ACD, initial symptoms of HIV infection, primary transmission of HIV in the US, group with highest HIV/AIDS rate in older adults, contributing

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    This document contains a 15 question multiple choice quiz about hematological and immune system disorders discussed in Chapter 15, including iron deficiency anemia (IDA), anemia of chronic disease (ACD), and HIV/AIDS. Key points covered include the laboratory findings associated with IDA, initial therapy for IDA, appropriate next steps in evaluating a patient with IDA, when to change IDA therapy, appropriate patient education on iron therapy, expected laboratory findings in ACD, the pathophysiology and treatment focus of ACD, the most useful laboratory test for diagnosing IDA and ACD, appropriate patient education on ACD, initial symptoms of HIV infection, primary transmission of HIV in the US, group with highest HIV/AIDS rate in older adults, contributing

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    Download as rtf, pdf, or txt
    38 views4 pages

    Chapter 15: Hematological and Immune System Disorders: Multiple Choice

    Uploaded by

    Jamie
    This document contains a 15 question multiple choice quiz about hematological and immune system disorders discussed in Chapter 15, including iron deficiency anemia (IDA), anemia of chronic disease (ACD), and HIV/AIDS. Key points covered include the laboratory findings associated with IDA, initial therapy for IDA, appropriate next steps in evaluating a patient with IDA, when to change IDA therapy, appropriate patient education on iron therapy, expected laboratory findings in ACD, the pathophysiology and treatment focus of ACD, the most useful laboratory test for diagnosing IDA and ACD, appropriate patient education on ACD, initial symptoms of HIV infection, primary transmission of HIV in the US, group with highest HIV/AIDS rate in older adults, contributing

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    Chapter 15: Hematological and Immune System Disorders

    Multiple Choice
    Identify the choice that best completes the statement or answers the question.

    ____ 1. Iron Deficiency Anemia (IDA) is classified as a microcytic, hypochromic anemia. This classification
    refers to which of the following laboratory data?
    A. Hemoglobin and hematocrit
    B. Mean Corpuscular Volume (MCV) and Mean Corpuscular Hemoglobin (MCH)
    C. Serum ferritin and serum iron
    D. Total iron binding capacity and transferrin saturation

    ____ 2. Initial therapy for patients with IDA is:


    A. Blood transfusion
    B. Increasing dietary intake of green leafy vegetables
    C. Ferrous sulfate 325 mg orally bid-tid
    D. Parenteral administration of Venofer

    ____ 3. Mrs. G, a 70-year-old patient, presents to you with a hemoglobin of 9.4 and a decreased MCV/MCV.
    You diagnose her with IDA and start her on ferrous sulfate 325 mg PO tid. The next step in your
    work-up would be:
    A. Send Mrs. G for a GI consult
    B. Obtain hemoglobin one week after oral therapy
    C. Schedule Mrs. G for an upper GI series
    D. Obtain stool for occult blood

    ____ 4. Despite adherence to oral iron therapy of 2 weeks, your elderly patient with IDA demonstrates a
    drop in his hemoglobin from 8.4 to 7.4. He is complaining of fatigue, dyspnea, and heart racing. You
    would change his therapy by which of the following:
    A. Schedule patient for outpatient parenteral iron infusion
    B. Switch to a different form of oral therapy
    C. Schedule patient for outpatient blood transfusion
    D. Make no changes until evaluated by GI specialist

    ____ 5. You are prescribing oral iron therapy for a patient with IDA. In teaching your patient about iron
    therapy, all of the following instructions should be reviewed except:
    A. Iron is best taken on an empty stomach one hour before meals
    B. Meat, fish, poultry, beans, and green leafy vegetables are good dietary sources of
    iron
    C. Adding vitamin D daily enhances absorption of iron
    D. Common GI side effects of iron therapy include constipation, nausea, and black
    stools
    ____ 6. When interpreting laboratory data, you would expect to see the following in a patient with Anemia
    of Chronic Disease (ACD):
    A. Hemoglobin <12 g/dl, Mean Corpuscular Volume (MCV) decreased, Mean
    Corpuscular Hemoglobin (MCH) decreased
    B. Hemoglobin >12 g/dl, Mean Corpuscular Volume (MCV) increased, Mean
    Corpuscular Hemoglobin (MCH) increased
    C. Hemoglobin <12 g/dl, Mean Corpuscular Volume (MCV) normal, Mean
    Corpuscular Hemoglobin (MCH) normal
    D. Hemoglobin >12 g/dl, Mean Corpuscular Volume (MCV) decreased, Mean
    Corpuscular Hemoglobin (MCH) increased
    ____ 7. The pathophysiological hallmark of ACD is:
    A. Depleted iron stores
    B. Impaired ability to use iron stores
    C. Chronic uncorrectable bleeding
    D. Reduced intestinal absorption of iron

    ____ 8. The main focus of treatment of patients with ACD is:


    A. Replenishing iron stores
    B. Providing for adequate nutrition high in iron
    C. Management of the underlying disorder
    D. Administration of monthly vitamin B12 injections

    ____ 9. In addition to the CBC with differential, which of the following laboratory tests is considered to be
    most useful in diagnosing ACD and IDA?
    A. Serum iron
    B. Total iron binding capacity
    C. Transferrin saturation
    D. Serum ferritin

    ____ 10. Education of patient and family regarding ACD includes discussion of all of the following except:
    A. Early prevention of chronic conditions through healthy lifestyle measures
    B. Importance of adherence to the treatment plan for management of chronic
    conditions
    C. Explaining the ACD is mainly attributed to the aging process
    D. Importance of regular follow-up to monitor responses to treatments

    ____ 11. Symptoms in the initial HIV infection include all of the following except:
    A. Sore throat
    B. Fever
    C. Weight loss
    D. Headache

    ____ 12. The primary mode of HIV transmission in the U.S. is:
    A. Blood transfusion
    B. Men having sex with men
    C. Heterosexual contact
    D. Needle sharing

    ____ 13. In the older adult, which group comprises the highest rate of HIV/AIDS?
    A. African American women
    B. African American men
    C. Hispanic women
    D. Hispanic men
    ____ 14. Contributing factors in HIV development in the older adult include all of the following except:
    A. Older adults are less likely to be tested
    B. Healthcare providers do not routinely ask older adults about HIV risks
    C. Older adults are less likely to use condoms
    D. Older adults are at low risk to contract HIV

    ____ 15. Immune system changes that render older adults more susceptible to contracting HIV include all of
    the following except:
    A. Hyper-responsive T cells
    B. Age-related thymic involution
    C. Depletion of naïve CD4 cells
    D. Decline in B cell function
    Chapter 15: Hematological and Immune System Disorders
    Answer Section

    MULTIPLE CHOICE

    1. ANS: B PTS: 1
    2. ANS: C PTS: 1
    3. ANS: D PTS: 1
    4. ANS: C PTS: 1
    5. ANS: C PTS: 1
    6. ANS: C PTS: 1
    7. ANS: B PTS: 1
    8. ANS: C PTS: 1
    9. ANS: D PTS: 1
    10. ANS: C PTS: 1
    11. ANS: C PTS: 1
    12. ANS: B PTS: 1
    13. ANS: A PTS: 1
    14. ANS: D PTS: 1
    15. ANS: A PTS: 1

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