Hematology in Practice 2nd Edition By Betty Ciesla - Test Bank Instant Download - Complete Test Bank With Answers Sample Questions Are Posted Below Chapter 5: The Microcytic Anemias Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. Transferrin receptors for iron …
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Hematology in Practice 2nd Edition By Betty Ciesla – Test Bank
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Sample Questions Are Posted Below
Chapter 5: The Microcytic Anemias
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Transferrin receptors for iron uptake are located on the:
| a. | Basophilic normoblast |
| b. | Pronormoblast |
| c. | Reticulocyte |
| d. | Orthochromic normoblast |
____ 2. Storage iron is usually determined by the:
| a. | Serum transferrin level |
| b. | Hemoglobin value |
| c. | Myoglobin value |
| d. | Serum ferritin level |
____ 3. In addition to iron ingestion, over 90% of iron in adults that is used for erythropoiesis is obtained through:
| a. | Transfusion |
| b. | Recycling of iron |
| c. | Storage forms from spleen and the liver |
| d. | Hemosiderin |
____ 4. The first stage of iron deficiency anemia is termed:
| a. | Microcytic hypochromic anemia |
| b. | Iron depletion |
| c. | Iron deficiency |
| d. | Iron overload |
____ 5. All of the following are symptoms of iron deficiency anemia except:
| a. | Pallor |
| b. | Pica |
| c. | Vertigo |
| d. | Numbness |
____ 6. In adults, which of the following is the most common cause of iron deficiency anemia?
| a. | Intestinal parasites |
| b. | Malabsorptive disorders |
| c. | Dietary content |
| d. | Chronic blood loss |
____ 7. Ringed sideroblasts in the bone marrow are characteristics of which of the following disorders?
| a. | Chronic disease |
| b. | Infection |
| c. | Sideroblastic anemia |
| d. | Inflammation |
____ 8. Given the laboratory results of serum iron = 300 mg/dL, transferrin = 312 mg/dL, transferrin saturation = 122%, and ferritin = 1,000 ng/mL, which of the following should be considered?
| a. | Hereditary hemochromatosis |
| b. | Anemia of inflammation |
| c. | Iron deficiency anemia |
| d. | Lead poisoning |
____ 9. Which type of inclusion is likely to be seen in the above patient?
| a. | Howell-Jolly bodies |
| b. | Pappenheimer bodies |
| c. | Hemoglobin H inclusion bodies |
| d. | Cabot rings |
____ 10. A 15-year-old Lebanese boy was sent to the laboratory for an evaluation of anemia and had the following lab results:
| a. | WBC = 7.5 ´ 109/L |
| b. | RBC = 5.9 ´ 1012/L |
| c. | Hgb = 11.6 g/dL |
| d. | Hct = 36% |
____ 11. What is the presumptive clinical condition?
| a. | Pernicious anemia |
| b. | Autoimmune hemolytic anemia |
| c. | Iron deficiency trait |
| d. | Thalassemia trait |
____ 12. The alpha thalassemic condition that is incompatible with life is:
| a. | Hemoglobin H disease |
| b. | Bart’s hydrops fetalis |
| c. | Alpha thalassemia trait |
| d. | Silent carrier condition |
____ 13. Which inclusion is associated with a “pitted,” golf ball appearance?
| a. | Hgb H inclusion |
| b. | Howell-Jolly body |
| c. | Cabot rings |
| d. | Pappenheimer bodies |
____ 14. Failure to thrive, facial structure abnormalities, severe anemia, and splenomegaly are signs of which of the following disorders?
| a. | Thalassemia minor |
| b. | Alpha thalassemia trait |
| c. | Thalassemia major |
| d. | Thalassemia intermedia |
____ 15. One of the gravest clinical problems for individuals with thalassemia major is:
| a. | Chronic anemia |
| b. | Iron overload |
| c. | Therapeutic phlebotomy |
| d. | Collapsed veins |
____ 16. The majority of the hemoglobin made in individuals with thalassemia major is:
| a. | Hemoglobin H |
| b. | Hemoglobin A |
| c. | Hemoglobin F |
| d. | Hemoglobin Barts |
____ 17. Which if the following is also known as Cooley’s anemia?
| a. | Alpha thalassemia |
| b. | Beta thalassemia major |
| c. | Hereditary hemochromatosis |
| d. | IDA |
____ 18. The alpha thalassemias result from:
| a. | Gene deletion |
| b. | Defective alpha genes |
| c. | Iron overload |
| d. | Excessive production of alpha chains |
____ 19. The globin chains found in hemoglobin A2 are:
| a. | Alpha 2, Delta 2 |
| b. | Alpha 2, Gamma 2 |
| c. | Alpha 2, Beta 2 |
| d. | Alpha 2, Epsilon 2 |
____ 20. The presence of which hemoglobin will result in an inherited methemoglobinemia?
| a. | Hemoglobin D |
| b. | Hemoglobin M |
| c. | Hemoglobin H |
| d. | Bart’s hemoglobin |
____ 21. Hemoglobin H disease is associated with:
| a. | Bart’s hydrops fetalis |
| b. | Alpha thalassemia disease |
| c. | Thalassemia major |
| d. | Hereditary hemochromatosis |
____ 22. The primary storage forms of iron are:
| a. | Ferritin and hemosiderin |
| b. | Ferritin and transferrin |
| c. | Hemosiderin and ferrous iron |
| d. | Heme and ferritin |
____ 23. In the United States, approximately ____ of the anemias seen are due to IDA.
| a. | 25% |
| b. | 40% |
| c. | 50% |
| d. | 75% |
____ 24. In iron deficiency anemia, the reticulocyte count will be:
| a. | Normal |
| b. | Low |
| c. | High |
| d. | Extremely high |
____ 25. In patients with iron overload, Desferal may be administered to chelate the excess iron. The chelated iron is shed in:
| a. | The feces |
| b. | The urine |
| c. | Gastric secretions |
| d. | None of the above |
True/False
Indicate whether the statement is true or false.
____ 26. In regards to the thalassemias, the deficit has nothing to do with iron.
Chapter 5: The Microcytic Anemias
Answer Section
MULTIPLE CHOICE
TRUE/FALSE
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