Chapter 15: Hematological and Immune System Disorders: Multiple Choice
Chapter 15: Hematological and Immune System Disorders: Multiple Choice
Chapter 15: Hematological and Immune System Disorders: Multiple Choice
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
____ 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
____ 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