Exam 19: Diseases of the Hematological System

Case Study

BD is a 15 yo female who is seen by her physician for her yearly check up. The physician determines that BD has microcytic anemia. Her diet recall is as follows:
B- bagel with cream cheese	D- 1 cup of pasta
6 oz milk	½ cup tomato sauce
L- turkey sandwich on whole-wheat bread	2 pieces garlic bread
lettuce	8 oz iced tea
mayonnaise	S- apple
potato chips
8 oz iced tea

-What substance in this food inhibits iron absorption?

Which of the following groups are at the least risk of developing iron-deficiency anemia?

As the RBC die, the iron is recycled and stored in the liver as:

A serious complication of BMT that occurs in 30-50% of patients is:

Which of the following foods is highest in bioavailable Fe?

In Fe-deficiency anemia, it would be common to find an increased level of which of the following laboratory values?

Which of the following statements is not true?

The mechanism by which anemia frequently occurs in those patients with alcoholic liver disease is best described as:

If folate is administered orally to a patient who presents with anemia that is actually a B12-deficient anemia, the result is which of the following?

Which of the following is a good source of vitamin B12?

PS is an 87 yo M admitted to the hospital for failure to thrive.While hospitalized, a physician has determined that PS also has megaloblastic anemia. -Given PS's history, what is a likely cause of the megaloblastic anemia?

Which of the following is a potential concern for the MD prescribing folate in this case?

Immature erythrocytes are called:

Case Study

BD is a 15 yo female who is seen by her physician for her yearly check up. The physician determines that BD has microcytic anemia. Her diet recall is as follows:
B- bagel with cream cheese	D- 1 cup of pasta
6 oz milk	½ cup tomato sauce
L- turkey sandwich on whole-wheat bread	2 pieces garlic bread
lettuce	8 oz iced tea
mayonnaise	S- apple
potato chips
8 oz iced tea

-The registered dietitian recommends iron supplements for BD She should also educate BD on _____, given it is a common complaint when using iron supplements

What is the etiology of pernicious anemia?

Deficiencies of protein, vitamin C, or iron or impaired heme synthesis generally would result in which type of anemia?

Which of the following is a good source of folate?

Which of the following accurately describes the effect on iron absorption?

Case Study

BD is a 15 yo female who is seen by her physician for her yearly check up. The physician determines that BD has microcytic anemia. Her diet recall is as follows:
B- bagel with cream cheese	D- 1 cup of pasta
6 oz milk	½ cup tomato sauce
L- turkey sandwich on whole-wheat bread	2 pieces garlic bread
lettuce	8 oz iced tea
mayonnaise	S- apple
potato chips
8 oz iced tea

-Aside from the above, which of the following could be ruled out as a potential cause of BD's anemia?