Question 1

Which of the following is a disorder in which red blood cells are destroyed and hemoglobin circulates unbound or is excreted in the urine?

Accepted Answer

A) porphyria 
B) thalassemia 
C) hemolytic anemia 
D) sideroblastic anemia 
A) porphyria 
B) thalassemia 
C) hemolytic anemia 
D) sideroblastic anemia

Question 2

Which of the following cells are involved in blood clotting?

Accepted Answer

A) WBC 
B) monocytes 
C) thrombocytes 
D) leukocytes 
A) WBC 
B) monocytes 
C) thrombocytes 
D) leukocytes

Question 3

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             
-Looking at BD's diet history, which food interferes with iron absorption?

Accepted Answer

A) pasta 
B) bagel 
C) cream cheese 
D) iced tea 
A) pasta 
B) bagel 
C) cream cheese 
D) iced tea

Question 4

A pediatric patient is diagnosed with anemia He presents with esophagitis and GI ulcers What is the likely cause of this type of anemia?

Accepted Answer

A) iron depletion 
B) underdeveloped WBC 
C) decreased intake of micronutrients and protein 
D) H.pylori 
A) iron depletion 
B) underdeveloped WBC 
C) decreased intake of micronutrients and protein 
D) H.pylori

Question 5

If a patient undergoing treatment for cancer is experiencing symptoms of weakness and fatigue, one should consider:

Accepted Answer

A) starting the patient on EPO. 
B) obtaining blood labs. 
C) administering B vitamins. 
D) decreasing chemotherapy. 
A) starting the patient on EPO. 
B) obtaining blood labs. 
C) administering B vitamins. 
D) decreasing chemotherapy.

Question 6

Eosinophils and neutrophils are:

Accepted Answer

A) leukocytes. 
B) monocytes. 
C) thrombocytes. 
D) granulocytes. 
A) leukocytes. 
B) monocytes. 
C) thrombocytes. 
D) granulocytes.

Question 7

The likely cause you identified would produce an alteration in which lab value?

Accepted Answer

A) cyanocobalamin 
B) folate 
C) pyridoxine 
D) iron 
A) cyanocobalamin 
B) folate 
C) pyridoxine 
D) iron

Question 8

The flexibility required for movement of the RBC through the vessels is largely determined by:

Accepted Answer

A) the amount of hemoglobin in the cell. 
B) the maturity of the RBC. 
C) the size of the cell's nucleus. 
D) the fatty acid content of the cell's membrane. 
A) the amount of hemoglobin in the cell. 
B) the maturity of the RBC. 
C) the size of the cell's nucleus. 
D) the fatty acid content of the cell's membrane.

Question 9

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.
-Which of the following is not a potential etiology of PS's anemia?

Accepted Answer

A) reduced absorption of vitamin B12 
B) reduced intake of vitamin B12 
C) reduced absorption of folate 
D) reduced intake of iron 
A) reduced absorption of vitamin B12 
B) reduced intake of vitamin B12 
C) reduced absorption of folate 
D) reduced intake of iron

Question 10

Which of the following statements is not true?

Accepted Answer

A) Those with celiac disease can alleviate anemia by consuming a gluten-free diet. 
B) Patients with renal disease often have normochromic, normocytic anemia. 
C) PKU patients generally have optimal iron levels due to increased intake. 
D) Anemia is more prevalent in the anorexia nervosa population than is clinically seen due to hemoconcentration. 
A) Those with celiac disease can alleviate anemia by consuming a gluten-free diet. 
B) Patients with renal disease often have normochromic, normocytic anemia. 
C) PKU patients generally have optimal iron levels due to increased intake. 
D) Anemia is more prevalent in the anorexia nervosa population than is clinically seen due to hemoconcentration.

Question 11

The etiology of age-related anemia is likely due to:

Accepted Answer

A) decreased iron intake. 
B) decreased red marrow production. 
C) the fact that, upon differentiation, more cells become WBC. 
D) decreased folate intake. 
A) decreased iron intake. 
B) decreased red marrow production. 
C) the fact that, upon differentiation, more cells become WBC. 
D) decreased folate intake.

Question 12

Which of the following is not a nutrient involved in hemostasis?

Accepted Answer

A) vitamin E 
B) magnesium 
C) vitamin K 
D) Ca 
A) vitamin E 
B) magnesium 
C) vitamin K 
D) Ca

Question 13

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 is likely the cause of her anemia?

Accepted Answer

A) menstruation 
B) age 
C) supplementing with B vitamins 
D) family hx 
A) menstruation 
B) age 
C) supplementing with B vitamins 
D) family hx

Question 14

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             
-Which of the following foods could be added to BD's diet in order to enhance iron absorption?

Accepted Answer

A) high-fiber cereal 
B) orange juice 
C) apple juice 
D) banana 
A) high-fiber cereal 
B) orange juice 
C) apple juice 
D) banana

Question 15

Deficiencies in the B vitamins generally would result in which type of anemia?

Accepted Answer

A) macrocytic 
B) microcytic 
C) hemolytic 
D) sideroblastic 
A) macrocytic 
B) microcytic 
C) hemolytic 
D) sideroblastic

Question 16

A disorder resulting from abnormal heme synthesis whereby the patient presents with iron overload is called:

Accepted Answer

A) porphyria. 
B) thalassemia. 
C) sideroblastic anemia. 
D) hemophilia. 
A) porphyria. 
B) thalassemia. 
C) sideroblastic anemia. 
D) hemophilia.

Question 17

A type of inherited anemia that is a result of malfunctioning bone marrow is called:

Accepted Answer

A) thalassemia. 
B) aplastic anemia. 
C) hemochromatosis. 
D) sickle cell anemia. 
A) thalassemia. 
B) aplastic anemia. 
C) hemochromatosis. 
D) sickle cell anemia.

Question 18

A state of hypercoagulability can be caused by all of the following except:

Accepted Answer

A) depleted vitamin K. 
B) obesity. 
C) smoking. 
D) SLE. 
A) depleted vitamin K. 
B) obesity. 
C) smoking. 
D) SLE.

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

Exam 19: Diseases of the Hematological System

Which of the following is a disorder in which red blood cells are destroyed and hemoglobin circulates unbound or is excreted in the urine?

Which of the following cells are involved in blood clotting?

A pediatric patient is diagnosed with anemia He presents with esophagitis and GI ulcers What is the likely cause of this type of anemia?

If a patient undergoing treatment for cancer is experiencing symptoms of weakness and fatigue, one should consider:

Eosinophils and neutrophils are:

The likely cause you identified would produce an alteration in which lab value?

The flexibility required for movement of the RBC through the vessels is largely determined by:

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. -Which of the following is not a potential etiology of PS's anemia?

Which of the following statements is not true?

The etiology of age-related anemia is likely due to:

Which of the following is not a nutrient involved in hemostasis?

Deficiencies in the B vitamins generally would result in which type of anemia?

A disorder resulting from abnormal heme synthesis whereby the patient presents with iron overload is called:

A type of inherited anemia that is a result of malfunctioning bone marrow is called:

A state of hypercoagulability can be caused by all of the following except:

Role of the Dietitian in the Health Care System

The Nutrition Care Process

Nutrition Assessment: Foundation of the Nutrition Care Process

Nutrition Intervention

Enteral and Parenteral Nutrition Support

Documentation of the Nutrition Care Process

Fluid and Electrolyte Balance

Acid-Base Balance

Cellular and Physiological Response to Injury:The Role of the Immune System

Nutritional Genomics

Pharmacology

Energy Balance and Body Weight

Diseases of the Cardiovascular System

Diseases of the Upper Gastrointestinal Tract

Diseases of the Lower Gastrointestinal Tract

Diseases of the Liver, Gallbladder, and Exocrine Pancreas

Diseases of the Endocrine System

Diseases of the Renal System

Diseases and Disorders of the Neurological System

Diseases of the Respiratory System

Metabolic Stress and the Critically Ill

Neoplastic Disease

Hiv and Aids

Diseases of the Musculoskeletal System

Metabolic Disorders

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