MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
During the review of morning laboratory values for a client reporting severe fatigue and a red, swollen tongue, the nurse suspects chronic, severe iron deficiency anemia based on which finding?
A
Low ferritin level concentration
B
Elevated hematocrit concentration
C
Enlarged mean corpuscular volume (MCV)
D
Elevated red blood cell (RBC) count
Explanation: 

Detailed explanation-1: -Anemia occurs when you do not have enough red blood cells or when your red blood cells do not function properly. It is diagnosed when a blood test shows a hemoglobin value of less than 13.5 gm/dl in a man or less than 12.0 gm/dl in a woman.

Detailed explanation-2: -If dietary history suggests a deficiency, patients should be encouraged to augment their diet with foods rich in heme iron such as red meat (full of hemoglobin and myoglobin) or liver. Non-heme iron, which is prevalent in cereals, egg yolk and green leafy vegetables, is not efficiently absorbed.

Detailed explanation-3: -Which of the following describes a red blood cell (RBC) that has pale or lighter cellular contents? Explanation: An RBC that has pale or lighter cellular contents is hypochromic. A normocytic RBC is normal or average in size.

Detailed explanation-4: -Anemia has three main causes: blood loss, lack of red blood cell production, and high rates of red blood cell destruction. Conditions that may lead to anemia include: Heavy periods. Pregnancy.

There is 1 question to complete.