Exam #3 Advanced Assessment

119 Questions | By Fluid58 | Last updated: Mar 20, 2022 | Total Attempts: 19

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1.

MCV or Mean Corpuscular Volume is the average volume/size of RBC's in the blood and the normal values are between 80-100?
- A.
  
  True
- B.
  
  False
2.

MCH or mean corpuscular hemoglobin is the average amount of hemoglobin on a RBC, normal is 1.68-1.92
- A.
  
  True
- B.
  
  False
3.

Client has a blood work profile that includes a low H & H, low MCV/MCH, low ferritin level and an increased total iron binding capacity (TIBC). What is the suspected anemic cause?
- A.
  
  Lead poisoning
- B.
  
  Iron deficiency
- C.
  
  Thalassemia
- D.
  
  Option 4
4.

Types of Microcytic anemia's.
- A.
  
  Iron Deficiency Anemia
- B.
  
  Thalassemia
- C.
  
  B12/folate deficiency anemia
- D.
  
  Lead Poisoning
5.

Normocytic and normochromic anemia types:
- A.
  
  Chronic disease states
- B.
  
  Acute Blood Loss/Trauma/Surgery
- C.
  
  Thalassemia
- D.
  
  Aplastic Anemia
6.

Select those that are associated with megaloblastic anemia.
- A.
  
  Low H and H
- B.
  
  MCV >100
- C.
  
  B12/folate or folic acid deficiency
- D.
  
  Low Mean Corpuscular Volume of RBC.
7.

Client presents with a high MCV and a low H and H, provider suspects a megaloblastic anemia. With an increased Methylmalonic acid what does the provider assume is the cause of the anemia?
- A.
  
  Vitamin E deficiency
- B.
  
  Folate deficiency
- C.
  
  B12 deficiency
- D.
  
  Low iron level
8.

Another cause of macrocytic anemia is alcoholism/liver disease?
- A.
  
  True
- B.
  
  False
9.

Client has a b12 deficiency but it is found that the anti-intrinsic factor is +, what is suspected as the cause of the macrocytic anemia associated with extended G2 phase of cell reproduction?
- A.
  
  Megaloblastic anemia due to folic acid deficiency
- B.
  
  Pernicious Anemia
- C.
  
  Lead poisoning
- D.
  
  Thalassemia
10.

ALP and ALT are elevated in which disease state?
- A.
  
  Pancreatitis
- B.
  
  Cirrhosis
- C.
  
  Cholecystitis
- D.
  
  Option 4
11.

Liver enzymes are non-specific as the values are representative of normal cellular decay in healthy individuals. It is not necessary to follow-up with enzymes unless the values are 2 or more times the normal values?
- A.
  
  True
- B.
  
  False
12.

If you have a microcytic anemia and you have a normal ferritin level you could rule out Iron deficiency and suspect lead poisoning or thalassemia?
- A.
  
  True
- B.
  
  False
13.

The _______ test which when elevated may be the first indicator of cirrhosis.
14.

A decreased serum Albumin, elevated INR and elevated bilirubin indicate?
- A.
  
  Cirrhosis
- B.
  
  Pancreatitis
- C.
  
  Peritonitis
15.

What is the goal LDL for diabetics and then Cardiac patients?
- A.
  
  100/70
- B.
  
  120/80
- C.
  
  300/200
- D.
  
  80/60
16.

The patient has an elevated BUN with a slightly and slower elevating creatinine test, the BUN/Creatinine ration is >20. We can suspect a pre-renal failure such as renal stenosis or dehydration?
- A.
  
  True
- B.
  
  False
17.

Client has suspected kidney failure, the BUN is rising but slowly compared to the creatinine level, the BUN/Creatinine level is <20 and the patient is a diabetic. What kind of renal failure is likely?
- A.
  
  Post-renal
- B.
  
  Pre-renal
- C.
  
  Intra- renal
- D.
  
  Not a renal failure
18.

The BUN and Creatinine both increase relative to each other and the client has painful urination, likely post renal failure such as a kidney stone?
- A.
  
  True
- B.
  
  False
19.

Select the risk factors for penile cancer.
- A.
  
  Un circumcised with poor hygiene.
- B.
  
  Phimosis
- C.
  
  HPV infection
- D.
  
  Increased age
- E.
  
  Smoker
- F.
  
  HIV positive
- G.
  
  UV light exposure of psoriasis
20.

Testicular CA risk factors
- A.
  
  Male 20-54
- B.
  
  White
- C.
  
  Undescended testicle
- D.
  
  Hx of testicular CA
- E.
  
  Family Hx of testicular CA
21.

This state of penile being is possibly caused by leukemia, sickle cell disease or standard ED treatment.
- A.
  
  Phimosis
- B.
  
  Priapism
- C.
  
  Hydrocele
- D.
  
  Balanitis
22.

The left testicle hangs lower than the right in general due to a longer spermatic chord on the left?
- A.
  
  True
- B.
  
  False
23.

Scrotal edema is related to a genital disease state in most cases?
- A.
  
  True
- B.
  
  False
24.

A strangulated hernia is not reducible and requires prompt surgical intervention?
- A.
  
  True
- B.
  
  False
25.

Having no sensitivity to painful stimuli in the testes may be a result of Diabetic neuropathy or syphilis?
- A.
  
  True
- B.
  
  False

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