Deck 10: Blood and Circulatory System Disorders

Question 1

What are the two circulations that comprise the overall circulatory system?

A) Pulmonary and systemic circulations
B) Peripheral and central circulations
C) Cardiovascular and lymphatic circulations
D) Cardiopulmonary and peripheral circulations

Answer 1

Pulmonary and systemic circulations

Question 2

Which of the following best describes the characteristic erythrocyte associated with pernicious anemia?

A) Hypochromic, microcytic
B) Normochromic, normocytic
C) Elongated, sickle-shaped
D) Megaloblastic or macrocytic nucleated cells

Answer 2

Megaloblastic or macrocytic nucleated cells

Question 3

Why is pernicious anemia treated with injections of vitamin B₁₂?

A) An immune reaction in the stomach would destroy the vitamin.
B) Digestive enzymes would destroy the vitamin.
C) The vitamin irritates the gastric mucosa.
D) The ingested vitamin would not be absorbed into the blood.

Answer 3

The ingested vitamin would not be absorbed into the blood.

Question 4

What is the basic abnormality in thalassemia?

A) Several amino acids in the globin chains have been replaced by substitute amino acids.
B) More than four globin chains are found in the erythrocytes.
C) The iron molecule is displaced in hemoglobin.
D) There is failure to synthesize either the alpha or beta chains in the hemoglobin molecule.

Question 5

Why do abnormally low hemoglobin values develop with pernicious anemia?

A) Decreased production of erythrocytes
B) Shorter life span of erythrocytes
C) Abnormal structure of hemoglobin chains
D) Deficit of folic acid

Question 6

Which of the following applies to sickle cell trait?

A) Most hemoglobin is in the form of HgS
B) Sickling of erythrocytes occurs with severe hypoxia.
C) Painful sickling crises with multiple infarctions occur frequently.
D) A child's skeletal growth is delayed.

Question 7

Chronic blood loss causes anemia because of the:

A) shortened life span of the erythrocytes.
B) lower metabolic rate.
C) loss of protein and electrolytes.
D) smaller amount of recycled iron available.

Question 8

Capillary walls consist of:

A) multiple endothelial layers.
B) a thick layer of smooth muscle.
C) two or three epithelial layers.
D) a single endothelial layer.

Question 9

What is the cause of sickle cell anemia?

A) A defective gene inherited from both parents
B) A chronic bacterial infection
C) Bone marrow depression
D) An autoimmune reaction

Question 10

Jaundice is one typical sign of:

A) sickle cell anemia.
B) aplastic anemia.
C) iron deficiency anemia.
D) acute leukemia.

Question 11

Individuals with type O blood are considered to be universal donors because their blood:

A) contains A and B antibodies.
B) contains A and B antigens.
C) lacks A and B antibodies.
D) lacks A and B antigens.

Question 12

Which of the following would result from a reduced number of erythrocytes in the blood?

A) Increased hemoglobin in the blood
B) Decreased hematocrit
C) Increased risk of hemostasis
D) Decreased osmotic pressure of the blood

Question 13

What is the cause of oral ulcerations and delayed healing occurring with any severe anemia?

A) Lack of folic acid for DNA synthesis
B) Frequent microinfarcts in the tissues
C) Deficit of oxygen for epithelial cell mitosis and metabolism
D) Elevated bilirubin levels in blood and body fluids

Question 14

Why do vascular occlusions and infarcts occur frequently with sickle cell anemia?

A) The red blood cells are abnormally large.
B) Increased hemolysis of erythrocytes occurs.
C) Erythrocytes change to sickle shape when hypoxia occurs.
D) HbS is unable to transport oxygen.

Question 15

Which of the following is present with pernicious anemia?

A) Pancytopenia
B) Hypochlorhydria
C) Leukocytosis
D) Multiple infarcts

Question 16

What are the typical early general signs and symptoms of anemia?

A) Chest pain, palpitations
B) Jaundice, stomatitis
C) Pallor, dyspnea, and fatigue
D) Bradycardia, heat intolerance

Question 17

What causes numbness and tingling in the fingers of individuals with untreated pernicious anemia?

A) Persistent hyperbilirubinemia
B) Increasing acidosis affecting metabolism
C) Vitamin B₁₂ deficit causing peripheral nerve demyelination
D) Multiple small vascular occlusions affecting peripheral nerves

Question 18

Vitamin K is required by the liver to synthesize:

A) heparin.
B) prothrombin.
C) amino acids.
D) bilirubin.

Question 19

What are the common early signs of aplastic anemia?

A) Painful joints and skeletal deformity
B) Abdominal discomfort and splenomegaly
C) Excessive bleeding and recurrent infections
D) Palpitations and chest pain

Question 20

What term is used to describe a deficit of all types of blood cells?

A) Leucopenia
B) Neutropenia
C) Pancytopenia
D) Erythrocytosis

Question 21

Secondary polycythemia may be associated with:

A) frequent angina attacks.
B) certain types of anemia.
C) severe chronic bronchitis.
D) renal disease.

Question 22

Multiple myeloma is a malignant tumor involving:

A) plasma cells.
B) granulocytes.
C) bone cells.
D) lymph nodes.

Question 23

In individuals with acute leukemia, the increased number of malignant leukocytes leads to:
1) decreased hemoglobin.
2) thrombocytopenia.
3) bone pain with increased activity.
4) splenomegaly.

A) 1, 3
B) 1, 2, 4
C) 2, 3, 4
D) 1, 2, 3, 4

Question 24

Thalassemia is caused by:

A) a defect in one or more genes for hemoglobin.
B) an abnormal form of heme.
C) abnormal liver production of amino acids and iron.
D) overproduction of hypochromic, microcytic RBCs.

Question 25

What is the primary treatment for the leukemias?

A) Radiation
B) Chemotherapy
C) Surgery
D) Immunotherapy

Question 26

Which statement applies to the disorder hemophilia A?

A) It is transmitted as an X-linked dominant trait.
B) There is usually a total lack of factor VIII in the blood.
C) Males and females can be carriers.
D) Hematomas and hemarthroses are common.

Question 27

In cases of polycythemia vera, blood pressure is elevated as a result of:

A) increased blood volume.
B) frequent infarcts in the coronary circulation.
C) congested spleen and bone marrow.
D) increased renin and aldosterone secretions.

Question 28

Which of the following statements applies to hemochromatosis. It is:

A) caused by excessive iron intake in the diet.
B) results from excessive hemolysis of RBCs.
C) a metabolic error that leads to excess amounts of hemosiderin, causing damage to organs.
D) an inherited defect that results in abnormal hemoglobin.

Question 29

Why is excessive bleeding a common occurrence with acute leukemia?

A) Deficit of calcium ions
B) Impaired production of prothrombin and fibrinogen
C) Decreased platelets
D) Dysfunctional thrombocytes

Question 30

In individuals with pernicious anemia, antibodies form to:

A) vitamin B₁₂.
B) intrinsic factor or parietal cells.
C) mucus-producing glands.
D) hydrochloric acid.

Question 31

Petechiae and purpura are common signs of:

A) excessive hemolysis.
B) leucopenia.
C) increased bleeding.
D) hemoglobin deficit.

Question 32

Leukemia is sometimes linked to chromosome abnormalities, as evidenced by:

A) the presence of Philadelphia chromosome translocation in cases of acute myelogenous leukemia (AML).
B) very low incidence in persons with Down syndrome.
C) little evidence of familial incidence.
D) transmission as a recessive gene.

Question 33

Which of the following occurs when disseminated intravascular coagulation develops?

A) Increased thrombocytes and blood clotting
B) Hemolysis with loss of blood cells
C) Massive sepsis and hemorrhage
D) Multiple thrombi and deficit of clotting factors

Question 34

Multiple opportunistic infections develop with acute leukemia primarily because:

A) the number of white blood cells is decreased.
B) many circulating leukocytes are immature.
C) severe anemia interferes with the immune response.
D) decreased appetite and nutritional intake reduce natural defenses.

Question 35

Which of the following substances acts as an anticoagulant?

A) Prothrombin
B) Heparin
C) Fibrinogen
D) Vitamin K

Question 36

Thrombophilia can result in conditions such as:

A) severe chronic kidney disease.
B) peripheral vascular disease.
C) deficient calcium levels in the long bones.
D) excessive bleeding of hematomas.

Question 37

Predisposing factors to leukemia commonly include:

A) exposure to radiation.
B) certain fungal and protozoal infections.
C) familial tendency.
D) cigarette smoking.

Question 38

All of the following apply to vitamin K EXCEPT:

A) it is used as an antidote for warfarin (Coumadin).
B) the liver requires it to produce prothrombin.
C) it is a fat-soluble vitamin.
D) the bone marrow requires it to synthesize hemoglobin.

Question 39

Which of the following can result from a malabsorption problem?

A) Aplastic anemia
B) Sickle cell anemia
C) Thalassemia major
D) Pernicious anemia

Question 40

Von Willebrand disease is caused by:

A) defective erythrocytes that become deformed in shape, causing occlusions.
B) excessive lymphocytes that do not mature.
C) absence of a clotting factor that helps platelets clump and stick.
D) a lack of hemoglobin due to iron deficiency.

Question 41

Which of the following diagnostic tests would be within the normal range for an individual with hemophilia A?

A) Bleeding time
B) Coagulation time
C) PTT time
D) Prothrombin time

Question 42

Which of the following applies to erythropoietin?

A) It is produced by the liver.
B) It increases iron absorption for heme production.
C) It stimulates production of red blood cells.
D) Hypoxia stimulates the red bone marrow to produce erythropoietin.

Question 43

In which blood dyscrasia does pancytopenia develop?

A) Pernicious anemia
B) Aplastic anemia
C) Iron deficiency anemia
D) Sickle cell anemia

Question 44

A high percentage of blast cells in the leukocyte population indicates a poor prognosis for an individual with:

A) thalassemia.
B) acute myelogenous leukemia (AML).
C) myelodysplastic syndrome.
D) multiple myeloma.

Question 45

Which of the following applies to the condition disseminated intravascular coagulation (DIC)?

A) It is usually a secondary complication.
B) It is always initiated by excessive bleeding.
C) It results in an inability of platelets to adhere.
D) It is not life threatening.

Question 46

Which of the following applies to the leukemias?

A) Chronic leukemias are more common in older people.
B) AML is the most common childhood leukemia.
C) Exposure to chemicals is not considered a predisposing factor.
D) Lymphoid tissue produces abnormal leukocytes.

Question 47

Which of the following applies to the etiology of aplastic anemia? It is:

A) idiopathic in many cases.
B) a genetic disorder.
C) predisposed by exposure to myelotoxins.
D) Both A and C.

Question 48

Microcytic and hypochromic erythrocytes are commonly found as a result of:

A) iron deficiency anemia.
B) polycythemia.
C) disseminated intravascular coagulation.
D) hemophilia A.

Question 49

Iron deficiency anemia frequently results from any of the following EXCEPT:

A) certain vegetarian diets.
B) excessive menstrual flow.
C) malabsorption syndromes.
D) diabetes mellitus.