8 ANSWER : The answer is a - low folate intake--> decrease serum folate --> decreased RBC folate --> an RDW = 17.7%
b - a prolonged RBC folate concentration of 260 nmol/L would lead to an elevated MCV
(8) In evaluating values and indices during the progression leading to folate deficiency anemia in an...
and o (9) Which of the following is/are consistent with Folate deficiency anemia in an adult female? (circle the correct answer) (2 pts) a) an MCV 106 fL and a Hct 30% b) an MCV- 108 fL and a HgB value 11.2 g/dL c) a serum folate concentration = 5.2 nmol/L and an RBC Folate conc. d) all of the above e) a and b only 213 nmol/L
(4) 3 non-pregnant 33 yr.old female subjects have the following identical blood data: (9 pts) HCT (%) 38 1 RBC# (x 1012) RDW (%) 11.8 | HgB (g/dL) 13.1 MCV (fl.) 85 4.00 Unique aspects for each subject are: Additional information Serum folate (nmol/L) 11-14 7-8 10-12 RBC folate Subject nmol/L) Kidney disease 420 340 380 +) Antibodies against IF: smokes takes asthma medication All 3 are about to start an experimental Folate deficient diet. Given the above information, answer...
(3) Data sets for 3 adult non-pregnant females are presented below. Match the data set to the most logical corresponding nutritional situation.(9 points) Situation A Situation BSituationC Situation D Early B12 Deficiency Folate Deficiency Recovering from Early Folate Deficiency Early B12 Depletion Anemia Data set 1: 11.7gdL MMA 301 pmoRBC 9.9 MCV 96.9 ft HgB 11.7 g/dL MMA Folate 253 nmol/L HoloTC 29 pmol/Lo pmol/L | Folate 19.9 nmol/L | Hcy | 18 μmol/L | Situation Data set 2: MCV...
Use MCHC when determining morphology Blood tests evaluating Folate and vit.B12 were done 2 weeks ago. At that time, she was prescribed daily, oral tablets for BOTH Folate and vit. B12. She is adamant that she has been taking the daily supplements exactly as prescribed. Her 2 week old and current Folate and vit.Bi2 data are provided below. Fill-in the evaluative data and answer the questions that follow. Test Status Current Status Ser. Folate (nmolL)10.7 RBC Folate (nmoVL) 203Dd Serum...
Anemia Case Study A 5 year old white boy was admitted with a fractured tibia following a playground accident. A CBC was ordered on admission. WBC: 12,500/ul RBC: 3.6 x 106/ul Hb: 10.2 g/dl HCT: 27% MCV: 96.4 fl MCHC: 38 g/dl The peripheral blood smear revealed anisocytosis, some spherocytosis, and polychromatophilia. Platelet distributation was normal on the smear. Following the receipt of the CBC results, the physician ordered a serum bilirubin and an osmotic fragility test. The findings were...
Which diagnosis best correlates to the following results obtained on a 65-year-old female? Case Study Results 8.8 Analyte Result Hgb (g/dL) MCV (FL) MCH (pg) MCHC (g/dL) RDW (%) EPO (IU/L) RBC Folate (ng/mL) Methemoglobin (mmol/L) 0.22 Serum B12 (pg/mL) 151 Reference Interval 12.0-16.0 80-100 28-34 32.0-36.0 <14.0 3.0-16.0 160-700 0.06-0.24 150-450 0.3 Select one: a. Carboxyhemoglobinemia b. Cobalamin Deficiency c. Fanconi Anemia d. Renal Disease
write the probable patient in the white box. (7) You are evaluating a 57 yr. old symptomatic for anemia. At that time, Current, follow-up blood test data is also the table, and answer the questions that follow. (30 points) 2 weeks ago with complaints tests were done as indicated in the table below ted. Calculate and insert the blood index data in patient who presented Index 2 wks RBC #(x1012/L) | | 3.22 9.2 33.4 16.3 3.31 HgB (g/dL) Hct...
Create and a mock CBC given the patient condition and your knowledge of normal reference values and the condition. Condition: Patient with severe iron deficiency anemia CBC PARAMETER Create a CBC number with a reasonable and expected result for that condition WBC RBC HGB HCT MCV MCHC RDW MPV PLAT Neutrophils % Lymphs % Monos % Eos % Baso % Neu # Lymph # Mono # Eos # Baso # Significant findings that could be present on the differential smear:...
Anemia Case Study A 50 year old white woman had seen her physician and reported having no energy and feeling tired all the time. She also reported experiencing mild pain in the abdominal region. The physician ordered a routine CBC. WBC: 4,500/ul RBC: 1.76 x 106/ul Hb: 6.2 g/dl HCT: 22% MCV: 129.4 fl MCHC: 32 g/dl The peripheral blood smear demonstrated abnormalities of erythrocytes and leukocytes. On receipt of the laboratory data, the physician ordered the following additional tests:...
(6) You are monitoring the progress of 3 patients (Bill, Greg, and Joan). Joan is a 37 yr old non- preg female suffering from a chronic folate deficiency anemia, Bill (33 yr old male) is recovering from surgery after a traumatic motorcycle accident, while Greg (40 yr old male) is being monitored following the accidental, potent Folate antagonist, but this was almost 2 months ago. (27 pts) ingestion (over a 5-week period) of a You have the data sets below....