Examl 2:l NU664B/l NUl 664Bl (Latestl
2025/l 2026l Update)l Primaryl Carel ofl Familyl Il Reviewl |l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)-l Regis
Q:l Macrocyticl Anemias
Answer:
increasedl celll sizel =l increasedl MCV
-l usuallyl B12l deficiency
orl
-l folatel deficiency
Q:l folatel deficinecyl isl commonl in...
Answer:
rxnl to:
-l dilatin -l tegretol ETOHl use -l kidneyl dialysis -l celiac
*replacel wl 1mgl daily
Q:l causesl ofl B12l deficiency
Answer:
1.l causedl byl perniciousl anemial (autoimmune,l nol intrinsicl factorl isl beingl madel byl thel body) 1 / 4
2.l gastricl bypassl (removedl stomach,l wel removedl intrinsicl factor)
3.l longl terml vegans
Q:l Symptomsl ofl B12l deficiency
Answer:
1.l atrophicl glossitisl (sorel tonguel /l decreasedl papillae) 2.l stocking/glovel neuropathy 3.l memoryl loss 4.l depression 5.l irritability 6.l balancel problems 7.l lossl positionl /l vibrationl sense 8.l anorexia 9.l diarrhea
Q:l labl findingsl forl B12l deficiencyl anemia
Answer:
1.l macrocyticl (elevatedl MCVl >l 96)
2.l normochromicl (normall MCHC,l 27-32)
3.l lowl reticulocytel countl (l <0.5%)
*checkl antibodiesl forl intrinsicl factorl (thisl willl confirml diagnosisl ofl perniciousl anemial andl wel knowl whyl therel isl al B12l deficiency)*l =l Coomb'sl test
Q:l treatmentl forl B12l deficiency
Answer:
lifelongl replacementl ofl B12
1000mcgl IMl dailyl xl 1l week weeklyl xl 1l month monthlyl forl restl ofl life
- / 4
Q:l al patientl presentsl withl stockingl glovel neuropathy.l labsl significantl forl elevatedl MCVl andl decreasedl reticl count.l shel hasl al positivel Coomb'sl test.l whatl isl herl likelyl diagnosis?
Answer:
perniciousl anemia
Q:l whatl isl thel firstl thingl youl willl seel asl youl improvel B12l deficiency?
Answer:
increasedl reticulocytel count
Q:l treatmentl forl preniciousl anemia
Answer:
lifelongl replacementl withl B12
Q:l Meanl Celll Hemoglobinl Concentrationl (MCHC)2
Answer:
Cl =l colorl
hypochromicl <30 normochromicl 30-35 hyperchromicl >l 35
Q:l RDWl (redl celll distributionl width)
Answer:
12-15l %
*tellsl howl thel sizesl ofl yourl RBCsl comparel tol onel anotherl *
whenl thisl isl elevated,l therel isl al lotl ofl differentiationl inl thel sizesl ofl thel cells
-l ifl therel isl somethingl wrong,l thel bodyl willl startl producingl al lotl ofl smalll rbc's 3 / 4
Q:l Reticulocytel count
Answer:
numberl ofl immaturel redl bloodl cells
-l thisl isl thel firstl changel thatl isl made,l sol itl wouldl bel whatl youl recheckl atl yourl nextl labs
Q:l normocyticl normochromicl anemia
Answer:
Characterizedl byl redl cellsl thatl arel relativelyl normall inl sizel andl hemoglobinl contentl butl insufficientl inl number
**bloodl loss**l (everythingl isl lostl inl thel samel amount)
Q:l microcyticl hypochromicl anemia
Answer:
anemial characterizedl byl small,l palel redl bloodl cellsl
-l usuallyl IDAl
-l willl alsol havel anl increasedl RDWl (thel bodyl isl pumpingl outl newl cellsl tol tryl andl compensate,l butl thesel arel smalll andl pale
Q:l macrocyticl normochromicl anemia
Answer:
Folicl acidl orl Vitaminl B12l deficiency
-l willl alsol havel increasedl RDW
Q:l microcyticl hypol chromicl anemial withl normall RDW
- / 4