A 50-year-old male patient with a history of chronic alcoholism presents with fatigue, glossitis, and peripheral neuropathy. Laboratory findings show a hemoglobin level of 9.0 g/dL and mean corpuscular volume (MCV) of 110 fL. What type of anemia is most likely in this patient?

Iron deficiency anemia

Vitamin B12 deficiency anemia

Thalassemia minor

Anemia of chronic disease

Answer and Explanation

The Correct Answer is B

A.   Iron deficiency anemia typically presents with a low MCV, not an elevated MCV, and it is less likely to be associated with the symptoms of glossitis and peripheral neuropathy.
B.   Vitamin B12 deficiency anemia is a likely diagnosis in this patient. Chronic alcohol use can lead to malabsorption of vitamin B12, which contributes to macrocytic anemia (high MCV). Symptoms like glossitis and peripheral neuropathy are common in B12 deficiency.
C.   Thalassemia minor usually presents with microcytic anemia and would not typically cause the elevated MCV or neurological symptoms seen in this patient.
D.   Anemia of chronic disease typically presents with a normal or low MCV and is not associated with elevated MCV or the neurological symptoms seen in this patient.

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Correct Answer is ["A","C","D","G"]

Explanation

A. Smoking can exacerbate GERD symptoms. It weakens the lower esophageal sphincter (LES), increasing the likelihood of acid reflux.
B. GERD is not primarily caused by excessive production of stomach acid. It is usually due to a failure of the lower esophageal sphincter to prevent the backflow of stomach contents into the esophagus.
C. GERD is caused by the relaxation of the lower esophageal sphincter. When the LES is weakened or relaxes abnormally, acid can reflux into the esophagus, causing symptoms.
D. Elevating the head of the bed can help reduce GERD symptoms. It helps to prevent acid from moving back into the esophagus during sleep.
E. A diet high in citrus fruits is not recommended for GERD management. Citrus fruits can aggravate acid reflux symptoms.
F. Antibiotics are not the first-line treatment for GERD. Proton pump inhibitors (PPIs) or H2 blockers are typically used to manage GERD symptoms.
G. Obesity is a risk factor for GERD. It can increase intra-abdominal pressure, which may contribute to the reflux of acid into the esophagus.

A. Irritable bowel syndrome B. Diverticulitis C. Gastrointestinal bleeding D. Chronic pancreatitis E. Celiac disease F. Perforation of the stomach or duodenum G. Gastric outlet obstruction H. Appendicitis

Correct Answer is ["C","F","G"]

Explanation

A. Irritable bowel syndrome is not a complication of PUD, as they are different gastrointestinal disorders.
B. Diverticulitis is unrelated to PUD and involves inflammation of the diverticula in the colon.
C. Gastrointestinal bleeding is a common and serious complication of PUD, occurring due to ulceration of the stomach or duodenum lining.
D. Chronic pancreatitis is not a typical complication of PUD, but it involves inflammation of the pancreas, not the stomach or duodenum.
E. Celiac disease is unrelated to PUD and involves an autoimmune reaction to gluten in the small intestine.
F. Perforation of the stomach or duodenum is a severe complication of PUD, leading to a life-threatening condition with leakage of stomach contents into the abdominal cavity.
G. Gastric outlet obstruction occurs when an ulcer causes scarring and narrowing of the pyloric canal, impeding gastric emptying.
H. Appendicitis is unrelated to PUD, as it involves inflammation of the appendix, not the stomach or duodenum.

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A 50-year-old male patient with a history of chronic alcoholism presents with fatigue, glossitis, and peripheral neuropathy. Laboratory findings show a hemoglobin level of 9.0 g/dL and mean corpuscular volume (MCV) of 110 fL. What type of anemia is most likely in this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","C","D","G"]

Explanation

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Correct Answer is ["C","F","G"]

Explanation

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