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Review of Clinical Signs Review Questions

Anemia in the Adult Patient

Author: Bernard Karnath, MD

1. A 20-year-old woman presents with complaints of fatigue and dyspnea for the past month. She is an otherwise healthy woman with no significant past medical history. On physical examination she appears pale, with pale conjunctivae and nailbeds. Laboratory examination reveals a hemoglobin level of 7 g/dL. What is the most likely cause of her anemia?
  1. Chronic disease
  2. Gastrointestinal blood loss
  3. Menstrual blood loss
  4. Myelofibrosis
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2. A 65-year-old man presents with complaints of fatigue, dyspnea, weight loss, and constipation for the past month. On physical examination he appears pale, with pale conjunctivae and nailbeds. Laboratory examination reveals a hemoglobin level of 5 g/dL. What is the most likely cause of his anemia?

  1. AIDS
  2. Colorectal neoplasm
  3. Myelofibrosis
  4. Peptic ulcer
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3. Which one of the following is the most common cardiac auscultatory finding associated with anemia?
  1. Diastolic murmur
  2. Systolic ejection murmur
  3. S3 gallop
  4. S4 gallop
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4. How many hours must blood remain in the gastrointestinal tract before melena develops?

  1. 2 hours
  2. 6 hours
  3. 14 hours
  4. 24 hours
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Updated 1/04/08 • kkj