Understanding Polycythemia and Its Types
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Questions and Answers

What is the RBC count threshold for diagnosing primary polycythemia?

  • 7 millions/cu mm
  • 14 millions/cu mm (correct)
  • 10 millions/cu mm
  • 20 millions/cu mm
  • Which of the following conditions can lead to secondary polycythemia due to physiological factors?

  • Cystic fibrosis
  • Tuberculosis
  • Heart failure
  • Exercise (correct)
  • Which characteristic is associated with polycythemia vera?

  • Normal WBC count
  • Low hemoglobin levels
  • Increased WBC count above 24,000/cu mm (correct)
  • Decreased RBC count
  • What physiological condition may trigger the secretion of erythropoietin in respiratory failure?

    <p>Hypoxia</p> Signup and view all the answers

    Which of the following is NOT considered a cause of secondary polycythemia?

    <p>Chronic kidney disease</p> Signup and view all the answers

    Study Notes

    Polycythemia

    • Polycythemia is a condition characterized by an increased red blood cell (RBC) count, exceeding 7 million/cu mm of blood.
    • Two types exist: primary and secondary polycythemia.

    Primary Polycythemia (Polycythemia Vera)

    • A type of blood cancer (malignant disease of red bone marrow).
    • Characterized by a persistently high RBC count above 14 million/cu mm of blood.
    • Always accompanied by an elevated white blood cell (WBC) count exceeding 24,000/cu mm of blood.

    Secondary Polycythemia

    • A pathological or physiological condition.
    • Pathological causes:
    • Respiratory disorders (e.g., emphysema, tuberculosis, pneumonia).
    • Congenital heart disease.
    • Heart disease (impaired blood pumping).
    • Physiological causes:
    • Exercise.
    • Increased metabolism (e.g., due to androgens).
    • Living in high altitudes.

    Respiratory Disorders (a cause of secondary polycythemia)

    • In respiratory failure, the lungs struggle to absorb adequate oxygen, causing hypoxia.
    • Hypoxia triggers higher erythropoietin production.
    • Emphysema, a lung condition related to nicotine use and impaired airway cilia, is a type of respiratory disorder.

    Heart Disease (a cause of secondary polycythemia)

    • Heart conditions impair proper blood pumping.
    • This leads to hypoxia in body cells.

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    Description

    This quiz covers the condition of polycythemia, including its two major types: primary (polycythemia vera) and secondary polycythemia. Learn about the causes, symptoms, and the relationship of polycythemia with respiratory disorders. Test your knowledge on this blood condition and its implications.

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