Explain why patients undergoing gastric bypass surgery are prone to developing pernicious anemia
What will be an ideal response?
Answer: Gastric bypass involves resection of the stomach. The parietal cells that secrete intrinsic factor are located in the stomach. Without the parietal cells, intrinsic factor cannot be secreted, and dietary vitamin B12 cannot be absorbed properly.
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All of the following are duties of the clinical medical assistant except:
A) disinfection procedures. B) preparing the patient for physical exams. C) checking in the patient. D) obtaining specimens for microbiological exams.
The finger- and toenails should be a regular part of the integumentary examination. Which of the following nail presentations can be a consequence of cardiac, pulmonary, hepatic, or gastrointestinal disease?
A. Clubbing B. Yellow nail syndrome C. Dystrophic nail changes D. Onychomycosis