Question 1

Allie has just had her pregnancy confirmed and is asking about how to ensure a healthy baby. What is the folic acid requirement during pregnancy?&#10;A) 40 mcg/day&#10;B) 200 mcg/day&#10;C) 800 mcg/day&#10;D) 2 gm/day&#10;

Accepted Answer

The folic acid requirement during pregnancy is 800 mcg/day. Folic acid is essential for the growth and development of the fetus, and can help prevent birth defects such as spina bifida. Pregnant women are advised to take a daily prenatal vitamin that contains at least 800 mcg of folic acid.

Question 2

________ should be monitored when vitamin B₁₂ therapy is started. A) Serum calcium B) Serum potassium C) Ferritin D) C-reactive protein

Accepted Answer

Serum potassium

Question 3

Chee is a 15-month-old male whose screening hemoglobin is 10.4 g/dL. Treatment for his anemia would be:&#10;A) 18 mg/day of iron supplementation&#10;B) 6 mg/kg per day of elemental iron&#10;C) 325 mg ferrous sulfate per day&#10;D) 325 mg ferrous sulfate tid&#10;

Accepted Answer

Treatment for anemia in a 15-month-old male would be to supplement with 6 mg/kg per day of elemental iron. This dosage is based on the child's weight and is the standard recommendation for treating iron-deficiency anemia in pediatric patients. It is important to note that the cause of the anemia should also be investigated, as iron deficiency may be a symptom of an underlying condition.

Question 4

Patients who are being treated for folate deficiency require monitoring of:&#10;A) Complete blood count every 4 weeks&#10;B) Hematocrit and hemoglobin at 1 week and then at 8 weeks&#10;C) Reticulocyte count at 1 week&#10;D) Folate levels every 4 weeks until hemoglobin stabilizes&#10;

Accepted Answer

The answer of Patients who are being treated for folate...

Question 5

Before beginning IM vitamin B₁₂therapy, which laboratory values should be obtained? A) Reticulocyte count, hemoglobin, and hematocrit B) Iron C) Vitamin B₁₂ D) All of the above

Accepted Answer

Before beginning IM vitamin B₁₂ therapy, it is important to obtain baseline laboratory values including reticulocyte count, hemoglobin, hematocrit, iron, and vitamin B₁₂.

Question 6

Valerie has been prescribed iron to treat her anemia. Education of patients prescribed iron would include:&#10;A) Take the iron with milk if it upsets her stomach.&#10;B) Antacids may help with the nausea and GI upset caused by iron.&#10;C) Increase fluids and fiber to treat constipation.&#10;D) Iron is best tolerated if it is taken at the same time as her other medications.&#10;

Accepted Answer

Increasing fluids and fiber can help prevent or treat constipation, a common side effect of iron supplementation. Option A is incorrect because milk can actually decrease the absorption of iron. Option B is incorrect because antacids can interfere with iron absorption. Option D is incorrect because iron may interact with other medications, so it's important to consult with a healthcare provider regarding the timing and interaction of medications.

Question 7

Breastfed infants should receive iron supplementation of:&#10;A) 3 mg/kg per day&#10;B) 6 mg/kg per day&#10;C) 1 mg/kg per day&#10;D) Breastfed babies do not need iron supplementation&#10;

Accepted Answer

The answer of Breastfed infants should receive iron supplementation of:&#10;A)...

Question 8

The treatment of vitamin B₁₂deficiency is: A) 1,000 mcg daily of oral cobalamin B) 2 gm per day of oral cobalamin C) Vitamin B₁₂ 100 mcg/day IM D) 500 mcg/dose nasal cyanocobalamin 2 sprays once a week

Accepted Answer

The recommended treatment for vitamin B₁₂ deficiency is 1,000 mcg daily of oral cobalamin, which is an effective and convenient option for most patients. Option B (2 gm per day of oral cobalamin) is too high of a dosage and is unnecessary. Option C (Vitamin B₁₂ 100 mcg/day IM) may be needed for patients with severe deficiency or absorption problems, but it requires frequent injections and is more invasive. Option D (500 mcg/dose nasal cyanocobalamin 2 sprays once a week) is an alternative route of administration, but it is less effective than oral supplementation and may cause irritation or discomfort in some patients.

Question 9

Valerie presents to the clinic with menorrhagia. Her hemoglobin is 10.2 and her ferritin is 15 ng/mL. Initial treatment for her anemia would be:&#10;A) 18 mg/day of iron supplementation&#10;B) 6 mg/kg per day of iron supplementation&#10;C) 325 mg ferrous sulfate per day&#10;D) 325 mg ferrous sulfate tid&#10;

Accepted Answer

Valerie's hemoglobin and ferritin levels suggest she has iron-deficiency anemia, likely due to her menorrhagia. The initial treatment for this type of anemia is usually oral iron supplementation. Option A of 18 mg/day may be appropriate for the prevention of iron deficiency, but it is not enough to treat anemia. Option B of 6 mg/kg per day is also a common starting dose but should take into account any comorbidities or side effects. Option C of 325 mg ferrous sulfate per day may be too low for Valerie's level of anemia. Therefore, option D of 325 mg ferrous sulfate tid (three times a day) is the best choice as it provides an appropriate dose and frequency for the treatment of her anemia. It is important to monitor Valerie's tolerance and compliance with iron supplementation and follow up on her anemia with repeat laboratory testing.

Question 10

Premature infants require iron supplementation with:&#10;A) 10 mg/day of iron&#10;B) 2 mg/kg per day until age 12 months&#10;C) 7 mg/day in their diet&#10;D) 1 mg/kg per day until they are receiving adequate intake of iron from foods&#10;

Accepted Answer

Premature infants have lower iron stores and require a higher amount of iron compared to full-term infants. The recommended amount is 2 mg/kg per day until age 12 months, as stated in choice B. Choices A, C, and D are not considered adequate for premature infants.

Question 11

Monitoring for a patient taking iron to treat iron deficiency anemia is:&#10;A) Hemoglobin, hematocrit, and ferritin 4 weeks after treatment is started&#10;B) Complete blood count every 4 weeks throughout treatment&#10;C) Annual complete blood count&#10;D) Reticulocyte count in 4 weeks&#10;

Accepted Answer

The answer of Monitoring for a patient taking iron to...

Question 12

Pernicious anemia is treated with: A) Folic acid supplements B) Thiamine supplements C) Vitamin B₁₂ D) Iron

Accepted Answer

The answer of Pernicious anemia is treated with:&#10;A) Folic acid...

Question 13

The dosage of Vitamin B₁₂to initially treat pernicious anemia is: A) Nasal cyanocobalamin 1 gram spray in each nostril daily x 1 week then weekly x 1 month B) Vitamin B₁₂IM monthly C) Vitamin B₁₂1,000 mcg IM daily x 1 week then 1,000 mg IM weekly for a month D) Oral cobalamin 1,000 mcg daily

Accepted Answer

The answer of The dosage of Vitamin B₁₂to initially...

Question 14

Kyle has Crohn's disease and has a documented folate deficiency. Drug therapy for folate deficiency anemia is:&#10;A) Oral folic acid 1 to 2 mg per day&#10;B) Oral folic acid 1 gram per day&#10;C) IM folate weekly for at least 6 months&#10;D) Oral folic acid 400 mcg daily&#10;

Accepted Answer

The answer of Kyle has Crohn's disease and has a...

Question 15

Anemia due to chronic renal failure is treated with: A) Epoetin alfa (Epogen) B) Ferrous sulfate C) Vitamin B₁₂ D) Hydroxyurea

Accepted Answer

The answer of Anemia due to chronic renal failure is...

Deck 27: Anemia