Deck 28: Anemia

Question 1

An adult female has been prescribed iron to treat her anemia. Education of patients prescribed iron would include:

A)Take the iron with milk if it upsets her stomach.
B)Antacids may help with the nausea and gastrointestinal (GI) upset caused by iron.
C)Increase fluids and fiber to treat constipation.
D)Iron is best tolerated if it is taken at the same time as her other medications.

Answer 1

Increase fluids and fiber to treat constipation.

Question 2

Premature infants require iron supplementation with:

A)10 mg/day of iron
B)2 mg/kg per day until age 12 months
C)7 mg/day in their diet
D)1 mg/kg per day until they are receiving adequate intake of iron from foods

Answer 2

2 mg/kg per day until age 12 months

Question 3

The dosage of Vitamin B₁₂ to initially treat pernicious anemia is:

A)Nasal cyanocobalamin 1 g spray in each nostril daily for one week then weekly for one month
B)Vitamin B₁₂ IM monthly
C)Vitamin B₁₂ 1,000 mcg IM daily for one week then 1,000 mg IM weekly for a month
D)Oral cobalamin 1,000 mcg daily

Answer 3

Vitamin B₁₂ 1,000 mcg IM daily for one week then 1,000 mg IM weekly for a month

Question 4

Patients who are being treated for folate deficiency require monitoring of:

A)Complete blood count every four weeks
B)Hematocrit and hemoglobin at one week and then at eight weeks
C)Reticulocyte count at one week
D)Folate levels every four weeks until hemoglobin stabilizes

Question 5

An adult female presents to the clinic with menorrhagia. Her hemoglobin is 10.2 and her ferritin is 15 ng/mL. Initial treatment for her anemia is:

A)18 mg/day of iron supplementation
B)6 mg/kg per day of iron supplementation
C)325 mg ferrous sulfate per day
D)325 mg ferrous sulfate tid

Question 6

Monitoring for a patient taking iron to treat iron deficiency anemia includes:

A)Hemoglobin, hematocrit, and ferritin four weeks after treatment is started
B)Complete blood count every four weeks throughout treatment
C)Annual complete blood count
D)Reticulocyte count four weeks after treatment is started

Question 7

A 15-month-old male has a screening hemoglobin of 10.4 g/dL. Treatment for anemia in toddlers is:

A)18 mg/day of iron supplementation
B)6 mg/kg per day of elemental iron
C)325 mg ferrous sulfate per day
D)325 mg ferrous sulfate tid

Question 8

A patient has just had her pregnancy confirmed and is asking about how to ensure a healthy baby. What is the folic acid requirement during pregnancy?

A)40 mcg/day
B)200 mcg/day
C)600 mcg/day
D)2 g/day

Question 9

________ should be monitored when vitamin B₁₂ therapy is started.

A)Serum calcium
B)Serum potassium
C)Ferritin
D)C-reactive protein

Question 10

Anemia due to chronic renal failure is treated with:

A)Epoetin alfa (Epogen)
B)Ferrous sulfate
C)Vitamin B₁₂
D)Hydroxyurea

Question 11

Breastfed infants should receive iron supplementation of:

A)3 mg/kg per day
B)6 mg/kg per day
C)1 mg/kg per day
D)Breastfed babies do not need iron supplementation.

Question 12

The treatment of vitamin B₁₂ deficiency is:

A)1,000 mcg daily of oral cobalamin
B)2 g per day of oral cobalamin
C)Vitamin B₁₂ 100 mcg/day IM 4.500 mcg/dose nasal cyanocobalamin two sprays once a week

Question 13

Before beginning IM vitamin B₁₂ therapy, which laboratory values should be obtained?

A)Reticulocyte count, hemoglobin, and hematocrit
B)Iron
C)Vitamin B₁₂
D)All of the above

Question 14

Pernicious anemia is treated with:

A)Folic acid supplements
B)Thiamine supplements
C)Vitamin B₁₂
D)Iron

Question 15

A patient with Crohn's disease has a documented folate deficiency. Drug therapy for folate deficiency anemia is:

A)Oral folic acid 1 to 2 mg per day
B)Oral folic acid 1 g per day
C)Intramuscular (IM) folate weekly for at least six months
D)Oral folic acid 400 mcg daily