Deck 43: Anemia

Question 1

A finding of MCV > 110 is most likely to suggest:

A) Megaloblastic anemia
B) Microcytic anemia
C) Aplastic anemia
D) Anemia of chronic disease

Answer 1

A

Question 2

The most common nutritional deficiency is:

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

Answer 2

C

Question 3

Thalassemia is an inherited anemia characterized by the following:

A) Low MCV, normal iron, and total iron-binding capacity (TIBC)
B) Normal ferritin level, elevated TIBC
C) Increased retic count, low iron level
D) Normal iron level, decreased retic count

Answer 3

A

Question 4

Bariatric surgery puts individuals at risk for:

A) Iron deficiency
B) Hemolytic anemia
C) Vitamin B12 deficiency
D) Iron deficiency and vitamin B12 deficiency

Question 5

Which medications put individuals at risk for vitamin B12 deficiency?

A) Metformin and proton pump inhibitors (PPIs)
B) Metformin and sulfa-based medications
C) Folate and herbal supplements
D) Selective serotonin reuptake inhibitor (SSRIs)

Question 6

After taking iron replacement twice a day for 1 month, the
Hemoglobin does not improve. You suspect any of the following factors may be contributing except:

A) Patient is not taking the iron
B) Red cell production is greater than blood loss
C) Iron not being absorbed
D) Wrong diagnosis

Question 7

Patients taking cobalamin to treat vitamin B12 deficiency require
lifelong compliance for well-being.

Question 8

Patients presenting with iron deficiency anemia and a family history of
Colon cancer should be evaluated by:

A) Endocrinology
B) Hematology
C) Gastroenterology
D) Nephrology

Question 9

The following distinguishes vitamin B12 from myelodysplastic
Syndrome:

A) Low cobalamin level
B) High ferritin level
C) Low folate level
D) Numerous atypical cells on red blood cell smear

Question 10

A 45-year-old Asian female with a history of diabetes and stage 3 chronic kidney disease has a normocytic anemia. She most likely has:

A) Sideroblastic anemia
B) Iron deficiency anemia
C) Anemia of chronic disease
D) Thalassemia

Question 11

Anemia of pregnancy peaks at:

A) 16-20 weeks
B) 28-34 weeks.
C) 12-20 weeks
D) 18-26 weeks

Question 12

Patients who are pregnant and presenting with a hemoglobin variant of sickle cell trait need the following test to determine plan of care:

A) TIBC and ferritin levels
B) Reticulocyte count
C) Genetic testing for pregnant woman
D) CBC and hemoglobin evaluation for the father of the baby

Question 13

Pregnant women have an increased risk of UTI. This risk is increased further when the women is a carrier for:

A) Sickle cell trait
B) Alpha thalassemia trait
C) Beta thalassemia trait
D) Either alpha or beta thalassemia trait.

Question 14

The absorption of iron tablets can be decreased by:

A) Coffee and tea
B) Dairy
C) Antacids
D) All of the above