Deck 27: Anemia

Question 1

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 diet
D) 1 mg/kg per day until adequate intake of iron from foods

Answer 1

2 mg/kg per day until age 12 months

Question 2

Pernicious anemia is treated with:

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

Answer 2

Vitamin B₁₂

Question 3

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

A) Complete blood count every 4 weeks
B) Hematocrit and hemoglobin at 1 week and then at 8 weeks
C) Reticulocyte count at 1 week
D) Folate levels every 4 weeks until hemoglobin stabilizes

Answer 3

Hematocrit and hemoglobin at 1 week and then at 8 weeks

Question 4

Chee is a 15-month-old male whose screening hemoglobin is 10.4 g/dL.Treatment for his anemia would be:

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 5

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

A) Hemoglobin,hematocrit,and ferritin 4 weeks after treatment is started
B) Complete blood count every 4 weeks throughout treatment
C) Annual complete blood count
D) Reticulocyte count in 4 weeks

Question 6

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 7

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?

A) 40 mcg/day
B) 400 mcg/day
C) 800 mcg/day
D) 2 gm/day

Question 8

should be monitored when Vitamin B₁₂ therapy is started.

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

Question 9

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 10

The dosage of Vitamin B₁₂ to 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 B₁₂ IM monthly
C) Vitamin B₁₂ 1,000 mcg IM daily x 1 week then 1,000 mg weekly for a month
D) Oral cobalamin 1,000 mcg daily

Question 11

Valerie 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 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

Question 12

Anemia due to chronic renal failure is treated with:

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

Question 13

Valerie presents to clinic with menorrhagia.Her hemoglobin is 10.2 and her ferritin is 15 ng/mL.Initial treatment for her anemia would be:

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 14

The treatment of vitamin B₁₂ deficiency is:

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

Question 15

Kyle has Crohn's disease and 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 gram per day
C) IM folate weekly for at least 6 months
D) Oral folic acid 400 mcg daily