Question 1

Kyle has Crohn's disease and has a documented folate deficiency. Drug therapy for folate deficiency anemia is:

Accepted Answer

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 
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 A

Question 2

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

Accepted Answer

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 
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 B

Question 3

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

Accepted Answer

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 IM weekly for a month 
D)  Oral cobalamin 1,000 mcg daily 
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 IM weekly for a month 
D)  Oral cobalamin 1,000 mcg daily C

Question 4

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

Accepted Answer

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 
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 5

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

Accepted Answer

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 
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

Question 6

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:

Accepted Answer

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 
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 7

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

Accepted Answer

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

Question 8

Breastfed infants should receive iron supplementation of:

Accepted Answer

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 
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 9

The treatment of vitamin B12 deficiency is:

Accepted Answer

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 
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

Question 10

________ should be monitored when vitamin B12 therapy is started.

Accepted Answer

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

Question 11

Anemia due to chronic renal failure is treated with:

Accepted Answer

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

Question 12

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?

Accepted Answer

A)  40 mcg/day 
B)  200 mcg/day 
C)  800 mcg/day 
D)  2 gm/day 
A)  40 mcg/day 
B)  200 mcg/day 
C)  800 mcg/day 
D)  2 gm/day

Question 13

Premature infants require iron supplementation with:

Accepted Answer

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 
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

Question 14

Pernicious anemia is treated with:

Accepted Answer

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

Question 15

Valerie has been prescribed iron to treat her anemia. Education of patients prescribed iron would include:

Accepted Answer

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. 
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.

Exam 27: Anemia

Kyle has Crohn's disease and has a documented folate deficiency. Drug therapy for folate deficiency anemia is:

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

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

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

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

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:

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

Breastfed infants should receive iron supplementation of:

The treatment of vitamin B12 deficiency is:

________ should be monitored when vitamin B12 therapy is started.

Anemia due to chronic renal failure is treated with:

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?

Premature infants require iron supplementation with:

Pernicious anemia is treated with:

Valerie has been prescribed iron to treat her anemia. Education of patients prescribed iron would include:

The Role of the Nurse Practitioner

Review of Basic Principles of Pharmacology

Rational Drug Selection

Legal and Professional Issues in Prescribing

Adverse Drug Reactions

Factors That Foster Positive Outcomes

Cultural and Ethnic Influences in Pharmacotherapeutics

An Introduction to Pharmacogenomics

Nutrition and Nutraceuticals

Herbal Therapy and Nutritional Supplements

Information Technology and Pharmacotherapeutics

Pharmacoeconomics

Over-The-Counter Medications

Drugs Affecting the Autonomic Nervous System

Drugs Affecting the Central Nervous System

Drugs Affecting the Cardiovascular and Renal Systems

Drugs Affecting the Respiratory System

Drugs Affecting the Hematopoietic System

Drugs Affecting the Immune System

Drugs Affecting the Gastrointestinal System

Drugs Affecting the Endocrine System

Drugs Affecting the Reproductive System

Drugs Affecting the Integumentary System

Drugs Used in Treating Infectious Diseases

Drugs Used in Treating Inflammatory Processes

Drugs Used in Treating Eye and Ear Disorders

Chronic Stable Angina and Low-Risk Unstable Angina

Anxiety and Depression

Asthma and Chronic Obstructive Pulmonary Disease

Contraception

Dermatologic Conditions

Diabetes Mellitus

Gastroesophageal Reflux and Peptic Ulcer Disease

Headaches

Heart Failure

Human Immunodeficiency Virus Disease and Acquired Immunodeficiency Syndrome

Hormone Replacement Therapy and Osteoporosis

Hyperlipidemia

Hypertension

Hyperthyroidism and Hypothyroidism

Pneumonia

Smoking Cessation

Sexually Transmitted Infections and Vaginitis

Tuberculosis

Upper Respiratory Infections, Otitis Media, and Otitis Externa

Urinary Tract Infections

Women As Patients

Men As Patients

Children As Patients

Geriatric Patients

Pain Management: Acute and Chronic Pain

Filters

The dosage of Vitamin B₁₂to initially treat pernicious anemia is:

Before beginning IM vitamin B₁₂therapy, which laboratory values should be obtained?

The treatment of vitamin B₁₂deficiency is:

________ should be monitored when vitamin B₁₂ therapy is started.