Deck 27: Anemia

Question 1

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.

Answer 1

Increase fluids and fiber to treat constipation.

Question 2

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

Answer 2

Oral folic acid 1 to 2 mg per day

Question 3

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

Answer 3

Hemoglobin, hematocrit, and ferritin 4 weeks after treatment is started

Question 4

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 5

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

Question 6

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

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) 200 mcg/day
C) 800 mcg/day
D) 2 gm/day

Question 8

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:

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 9

Pernicious anemia is treated with:

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

Question 10

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 11

Anemia due to chronic renal failure is treated with:

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

Question 12

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 13

The treatment of vitamin B₁₂ deficiency 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

Question 14

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

Question 15

________ should be monitored when vitamin B₁₂ therapy is started.

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