NM 703 Exam 1 || 100% Errorless Answers.
What are 3 mechanisms you should think about with anemia? correct answers (1) production of
RBCs (2) destruction of RBCs (3) blood loss
What are the 3 types of lab values you want to look at with anemia? correct answers (1) CBC (2)
red blood cell indices (3) iron indices
What do you look for CBC to determine anemia? correct answers Hgb & Hct
What is a normal Hgb level for adult men? correct answers 13.5-17.5
What is a normal Hgb level for women? correct answers 12.0 to 15.5
What is normal Hct level for adult men? correct answers 38.8-50
What is a normal Hct level for women? correct answers 34.9-44.5
What do you look for in rbc indices to determine anemia? correct answers (1) MCV (2)
reticulocyte count
What do you look for in iron indices to determine anemia? correct answers (1) ferratin (2) TIBC
(3) serum iron
If MCV is less than 80, what kind of anemia is it? correct answers Microcytic
What is an example microcytic anemia? correct answers (1) IDA (2) thalassemia (3)
Anyone who fails first line treatment should do what? correct answers Be referred out
If a patient needs serum iron replacement or blood transfusion, what should you do? correct
answers Refer patient out
Should you treat a patient with thalassemia with iron? correct answers No
What is an example of normocytic anemia? correct answers Anemia of chronic disease
What are some reasons someone might have anemia of chronic disease? correct answers (1)
autoimmune disorders (2) chronic kidney disease (3) cancer
What is the treatment of normocytic anemia? correct answers Treat the underlying problem
What are common complaints related to IDA? correct answers (1) fatigue (2) decreased exercise
tolerance (3) palpitations (4) irritability (5) headaches (6) paresthesias (7) sore tongue (8) brittle
nails (9) spoon-shaped nails (10) pica for starch, clay, ice
, What might you find on physical examination with IDA? correct answers (1) tachycardia (2)
forceful apical pulse (3) palmar creases (4) pallor
What do iron labs show for IDA? correct answers (1) low serum iron (2) decrease serum ferritin
(3) increased TIBC (4) decreased percentage of transferrin saturation
What is a cause of macrocytic anemia? correct answers B12 or folate deficiency (megaloblastic
anemia)
With IDA, what should be suspected unless proven otherwise? correct answers GI bleeding
Older adults with IDA should be check for what else? correct answers (1) GI cancers (2) GI
bleeding
What are 5 differential diagnoses for microcytic anemia? correct answers (1) IDA (2)
thalassemia (3) ACD (4) sideroblastic anemia (5) lead poisoning, aluminum toxicity
What is the initial treatment of iron deficiency anemia? correct answers Oral iron (150 to 200 mg
per day)
What are common side effects of iron supplementation? correct answers (1) black stools (2)
constipation (3) nausea (4) diarrhea (5) heartburn (6) GI discomfort
What happens when iron is taken with meals? correct answers Decreases absorption 40 to 50%
What can you do to increase compliance with iron supplementation? correct answers Divided
doses, start with one pill and gradually increase amount
With iron supplementation, when will you see changes in hgb? correct answers 1 to 2 weeks
With iron supplementation, when will you see changes in MCV? correct answers 1 to 2 months
What are complications of IDA in pregnancy? correct answers (1) preterm delivery (2) low birth
weight (3) learning deficits
What are reasons to refer IDA patient to hematologists? correct answers (1) nonadherence to iron
supplementation or intolerance (2) persistent IDA that needs parenteral replacement (3)
persistent microcytic anemia
Education for iron replacement should include that a patient should take iron supplements when?
correct answers 30 minutes before meals
What foods can interfere with iron absorption? correct answers (1) tea (2) coffee (3) chocolate
(4) dairy products (5) alcohol (6) high fiber foods
What are 3 mechanisms you should think about with anemia? correct answers (1) production of
RBCs (2) destruction of RBCs (3) blood loss
What are the 3 types of lab values you want to look at with anemia? correct answers (1) CBC (2)
red blood cell indices (3) iron indices
What do you look for CBC to determine anemia? correct answers Hgb & Hct
What is a normal Hgb level for adult men? correct answers 13.5-17.5
What is a normal Hgb level for women? correct answers 12.0 to 15.5
What is normal Hct level for adult men? correct answers 38.8-50
What is a normal Hct level for women? correct answers 34.9-44.5
What do you look for in rbc indices to determine anemia? correct answers (1) MCV (2)
reticulocyte count
What do you look for in iron indices to determine anemia? correct answers (1) ferratin (2) TIBC
(3) serum iron
If MCV is less than 80, what kind of anemia is it? correct answers Microcytic
What is an example microcytic anemia? correct answers (1) IDA (2) thalassemia (3)
Anyone who fails first line treatment should do what? correct answers Be referred out
If a patient needs serum iron replacement or blood transfusion, what should you do? correct
answers Refer patient out
Should you treat a patient with thalassemia with iron? correct answers No
What is an example of normocytic anemia? correct answers Anemia of chronic disease
What are some reasons someone might have anemia of chronic disease? correct answers (1)
autoimmune disorders (2) chronic kidney disease (3) cancer
What is the treatment of normocytic anemia? correct answers Treat the underlying problem
What are common complaints related to IDA? correct answers (1) fatigue (2) decreased exercise
tolerance (3) palpitations (4) irritability (5) headaches (6) paresthesias (7) sore tongue (8) brittle
nails (9) spoon-shaped nails (10) pica for starch, clay, ice
, What might you find on physical examination with IDA? correct answers (1) tachycardia (2)
forceful apical pulse (3) palmar creases (4) pallor
What do iron labs show for IDA? correct answers (1) low serum iron (2) decrease serum ferritin
(3) increased TIBC (4) decreased percentage of transferrin saturation
What is a cause of macrocytic anemia? correct answers B12 or folate deficiency (megaloblastic
anemia)
With IDA, what should be suspected unless proven otherwise? correct answers GI bleeding
Older adults with IDA should be check for what else? correct answers (1) GI cancers (2) GI
bleeding
What are 5 differential diagnoses for microcytic anemia? correct answers (1) IDA (2)
thalassemia (3) ACD (4) sideroblastic anemia (5) lead poisoning, aluminum toxicity
What is the initial treatment of iron deficiency anemia? correct answers Oral iron (150 to 200 mg
per day)
What are common side effects of iron supplementation? correct answers (1) black stools (2)
constipation (3) nausea (4) diarrhea (5) heartburn (6) GI discomfort
What happens when iron is taken with meals? correct answers Decreases absorption 40 to 50%
What can you do to increase compliance with iron supplementation? correct answers Divided
doses, start with one pill and gradually increase amount
With iron supplementation, when will you see changes in hgb? correct answers 1 to 2 weeks
With iron supplementation, when will you see changes in MCV? correct answers 1 to 2 months
What are complications of IDA in pregnancy? correct answers (1) preterm delivery (2) low birth
weight (3) learning deficits
What are reasons to refer IDA patient to hematologists? correct answers (1) nonadherence to iron
supplementation or intolerance (2) persistent IDA that needs parenteral replacement (3)
persistent microcytic anemia
Education for iron replacement should include that a patient should take iron supplements when?
correct answers 30 minutes before meals
What foods can interfere with iron absorption? correct answers (1) tea (2) coffee (3) chocolate
(4) dairy products (5) alcohol (6) high fiber foods
