FNP (AANP) Study Guide Exam
with Answers
Microcytic Anemias - Correct Answer IDA, Thalassemia, Lead Toxicity
Macrocytic Anemias - Correct Answer B12 Deficiency and Folate deficiency
IDA - Correct Answer Microcytic, hypochromic
Patient Presentation with microcytic anemia - Correct Answer Weakness,
headache, irritability, fatigue, and exercise intolerance. Worsening of angina or
dementia
TIBC - Correct Answer Elevated with IDA
Average lifespan of RBCs - Correct Answer 100-120 days
RDW <15% - Correct Answer Longstanding anemia in that all cells are small
RDW > 15% - Correct Answer New onset anemia; There is a mixture of normal and
small RBCs
Iron Rich foods - Correct Answer Organ meats, red meats, dried peas and beans,
whole grains, and dark, green, leafy vegetables
Iron Replacement - Correct Answer 150-200 mg/d Elemental Iron x4-6 months
,FNP (AANP) Study Guide Exam
with Answers
Beta Thalassemia - Correct Answer Avoid excessive iron consumption and will
need genetic counseling
Alpha Thalassemia - Correct Answer Asians, Mediterranean origin, avoid
inappropriate exposure to iron, no therapy needed in minima and minor
Liver - Correct Answer Where excess iron is stored
Thalassemia Lab Results - Correct Answer Decrease hct, hgb, MCV, and MCH
Normal RDW, serum iron, serum ferritin, and TIBC
IDA Lab Results - Correct Answer Decrease in hgb, hct, MCV, MCH, serum iron,
and serum ferritin
Elevated RDW & TIBC
RBC lifespan in chronic disease - Correct Answer 60-90 days
Macrocytosis Etiologies - Correct Answer ETOH abuse, substance abuse, celiac
disease, IBS, pregnancy, lactation, certain medications, and myelodysplastic
syndromes
Which macrocytic anemia is characterized by neuro changes? - Correct Answer Vit
B12 (Folate does not usually present with neuro changes)
,FNP (AANP) Study Guide Exam
with Answers
Thrombocytopenia - Correct Answer Platelet count less than 150,000
Thrombocytopenia Etiology - Correct Answer Drug induced, SLE, recent infection,
idiopathic, antiphospholipid syndrome, or leukemia
Agranular WBCs - Correct Answer Lymphocytes 20-25%
Monocytes 3-8%
Granular WBCs - Correct Answer Basophils 0.5-1%
Neutrophils 60-70%
Eosinophils 2-4%
Eosinophils will increase with... - Correct Answer Allergic reactions and parasitic
infections
On a CBC think a viral infection when... - Correct Answer Poly's and Lumphs are
numerically close
On a CBC think bacterial infection when... - Correct Answer Poly's and Lymphs are
numerically distant
, FNP (AANP) Study Guide Exam
with Answers
On a CBC, what will increase first with an infection? - Correct Answer Poly's and
Lymphs
Mono's on a CBC react within what amount of time in an infection? - Correct
Answer 24 hours
What are bands? - Correct Answer Immature WBCs and when present represents
a bad infection
Common medications that can cause anemia - Correct Answer Metformin and
PPIs
Hgb to Hct ratio - Correct Answer 1:3
Only time you will see the Hgb : Hct ratio differ? - Correct Answer Severe
dehydration will decrease the Hct because it is volume dependent
As MCV decreases, the RDW _____________? - Correct Answer Increases
As the MCV increases, the RDW ________________? - Correct Answer Increases
Normal response to anemia is________________ - Correct Answer Reticulocytosis
with Answers
Microcytic Anemias - Correct Answer IDA, Thalassemia, Lead Toxicity
Macrocytic Anemias - Correct Answer B12 Deficiency and Folate deficiency
IDA - Correct Answer Microcytic, hypochromic
Patient Presentation with microcytic anemia - Correct Answer Weakness,
headache, irritability, fatigue, and exercise intolerance. Worsening of angina or
dementia
TIBC - Correct Answer Elevated with IDA
Average lifespan of RBCs - Correct Answer 100-120 days
RDW <15% - Correct Answer Longstanding anemia in that all cells are small
RDW > 15% - Correct Answer New onset anemia; There is a mixture of normal and
small RBCs
Iron Rich foods - Correct Answer Organ meats, red meats, dried peas and beans,
whole grains, and dark, green, leafy vegetables
Iron Replacement - Correct Answer 150-200 mg/d Elemental Iron x4-6 months
,FNP (AANP) Study Guide Exam
with Answers
Beta Thalassemia - Correct Answer Avoid excessive iron consumption and will
need genetic counseling
Alpha Thalassemia - Correct Answer Asians, Mediterranean origin, avoid
inappropriate exposure to iron, no therapy needed in minima and minor
Liver - Correct Answer Where excess iron is stored
Thalassemia Lab Results - Correct Answer Decrease hct, hgb, MCV, and MCH
Normal RDW, serum iron, serum ferritin, and TIBC
IDA Lab Results - Correct Answer Decrease in hgb, hct, MCV, MCH, serum iron,
and serum ferritin
Elevated RDW & TIBC
RBC lifespan in chronic disease - Correct Answer 60-90 days
Macrocytosis Etiologies - Correct Answer ETOH abuse, substance abuse, celiac
disease, IBS, pregnancy, lactation, certain medications, and myelodysplastic
syndromes
Which macrocytic anemia is characterized by neuro changes? - Correct Answer Vit
B12 (Folate does not usually present with neuro changes)
,FNP (AANP) Study Guide Exam
with Answers
Thrombocytopenia - Correct Answer Platelet count less than 150,000
Thrombocytopenia Etiology - Correct Answer Drug induced, SLE, recent infection,
idiopathic, antiphospholipid syndrome, or leukemia
Agranular WBCs - Correct Answer Lymphocytes 20-25%
Monocytes 3-8%
Granular WBCs - Correct Answer Basophils 0.5-1%
Neutrophils 60-70%
Eosinophils 2-4%
Eosinophils will increase with... - Correct Answer Allergic reactions and parasitic
infections
On a CBC think a viral infection when... - Correct Answer Poly's and Lumphs are
numerically close
On a CBC think bacterial infection when... - Correct Answer Poly's and Lymphs are
numerically distant
, FNP (AANP) Study Guide Exam
with Answers
On a CBC, what will increase first with an infection? - Correct Answer Poly's and
Lymphs
Mono's on a CBC react within what amount of time in an infection? - Correct
Answer 24 hours
What are bands? - Correct Answer Immature WBCs and when present represents
a bad infection
Common medications that can cause anemia - Correct Answer Metformin and
PPIs
Hgb to Hct ratio - Correct Answer 1:3
Only time you will see the Hgb : Hct ratio differ? - Correct Answer Severe
dehydration will decrease the Hct because it is volume dependent
As MCV decreases, the RDW _____________? - Correct Answer Increases
As the MCV increases, the RDW ________________? - Correct Answer Increases
Normal response to anemia is________________ - Correct Answer Reticulocytosis
