NM 703 EXAM 1 QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
What are 3 mechanisms you should think about with anemia?
(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?
(1) CBC (2) red blood cell indices (3) iron indices
What do you look for CBC to determine anemia?
Hgb & Hct
What is a normal Hgb level for adult men?
13.5-17.5
What is a normal Hgb level for women?
12.0 to 15.5
What is normal Hct level for adult men?
38.8-50
What is a normal Hct level for women?
34.9-44.5
What do you look for in rbc indices to determine anemia?
(1) MCV (2) reticulocyte count
What do you look for in iron indices to determine anemia?
(1) ferratin (2) TIBC (3) serum iron
If MCV is less than 80, what kind of anemia is it?
Microcytic
, What is an example microcytic anemia?
(1) IDA (2) thalassemia (3)
Anyone who fails first line treatment should do what?
Be referred out
If a patient needs serum iron replacement or blood transfusion, what should you
do?
Refer patient out
Should you treat a patient with thalassemia with iron?
No
What is an example of normocytic anemia?
Anemia of chronic disease
What are some reasons someone might have anemia of chronic disease?
(1) autoimmune disorders (2) chronic kidney disease (3) cancer
What is the treatment of normocytic anemia?
Treat the underlying problem
What are common complaints related to IDA?
(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?
(1) tachycardia (2) forceful apical pulse (3) palmar creases (4) pallor
What do iron labs show for IDA?
COMPLETE SOLUTIONS VERIFIED
What are 3 mechanisms you should think about with anemia?
(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?
(1) CBC (2) red blood cell indices (3) iron indices
What do you look for CBC to determine anemia?
Hgb & Hct
What is a normal Hgb level for adult men?
13.5-17.5
What is a normal Hgb level for women?
12.0 to 15.5
What is normal Hct level for adult men?
38.8-50
What is a normal Hct level for women?
34.9-44.5
What do you look for in rbc indices to determine anemia?
(1) MCV (2) reticulocyte count
What do you look for in iron indices to determine anemia?
(1) ferratin (2) TIBC (3) serum iron
If MCV is less than 80, what kind of anemia is it?
Microcytic
, What is an example microcytic anemia?
(1) IDA (2) thalassemia (3)
Anyone who fails first line treatment should do what?
Be referred out
If a patient needs serum iron replacement or blood transfusion, what should you
do?
Refer patient out
Should you treat a patient with thalassemia with iron?
No
What is an example of normocytic anemia?
Anemia of chronic disease
What are some reasons someone might have anemia of chronic disease?
(1) autoimmune disorders (2) chronic kidney disease (3) cancer
What is the treatment of normocytic anemia?
Treat the underlying problem
What are common complaints related to IDA?
(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?
(1) tachycardia (2) forceful apical pulse (3) palmar creases (4) pallor
What do iron labs show for IDA?
