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1. What does the Mean Corpuscular Volume (MCV) represent?
• A. Average volume of individual erythrocytes
• B. Average hemoglobin concentration
• C. Total number of red blood cells
• D. Iron-binding capacity of hemoglobin
2. An MCV less than 80 fL indicates:
• A. Normocytic cells
• B. Microcytic cells
• C. Macrocytic cells
• D. Hypochromic cells
3. Which MCV range is considered normocytic?
• A. <80 fL
• B. 80–100 fL
• C. >100 fL
• D. 60–75 fL
4. An MCV greater than 100 fL suggests:
,• A. Iron deficiency anemia
• B. Hemolytic anemia
• C. Macrocytic anemia
• D. Chronic disease anemia
5. What does Mean Corpuscular Hemoglobin Concentration (MCHC)
measure?
• A. Average cell size
• B. Average hemoglobin concentration in RBCs
• C. Plasma hemoglobin
• D. Hematocrit ratio
6. A normal MCHC is between:
• A. 28–30%
• B. 30–32%
• C. 32–36%
• D. 38–40%
7. An MCHC less than 32% is defined as:
• A. Hyperchromic
• B. Hypochromic
• C. Normochromic
• D. Microcytic
8. Which term describes variation in RBC size?
• A. Anisocytosis
• B. Poikilocytosis
,• C. Hypochromia
• D. Reticulocytosis
9. What does the Reticulocyte Count reflect?
• A. Iron stores in the body
• B. The rate of new RBC production
• C. RBC destruction
• D. Hemoglobin saturation
10.Normal reticulocyte count in adults is:
• A. 0–0.5%
• B. 1–2%
• C. 3–5%
• D. 5–8%
11. Which of the following is a characteristic of Iron Deficiency Anemia
(IDA)?
• A. Low MCV and low MCHC
• B. High MCV and high MCHC
• C. Normal MCV and MCHC
• D. Elevated reticulocytes
12. Thalassemia is primarily a disorder of:
• A. Iron absorption
• B. Hemoglobin synthesis
• C. Vitamin B12 absorption
• D. RBC membrane defect
, 13. Anemia of Chronic Disease is typically associated with:
• A. Low ferritin and high TIBC
• B. High ferritin and low TIBC
• C. High iron saturation
• D. Normal TIBC
14. Which lab test best reflects stored iron levels?
• A. Serum iron
• B. Ferritin
• C. Hematocrit
• D. Transferrin
15. Recommended elemental iron dose for adults with IDA:
• A. 25–50 mg/day
• B. 100–200 mg/day
• C. 300–400 mg/day
• D. 500 mg/day
Intravenous iron is indicated when:
• A. Hemoglobin >12 g/dL
• B. Oral iron is ineffective or intolerable
• C. Ferritin >100 ng/mL
• D. Reticulocyte count is normal
Which formula is used to calculate required elemental iron replacement?
• A. Hgb × 0.1 × IBW
• B. 0.0442 × (desired Hgb – observed Hgb) × LBW