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, A 60-year-old woman with a history of hypertension and diabetes presents with progressive fatigue and
anemia. Her laboratory results show microcytic hypochromic anemia. What is the most likely diagnosis?
- correct ans:Iron deficiency anemia
Treatment for symptomatic aplastic anemia includes what? - correct ans:Bone marrow transplant
Prophylactic antibiotics
PRBC/Platelet/WBC transfusions
A patient presents to the urgent care with SOB, fatigue, headache, and chest pain. Cardiac work up is
negative but CBC reveals a hemoglobin of 6.5. What would indicate a potential iron deficiency anemia? -
correct ans:MCV 67
MCHC 29
A 78-year-old male patient reports chronic infections, bruising, fatigue, SOB, and fevers. He has a history
of rectal adenocarcinoma and completed concurrent chemo/radiation earlier this year. His CBC shows
Hgb 7.5, Plt 88, WBC 1.2, ANC 0.8, and peripheral smear shows dysplasia. What additional work up
would you anticipate for this patient? - correct ans:Bone marrow biopsy and flow cytometry
A patient with a known intrinsic factor autoantibody is at risk for developing which of the following
conditions? - correct ans:B12 deficiency and pernicious anemia
Rationale: Causes of B12 deficiency include malabsorption and intrinsic factor deficiency. Intrinsic factor
deficiency is a result of gastric resection or IF autoantibody.
A 35-year-old man presents with recurrent episodes of severe pain in his back, chest and extremities. He
has a history of sickle cell disease. What is the most appropriate initial management during a pain crisis?
- correct ans:Hospitalization for IV fluids and opioids
Which of the following medication classes is the foundation of the care of heart failure and has been
shown to reduce mortality? - correct ans:Beta blockers
An adult female with rheumatoid arthritis presents to the office for a follow up. She is currently taking
methotrexate and over the counter ibuprofen. Today she complains of severe stomach pain and intense
abdominal cramping. After the NP makes appropriate adjustments to the patient's medication regimen,