27: Anemia Flashcards
1
Q
- Pernicious anemia is treated with:
- Folic acid supplements
- Thiamine supplements
- Vitamin B12
- Iron
A
- Vitamin B12
2
Q
Premature infants require iron supplementation with:
- 10 mg/day of iron
- 2 mg/kg per day until age 12 months
- 7 mg/day in their diet
- 1 mg/kg per day until they are receiving adequate intake of iron from foods
A
- 2 mg/kg per day until age 12 months
3
Q
- Breastfed infants should receive iron supplementation of:
- 3 mg/kg per day
- 6 mg/kg per day
- 1 mg/kg per day
- Breastfed babies do not need iron supplementation
A
- 1 mg/kg per day
4
Q
- Valerie presents to the clinic with menorrhagia. Her hemoglobin is 10.2 and her ferritin is 15 ng/mL. Initial treatment for her anemia would be:
- 18 mg/day of iron supplementation
- 6 mg/kg per day of iron supplementation
- 325 mg ferrous sulfate per day
- 325 mg ferrous sulfate tid
A
- 325 mg ferrous sulfate tid
5
Q
- Chee is a 15-month-old male whose screening hemoglobin is 10.4 g/dL. Treatment for his anemia would be:
- 18 mg/day of iron supplementation
- 6 mg/kg per day of elemental iron
- 325 mg ferrous sulfate per day
- 325 mg ferrous sulfate tid
A
- 6 mg/kg per day of elemental iron
6
Q
- Monitoring for a patient taking iron to treat iron deficiency anemia is:
- Hemoglobin, hematocrit, and ferritin 4 weeks after treatment is started
- Complete blood count every 4 weeks throughout treatment
- Annual complete blood count
- Reticulocyte count in 4 weeks
A
- Hemoglobin, hematocrit, and ferritin 4 weeks after treatment is started
7
Q
- Valerie has been prescribed iron to treat her anemia. Education of patients prescribed iron would include:
- Take the iron with milk if it upsets her stomach.
- Antacids may help with the nausea and GI upset caused by iron.
- Increase fluids and fiber to treat constipation.
- Iron is best tolerated if it is taken at the same time as her other medications.
A
- Increase fluids and fiber to treat constipation.
8
Q
- Allie has just had her pregnancy confirmed and is asking about how to ensure a healthy baby. What is the folic acid requirement during pregnancy?
- 40 mcg/day
- 200 mcg/day
- 800 mcg/day
- 2 gm/day
A
- 800 mcg/day
9
Q
- Kyle has Crohn’s disease and has a documented folate deficiency. Drug therapy for folate deficiency anemia is:
- Oral folic acid 1 to 2 mg per day
- Oral folic acid 1 gram per day
- IM folate weekly for at least 6 months
- Oral folic acid 400 mcg daily
A
- Oral folic acid 1 to 2 mg per day
10
Q
- Patients who are being treated for folate deficiency require monitoring of:
- Complete blood count every 4 weeks
- Hematocrit and hemoglobin at 1 week and then at 8 weeks
- Reticulocyte count at 1 week
- Folate levels every 4 weeks until hemoglobin stabilizes
A
- Hematocrit and hemoglobin at 1 week and then at 8 weeks
11
Q
- The treatment of vitamin B12 deficiency is:
- 1,000 mcg daily of oral cobalamin
- 2 gm per day of oral cobalamin
- Vitamin B12 100 mcg/day IM
- 500 mcg/dose nasal cyanocobalamin 2 sprays once a week
A
- 1,000 mcg daily of oral cobalamin
12
Q
- The dosage of Vitamin B12 to initially treat pernicious anemia is:
- Nasal cyanocobalamin 1 gram spray in each nostril daily x 1 week then weekly x 1 month
- Vitamin B12 IM monthly
- Vitamin B12 1,000 mcg IM daily x 1 week then 1,000 mg IM weekly for a month
- Oral cobalamin 1,000 mcg daily
A
- Vitamin B12 1,000 mcg IM daily x 1 week then 1,000 mg IM weekly for a month
13
Q
- Before beginning IM vitamin B12 therapy, which laboratory values should be obtained?
- Reticulocyte count, hemoglobin, and hematocrit
- Iron
- Vitamin B12
- All of the above
A
- All of the above
14
Q
- ________ should be monitored when vitamin B12 therapy is started.
- Serum calcium
- Serum potassium
- Ferritin
- C-reactive protein
A
- Serum potassium
15
Q
- Anemia due to chronic renal failure is treated with:
- Epoetin alfa (Epogen)
- Ferrous sulfate
- Vitamin B12
- Hydroxyurea
A
- Epoetin alfa (Epogen)
