Anemia

Question 1

Anemia of chronic disease

Answer 1

Normocytic normochromic anemia with NL RDW

Question 2

Iron deficiency

Answer 2

Microcytic hypochromic anemia with elevated RDW

Question 3

Iron deficiency anemia next steps

Answer 3

Order ferritin level

Question 4

Aloha or beta thalassemia minor

Answer 4

Microcytic hypochromic with NL RDW

Question 5

Thalassemia next steps

Answer 5

Order hemoglobin electrophoresis for eval of hemoglobin variants

Question 6

Thalassemia next steps

Answer 6

Order hemoglobin electrophoresis for eval of hemoglobin variants

Question 7

B12/pernicious anemia

Answer 7

Macrocytic Normochromic with elevated RDW

Question 8

Folate deficiency

Answer 8

Macrocytic Normochromic withe elevated RDW

Question 9

Macrocytic is w/o anemia

Answer 9

Excess alcohol
Antiepileptic drugs like carbamazepine, phenytoin, methotrexate

Question 10

Epoetin aloha injection

Answer 10

Treats anemia

Induces release of reticulocytes from bone marrow
Has the same biological activity as the endogenous hormone
Induces erythropoiesis
Not used to treat iron deficiency anemia

Question 11

Causes drug induced thrombocytopenia

Answer 11

Unfractionated heparin, sulfonamides, cimetidine, quinine, vanc, phenytoin (anticonvulsant), carbamazepine, beta lactams, digoxin, caloric acid

Increase in platelet count after DC is 2-7 days

Question 12

Number one cause of pernicious anemia

Answer 12

An autoimmune process

Question 13

Who are likely to get Folate deficiency

Answer 13

Inadequate dietary intake (elderly, impoverished, alcoholics)
Decreased ability to absorb folate (malabsorption syndrome)
High demand for folate (during lactation)

Question 14

Lane findings during iron deficiency tx

Answer 14

Increased reticuloycte count at 6 days
Hbg increase by 2 with every 3 weeks with hematocrit at 6%

Ferritin levels will reach normal after 3-6 months after normal hgb levels are reached

Question 15

Iron therapy length once underlying cause is successfully addressed

Answer 15

2 mo

Question 16

At risk ethnic groups for alpha thalassemia minor

Answer 16

Asian, African

Question 17

At risk ethnic groups for alpha thalassemia minor

Answer 17

Asian, African

Question 18

At risk ethnic groups for beta thalassemia minor

Answer 18

African, Mediterranean, middle eastern

Question 19

Normal b12 level

Answer 19

160-950

Question 20

Polycythemia

Answer 20

Increased RBC
- can occurs d/t chronic hypoxia in smokers