Anemia

Question 1

First step in microcytic anemia?

Answer 1

Trial of iron supplement to rule in/out IDA

Question 2

What would indicate beta thalassemia trait on hemoglobin electrophoresis?

Answer 2

Elevated A2 hemoglobin

Question 3

If two people with beta thalassemia trait have a kid, what are the chances that the baby will have beta thalassemia?

Answer 3

1 in 4

Question 4

Hemoglobin cutoff for anemia in pregnancy?

Answer 4

<10.5

Question 5

What medication do you not want to give to a patient with G6PD deficiency?

Answer 5

Nitrofurantoin, sulfonamides, antimalarial agents

Question 6

Most common cause of anemia in pregnancy

Answer 6

IDA

Question 7

Severe anemia in pregnancy

Answer 7

<7

Question 8

Risk factors for hemoglobinpathies

Answer 8

AA, SE Asian, Mediterranean

Question 9

Ferritin level in IDA

Answer 9

Low (storage)

Question 10

Therapy for beta thalassemia minor in pregnancy

Answer 10

Folic acid supplement

Question 11

Sickle cell anemia mutation

Answer 11

Point mutation in beta globin chain - glutamic acid to valine

Question 12

1 cause of macrocytic anemia in pregnancy

Answer 12

Folate deficiency (because B12 stores are large)

Question 13

Anemia, jaundice, thrombocytopenia in pregnant woman

Answer 13

Consider HELLP syndrome

Question 14

Treatment for HELLP syndrome

Answer 14

Delivery

Question 15

Elevated hemoglobin F

Answer 15

alpha thalassemia