Anemia Quiz

Question 1

T or F: Nonheme iron in foods and iron in inorganic iron salts and complexes must be reduced by a ferrireductase to ferrous iron (Fe2+) before it can be absorbed by intestinal mucosal cells.

Answer 1

True

Question 2

A 325 mg tablet of ferrous sulfate contains:

325 mg of iron plus 325 mg of ferrous sulfate
325 mg of ferrous sulfate
325 mg of iron, 325 mg of sulfur, 325 mg of oxygen
325 mg of iron, folic acid, cyanocobalamin

Answer 2

325 mg of ferrous sulfate (which is 37% iron by molecular weight)

Question 3

Which is more prone to causing adverse GI effects, ferrous sulfate or ferrous gluconate? Why?

Answer 3

Ferrous sulfate because it is more potent

Question 4

T or F: A 325 mg tablet of ferrous sulfate provides about 65 mg of iron.

Answer 4

True

Question 5

T or F: Folic acid is used to address hematologic complications including megaloblastic and macrocytic anemias.

Answer 5

True

Question 6

An ESA may be used for anemia in pateints with non-myeloid malignancies where the anemia is d/t the effect of concomitantly administered chemo and at least 2 additional months of chemo is planned. An ESA should only be considered when the Hb is < 10g/dL and only until the chemo course is completed.

Pet the NCCN guidelines, erythropoietin-stimulating agents used for chemo-induced anemia should be prescribed in order to:

a) meet a target at least 14 g/dL
b) meet a target greater than 12 g/dL
c) to maintain a target Hb between 10-12 g/dL

Answer 6

c