Microcytic And Normocytic Anemia: Quiz!
.
- 1.Which of the following is NOT a cause of Microcytic Anemia?
- A.
Thalassemia
- B.
Anaemia of chronic disease
- C.
Iron Deficiency Anemia
- D.
Pancytopaenia
- E.
Lead Poisoning
- 2.The lab reports for a patient with low MCV show high serum ferritin and low TIBC. What is the most likely cause for this patient's anemia?
- A.
Fe deficiency
- B.
Anemia secondary to inflammation
- C.
Thallassemia
- D.
Hemoglobinopathy
- 3.Fe is absorbed in the:
- A.
Stomach
- B.
Duodenum
- C.
Jejunum
- D.
Ileum
- 4.Where is most non-heme iron found in the body?
- A.
Bound to IF
- B.
Bound to transferrin
- C.
Free in plasma
- D.
Stored in liver
- 5.Select the following that enhances Fe absorption.
- A.
Citric acid
- B.
Polyphenols (tea)
- C.
Phylate (bran)
- D.
Calcium
- E.
Ascorbic acid
- 6.What is the most important test for Fe stores?
- A.
Serum iron
- B.
TIBC
- C.
Serum ferritin
- 7.Which of the following is not an etiology of Fe deficiency anemia?
- A.
Chronic blood loss
- B.
Increased requirement
- C.
Infection
- D.
Malabsorption
- E.
Decreased intake
- 8.TIBC increases in iron deficiency anemia because:
- A.
Inflammatory response to deficiency
- B.
Compensation by other factors
- C.
Ability to absorb increases
- 9.TIBC stands for?
- 10.Pica, a clinical presentation for Fe deficiency anemia, is:
- A.
Itchiness
- B.
ED
- C.
Desire to eat weird things
- D.
A small woodland creature
- 11.Which lab investigations would you order if you suspect Fe deficiency anemia?
- A.
CBC
- B.
Blood smear
- C.
Serum iron
- D.
Serum ferritin
- E.
TIBC
- 12.How would you treat Fe deficiency anemia?
- 13.Where is beta Thalassemia most common?
- A.
West Africa
- B.
Mediterranean
- C.
Arabian peninsula
- D.
Southeast Asia
- E.
CANADA!
- 14.What is the difference between beta-thalassemia major and beta thalassemia minor?
- A.
Homozygote vs. heterozygote
- B.
Acute vs. chronic
- C.
Legal drinking age
- 15.Heinz bodies are made of:
- A.
Excess gamma chains
- B.
Excess alpha chains
- C.
Excess beta chains
- D.
Excess ketchup
- 16.Beta Thalassemia, unlike alpha thalassemia, presents at approximately 6 months of age.
- A.
True
- B.
False
- 17.Which would you expect to see on a blood smear for beta Thalassemia?
- A.
Heinz bodies
- B.
Multinucleated neutrophils
- C.
Target cells
- D.
Hypochromic microcytic cells
- E.
Hyperchromic microcytic cells
- 18.What test would you do, besides history, CBC, and blood smear, to confirm Thalassemia?
- 19.What is the treatment for beta-thalassemia minor?
- A.
Blood transfusions
- B.
Iron chelation
- C.
Bone marrow transplant
- D.
None of the above
- 20.Alpha-Thalassemia is a gene deletion related to the production of the alpha-Hb protein. What happens when one is missing all 4 genes for alpha-Th?
- 21.Decreased or stopped production of alpha-globin chains result in HbH (4 gamma chains together) and Hb Barts (4 beta chains together)
- A.
True
- B.
False
- 22.On a CBC for alpha-Thalassemia, you would see anemia and reticulocytosis. You would see Heinz bodies, hypochromic microcytic cells, and occasional target cells on the blood smear.
- A.
LDH
- B.
Unconjugated bilirubin
- C.
Conjugated bilirubin
- D.
Urine urobilinogen
- E.
Urine hemosiderin
- 23.The ABCDs of Normocytic anemia are: Acute blood loss Bone marrow failure Chronic disease and __________________
- 24.Aplastic anemia can be acquired (more common) and inherited. What are some of the ways it can be acquired?
- A.
Post viral infection
- B.
Pregnancy
- C.
Ionizing radiation
- D.
Drugs and chemicals
- E.
Who knows? (idiopathic)
- 25.Aside from the gradual onset signs of anemia, what other clinical presentations would you see with aplastic anemia?
- A.
Koilonychias, "spoon nails"
- B.
Associated thrombocytopenia, e.g. history of bleeding from the gums
- C.
Neutropenia, e.g. repeat bacterial infections
- D.
Purpura
- E.
Pica
Questions: 15 | Attempts: 1888 | Last updated: Nov 27, 2018
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Questions: 20 | Attempts: 506 | Last updated: Sep 13, 2018
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