5 Questions |
By Uscsom_im | Last updated: Jul 30, 2011
| Total Attempts: 212
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Questions and Answers
A 65-year-old man with hypertension presents to clinic with a complaint of fatigue and dizziness. Physical examination demonstrates conjunctival pallor and tachycardia. Routine laboratory evaluation reveals hemoglobin 10 mg/ dL, hematocrit 30%, and mean corpuscular volume 72 fL. Additional laboratory evaluation illustrates iron defi ciency anemia.
Which of the following is the next best step in the management of the patient's iron deficiency anemia?
Gastrointestinal evaluation for blood loss
Oral ferrous sulfate
Intravenous iron dextran
A 22-year-old African-American male comes to clinic for a routine examination. He is currently without complaint. His physical examination is unremarkable. Routine laboratory evaluation reveals hemoglobin of 10 mg/dL, hematocrit 30%, and mean corpuscular volume 66 fL. Upon further questioning, he denies bleeding. Additional testing reveals normal mean corpuscular hemoglobin concentration, red cell distribution width, and ferritin. Review of his previous records illustrates anemia throughout his childhood.
Which of the following is the most likely cause of the patient's anemia?
Iron deficiency anemia
Sickle cell anemia
Vitamin B12 deficiency
A 60-year-old man with a medical history significant for diabetes mellitus and congestive heart failure presents to clinic for a routine examination. He is currently without complaint. Physical examination illustrates hepatomegaly. Routine laboratory evaluation reveals an elevated alanine aminotransferase (four times the upper limit of normal). Additional laboratory evaluation illustrates a transferrin saturation > 60% and ferritin 650 ng/mL.
What is the most likely diagnosis in this patient?
A 60-year-old man, recently diagnosed with hemochromatosis, presents to discuss treatment options. He has heard of iron supplementation, herbal medications, and phlebotomy.
Which of the following is the best treatment option in this patient?
Weekly to biweekly phlebotomy until the patient nears iron deficiency
A 25-year-old female with transfusion-dependent thalassemia presents to clinic. She recently read an article on the Internet concerning thalassemia and iron overload. She asks how to prevent iron overload and liver problems.
Which of the following is the most common treatment of iron overload in patients with transfusion-dependent thalassemia?
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