Exam 4- Basic Anemia

Question 1

Anemia in men vs. women?

Answer 1

Women: Hg less than 12

Men: Hg less than 13

Question 2

Anemia is most prevalent in what age groups.

Answer 2

Elderly

Peds

Question 3

What is the number 1 cause of anemia?

Answer 3

Iron deficiency

Question 4

Etiology of Anemia (2)

Answer 4

decrease in RBC production or faulty RBC production

increased RBC destruction

Question 5

Signs + symptoms of Chronic Anemia

Answer 5

Pallor
Fatigue
Weakness
Vertigo

Question 6

Signs + symptoms Acute anemia

Answer 6

Dizziness
SOB (Dyspnea)
Tachycardia

Question 7

Signs + symptoms low B12 anemia

Answer 7

decrease in memory, gait, vibratory sensory

Question 8

Know that 
normal MCV = ?
Normal MCH= ?
Retic count = ?
Serum iron= ?
Ferritin= ?
MA= requires ?

Answer 8

Know that 
normal MCV = 80 
Normal MCH= 32
Retic count 1%
Serum iron= 50
Ferritin= 30 
MA= requires b12 in order to break down if not it will float in your body at high levels

Question 9

Recommended daily intake for healthy patients?

in order of who needs the most.

Answer 9

Prego: 30 mg/day

Blood donors: 20 mg/day

Vegans: 16 mg/day

Question 10

Iron stores?

Answer 10

Ferritin

Question 11

Hemoglobin

Answer 11

Amount of Hgb per unit volume of blood

Question 12

Hematocrit

Answer 12

Actual volume of RBCs/unit of whole blood (%)

Question 13

MCV- Mean Corpuscular Volume

Answer 13

Average volume of RBC

Determines whether microcytic, macrocytic, or normocytic

Question 14

Mean Corpuscular Hemoglobin Concentration (MCHC)

Answer 14

Hb/Hct
Weight of Hgb per volume of cells
Low MCHC= hypochromia

Question 15

Mean Corpuscular Hemoglobin (MCH)

Answer 15

% volume of Hb in an RBC

Iron supply

Question 16

Reticulocyte count (Retic)

Answer 16

Production of IMMATURE RBCs

Question 17

What is an indication of decreased RBC production?

Answer 17

Decrease Retic

Question 18

What is an indication of hemolysis or blood loss?

Answer 18

Elevated retic

Question 19

Iron studies (panel) consist of what? (5)

Answer 19

Order if microcytic, hypochromic anemia suspected
Serum iron- measure the iron floating around in blood
Total iron binding capacity (TIBC)- bound iron
Transferrin saturation (Tsat)-
Serum ferritin- iron stores

Question 20

What causes pernicious anemia?

Answer 20

Lack of IF which increases B12 absorption from food.

Question 21

Which type of deficiency is associated with pernicious anemia?

Answer 21

B12-deficiency

Question 22

What is a schilling test associated with?

Answer 22

Pernicious anemia- lack of IF in GI tract

Question 23

What should be ruled out in Folate Deficiency and why?

Answer 23

B12 so that hematologic abnormalities can be addressed before neurological abnormalities

Question 24

When are ESAs - EPO stimulating agents used in anemia?

Answer 24

During Anemia inflammation to prevent transfusion

- Procrit, Aranesp

Question 25

What must be corrected before the initiation of ESAs

?

Answer 25

iron levels

Question 26

What is associated with increased hospitalizations/mortality and decreased QOL and physical functioning?

Answer 26

Anemia in the elderly

Question 27

What is the leading cause of infant mortality /morbidity ?

Answer 27

Iron deficiency anemia