IM Essentials: Ch. 47 - Anemia

Question 1

List two reasons why men have higher hct on average.

Answer 1

• Testosterone in men stimulates RBC production.

- Women often have borderline low iron levels secondary to menstruation.

Question 2

Review the differential for microcytic anemia.

Answer 2

Heme production problems:

• Fe deficiency
• Sideroblastic anemia
• Lead poisoning

Globin production problems:
- Thalassemia

Question 3

The lowest MCV levels are typically seen in _______________.

Answer 3

thalassemias

Question 4

What non-nutritional sources can cause macrocytic anemia?

Answer 4

Myelodysplastic syndrome