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NAPLEX Anemia Questions with Correct Answers (Grade A+)

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NAPLEX Anemia Questions with Correct Answers (Grade A+)

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NAPLEX Anemia Questions with Correct Answers (Grade A+)

Question 1: anemia

Answer: decrease in hemoglobin and hematocrit

Question 2: hemoglobin

Answer: iron-rich protein in RBCs that carries oxygen

Question 3: reticulocytes

Answer: immature RBCs, become erythrocytes in 1-2d

Question 4: symptoms of anemia

Answer: fatigue, weakness, SOB, headache, dizziness, anorexia, pallor, glossitis, koilonychoias, pica,
peripheral neuropathy

Question 5: koilonychias

Answer: a malformation of the nails in which the outer surface is concave or scooped out like the bowl of a
spoon - due to iron deficiency anemia

Question 6: Pica is caused by ___ anemia.

Answer: iron deficiency

Question 7: Glossitis is caused by ___ anemia.

Answer: iron deficiency

Question 8: microcytic anemia

Answer: MCV <80 - due to iron deficiency

Question 9: normocytic anemia

Answer: MCV 80-100 - due to blood loss, malignancy, CKD, aplastic anemia, hemolysis

Question 10: macrocytic anemia

Answer: MCV >100 - due to B12 or folate deficiency




Page 1

, Question 11: How do you determine if macrocytic anemia is due to B12 or folate deficiency?

Answer: increased MMA and homocysteine in B12 deficiency (only homocysteine in folate)

Question 12: With what types of anemia is reticulocyte count low?

Answer: iron/folate/b12 deficiency, bone marrow suppression

Question 13: What is the most common nutritional deficiency in the US?

Answer: iron deficiency

Question 14: heme iron

Answer: meat, seafood - better absorbed

Question 15: nonheme iron

Answer: nuts, beans, veggies

Question 16: Iron requirements are increased in -

Answer: pregnancy, lactation, infants

Question 17: How should oral iron be taken?

Answer: QD or QOD on an empty stomach with vitamin C, avoid H2RAs and PPIs, do not use SR or enteric
coated

Question 18: ferrous gluconate potency

Answer: 12%

Question 19: ferrous sulfate potency

Answer: 20%

Question 20: ferrous sulfate, dried potency

Answer: 30%

Question 21: ferrous fumarate potency

Answer: 33%




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