1|Page
AANP FNP EXAM 2024-2025 FNP
(AANP) Study Guide Questions and
Correct Answers
As MCV decreases, the RDW _____________? -
ANSWERS-Increases
As the MCV increases, the RDW ________________? -
ANSWERS-Increases Normal response to anemia
is________________ - ANSWERS-Reticulocytosis
Most common etiology for normocytic normochromic
anemia - ANSWERS-Acute blood loss or anemia of
chronic disease
At risk groups for alpha Thalassemia minor -
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ANSWERS-AAA
Asian, African ancestry
At risk groups for beta Thalassemia minir -
ANSWERS-BAMME
African, Mediterranean, Middle Eastern ancestry
Drug-Induced Macrocytosis without anemia -
ANSWERS-MCV elevated and MCH/RDW
normal. Can be caused by Dilantin, AZT, Depakote, or
Tegretol
Most common type of anemia in childhood -
ANSWERS-IDA
Most common type of anemia during pregnancy -
ANSWERS-IDA
Most common type of anemia in women during
reproductive years - ANSWERS-IDA
Most common type of anemia in the elderly -
ANSWERS-Anemia of chronic disease
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Microcytic Anemias - ANSWERS-IDA, Thalassemia,
Lead Toxicity
Macrocytic Anemias - ANSWERS-B12 Deficiency and
Folate deificiency
IDA - ANSWERS-Microcytic, hypochromic
Patient Presentation with microcytic anemia -
ANSWERS-Weakness, headache,
irritability, fatigue, and exercise intolerance. Worsening of
angina or dementia
TIBC - ANSWERS-Elevated with IDA
Average lifespan of RBCs - ANSWERS-100-120 days
RDW <15% - ANSWERS-Longstanding anemia in that
all cells are small
RDW > 15% - ANSWERS-New onset anemia; There is a
mixture of normal and small
RBCs
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Iron Rich foods - ANSWERS-Organ meats, red meats,
dried peas and beans, whole grains, and dark, green,
leafy vegetables
Iron Replacement - ANSWERS-150-200 mg/d
Elemental Iron x4-6 months
Beta Thalassemia - ANSWERS-Avoid excessive iron
consumption and will need genetic counseling
Alpha Thalassemia - ANSWERS-Asians, Mediterranean
origin, avoid inappropriate exposure to iron, no therapy
needed in minima and minor
Liver - ANSWERS-Where excess iron is stored
Thalassemia Lab Results - ANSWERS-Decrease hct, hgb,
MCV, and MCH
Normal RDW, serum iron, serum ferritin, and TIBC
IDA Lab Results - ANSWERS-Decrease in hgb, hct,
MCV, MCH, serum iron, and serum
ferritin
Elevated RDW & TIBC
AANP FNP EXAM 2024-2025 FNP
(AANP) Study Guide Questions and
Correct Answers
As MCV decreases, the RDW _____________? -
ANSWERS-Increases
As the MCV increases, the RDW ________________? -
ANSWERS-Increases Normal response to anemia
is________________ - ANSWERS-Reticulocytosis
Most common etiology for normocytic normochromic
anemia - ANSWERS-Acute blood loss or anemia of
chronic disease
At risk groups for alpha Thalassemia minor -
,2|Page
ANSWERS-AAA
Asian, African ancestry
At risk groups for beta Thalassemia minir -
ANSWERS-BAMME
African, Mediterranean, Middle Eastern ancestry
Drug-Induced Macrocytosis without anemia -
ANSWERS-MCV elevated and MCH/RDW
normal. Can be caused by Dilantin, AZT, Depakote, or
Tegretol
Most common type of anemia in childhood -
ANSWERS-IDA
Most common type of anemia during pregnancy -
ANSWERS-IDA
Most common type of anemia in women during
reproductive years - ANSWERS-IDA
Most common type of anemia in the elderly -
ANSWERS-Anemia of chronic disease
,3|Page
Microcytic Anemias - ANSWERS-IDA, Thalassemia,
Lead Toxicity
Macrocytic Anemias - ANSWERS-B12 Deficiency and
Folate deificiency
IDA - ANSWERS-Microcytic, hypochromic
Patient Presentation with microcytic anemia -
ANSWERS-Weakness, headache,
irritability, fatigue, and exercise intolerance. Worsening of
angina or dementia
TIBC - ANSWERS-Elevated with IDA
Average lifespan of RBCs - ANSWERS-100-120 days
RDW <15% - ANSWERS-Longstanding anemia in that
all cells are small
RDW > 15% - ANSWERS-New onset anemia; There is a
mixture of normal and small
RBCs
, 4|Page
Iron Rich foods - ANSWERS-Organ meats, red meats,
dried peas and beans, whole grains, and dark, green,
leafy vegetables
Iron Replacement - ANSWERS-150-200 mg/d
Elemental Iron x4-6 months
Beta Thalassemia - ANSWERS-Avoid excessive iron
consumption and will need genetic counseling
Alpha Thalassemia - ANSWERS-Asians, Mediterranean
origin, avoid inappropriate exposure to iron, no therapy
needed in minima and minor
Liver - ANSWERS-Where excess iron is stored
Thalassemia Lab Results - ANSWERS-Decrease hct, hgb,
MCV, and MCH
Normal RDW, serum iron, serum ferritin, and TIBC
IDA Lab Results - ANSWERS-Decrease in hgb, hct,
MCV, MCH, serum iron, and serum
ferritin
Elevated RDW & TIBC
