CMN 572 TESTS III ASSESSMENT SCRIPT 2026
VERIFIED ANSWERS COMPREHENSIVE REVIEW
◉ What are Bands, and how much of the WBCs do they account for.
Answer: Baby neutrophils, when elevated body is mounting
response to infection. 0-5% of WBCs
◉ If a patients MCV is less than 80 and also has low ferritin, the NP
should consider the diagnosis of....
Answer: IDA
◉ If the MCV is less than 80 but the patient has a normal ferritin
level, the NP should consider the diagnosis of....
Answer: Thalassemia
◉ If the MCV is above 100, the NP should consider what diagnoses?.
Answer: Vitamin B12 or folate deficiency
Liver disease or alcohol use
Hypothyroidism
◉ What is a Hemoglobin electrophoresis and what condition is it
used for for diagnosis?.
,Answer: Measure hemoglobin levels and looks for abnormal types of
hemoglobin. USED TO DIAGNOSE SICKLE CELL
◉ In what anemias will MCH and MCV both be low.
Answer: Iron deficiency anemia and Thalassemia Anemia
◉ Standard High/Lows of IDA on CBC.
Answer: Low ferritin, iron, transferrin saturation
High RDW, transferrin, TIBC
◉ Treatment of IDA and patient medication education.
Answer: Ferrous sulfate 325mg PO daily
Educate that VitC increases absorption, avoid taking with milk,
antacids or tea
◉ What is Thalassemia Anemia and in what culture is it most
common in?.
Answer: Defective synthesis or production of hemoglobin. Seen in
MEDITERRANEAN ancestry
◉ What iron level will be elevated in Thalassemia?.
Answer: Ferritin
,◉ Treatment of Thalassemia major.
Answer: Blood transfusions/chelation to remove excess stored iron.
Bone marrow transplant is the cure
NO IRON REPLACEMENT
◉ MCH and MCV will both be high in what types of anemia?.
Answer: Folic Acid Deficiency Anemia
B12 Deficiency Anemia
◉ Folic acid deficiency in pregnancy, risks and treatment.
Answer: Can cause NT defects
Take 400-800mcg of folic acid daily before conception and through
1st trimester.
◉ If a woman has had a baby with NT defects, how much folic acid
should they take?.
Answer: 4000mcg daily
◉ What is the common cause of B12 deficiency anemia?.
Answer: Malabsorption (chronic PPI use, H2 blockers, or metformin)
◉ Symptoms of B12 deficiency anemia.
, Answer: Neurologic problems (paresthesias), spleen enlargement
◉ Treatment of B12 deficiency anemia.
Answer: B12 (oral vs IM vs sublingual, etc.) depending on cause.
◉ What is G6PD (glucose-6 phosphate dehydrogenase deficiency)
and what people group is it common in?.
Answer: Red cell defect. X-linked recessive condition. Common in
Kurdish Jews and black men.
◉ What are the common causes of G6PD? AKA Teach patient to
avoid....
Answer: Oxidative drugs (Bactrim, macrodantin, antimalarial drugs)
Fava Beans
Fifths Disease
◉ Aplastic anemia labs and treatment.
Answer: Decreased values for all formed elements in the blood
REFER
◉ Is sickle cell autosomal recessive or dominant?.
Answer: Recessive
VERIFIED ANSWERS COMPREHENSIVE REVIEW
◉ What are Bands, and how much of the WBCs do they account for.
Answer: Baby neutrophils, when elevated body is mounting
response to infection. 0-5% of WBCs
◉ If a patients MCV is less than 80 and also has low ferritin, the NP
should consider the diagnosis of....
Answer: IDA
◉ If the MCV is less than 80 but the patient has a normal ferritin
level, the NP should consider the diagnosis of....
Answer: Thalassemia
◉ If the MCV is above 100, the NP should consider what diagnoses?.
Answer: Vitamin B12 or folate deficiency
Liver disease or alcohol use
Hypothyroidism
◉ What is a Hemoglobin electrophoresis and what condition is it
used for for diagnosis?.
,Answer: Measure hemoglobin levels and looks for abnormal types of
hemoglobin. USED TO DIAGNOSE SICKLE CELL
◉ In what anemias will MCH and MCV both be low.
Answer: Iron deficiency anemia and Thalassemia Anemia
◉ Standard High/Lows of IDA on CBC.
Answer: Low ferritin, iron, transferrin saturation
High RDW, transferrin, TIBC
◉ Treatment of IDA and patient medication education.
Answer: Ferrous sulfate 325mg PO daily
Educate that VitC increases absorption, avoid taking with milk,
antacids or tea
◉ What is Thalassemia Anemia and in what culture is it most
common in?.
Answer: Defective synthesis or production of hemoglobin. Seen in
MEDITERRANEAN ancestry
◉ What iron level will be elevated in Thalassemia?.
Answer: Ferritin
,◉ Treatment of Thalassemia major.
Answer: Blood transfusions/chelation to remove excess stored iron.
Bone marrow transplant is the cure
NO IRON REPLACEMENT
◉ MCH and MCV will both be high in what types of anemia?.
Answer: Folic Acid Deficiency Anemia
B12 Deficiency Anemia
◉ Folic acid deficiency in pregnancy, risks and treatment.
Answer: Can cause NT defects
Take 400-800mcg of folic acid daily before conception and through
1st trimester.
◉ If a woman has had a baby with NT defects, how much folic acid
should they take?.
Answer: 4000mcg daily
◉ What is the common cause of B12 deficiency anemia?.
Answer: Malabsorption (chronic PPI use, H2 blockers, or metformin)
◉ Symptoms of B12 deficiency anemia.
, Answer: Neurologic problems (paresthesias), spleen enlargement
◉ Treatment of B12 deficiency anemia.
Answer: B12 (oral vs IM vs sublingual, etc.) depending on cause.
◉ What is G6PD (glucose-6 phosphate dehydrogenase deficiency)
and what people group is it common in?.
Answer: Red cell defect. X-linked recessive condition. Common in
Kurdish Jews and black men.
◉ What are the common causes of G6PD? AKA Teach patient to
avoid....
Answer: Oxidative drugs (Bactrim, macrodantin, antimalarial drugs)
Fava Beans
Fifths Disease
◉ Aplastic anemia labs and treatment.
Answer: Decreased values for all formed elements in the blood
REFER
◉ Is sickle cell autosomal recessive or dominant?.
Answer: Recessive
