AGNP Board Exam – Hematology Prescription Exam

AGNP Board Exam – Hematology Prescription Exam 1. Question: Folic acid (vitamin B9) is used to treat: microcytic anemia. anemia of chronic disease. macrocytic anemia. Correct normochromic anemia. Explanation: Folic acid (vitamin B9) is used to treat macrocytic anemia secondary to folic acid deficiency. Folic acid is necessary for purine and pyrimidine synthesis, and is required for nucleoprotein synthesis and maintenance in erythropoiesis. It stimulates WBC and platelet production in folate deficiency anemia. 2. Question: When taking corticosteroids for the treatment of immune thrombocytopenia, stopping them abruptly could result in: hypertension. hyperkalemia. Cushing's syndrome. an adrenal crisis. Correct Explanation: Corticosteroids should not be stopped suddenly after prolonged use. This can result in adrenal crisis because of the body's inability to secrete enough cortisol to make up for the withdrawal. Nausea, vomiting, and shock are the reported side effects of adrenal crisis. Cushing's syndrome is just the opposite. It results from excessive amounts of cortisol. 3. Question: The most common side effect of ferrous sulfate is: headache. dizziness. fatigue. constipation. Correct Explanation: The most common side effect of ferrous sulfate is constipation. Headache, dizziness and fatigue may be signs and symptoms of anemia. 4. Question: Another name for vitamin B12 is: biotin. cyanocobalamin. Correct riboflavin. thiamin. Explanation: Another name for vitamin B12 is cyanocobalamin. Biotin is vitamin B7; riboflavin is vitamin B2; and thiamin is vitamin B1. 5. Question: Folic acid (vitamin B9) is: beneficial in the treatment of pernicious anemia. administered only in conjunction with vitamin B12. may correct neurologic manifestations of anemia. a water-soluble vitamin. Correct Explanation: Folic acid (vitamin B9) is a water-soluble vitamin and is excreted when stores are adequate. It can be administered orally, intramuscularly, intravenously, or subcutaneously. Doses of folic acid above 0.1 mg daily may obscure pernicious anemia. This condition is discovered when hematologic remission occurs as neurologic