Hematology Study Questions Week 1-2

Hematology Study Questions Week fi fi fi


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1.#1: A patient presents with Iron Deficiency Anemia in the clinic. Which of the f
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ollowing symptoms would the patient NOT experience? fi fi fi fi fi fi

A. Pallor
B. Paresthesias
C. Cheilosis
D. Shortness of Breath: B. Paresthesias fi fi fi fi

2.#2. A patient presents to the clinic with pallor, irritability and a headache. S
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he mentions that she has developed odd food cravings for ice and clay. Her la
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b findings include a below normal range hemoglobin count, a below normal ra
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nge MCV count as well as a below normal range Reticulocyte count. Which of th
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e following lab values would NOT correlate with the patient's disease state?
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a.) ferritin <30 (low ferritin) fi fi fi

b.) high RDW fi

c.) high TIBC fi

d.) low TIBC: d.) low TIBC fi fi fi fi

3.#3. A 65 y/o M CBC reads RBC 3.8 mil/uL, Hemoglobin 9.2 g/
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dL, MCV: 65 fl, MCHC: 25 g/
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dL, RDW: 21.2%. He appears pale and complains of fatigue and a headache. H
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e has recently noticed some black tarry stool, but thought it might be due to so
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mething he ate. What is the most appropriate next step?fi fi fi fi fi fi fi fi fi

A. Order a bone marrow biopsy because the bone marrow may not be produc-
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ing enough hematopoietic stem cells
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B. Give the patient ferrous sulfate 325 mg to take BID and have him return in 2
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weeks
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C. Give the patient a fecal immunochemical test (FIT) to check for occult blood i
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n the stool
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D. Order a hemoglobin electrophoresis to see what hemoglobin types are pr
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esent: C. Give the patient a fecal immunochemical test (FIT) to check for o
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ccult blood in the stool fi fi fi fi


4.#4. A patient presents to the clinic with symptoms of unexplained fatigue a
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nd weakness. After obtaining a CBC, results show the patient has iron defi-
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ciency anemia (IDA). To manage the symptoms, the provider should prescribe
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but should warn the patient that side effects are common. fi fi fi fi fi fi fi fi fi

A. Oral ferrous fumarate; GI fi fi fi

B. IV ferrous sulfate; pancreatic
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C. IV ferrous fumarate; pancreatic
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D. Oral ferrous sulfate; GI: D. Oral ferrous sulfate; GI
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5.#5. A 38 y/ fi fi fi

o female is diagnosed with IDA. She has a history of a gastric bypass. The
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, Hematology Study Questions Week
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1-2
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provider has decided to treat her anemia with IV iron therapy. Which side e
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ffect is most common with this treatment?
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A. Metallic taste fi

B. Allergic or infusion reactions fi fi fi

C. Constipation
D. Diarrhea: B. Allergic or infusion reactions fi fi fi fi fi

6.#8.
Test Result Normal Range WBC fi fi fi fi fi

4.1-10.0 k/uL fi

RBC 4.4-6 mil/ fi fi

uL HGB L 13.5- fi fi fi

17.8 g/dL HCT 40.0- fi fi fi

53.0 % MCV H 80- fi fi fi fi

100 fl MCH 26.5- fi fi fi

33.5 pg fi

MCHC 32.0-36.0 g/dL fi fi

RDW 11.6-14.5 % fi fi


PLT 150-400 K/uL fi fi




Mr. Heme, a 60-year- fi fi fi

old male, presents to the clinic with an upset stomach and the feeling of "pin a
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nd needles" or tingling in their extremities. While taking the history, the patie
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nt mentions that he is vegan. Upon examination, you notice the patient appea
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rs pale and has a foggy memory. The blood smear you performed shows mac
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ro ovalocytes and hypersegmented neutrophils.
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Additionally, lab results show low levels of intrinsic factor. Based on this inf fi fi fi fi fi fi fi fi fi fi fi fi

ormation and the CBC provided above, which of the following types of an fi fi fi fi fi fi fi fi fi fi fi fi

emia does Mr. Heme most likely have? fi fi fi fi fi fi

A. Megaloblastic anemia (folate deficiency) fi fi fi

B. pernicious anemia fi

C. Iron deficiency anemia (IDA) fi fi fi


D. Aplastic anemia: B. pernicious anemia fi fi fi fi




note from Lori: I don't believe that you can directly order an intrinsic factor lev
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el, BUT you can order labs to measure autoantibodies to intrinsic factor. If
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present, these IF-autoantibodies can confirm pernicious anemia. fi fi fi fi fi fi


7.#7. A 70 year old patient previously diagnosed with Rheumatoid Arthritis (R
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A) is admitted to the hospital due to progression of kidney disease. His labs pre
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sent RBC 4 mil/ fi fi fi

uL, MCV of 70 fl, decreased reticulocytes and RDW of 11.8%. What might be a p
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ossible diagnosis considering the history of the patient? fi fi fi fi fi fi fi




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