NM703 Real Exam Questions with Revised
Answers| Verified 100% Correct
If a patient needs serum iron replacement or blood transfusion, what should you do? -
✔✔Refer patient out
Should you treat a patient with thalassemia with iron? - ✔✔No
What is an example of normocytic anemia? - ✔✔Anemia of chronic disease
What are some reasons someone might have anemia of chronic disease? - ✔✔(1)
autoimmune disorders (2) chronic kidney disease (3) cancer
What is the treatment of normocytic anemia? - ✔✔Treat the underlying problem
What are common complaints related to IDA? - ✔✔(1) fatigue (2) decreased exercise
tolerance (3) palpitations (4) irritability (5) headaches (6) paresthesias (7) sore tongue
(8) brittle nails (9) spoon-shaped nails (10) pica for starch, clay, ice
What might you find on physical examination with IDA? - ✔✔(1) tachycardia (2)
forceful apical pulse (3) palmar creases (4) pallor
What do iron labs show for IDA? - ✔✔(1) low serum iron (2) decrease serum ferritin
(3) increased TIBC (4) decreased percentage of transferrin saturation
What is a cause of macrocytic anemia? - ✔✔B12 or folate deficiency (megaloblastic
anemia)
, With IDA, what should be suspected unless proven otherwise? - ✔✔GI bleeding
Older adults with IDA should be check for what else? - ✔✔(1) GI cancers (2) GI
bleeding
What are 5 differential diagnoses for microcytic anemia? - ✔✔(1) IDA (2) thalassemia
(3) ACD (4) sideroblastic anemia (5) lead poisoning, aluminum toxicity
What is the initial treatment of iron deficiency anemia? - ✔✔Oral iron (150 to 200 mg
per day)
What are common side effects of iron supplementation? - ✔✔(1) black stools (2)
constipation (3) nausea (4) diarrhea (5) heartburn (6) GI discomfort
What happens when iron is taken with meals? - ✔✔Decreases absorption 40 to 50%
What can you do to increase compliance with iron supplementation? - ✔✔Divided
doses, start with one pill and gradually increase amount
With iron supplementation, when will you see changes in hgb? - ✔✔1 to 2 weeks
With iron supplementation, when will you see changes in MCV? - ✔✔1 to 2 months
What are complications of IDA in pregnancy? - ✔✔(1) preterm delivery (2) low birth
weight (3) learning deficits
Answers| Verified 100% Correct
If a patient needs serum iron replacement or blood transfusion, what should you do? -
✔✔Refer patient out
Should you treat a patient with thalassemia with iron? - ✔✔No
What is an example of normocytic anemia? - ✔✔Anemia of chronic disease
What are some reasons someone might have anemia of chronic disease? - ✔✔(1)
autoimmune disorders (2) chronic kidney disease (3) cancer
What is the treatment of normocytic anemia? - ✔✔Treat the underlying problem
What are common complaints related to IDA? - ✔✔(1) fatigue (2) decreased exercise
tolerance (3) palpitations (4) irritability (5) headaches (6) paresthesias (7) sore tongue
(8) brittle nails (9) spoon-shaped nails (10) pica for starch, clay, ice
What might you find on physical examination with IDA? - ✔✔(1) tachycardia (2)
forceful apical pulse (3) palmar creases (4) pallor
What do iron labs show for IDA? - ✔✔(1) low serum iron (2) decrease serum ferritin
(3) increased TIBC (4) decreased percentage of transferrin saturation
What is a cause of macrocytic anemia? - ✔✔B12 or folate deficiency (megaloblastic
anemia)
, With IDA, what should be suspected unless proven otherwise? - ✔✔GI bleeding
Older adults with IDA should be check for what else? - ✔✔(1) GI cancers (2) GI
bleeding
What are 5 differential diagnoses for microcytic anemia? - ✔✔(1) IDA (2) thalassemia
(3) ACD (4) sideroblastic anemia (5) lead poisoning, aluminum toxicity
What is the initial treatment of iron deficiency anemia? - ✔✔Oral iron (150 to 200 mg
per day)
What are common side effects of iron supplementation? - ✔✔(1) black stools (2)
constipation (3) nausea (4) diarrhea (5) heartburn (6) GI discomfort
What happens when iron is taken with meals? - ✔✔Decreases absorption 40 to 50%
What can you do to increase compliance with iron supplementation? - ✔✔Divided
doses, start with one pill and gradually increase amount
With iron supplementation, when will you see changes in hgb? - ✔✔1 to 2 weeks
With iron supplementation, when will you see changes in MCV? - ✔✔1 to 2 months
What are complications of IDA in pregnancy? - ✔✔(1) preterm delivery (2) low birth
weight (3) learning deficits
