Pernicious anemia is treated with:

A. Folic acid supplement

B. Thiamine supplement

C. Vitamin B12

D. Iron

C. Vitamin B12

Premature infants require iron supplementation with:

A. 10 mg/day of iron

B. 2 mg/kg per day until age 12 months

C. 7 mg/day in diet

D. 1 mg/kg per day until adequate intake of iron from foods

B. 2 mg/kg per day until age 12 months

Breastfed infants should receive iron supplementation of:

A. 3 mg/kg per day

B. 6 mg/kg per day

C. 1 mg/kg per day

D. Breastfed babies do not need iron supplementation

C. 1 mg/kg per day

Valerie presents to clinic with menorrhagia. Her hemoglobin is 10.2 and her ferritin is 15 ng/mL. Initial treatment for her anemia would be:

A. 18 mg/day of iron supplementation

B. 6 mg/kg per day of iron supplementation

C. 325 mg ferrous sulfate per day

D. 325 mg ferrous sulfate TID

D. 325 mg ferrous sulfate TID

Chee is a 15-month-old male whose screening hemoglobin is 10.4 g/dL. Treatment for his anemia would be:

A. 18 mg/day of iron supplementation

B. 6 mg/kg per day of elemental iron

C. 325 mg ferrous sulfate per day

D. 325 mg ferrous sulfate TID

B. 6 mg/kg per day of elemental iron

Monitoring for a patient taking iron to treat iron deficiency anemia is:

A. Hemoglobin, hematocrit, and ferritin 4 weeks after treatment is started

B. Complete blood count every 4 weeks throughout treatment

C. Annual complete blood count

D. Reticulocyte count in 4 weeks

A. Hemoglobin, hematocrit, and ferritin 4 weeks after treatment is started

Valerie has been prescribed iron to treat her anemia. Education of patients prescribed iron would include:

A. Take the iron with milk if it upsets her stomach

B. Antacids may help with the nausea and GI upset caused by iron

C. Increase fluids and fiber to treat constipation

D. Iron is best tolerated if it is taken at the same time as her other medications

C. Increase fluids and fiber to treat constipation

Allie has just had her pregnancy confirmed and is asking about how to ensure a healthy baby. What

is the folic acid requirement during pregnancy?

A. 40 mcg/day

B. 400 mcg/day

C. 800 mcg/day

D. 2 gm/day

C. 800 mcg/day

Kyle has Crohn’s disease and has a documented folate deficiency. Drug therapy for folate deficiency

anemia is:

A. Oral folic acid 1 to 2 mg per day

B. Oral folic acid 1 gram per day

C. IM folate weekly for at least 6 months

D. Oral folic acid 400 mcg daily

A. Oral folic acid 1 to 2 mg per day

Patients who are being treated for folate deficiency require monitoring of:

A. Complete blood count every 4 weeks

B. Hematocrit and hemoglobin at 1 week and then at 8 weeks

C. Reticulocyte count at 1 week

D. Folate levels every 4 weeks until hemoglobin stabilizes

B. Hematocrit and hemoglobin at 1 week and then at 8 weeks

The treatment of vitamin B12 deficiency is:

A. 1,000 mcg daily of oral cobalamin

B. 2 gm per day of oral cobalamin

C. 100 mcg/day Vitamin B12 IM

D. 500 mcg/dose nasal cyanocobalamin 2 sprays once a week

A. 1,000 mcg daily of oral cobalamin

The dosage of Vitamin B12 to initially treat pernicious anemia is:

A. Nasal cyanocobalamin 1 gram spray in each nostril daily x 1 week then weekly x 1 month

B. Vitamin B12 IM monthly

C. Vitamin B12 1,000 mcg IM daily x 1 week then 1,000 mg weekly for a month

D. Oral cobalamin 1,000 mcg daily

C. Vitamin B12 1,000 mcg IM daily x 1 week then 1,000 mg weekly for a month

Before beginning IM Vitamin B12 therapy, which laboratory values should be obtained?

A. Reticulocyte count, hemoglobin, and hematocrit

B. Iron

C. Vitamin B12

D. All of the above

D. All of the above

____ should be monitored when Vitamin B12 therapy is started.

A. Serum calcium

B. Serum potassium

C. Ferritin

D. C-reactive protein

B. Serum potassium

Anemia due to chronic renal failure is treated with:

A. Epoetin alfa (Epogen)

B. Ferrous sulfate

C. Vitamin B12

D. Hydroxyurea

A. Epoetin alfa (Epogen)