[MCQs] Iron Deficiency Anemia and Anemia of Chronic Inflammation

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[MCQs] Iron Deficiency Anemia and Anemia of Chronic Inflammation
5 (100%) 2 votes

Select the ONE answer that is BEST in each case.

The etiology of IDA is

1. The etiology of IDA is
A. nutritional deficiency
B. faulty iron absorption
C. excessive loss of iron
D. all of the above
2. Iron defi ciency is still common in
A. toddlers
B. adolescent girls
C. women of childbearing age
D. all of the above
3. _____ Decreased iron intake

A. Sprue
B. Colon cancer
C. Adolescent growth spurt
D. Menstruation
E. Meat-poor diet

4. _____ Faulty iron absorption

A. Sprue
B. Colon cancer
C. Adolescent growth spurt
D. Menstruation
E. Meat-poor diet

5. _____ Pathological iron loss

A. Sprue
B. Colon cancer
C. Adolescent growth spurt
D. Menstruation
E. Meat-poor diet

6. _____ Physiological iron loss

A. Sprue
B. Colon cancer
C. Adolescent growth spurt
D. Menstruation
E. Meat-poor diet

7. _____ Increased iron utilization
A. Sprue
B. Colon cancer
C. Adolescent growth spurt
D. Menstruation
E. Meat-poor diet
8. The average adult has _____ g of total iron.
A. 0.2 to 1.4
B. 1.5 to 3.4
C. 3.5 to 5.0
D. 5.1 to 10.0
9. Most functional iron in humans is found in
A. the bone marrow
B. the liver
C. hemoglobin molecules of erythrocytes (RBCs)
D. the free hemoglobin in the circulation
12. Most ingested iron is readily absorbed into the body in the
A. stomach and duodenum
B. duodenum and upper jejunum
C. ileum and duodenum
D. upper jejunum and ileum
13. Transferrin represents a
A. storage form of iron
B. beta globulin that moves iron
C. glycoprotein that moves iron
D. both B and C
14. In IDA, the erythrocytic indices are typically
A. MCV increased, MCH decreased, and MCHC
decreased
B. MCV decreased, MCH decreased, and MCHC
decreased
C. MCV decreased, MCH increased, and MCHC
decreased
D. MCV decreased, MCH decreased, and MCHC
normal
15. The peripheral blood smear demonstrates _____ red
blood cells in IDA.
A. microcytic, hypochromic
B. macrocytic, hypochromic
C. macrocytic and spherocytic
D. either A or B
16. In IDA, the
A. serum iron is severely decreased and the TIBC is increased
B. serum iron is decreased and the TIBC is normal
C. serum iron is normal and the TIBC is normal
D. serum iron is increased and the TIBC is normal
17. Anemias of infl ammation/chronic diseases can be caused by
A. inflammation
B. infection
C. malignancy
D. all of the above
18. AOI can result from
A. inappropriately decreased erythropoietin
B. suppression of erythropoiesis by cytokines from activated macrophages and lymphocytes
C. impaired iron metabolism
D. all of the above
19. The typical peripheral blood fi lm of a patient with AOI typically reveals _____ erythrocytes.
A. microcytic, hypochromic
B. macrocytic, hypochromic
C. normocytic, normochromic
D. many spherocytes
20. Leukoerythroblastosis can appear as _____ on a peripheral blood smear.
A. immature leukocytes
B. immature erythrocytes
C. immature thrombocytes
D. both A and B
21. What is the most appropriate treatment for AOI?
A. Red blood cell transfusion
B. Iron therapy
C. Erythropoietin injections
D. Treatment of the inflammatory condition
22. Sideroblastic anemia can be caused by
A. congenital (chromosomal) defect
B. drugs (e.g., chloramphenicol)

C. association with malignant disorders (e.g., acute myelogenous leukemia)
D. all of the above

23. A common feature of sideroblastic anemia is
A. ringed sideroblasts
B. decreased serum iron
C. decreased serum ferritin
D. macrocytic red blood cells
24. The greatest portion of operational body iron is normally contained in what compound?
A. Hemoglobin
B. Ferritin

C. Cytochromes
D. Myoglobin

25. Storage iron in the human body is
A. found in hepatocytes
B. found in macrophages
C. sequestered as ferritin
D. all of the above
26. The most sensitive assay for the diagnosis of hereditary hemochromatosis (HH) is
A. serum iron
B. serum iron–binding capacity
C. transferrin
D. transferrin saturation

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