Chapter·PediatricsHematology

Anemias in ChildrenDownloads

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Sample Questions

1

A 29-year-old woman was found to have a hemoglobin level of 7.8 mg/dl, with a reticulocyte count of 0.8%. The peripheral blood smear showed microcytic hypochromic anemia. On high-performance liquid chromatography (HPLC), hemoglobin A2 and hemoglobin F were 2.4% and 1.3%, respectively. The serum iron and total iron-binding capacity (TIBC) were 15 mg/dl and 420 micrograms per deciliter, respectively. What is the most likely cause of anemia in this patient?

AIron deficiency anemia

BBeta thalassemia minor

CSideroblastic anemia

DAnemia due to chronic infection

2

Which of the following statements is true regarding anemia of prematurity?

ALow reticulocyte response

BHemoglobin level <10 gm/dL

C10 ml/kg packed cell transfusion

DMicrocytic hypochromic type

3

All of the following are characteristic features of treatment of iron deficiency anemia with oral iron supplements, except which of the following?

ABioavailability is enhanced with vitamin C

BThe proportion of iron absorbed reduces as hemoglobin improves

CThe reticulocyte count should begin to increase within 7-10 days and peak at 2-4 weeks; this suggests good response to treatment

DThe treatment should be discontinued immediately once hemoglobin normalizes to prevent side effects of iron

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