Hematology Quiz

A 35-year old female presents to the clinic with fatigue for 10 months. She has a history of gastric bypass surgery, cholecystectomy, hypertension, and diet controlled diabetes. Her labs are significant for a hemoglobin of 8.1 g/dL (normal >12-16 g/dL) and an MCV of 120 fl (normal 80-100 fl). Her hemoglobin A1c is 6.1 % (normal <5.7%, diabetes > 6.5%). Which of the following tests may assist in determining a cause of her fatigue?

A patient has had several rounds of therapy for cutaneous T-cell lymphoma and is being treated with high-dose methotrexate. Which of the following medications should also be administered?

Which of the following medications increases fetal hemoglobin levels?

A 65-year old former smoker presents to the primary care clinic with leg pain that occurs after walking 1 block. He is referred to the vascular surgeon who initiates a medication that improves red blood cell deformity to assist in treatment of intermittent claudication. Which of the following medications was initiated?

A 23-year old female presents to the clinic with fatigue. She has normal vital signs at rest. She is vegan and has been suffering from heavy menstrual cycles. She is found to have a hemoglobin of 8.1 (normal 12-16 g/dL), MCV of 68 fL (normal 80-100 fL), and a ferritin level of 7 ng/mL (normal 30-300 ng/mL). Which of the following medications would be the best treatment?

A 18-month old child is brought to the emergency department with abdominal pain. X-ray shows numerous radiopaque pill shaped densities in the are of the stomach. Which of the following

You are working in the clinic and diagnose a patient with pregnancy. What is the purpose of initiating folic acid treatment?

A 45-year old male presents to the clinic after receiving chemotherapy. His WBC count is 0.6 x 10^9 /L (normal 4.5-11 x 10^9/L). Which of the following medications would be indicated?

A 39-year old female with a history of alcohol abuse presents to the clinic with fatigue. Labs reveal a macrocytic anemia and a normal cyanocobalamin level. Which of the following medications would be best to initiate?