Module 4 Part 1: Hematology

Which of the following anemias is normocytic normochromic?

• Iron deficiency anemia
• Pernicious anemia
• B9 deficiency anemia

• Anemia of acute blood loss

• Anemia of chronic blood loss

Which of the following anemias is microcytic hypochromic?

• Iron deficiency anemia

• Pernicious anemia

• B9 deficiency anemia

• Anemia of acute blood loss

• Anemia of chronic blood loss

Which of the following anemias is caused by Vitamin B12 deficiency?

• Iron deficiency anemia

• Pernicious anemia

• B9 deficiency anemia

• Anemia of acute blood loss

• Anemia of chronic blood loss

Which of the following anemias is caused by Folate deficiency?

• Iron deficiency anemia

• Pernicious anemia

• B9 deficiency anemia

• Anemia of acute blood loss

• Anemia of chronic blood loss

The patient, a 34-year-old female, presented to our clinic with a chief complaint of persistent fatigue and weakness for the past 6 months. She reported experiencing easy fatigueability, shortness of breath on exertion, and occasional palpitations. She denied any chest pain, syncope, or significant weight loss. She had been taking over-the-counter iron supplements for the last 2 months without any improvement in her symptoms. Physical Examination reveals pale conjunctiva and mucous membranes; no evidence of jaundice. Koilonychia and angular chelitis positive. What is your diagnosis?

• Vitamin B12 deficiency

• Vitamin B9 deficiency

• Acute blood loss

• Iron Deficiency Anemia

What would a patient's CBC look like with iron deficiency anemia?

• Macrocytic, Normochromic

• Microcytic, Hypochromic

• Microcytic, Normochromic

• Microcytic, Hyperchromic

The patient, a 55-year-old male, presented to our clinic with a chief complaint of progressive fatigue, generalized weakness, and a tingling sensation in his hands and feet over the past few months. He described the fatigue as severe, limiting his daily activities, and noted increasing difficulty with balance. He also reported a change in the color and texture of his tongue. The patient had a history of chronic gastritis, diagnosed 10 years ago, for which he was prescribed proton pump inhibitors (PPIs) intermittently. He denied any history of gastrointestinal surgeries, autoimmune disorders, or alcohol abuse. what is your diagnosis?

• Vitamin B9 Deficiency

• Vitamin B12 Deficiency
• Anemia of chronic disease

• Vitamin B3 deficiency

What would an RBC look like with Vitamin B12 deficiency

• Microcytic, Hypochromic

• Macrocytic, Hypochromic

• Macrocytic, Normochromic

• Macrocytic, Hyperchromic

What would be seen on a patient's labs who had vitamin B12 deficiency?

• Microcytic anemia with elevated homocysteine

• Megaloblastic anemia with reduced homocysteine

• Microcytic anemia with reduced homocysteine

• Megaloblastic anemia and elevated homocysteine

What is the most common type of anemia?

• Hemolytic anemia
• Aplastic anemia
• Sickle cell anemia
• Iron deficiency anemia
• Pernicious anemia