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Anaemia in Pregnancy

Total questions: 18

Worksheet time: 4mins

Name
Class
Date
1.

Hypochromic microcytic type is related to vitamin B12 deficiency

a)

True

b)

False

2.

Vegetarians are more likely to develop iron deficiency anemia

a)

True

b)

False

3.

Clubbing of fingers is a sign of iron deficiency anaemia

a)

True

b)

False

4.

Serum iron concentration usually normal or increased in thalassemia

a)

True

b)

False

5.

Vitamin C enhances iron absorption

a)

True

b)

False

6.

Regarding anemia in pregnancy:, majority are of iron deficiency type

a)

True

b)

False

7.

Serum iron level is better than serum ferritin to diagnose iron deficiency

a)

True

b)

False

8.

Megaloblastic anaemia is related to pyridoxine deficiency

a)

True

b)

False

9.

Tea inhibit absorption of iron

a)

True

b)

False

10.

Parenteral iron increases increases haemoglobin faster than oral haematinics

a)

True

b)

False

11.

Mean corpuscular volume (MCV) is the screening method for beta thalassaemia

a)

True

b)

False

12.

Beta thalassaemia is diagnosed by haemoglobin electrophoresis

a)

True

b)

False

13.

The risk of fetus affected by major β-thalassaemia is 25% when mother is β-thalassaemia major

a)

True

b)

False

14.

Parenteral iron is contraindicated in transfusion-dependent thalassemia

a)

True

b)

False

15.

Hydrops fetalis is a recognized complication of beta thalassemia

a)

True

b)

False

16.

A 39-year-old lady, G8P7 at 16 weeks period of gestation went for booking at public health clinic with no acute complaint. Her last child birth was 1 year ago. Her vital signs were stable. Clinically, she was pale. Her full blood count showed haemoglobin of 8.5g/dL. 

What is the most important investigation to order?

a)

Full blood picture

b)

Haemoglobin electrophoresis

c)

Serum ferritin

d)

Serum iron

17.

A 25-year-old primigravida at 38 weeks period of gestation presented with regular contraction pain. She was pale, however her vital signs were normal. Her uterus was corresponded to date and fetus was in cephalic presentation. Vaginal examination revealed cervical length of 0.5cm and it is dilated 5cm. Her haemoglobin was 10.5g/dL.

What is the most appropriate treatment? 

a)

Blood transfusion

b)

Intramuscular iron

c)

Intravenous iron

d)

Oral iron 

18.

A 25 years old primigravida who is now at 20 weeks period of amenorrhea presented with lethargy and palpitation. She has good appetite and is not a vegetarian. Examination revealed uterus of 18 weeks size.  There is presence of mid-systolic murmur over the left sternal edge.

What is the most important investigation would you do for her?

a)

Echocardiogram (ECHO)

b)

Electrocardiogram (ECG)

c)

Full blood count 

d)

Haemoglobin electrophoresis