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| 1. | Questions For a healthy individual who eats a normal Western diet, how much iron is absorbed daily? |
| (A) 1 mg | |
| (B) 5 mg | |
| (C) 8 mg | |
| (D) 10 mg |
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| 2. | Which of the following dietary components decreases absorption of iron? |
| (A) Polyphenols | |
| (B) Tannin | |
| (C) Phytates | |
| (D) All of the above |
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| 3. | Which symptom is specific to iron deficiency anemia? |
| (A) Pica | |
| (B) Lethargy | |
| (C) Koilonychia | |
| (D) Both A and C |
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| 4. | Which of the following parameters is generally diagnostic of iron deficiency? |
| (A) Increased TIBC | |
| (B) Decreased ferritin | |
| (C) Increased TSAT | |
| (D) Both A and B |
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| 5. | What are the adverse effects associated with oral iron supplements? |
| (A) Discoloration of feces | |
| (B) Constipation or diarrhea | |
| (C) Nausea and vomiting | |
| (D) All of the above |
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| 6. | Which of the following is true? |
| (A) Hemoglobin increases approximately 2 g/dL/day after effective iron replacement | |
| (B) Reticulocytes reach a maximum at 7–10 days of iron therapy | |
| (C) Hemoglobin increases approximately 0.1–0.2 g/dL over 3–4 weeks | |
| (D) Ferrous sulfate contains 20% of elemental iron |
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| 7. | Which of the following is FALSE? |
| (A) Ferrous gluconate provides 12% of elemental iron | |
| (B) Ferrous sulfate provides 30% of elemental iron | |
| (C) Ferrous fumarate provides 33% of elemental iron | |
| (D) Polysaccharide iron complex provides 100% of elemental iron |
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| 8. | The recommended daily dose of elemental iron for oral supplementation in an adult is: |
| (A) 150 mg | |
| (B) 200 mg | |
| (C) 1,000 mg | |
| (D) 62.5 mg |
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| 9. | Absorption of oral iron is decreased by all of the following EXCEPT: |
| (A) Food | |
| (B) Antacids | |
| (C) Ascorbic acid | |
| (D) Tea |
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| 10. | Poor patient compliance to oral iron regimen has been attributed to: |
| (A) Taking the supplement at bedtime | |
| (B) Constipation | |
| (C) Inconvenient dosing | |
| (D) Both B and C |
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| 11. | The amount of oral iron supplement that is absorbed by the body is: |
| (A) 5% to 10% | |
| (B) 40% to 50% | |
| (C) 20% to 25% | |
| (D) 30% to 35% |
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| 12. | The causes of iron deficiency anemia include: |
| (A) Inadequate dietary intake | |
| (B) Blood loss | |
| (C) Increased iron demands | |
| (D) All of the above |
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| 13. | The following statements are true EXCEPT: |
| (A) Parenteral iron supplementation is used when the patient is unable or unwilling to take oral products | |
| (B) Sodium ferric gluconate cannot be used for total dose infusion | |
| (C) The iron dextran test dose for adult patients is 50 mg | |
| (D) Dilution of iron dextran with 5% dextrose causes local pain |
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| 14. | Which of the following is FALSE regarding sodium ferric gluconate? |
| (A) It has no black box warning about anaphylactic-type reactions | |
| (B) It does not contain dextran | |
| (C) It can be given IM | |
| (D) The test dose is diluted in normal saline |
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| 15. | The amount of iron that can be added to a liter of TPN is: |
| (A) 10 mg | |
| (B) 2 mg | |
| (C) 25 mg | |
| (D) 15 mg |
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| 16. | The dose of replacement iron for a patient with a hematocrit of 25%, who has lost 500 mL of blood is: |
| (A) 200 mg | |
| (B) 500 mg | |
| (C) 125 mg | |
| (D) 250 mg |
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| 17. | All of the following conditions make patients more susceptible to adverse effects of iron dextran EXCEPT: |
| (A) Asthma | |
| (B) Coronary artery disease | |
| (C) Rheumatoid arthritis | |
| (D) Multiple drug allergies |
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| 18. | Which of the following is an indication for parenteral iron supplementation? |
| (A) Chronic untreated bleeding | |
| (B) Chronic renal failure patients requiring maintenance hemodialysis | |
| (C) Coagulation disorders | |
| (D) All of the above |
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| 19. | The total cumulative dose of sodium ferric gluconate for an adult hemodialysis patient with iron deficiency is: |
| (A) 125 mg | |
| (B) 500 mg | |
| (C) 750 mg | |
| (D) 1,000 mg |
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| 20. | The infusion rate of sodium ferric gluconate should NOT exceed: |
| (A) 50 mg over 15 min | |
| (B) 62.5 mg over 30 min | |
| (C) 125 mg over 1 hour | |
| (D) Both B and C |
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21. |
Evaluation Questions The CE goals and objectives were achieved: |
| (A) Very Well | |
| (B) Adequately | |
| (C) Poorly |
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22. |
The information presented was: |
| (A) Very Useful | |
| (B) Useful | |
| (C) Not Very Useful | |
23. |
Your knowledge of the subject was increased: |
| (A) Greatly | |
| (B) Somewhat | |
| (C) Poorly |
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