NEET PG Medicine MCQs 130 – Hematology – 3

  1. Iron absorption is increased in all except:
    1. Iron deficiency
    2. pregnancy
    3. hypoxia
    4. Alkaline pH of the stomach
    5. ferrous iron salts
      1. Ans(4)
  2. The most suitable test to assess iron stores is:
    1. serum iron
    2. serum ferritin
    3. TIBC
    4. transferrin saturation
      1. Ans(2)
  3. Signs and symptoms considered highly specific for iron deficiency INCLUDE ALL OF THE FOLLOWING EXCEPT:
    1. pagophagia
    2. koilonychia
    3. blue sclera
    4. macroglossia
      1. Ans(4)
  4. Which is not seen in Iron deficiency anemia:
    1. Hypersegmented neutrophils
    2. microcytosis preseeds hypochromia
    3. MCHC <50%
    4. the commonest cause of anemia in India
      1. Ans(1)
  5. Triad of Plummer Vinson syndrome includes all of the following except;
    1. iron deficiency anemia
    2. Dysphagia
    3. Atrophic glossitis
    4. macroglossia
      1. Ans(4)
  6. Which of the following best represents the sequence of events in Iron Deficiency Anemia
    1. Anisocytosis → microcytosis  → Hypochromia
    2. microcytosis  →Hypochromia→Anisocytosis
    3. Hypochromia→microcytosis  →Anisocytosis
    4. Anisocytosis→ Hypochromia→microcytosis
      1. Ans(4)
  7. Which of the following findings in the diagnosis of iron deficiency anemia:
    1. increased TIBC, decreased serum ferritin
    2. decreased TIBC decreased serum ferritin
    3. increased TIBC, increased serum ferritin
    4. decreased TIBC increased serum ferritin
      1. Ans(1)
  8. All of the following statements about oral iron therapy are true except:
    1. oral ferrous sulfate 325 mg three times daily may be used
    2. Should be given with food to improve absorption
    3. the maximum dose is 200mg elemental iron daily
    4. vitamin C helps in its absorption
      1. Ans(2)
  9. All of the following are features of iron deficiency anemia, except:
    1. increased RDW
    2. decreased serum Iron
    3. Decreased TIBC
    4. Decreased serum Ferritin
      1. Ans(3)
  10. Which of the following is true about oral therapy for iron deficiency anemia:
    1. in 300mg elemental iron given 100 mg get absorbed
    2. reticulocytosis appears in one to 2 weeks and then peak in 3-4 weeks
    3. hemoglobin levels are usually corrected in six months of initiating therapy
    4. the decrease in absorption with the improvement of symptoms
    5. stop the Rx after normalizing the Hb
      1. Ans(4)
  11. Which of the following is true about Iron Deficiency Anemia
    1. Increased serum ferritin
    2. Increased TIBC
    3. Increased Transferrin Saturation
    4. Macrocytic Hypochromic Anemia
      1. Ans(2)
  12. All of the following are indications of Intravenous Iron Administration Except:
    1. Intermittent Gastrointestinal Blood Loss
    2. Iron Malabsorption
    3. Inability to Tolerate Oral Iron
    4. Patient on Erythropoietin Therapy
      1. Ans(1)
  13. A most sensitive and specific test for diagnosis of iron deficiency is:
    1. Serum iron levels
    2. serum ferritin levels
    3. serum transferrin receptor population
    4. transferrin saturation
      1. Ans(2)
  14. Iron Dextran Preparations may be used for all of the following conditions except:
    1. iron deficiency anemia not responding to oral iron therapy
    2. persistent blood loss
    3. malabsorption related macrocytic anemia
    4. patients on Erythropoietin therapy
      1. Ans(3)
  15. The earliest sign of iron deficiency anemia:
    1. Increase in iron binding capacity
    2. the decrease in serum ferritin level
    3. the decrease in serum iron levels
    4. all of the above
      1. Ans(2)
  16. Iron Dextran preparations may be used for all of the following conditions except:
    1. Iron deficiency anemia not responding to oral iron therapy
    2. persistent blood loss
    3. malabsorption related macrocytic anemia
    4. patients on Erythropoietin for Anemia of chronic disease
      1. Ans(3)
  17. Which of  the following statements above iron deficiency anemia is true:
    1. Decrease TIBC
    2. Increased Ferritin levels
    3. bone marrow iron is decreased after serum iron is decreased
    4. bone marrow iron is decreased earlier than serum iron
      1. Ans(4)
  18. Which of the following is associated with the highest risk of Anaphylaxis
    1. iron Dextran
    2. iron sucrose
    3. ferumoxytol
    4. iron gluconate
      1. Ans(1)
  19. Best marker for iron deficiency is:
    1. Serum iron
    2. serum ferritin
    3. total Iron binding capacity
    4. transferrin saturation
      1. Ans(2)
  20. Iron overload occurs in all except:
    1. Thalassemia
    2. myelodysplastic syndrome
    3. polycythemia vera
    4. sideroblastic anemia
      1. Ans(3)
  21. The earliest recognizable changes of erythrocytes in iron-deficiency anemia is:
    1. Anisocytosis
    2. microcytosis
    3. hypochromic
    4. hypersegmentation
      1. Ans(1)
  22. all are true regarding Anaemia of Chronic disease except:
    1. decreased serum Fe
    2. decreased Ferritin
    3. decreased Total Fe binding capacity
    4. increased bone Marrow Iron
      1. Ans(2)
  23. The most suitable test to assess iron stores is:
    1. serum iron
    2. serum ferritin
    3. TIBC
    4. transferrin saturation
      1. Ans(2)
  24. which of the following is true about Anemia of Chronic Disease
    1. Increased TIBC
    2. normal serum iron levels
    3. normal or increased serum ferritin
    4. increased transferrin serum ferritin
      1. Ans(3)
  25. The earliest recognizable changes of erythrocytes in iron-deficiency anemia is:
    1. Anisocytosis
    2. microcytosis
    3. hypochromic
    4. hypersegmentation
      1. Ans(1)

 

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