Anaemia

TRUE/FALSE?
1. 18 month old boy, unusually pale, otherwise healthy (wt and ht 90th %ile). On a solid diet but prefers his bottle, consuming 1.5L of milk a day.
A. Children under three years of age are not predisposed to iron deficiency anaemia.

TRUE/FALSE?
1. 18 month old boy, unusually pale, otherwise healthy (wt and ht 90th %ile). On a solid diet but prefers his bottle, consuming 1.5L of milk a day.
B. The child is on a nutritionally adequate diet.

TRUE/FALSE?
1. 18 month old boy, unusually pale, otherwise healthy (wt and ht 90th %ile). On a solid diet but prefers his bottle, consuming 1.5L of milk a day.
C. Breast milk is a poor source of iron as compared to cow’s milk.

TRUE/FALSE?
1. 18 month old boy, unusually pale, otherwise healthy (wt and ht 90th %ile). On a solid diet but prefers his bottle, consuming 1.5L of milk a day.
D. It is important to check haemoglobin and do iron studies in this child.

TRUE/FALSE?
1. 18 month old boy, unusually pale, otherwise healthy (wt and ht 90th %ile). On a solid diet but prefers his bottle, consuming 1.5L of milk a day.
E. Children have a lower mean corpuscular volume (MCV) as compared to adults.

TRUE/FALSE?
1. 18 month old boy, unusually pale, otherwise healthy (wt and ht 90th %ile). On a solid diet but prefers his bottle, consuming 1.5L of milk a day.
F. Blood loss can lead to iron deficiency.

TRUE/FALSE?
1. 18 month old boy, unusually pale, otherwise healthy (wt and ht 90th %ile). On a solid diet but prefers his bottle, consuming 1.5L of milk a day.
G. A low serum ferritin level is diagnostic of iron deficiency and a normal level rules out the same.

TRUE/FALSE?
1. 18 month old boy, unusually pale, otherwise healthy (wt and ht 90th %ile). On a solid diet but prefers his bottle, consuming 1.5L of milk a day.
H. Treatment of iron deficiency anaemia consists only of elemental iron given in a dose of 6mg/kg body weight daily for three months.

TRUE/FALSE?
1. 18 month old boy, unusually pale, otherwise healthy (wt and ht 90th %ile). On a solid diet but prefers his bottle, consuming 1.5L of milk a day.
I. Follow up in a child on treatment for iron deficiency does not need repeat haemoglobin levels prior to 3 months.

TRUE/FALSE?
1. 18 month old boy, unusually pale, otherwise healthy (wt and ht 90th %ile). On a solid diet but prefers his bottle, consuming 1.5L of milk a day.
J. Children can tolerate very low haemoglobin levels without cardiovascular compromise.

TRUE/FALSE?
2A. Iron supplementation is an adjunct to treatment in thalassemia.

TRUE/FALSE?
2B. Macrocytic anaemia in an exclusively breast fed infant is most likely due to gut malabsorption of vitamin B12.

TRUE/FALSE?
2C. Females do not get Glucose 6 phosphate dehydrogenase (G6PD) deficiency.