Macrocytic Anemia
Normocytic Anemia & Special States
Microcytic Anemia
The Basics & Diagnostic Testing
Epidemiology & Initial Evaluation
100

This vitamin deficiency causes neurologic symptoms and macrocytosis.

What is vitamin B12 deficiency?

100

This is the most common type of anemia overall and includes CKD‑related anemia.

What is anemia of chronic disease/inflammation?

100

This iron study is the most specific indicator of iron deficiency

What is ferritin (low ferritin)?

100

This test evaluates RBC morphology and can identify spherocytes, schistocytes, or target cells

What is a peripheral blood smear?

100

This is the first step in evaluating any patient with anemia

What is identifying acute blood loss?

200

This GI condition prevents release of B12 from food due to lack of acid and pepsin.

What is gastric atrophy or gastrectomy?

200

This hormone is decreased in renal anemia.

What is erythropoietin?

200

This hereditary condition causes microcytosis with normal or high RBC count and normal iron studies.

What is thalassemia trait?

200

This test detects immune‑mediated hemolysis by identifying antibodies on RBCs.

What is the direct antiglobulin (Coombs) test?

200

These four questions form the foundation of anemia evaluation. Name one.  

What is “What is the severity of anemia?” (or MCV, reticulocyte count, isolated vs pancytopenia)

300

This deficiency is common in chronic alcohol use and pregnancy.

What is folate deficiency?

300

This condition causes anemia in 95% of ICU patients by day 3.

What is anemia of critical illness?

300

This type of anemia shows microcytosis and hypochromia on smear.

What is iron deficiency anemia?

300

This imaging modality is used to evaluate splenomegaly in suspected hemolysis.

What is an abdominal ultrasound?

300

This lab value distinguishes underproduction from hemolysis by measuring bone marrow output.

What is the reticulocyte count?

400

This bone marrow disorder often causes macrocytosis with pancytopenia.

What is myelodysplastic syndrome?

400

This transfusion threshold is recommended for most non‑cardiac critically ill patients.

What is hemoglobin 7 g/dL?

400

This toxin disrupts heme synthesis and can cause microcytic anemia.

What is lead?

400

The most common cause of anemia worldwide.

What is iron deficiency?

400

A reticulocyte index greater than this value suggests hemolysis or blood loss

What is >3%? or What is almost 5%.

500

This lab test differentiates B12 deficiency from folate deficiency when levels are borderline.

What is methylmalonic acid (MMA)?

500

This age‑related condition causes anemia despite normal nutrition and renal function.

What is unexplained anemia of aging?

500

This lab marker is increased in both iron deficiency and anemia of chronic disease.

What is zinc protoporphyrin (ZPP) or free erythrocyte protoporphyrin (FEP)?

500

This is the most common cause of anemia in hospitalized patients.

What is anemia of chronic inflammation?

500

This demographic group has the highest anemia prevalence at 31.4%.

Who are Black non‑Hispanic females?

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