Iron Deficiency Anaemia

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Which type of anaemia is the most common worldwide?

Iron deficiency anaemia

What is the main reason for inadequate dietary intake of iron in both developing and developed countries?

Predominantly vegetable diet

Which of the following conditions can contribute to increased iron loss?

Menorrhagia

In which type of countries is hookworm infection commonly associated with iron deficiency anaemia?

Developing countries

What is the most common symptom of iron-deficiency anemia in children?

Pallor of mucous membranes

Which group of people is at increased risk of developing iron deficiency anemia?

Vegans or vegetarians

Which of the following is an iron-rich food that can help prevent iron deficiency anemia?

Spinach

Which type of iron is found in red and organ meats, poultry, and fish?

Haem iron

Which type of iron is found in cereals, green leafy vegetables, and beans?

Non-haem iron

What is the primary role of hepcidin in iron metabolism?

Regulating iron release from macrophages and enterocytes

Which protein facilitates the export of iron from the duodenal epithelial cell into the bloodstream?

Ferroportin 1

What is the main role of plasma transferrin in the iron absorption pathway?

Transporting iron from the duodenal epithelial cell to the blood capillary

What is the effect of increased hepcidin levels on iron availability?

Decreased availability of iron for absorption

Which form of iron is absorbed at a higher rate in the body?

Fe2+

What factors can increase the absorption of iron?

Low Fe status, pregnancy, animal foods

What factors can decrease the absorption of iron?

Phytate, calcium, some phenolic compounds

How does hepcidin regulate iron absorption in the body?

By inhibiting iron transport across the intestinal epithelium

What is the effect of increased hepcidin levels on iron availability?

Improved iron utilization by erythrocytes

Which condition is associated with ineffective erythropoiesis?

Increased iron absorption

Which factors can decrease the absorption of iron?

Phytates (whole wheat), tea, coffee, milk

Which condition can lead to decreased iron absorption due to impaired production of red blood cells?

Decreased erythropoiesis

What is the percentage of iron in ferritin?

20%

Which protein-iron complex is visible as blue granules in macrophages after reaction with Pearl's/Prussian stain?

Hemosiderin

Which protein-iron complex is water-soluble and not visible in microscopy?

Ferritin

Which protein-iron complex serves as the primary storage form of iron in the body?

Ferritin

Which of the following is a consequence of iron deficiency anaemia?

Decreased immune function

Which marker is reduced in iron deficiency due to depleted iron stores?

Serum ferritin

Which of the following is NOT the causes of insufficient Fe for synthesis of haemoglobin and other Fe-containing proteins.

Increase psychomotor and mental development

Which investigations are commonly performed to assess iron deficiency?

FBC, blood film, serum iron, serum ferritin, and TIBC

What is the definition of iron deficiency?

Presence of depleted iron stores with or without functional or health impairment

What is the recommended management approach for iron deficiency?

Treatment of the underlying cause and iron supplementation

When does iron deficiency anemia occur?

When there is inadequate iron for hemoglobin synthesis

Test your knowledge on nutritional anaemias and specifically iron deficiency anaemia (IDA). Learn about the common causes of IDA, including inadequate dietary intake and poor iron absorption. Find out how this condition affects a significant portion of the world population and explore the potential pathologic conditions that can lead to IDA.

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