Clin Med - Exam 3

Question 1

1. Increased cell #?

Answer 1

Cytosis

Question 2

2. RBC production indicated by?

Answer 2

Reticulocyte count

Question 3

3. Hematocrit?

Answer 3

% of RBC in blood

Question 4

4. a pt whom was in MVA, w/ low bp/Blood loss

HCT was 43%, BP 100/70 (maybe that’s his normal)

Answer 4

hypovolemia???

Question 5

5. 82% segs?????

Answer 5

Acute infection

Question 6

6. Woman with bone pain?

Answer 6

Multiple Myeloma

Question 7

7. Philadelphia chromosome

Answer 7

CML

Question 8

8. MC childhood leukemia

Answer 8

ALL

Question 9

9. Osteosarcoma vs. Ewings?

Answer 9

16 yr, mass on distal femur

Question 10

10. PCV?

Answer 10

Incr hematocrit

Question 11

11. PCV?

Answer 11

Hemoglobin viscosity

Question 12

12. Astrocytoma grade 4 (glioblastoma)?

Answer 12

MC malignant brain cancer

Question 13

13. AML?

Answer 13

Auer rods

Question 14

14. travel to Africa - increased eosinophils?

Answer 14

Parasitic infection

Question 15

15. Increased basophils?

Answer 15

CML

Question 16

16. Not a symptom of CRC?

Answer 16

Pruritis

Question 17

17. Pancreatic cancer treatment/

Answer 17

Whipples procedure

Question 18

18. CRC screening?

Answer 18

FOBT & rectal q5 years not adequate screening

Question 19

19. Thalassemia?

Answer 19

Lab values, microcytic

Question 20

20. Increased reticulocytes & microcytic anemia?

Answer 20

Dx w/ electrophoresis

Question 21

classic pentad presentation of TTP

Answer 21

21. Pt presents with microangiopathic hemolytic anemia, Thrombocytopenia, Renal failure, fever & flactuating neuro signs

Question 22

22. What do TTP and DIC have in common?

Answer 22

Microangiopathic hemolytic anemia

Question 23

23. What is not a symptom of leukemia?

Answer 23

Malignant HTN

Question 24

24. What is a symptom of Iron deficiency?

Answer 24

PICA

Question 25

25. B12 deficiency?

Answer 25

• Neuropopathy

- Parasthesia

Question 26

26. MC inherited hyper coagulable stat?

Answer 26

Factor V leiden

Question 27

27. What is not a clotting factor?

Answer 27

Protein C

Question 28

28. What is true of vWF?

Answer 28

tx w/ DDVAP inhaled

Question 29

29. What is the final step of intrinsic, extrinsic and common pathways?

Answer 29

Fibrin

Question 30

30. What is not a RF for Folate deficiency?

Answer 30

GERD or vegetarian… not sure of the answer…

Question 31

31. What is not a symptom of esophageal cancer?

Answer 31

Back pain

Question 32

32. Hodgekins?

Answer 32

Spreads central to peripheral

Question 33

33. No bone bx for?

Answer 33

Iron deficient anemia

Question 34

34. What is lab of choice for iron levels?

Answer 34

Ferritin

Question 35

35. ET?

Answer 35

tx only symptomatic pts

Question 36

36. Hodgkins – what is false?

Answer 36

later stage is often not curable

Question 37

37. Cushings syndrome vs. hypothyroid is not a complication of childhood leukemia survivors

Answer 37

Cushings syndrome vs. hypothyroid is not a complication of childhood leukemia survivors

Question 38

38. hrombocytosis?

Answer 38

Falsely elevated potassium

Question 39

39. Sickle Cell?

Answer 39

Glutamate for valine substitution

Question 40

40. Isolated thrombocytopenia?

Answer 40

Plasma destruction of platelets

Question 41

41. APL—presents with bleeding and thrombocytosis?

Answer 41

DIC

Question 42

42. MC bone malignancy from?

Answer 42

Metastatic cancer.

Question 43

43. MC small cell cancer amenable to cure?

Answer 43

Hairy cell.