Fin lec Flashcards
Metabolic alkalosis
Prolonged vomiting
Metabolic acidosis
Diabetic ketoacidosis
Lactic acidosis
A male patient 42 years of age presents with lab work indicating decreased platelets, highly increased eosinophils,
and highly increased basophils. Most likely leukemia is:
CML
Reed Sternberg cells are found in:
Hodgkin’s Disease
An elevation of eosinophils may indicate:
C) Allergic Reaction or Bee bites
62 y/o man presents with a decreased RBC count, decreased platelets, increase atypical lymphocytes; the patient has splenomegaly and lymphadenopathy. The most likely diagnosis would be:
CLL
A 19 y/o male patient presents with severe fatigue, weakness and rapid heart rate. He has a decreased numbers of all his blood cells, red, white & platelets. He works with many different chemicals in his job. The fatigue and weakness came on gradually over the course of about 2 months. Most likely, the diagnosis would be:
Aplastic anemia
A patient has a hematocrit of 60%. Assuming that his RBCs are normal size and normal shape, what would the hemoglobin be?
20%
Elevated indirect (unconjugated) bilirubin could be found in:
sickle cell anemia
Hgb-SS
A patient with nucleated RBCs, hepatosplenomegaly, basophilic stippling, high blood level of iron, fatigue, liver, heart,
kidney pathology would be most indicative of:
Sideroblastic anemia
When performing an Accu check, which of the following blood glucose levels would you start to find glucose being dumped into the urine?
180 mg/dL
In which of the following conditions would you not expect to find target cells?
a. Thalassemia
b. Sickle cell anemia
c. Iron deficiency anemia d. Pernicious anemia
Pernicious anemia
Rose, 45 year old Italian woman comes into office complaining of right scapular pain. She notices that whenever she eats ice cream and French fries it makes the scapular pain worse. She also tells you that ever since she can remember she has been chronically tired and only rest makes it better. She formerly played on her neighborhood ALTA team but has been too tired to do so lately. Upon palpation you notice that she has a lot of upper left quadrant pain and her skin and sclera of her eyes looks very yellow.
What is your initial impression of Rose?
thalassemia
Rose, 45 year old Italian woman comes into office complaining of right scapular pain. She notices that whenever she eats ice cream and French fries it makes the scapular pain worse. She also tells you that ever since she can remember she has been chronically tired and only rest makes it better. She formerly played on her neighborhood ALTA team but has been too tired to do so lately. Upon palpation you notice that she has a lot of upper left quadrant pain and her skin and sclera of her eyes looks very yellow.
What are you likely to find in her urine?
urobilinogen
Which of the following red blood cells do you expect to find in rose’s microscopic blood analysis?
target cells
basophilic stippling
A 7 month old child is pale and listless upon physical examination. The chiropractor ordered a CBC, platelet count, total serum iron and ferritin study. The results are as follows:
- HCT: 24
- MCV: 68. 6
The microscope reveals significant anisocytosis, microcytosis, & hypochromia. A normal distribution of platelets was present. Stool and urine are negative for blood or parasites
What category of anemia is suggested by the morphology of the RBCs and blood results?
iron deficiency
The infectious microorganism directly associated with hemolytic uremic syndrome predominately in children is _______.
E.coli O157:H7
Risk factor for vitamin-B12 anemia is _______.
gastrectomy
Jeanette is a 16 yr. old high school cheerleader. She complains of discomfort in the right upper abdomen, sore throat, achy muscles, & mild fever. Streptococcus culture came back (–). Her blood work is provided. Please answer questions 22-24 about her case.
What does the complaint and lab suggest is Jeanette’s problem?
acute Hepatitis-A RNA virus
Jeanette is a 16 yr. old high school cheerleader. She complains of discomfort in the right upper abdomen, sore throat, achy muscles, & mild fever. Streptococcus culture came back (–). Her blood work is provided. Please answer questions 22-24 about her case.
What is the cause of Jeanette’s problem?
RNA virus (Hep A)
Jeanette is a 16 yr. old high school cheerleader. She complains of discomfort in the right upper abdomen, sore throat, achy muscles, & mild fever. Streptococcus culture came back (–). Her blood work is provided. Please answer questions 22-24 about her case.
What else would you suspect based on your clinical exam of this patient?
heptatomegaly
Which of the following red cell indices would be seen in someone with iron deficiency anemia?
MCV would be decreased
Platelet count below 50,000/cubic mm tends to lean on which of the following?
spontaneous bleeding
What is the combination which may result in erythroblastosis fetalis?
Rh(+) father, Rh (-) mother, Rh(+) baby
What is the normal response to living at high altitudes in a lower oxygen environment?
physiological polycythemia
True or False?: Biliverdin is converted to bilirubin in the gallbladder.
false
what nutrients are needed in the formation of RBC that are absorbed in the intestine?
Folic acid B9
Iron
B12
What microelement activates enzymes and is needed for formation of nucleic acids?
Mg
eosinophils will be elevated in _____.
bronchial asthma or parasite
A 27 yr. old male pt presents with constant back pain, without exact location, fatigue, night sweats, sore throat, & enlarged painless lymph nodes in the neck. He states that after a small portion of alcohol, these lymph nodes become painful.
What is the correct diagnosis?
hodgkins lymphoma
PaCO2 > 45 mm Hg =
respiratory acidosis
PaCO2 < 35 mm Hg =
respiratory alkalosis
HCO3 > 26 mEq/L =
metabolic alkalosis
HCO3 < 22 mEq/L =
metabolic acidosis
A 27 yr. old male pt presents with constant back pain, without exact location, fatigue, night sweats, sore throat, & enlarged painless lymph nodes in the neck. He states that after a small portion of alcohol, these lymph nodes become painful.
Which of the following cells is involved in this pathological process?
B-cells
pH > 7.45 =
alkalosis
pH < 7.35 =
acidosis
pH - 7.5; PaCO2 - 57; HCO3- - 25
respiratory acidosis
pH - 7.4; PaCO2 - 45; HCO3- - 24
normal
pH - 6.6; PaCO2 - 45; HCO3- - 20
metabolic acidosis
