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
