Final Flashcards
The microscopic reveals significant anisocytosis, microcytosis, hypochromia, and piokilocytosis, A normal distribution of platelets was present. Stool and urine studies are negative for blood or parasites. What category of anemia is suggested by the morphology of the RBCs and blood results.
Iron Deficiency
What other signs on inspection would aid you in your diagnosis?
Swelling of the tongue, Dry lips, craving of ice chips
D) All of the above
The second leading cause of anemia worldwide is?
Chronic disease
The infectious microorganism directly associated with hemolytic uremic syndrome is ?
E-coli 157-07
A risk factor for vitamin B-12 anemia is?
Vegetarian diet
A patient presents with abdominal distress, neurological disturbances and trouble seeing yellow and blue, you would order?
Vit B-12 study
Which of the following is not associated with hemolytic anemia
Increased haptoglobin
John presents in your office with dyspnea, joint pain and fatigue. He is a 25 year old black who has experienced these symptoms on and off for several years. The crises seem to come and go. What factors contribute to the erythrocyte disorder you suspect in this patient?
Sickling is spontaneous
Which of the following diagnostic test would provide aid in the conformation of your suspicions?
CBC, UA, Microscopic blood analysis
D) AOTA
What is the condition you would suspect?
Sickle cell
John’s problem can be corrected by?
Can’t, genetic
With iron deficiency anemia you would suspect?
Low MCV low hematocrit and low MCHC
Which of the following anemias are megaloblastic?
B12 deficiency and Folate deficiency
Cobalamin transport out o fate gut is mediated by?
Intrinsic factor
Aplastic anemia can be caused by?
Infection, EBV, Radiation
D) AOTA
Patients with aplastic anemia need to be identified quickly as it will progress quickly and result in death
True
In a patient with hereditary spherocytosis you would expect to find this on palpation
Enlarged spleen
In sickle cell anemia the patient possesses an abnormal form of hemoglobin called
Hemoglobin S
You receive a lab report on a patient and you notice the number of white blood cells is 450,000. You would suspect
Leukemia
Polycythemia may be due to
Decreased plasma
Polycythemia may also be due
Increase in number of cells
The mild form of thallasemia responds to?
No treatment
A pt presents with high fever, sore throat and achy muscles. She is a 22 year old female her blood work is Neutrophils 28%, Lymphocytes 68%, Monocytes 2%, Eosinophil. What do you suspect is her problem?
Viral Infection
If she reported a new boyar with similar symptoms you would suspect?
Mononucleosis
If she had positive streptococcus cultures or ASO, you would now suspect?
Strept throat
What would you expect to find on the clinical exam of this pt?
Spleenomegally
Joe is Italian American. Overweight and poor eating habits. Has fatigue and pallor. 40 you and has mild sumps like this on and off his whole life. His disease would be characterized by?
Absence or decrease in synthesis of one or more goblin subunits
Vito Spatfore has a fasting lipid profile of 300 (normal
LDL 250 HDL 50
If you saw hair on end appearance on a cervical x-ray you would suspect?
Thallasemia
Which of the following anemias are microcytic
Iron deficiency, chronic disease anemia, thallasemia
D)AOTA
ESR is _____, but not _______
Sensitive/Specific
In iron deficiency anemia, the erythrocyte indices are typically
MCV dec, MCH dec
What is the most common cause of Iron Deficiency anemia?
Loss of nutrient exceeding the replenishment of nutrient
What is the combo which may result in erythroblastosis fettles anemia?
RH (+) father, RH(-) mother, Rh (+) baby
What is the normal response to living at high altitudes, in a lowered oxygen environment?
Physiologic polycythemia
What does MCV tell you?
Avg size of RBC
What lab test would give info about a pt’s electrolyte/hydration status?
Complete Metabolic Panel
Hemophilia is a lack of _____ and its severity is dependent on _____
Factor VIII/ the severity of the genetic disorder
Bruising without a cause usually would most likely be classified as:
Thrombocytopenia
Erythrocytes:
Are anucleated, outnumber the WBC, are dependent on structure.
D) AOTA
If you see a pt with 400,000 platelets per ccm you would suspect
normal pt
A platelet count of 50k will put the pt at risk for
Spontaneous bleeding
Von willebrands disease is a problem with?
Platelet adhesion
A pt with a severe deficiency of Vit K would be at risk for?
Clotting
I feel I have learned a little about blood and urine analysis and would feel comfortable talking to a pt about lab values
True
Glucose
60-100 mg/dl
Sodium
135-147 meq/l
Calcium
8.8-10.3 meq/l
Chloride
.95-107 meq/dl
Potassium
3.5-5.2
