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UA > Final > Flashcards

Final Flashcards

1
Q

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.

A

Iron Deficiency

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2
Q

What other signs on inspection would aid you in your diagnosis?

A

Swelling of the tongue, Dry lips, craving of ice chips

D) All of the above

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3
Q

The second leading cause of anemia worldwide is?

A

Chronic disease

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4
Q

The infectious microorganism directly associated with hemolytic uremic syndrome is ?

A

E-coli 157-07

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5
Q

A risk factor for vitamin B-12 anemia is?

A

Vegetarian diet

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6
Q

A patient presents with abdominal distress, neurological disturbances and trouble seeing yellow and blue, you would order?

A

Vit B-12 study

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7
Q

Which of the following is not associated with hemolytic anemia

A

Increased haptoglobin

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8
Q

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?

A

Sickling is spontaneous

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9
Q

Which of the following diagnostic test would provide aid in the conformation of your suspicions?

A

CBC, UA, Microscopic blood analysis

D) AOTA

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10
Q

What is the condition you would suspect?

A

Sickle cell

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11
Q

John’s problem can be corrected by?

A

Can’t, genetic

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12
Q

With iron deficiency anemia you would suspect?

A

Low MCV low hematocrit and low MCHC

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13
Q

Which of the following anemias are megaloblastic?

A

B12 deficiency and Folate deficiency

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14
Q

Cobalamin transport out o fate gut is mediated by?

A

Intrinsic factor

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15
Q

Aplastic anemia can be caused by?

A

Infection, EBV, Radiation

D) AOTA

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16
Q

Patients with aplastic anemia need to be identified quickly as it will progress quickly and result in death

A

True

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17
Q

In a patient with hereditary spherocytosis you would expect to find this on palpation

A

Enlarged spleen

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18
Q

In sickle cell anemia the patient possesses an abnormal form of hemoglobin called

A

Hemoglobin S

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19
Q

You receive a lab report on a patient and you notice the number of white blood cells is 450,000. You would suspect

A

Leukemia

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20
Q

Polycythemia may be due to

A

Decreased plasma

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21
Q

Polycythemia may also be due

A

Increase in number of cells

22
Q

The mild form of thallasemia responds to?

A

No treatment

23
Q

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?

A

Viral Infection

24
Q

If she reported a new boyar with similar symptoms you would suspect?

A

Mononucleosis

25
Q

If she had positive streptococcus cultures or ASO, you would now suspect?

A

Strept throat

26
Q

What would you expect to find on the clinical exam of this pt?

A

Spleenomegally

27
Q

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?

A

Absence or decrease in synthesis of one or more goblin subunits

28
Q

Vito Spatfore has a fasting lipid profile of 300 (normal

A

LDL 250 HDL 50

29
Q

If you saw hair on end appearance on a cervical x-ray you would suspect?

A

Thallasemia

30
Q

Which of the following anemias are microcytic

A

Iron deficiency, chronic disease anemia, thallasemia

D)AOTA

31
Q

ESR is _____, but not _______

A

Sensitive/Specific

32
Q

In iron deficiency anemia, the erythrocyte indices are typically

A

MCV dec, MCH dec

33
Q

What is the most common cause of Iron Deficiency anemia?

A

Loss of nutrient exceeding the replenishment of nutrient

34
Q

What is the combo which may result in erythroblastosis fettles anemia?

A

RH (+) father, RH(-) mother, Rh (+) baby

35
Q

What is the normal response to living at high altitudes, in a lowered oxygen environment?

A

Physiologic polycythemia

36
Q

What does MCV tell you?

A

Avg size of RBC

37
Q

What lab test would give info about a pt’s electrolyte/hydration status?

A

Complete Metabolic Panel

38
Q

Hemophilia is a lack of _____ and its severity is dependent on _____

A

Factor VIII/ the severity of the genetic disorder

39
Q

Bruising without a cause usually would most likely be classified as:

A

Thrombocytopenia

40
Q

Erythrocytes:

A

Are anucleated, outnumber the WBC, are dependent on structure.
D) AOTA

41
Q

If you see a pt with 400,000 platelets per ccm you would suspect

A

normal pt

42
Q

A platelet count of 50k will put the pt at risk for

A

Spontaneous bleeding

43
Q

Von willebrands disease is a problem with?

A

Platelet adhesion

44
Q

A pt with a severe deficiency of Vit K would be at risk for?

A

Clotting

45
Q

I feel I have learned a little about blood and urine analysis and would feel comfortable talking to a pt about lab values

A

True

46
Q

Glucose

A

60-100 mg/dl

47
Q

Sodium

A

135-147 meq/l

48
Q

Calcium

A

8.8-10.3 meq/l

49
Q

Chloride

A

.95-107 meq/dl

50
Q

Potassium

A

3.5-5.2

UA (1 decks)

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