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UA > Final > Flashcards

Final Flashcards

1
Q

IDA RBC characteristics

A

microcytic

hypochromic

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2
Q

shift left means:

A

more band cells (immature cells) than mature WBC

- usually occurs with inflammation/infxn

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3
Q

inspection of IDA would show:

A

swelling of tongue (angular cheilitis)
dry lips
craving for ice chips (PICA)

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4
Q

2nd MC leading cause of anemia WW is

A

chronic disease

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5
Q

infectious organism involved in Hemolytic-Uremic Syndrome

A

E. Coli 157-07

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6
Q

Risk factor for B12 deficiency (2)

A

Vegetarian Diet

Gastrectomy

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7
Q 
patient with:
abdominal stress
NEUROLOGICAL disturbances
trouble seeing yellow and blues
order what test:
A

B12 study

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8
Q

(3) characteristics associated with Hemolytic Anemia

A

DECREASE hemoglobin and cell pack volume
INCREASE reticulocyte count
DECREASE erythrocyte count
NOT increased hepatoglobin

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9
Q

with G-6-PD, a few characteristics are:

A

MC in Men
MC in Mediterranean, Asian or African descent
Sickling is SPONTANEOUS
Fatigue

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10
Q

IDA hematocrit and MCHC levels

A

decreased hematocrit

decreased MCHC

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11
Q

megaloblastic anemias

A

Vit B12 Anemia

Folic Acid Anemia

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12
Q

cobalamin transport out of gut is mediated by

A

intrinsic factor

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13
Q

aplastic anemia can be caused by: (3)

A

Infection
EBV/Hep B or C/ Parovirus
Radiation

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14
Q

severe aplastic anemia if untreated may lead to:

A

death

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15
Q

enlarged SPLEEN associated with which intrinsic anemia

A

hereditary spherocytosis

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16
Q

abnormal hemoglobin associated with MC sickle cell anemia

A

hemoglobin S

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17
Q

WBC count is 450,000 – you suspect

A

leukemia

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18
Q

polycythemia may be due to ____ platelets or ______ cells

A

decreased platelets

increased # of all cells

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19
Q

hallmark sign of polycythemia

A

elevated hematocrit, with normal MCV

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20
Q

treatment for minor thalassemia

A

NONE

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21
Q

treatment for major thalassemia

A

blood transfusion

chelation therapy

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22
Q 
Patient w/ high fever, sore throat and achy muscles. She is a 22 yo female.  
Nutrophil-28%, 
lymphocytes 68%
monocytes2%
 eosinophil 2% and basophil%.
 What do you suspect is her problem?
A

virus

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23
Q 
Patient w/ high fever, sore throat and achy muscles -- Boyfriend with similar symptoms. She is a 22 yo female.  
Nutrophil-28%, 
lymphocytes 68%
monocytes2%
 eosinophil 2% and basophil%.
 What do you suspect is her problem?
A

mononucleosis

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24
Q

Patient w/ high fever, sore throat and achy muscles. She is a 22 yo female.
+ streptococcus culture or ASO.
Nutrophil-28%,
lymphocytes 68%
monocytes2%
eosinophil 2% and basophil%.
What do you suspect is her problem and what organ may be enlarged?

A

strep throat

spleen may be enlarged

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25
Q

Joe is an Italian American. He is overweight and reports poor dietary habits. He has fatigue and pallor. He is 40 years old and has had mild symptoms 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

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26
Q

For cholesterol, optimum ratio is __:___ (LDL:HDL)

A

3.5:1 LDL:HDL

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27
Q

Hair on end appearance associated with:

A

thalassemia

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28
Q

honeycomb pattern on hand associated with

A

thalassemia

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29
Q

(3) anemias that are MICROcytic

A

IDA
chronic disease anemia
thalassemia

30
Q

ESR is ____, and NOT _____

A

sensitive,

NOT specific

31
Q

MC cause of IDA

A

Loss of nutrient exceeding the replenishment of nutrient

32
Q

combination which may result in erythroblastosis fetalis anemia

A

Rh (+) BABY with Rh (-) mother

33
Q

normal response to living at high altitudes, in a lowered oxygen environment

A

physiologic polycythemia

34
Q

term for average size of RBC

A

MCV

35
Q

term for average mass of hemoglobin per RBC

A

MCH

36
Q

lab test would give information about a patient’s electrolyte/hydration status

A

complete metabolic panel

37
Q

Hemophilia A is a lack of_______ and its severity is dependent on______

A

factor VII

genetic disorder

38
Q

Hemophilia B is a lack of _____

A

factor IX

39
Q

Bruising without a cause usually would most likely be classified as

A

thrombocytopenia

40
Q

(3) characteristics of erythrocytes

A

anucleate
outnumber WBC
dependent on structure

41
Q

400,000 platelets, you would assume

A

normal

42
Q

50,000 platelets, patient at risk for

A

spontaneous bleeding

43
Q

Von Willebrand Disease is problem with

A

platelet adhesion

but platelet count is UNAFFECTED

44
Q

person with sever vit K deficiency is high risk for

A

clotting

45
Q

Sodium NR

A

135-145

46
Q

Potassium NR

A

3.5-5

47
Q

Magnesium NR

A

1.3-2.1

48
Q

Phosphate NR

A

2.7-4.5

49
Q

calcium NR

A

8.2-10.2

50
Q

chloride NR

A

100-108

51
Q

Pa CO2 affects

A

respiratory acid-base balance

52
Q

HCO3- affects

A

metabolic acid-base balance

53
Q

NR Pa CO2

A

35-45 mm Hg

54
Q

Pa CO2 > 45 =

A

respiratory acidosis

55
Q

Pa CO2 less than 35 =

A

respiratory alkalosis

56
Q

NR HCO3-

A

22-26 mEq/L

57
Q

HCO3- > 26 mEq/L =

A

metabolic alkalosis

58
Q

HCO3- less than 22 =

A

metabolic acidosis

59
Q

cause of Hep A

A

RNA virus

60
Q

clinical finding on exam of patient with Hep A

A

hepatomegaly

61
Q

Biliverdin is converted into bilirubin in _____

A

spleen

62
Q

nutrients needed for formation of RBC absorbed in SI

A

folic acid
iron
B12

63
Q

21 female with body aches: differential diagnoses include (3)

A

IDA
pregnancy
EBV infxn

64
Q

99% body calcium is in

A

skeleton

1% in blood

65
Q

micro element that activates enzymes for nucleic acids

A

magnesium

66
Q

eosinophils will be increased in

A

bronchial asthma

67
Q

Reed stein berg cells present in

A

Hodgkin Lymphoma

68
Q

lymph nodes painful after alcohol in

A

Hodgkin Lymphoma

69
Q

cells affected in Hodgkin Lymphoma

A

B cells

70
Q

cells affected in Non-Hodgkin Lymphoma

A

B and T cells

UA (9 decks)

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