Haematology Flashcards

1
Q

What type of Leukaemia has the following properties?:

Most common in children
Down syndrome
Lymphoblasts
B symptoms + painless lymphadenopathy

A

Acute Lymphoblastic Leukaemia (ALL)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What type of Leukaemia has the following properties?:

In Elderly
PMH haematopoietic disorders
Myeloblasts
Leukaemia cutis
Auer rods
A

Acute Myeloid Leukaemia (AML)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What type of Leukaemia has the following properties?:

Most common in adults
B cells
Asymptomatic for long time
Small mature lymphocytes
Smudge cells
A

Chronic Lymphoblastic Leukaemia (CLL)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What type of Leukaemia has the following properties?:

Middle aged
Philadelphia chromosome
3 phases – chronic, accelerated, blast crisis
Basophils + oesinophils

A

Chronic Myeloid Leukaemia (CML)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Which type of cancer has the following:

Typically B-cell origin
Strong association with EBV/HIV/Autoimmunity
Clinical features
Painless lymphadenopathy – alcohol-induced pain
B symptoms Pel-Ebstein fever

A

Hodgkin’s lymphoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the clinical features of haemophilia?

A

Mild – haematomas following severe trauma
Moderate – haematomas following mild trauma
Severe - spontaneous bleeding (in joints, from mucosa)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Is ‘X-linked recessive; Factor VIII deficiency’ used to describe haemophilia A, B or C?

A

Haemophilia A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Is ‘X-linked recessive; Factor IX deficiency’ used to describe haemophilia A, B or C?

A

Haemophilia B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Is ‘Autosomal recessive; Factor XI deficiency’ used to describe haemophilia A, B or C?

A

Haemophilia C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What type of genetic inheritance pattern does Von Willebrand Disease follow?

A

Autosomal dominant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which blood disorder is described by the following:

Most common congenital bleeding disorder; often asymptomatic
Mucosal bleeding, menorrhagia

A

Von Willebrand Disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Which blood disorder is described by the following:

Most common hypercoagulable disorder
Blood clots – VTE, PE (more common)
Risk for Stroke, ACS, ischaemia

A

Factor V Laiden

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Iron deficiency anaemia, anaemia of chronic disease and thalassaemia are all examples of what type of anaemia?

A

Microcytic (CMV <80 fL)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

CKD, aplastic anaemia, blood loss and haemolysis all lead to what type of anaemia?

A

Normocytic (CMV 80-100 fL)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Megaloblastic is an example of what type of anaemia?

A

Macrocytic (CMV>100 fL)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Most common anaemia; brittle nails, hair loss, Pica and angular cheilitis’ are all clinical features of which type of anaemia?’

A

Iron deficiency anaemia (microcytic)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

‘Usually mild; background of inflammation, neoplasms and high CRP/ESR’ are all clinical features of which type of anaemia?

A

Anaemia of chronic disease (microcytic)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

‘Extramedullary haematopoiesis – skull (high forehead, prominent cheeks and maxilla), run electrophoresis for missing globin’ are clinical features of which type of anaemia?

A

Thalassaemia (microcytic)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is the management for iron deficiency anaemia?

A

Ferrous sulfate, transfusion if Hg <70

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is the management for anaemia of chronic disease?

A

Treat underlying condition

21
Q

What is the management for thalassaemia?

A

Give transfusions

22
Q

What is the management for anaemia due to CKD?

A

Replacement EPO

23
Q

‘Pancytopaenia leading to purpura, bleeding and infection’ are the clinical features of which type of anaemia?

A

Aplastic anaemia (normocytic)

24
Q

What is the management for aplastic anaemia?

A

Supportive, bone marrow transplant, immunosuppression

25
'Cardiovascular collapse, shock, death; n/h reticulocytes with no signs of haemolysis' are clinical features of which anaemic cause?
Blood loss
26
How is blood loss managed?
Treat underlying cause; transfusion if acute
27
'Accumulation of Hb degradation products (unconjugated bilirubin, depleted haptoglobin); splenomegaly' are clinical features used to describe which anaemic cause?
Haemolysis
28
How is extravascular haemolysis managed?
splenectomy
29
'Anti-IF antibodies +, neurological distrurbances (due to demyelination of spinal cord)' are clinical features used to describe which type of anaemia?
Megaloblastic (macrocytic)
30
How is megaloblastic anaemia managed?
B12/folate supplements (B12 before folate)
31
In a patient with Mycoplasma pneumonia with anaemia, raised LDH and raised unconjugated bilirubin, what should be suspected?
Autoimmune haemolytic anaemia
32
What is raised LDH on bloods a sign of?
tissue damage/breakdown
33
What is raised unconjugated bilirubin a sign of?
Haemolysis
34
What type of anaemia is a cause of normocytic anaemia with pancytopenia (low RBCs, WBCs and platelets)?
Aplastic anaemia
35
What type of anaemia would liver disease cause?
Macrocytic anaemia
36
What does a positive coombes test suggest?
Haemolytic anaemia
37
If a women with antiphospholipid syndrome presents pregnant, what should they be given to help lower the risk of miscarrage?
Aspirin and LMWH
38
What should someone presenting with sickle cell crisis be given?
Analgesia eg opiates, IV fluids and oxygen
39
What agent is used for reversal of debigatran?
Idarucizumab
40
What is alteplase used for?
TPA - used in suspected ischaemic stroke, to break down occluding thrombus
41
What agent is used to reverse rivaroxaban and apixaban?
andexanet alfa
42
What is the reversal agent for warfarin?
Vitamin K
43
A drop in Hb and reticulocyte count in pt with sickle cell disease is suggestive of what?
Aplastic crisis
44
What is myelodisplasia at risk of progressing to?
AML - acute myeloid lukaemia
45
What blood film finding is suggestive of hyposplenism?
Howell-jolly bodies and siderocytes
46
What is the typical blood picture of someone in DIC?
↓ platelets ↓ fibrinogen ↑ PT & APTT ↑ fibrinogen degradation products
47
What does Microcytic, hypochromic erythrocytes with basophilic stippling and occasional target cells on blood film suggest?
beta thalassaemia trait
48
What is first line for DVT?
Apixaban LMWH in pregnancy