Haematology and Immunology Flashcards

1
Q

What kind of anaemia does sickle cell cause?

A

normocytic anaemia with raised reticulocytes

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2
Q

Antiphospholipid syndrome in pregnancy: treatment

A

aspirin and LMWH (enoxaparin)

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2
Q

Antiphospholipid syndrome in pregnancy: treatment

A

aspirin and LMWH (enoxaparin)

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3
Q

What tumour has a ‘starry sky’ appearence?

A

Burkitt’s Lymphoma

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4
Q

Blood film: hyposplenism e.g. coeliac disease

A

target cells, howell-joly bodies, pappenheimer bodies, siderotic granules, acanthocytes

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5
Q

Blood film: IDA

A

target cells, pencil poikilocytes

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6
Q

What does sudden anaemia and low reticulocyte count indicate?

A

Parvovirus

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7
Q

Why are irradiated blood products used?

A

to avoid transfusion associated graft vs host disease

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8
Q

What anaemia is associated with beta-thalassaemia trait?

A

mild hypochromic, microcytic anaemia with raised bilirubin and raised reticulocytes

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9
Q

What two conditions show spherocytes on blood film?

A

Hereditary spherocytosis and autoimmune haemolytic anaemia

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10
Q

What does the direct coombs test test for?

A

autoimmune haemolytic anaemia

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11
Q

What does indirect Coombs test test for?

A

Rhesus haemolytic disease of the newborn

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12
Q

Immediate management of DIC?

A

4 units FFP and 10 units cryoprecipitate

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13
Q

Which factor deficiencies are haemophilia A and haemophilia B linked to?

A

Haemophilia A - factor VIII

Haemophilia B - factor IX

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14
Q

Features of haemophilia:

A

haemoarthroses, haematomas
prolonged bleeding after surgery / trauma
prolonged APTT
bleeding time, thrombin time, prothrombin time normal

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15
Q

Mechanism of action of dabigatran?

A

Direct thrombin inhibitor

16
Q

Most common form of lymphoma in UK?

A

Diffuse large B cell lymphoma

16
Q

Most common form of lymphoma in UK?

A

Diffuse large B cell lymphoma

17
Q

Most common form of lymphoma in UK?

A

Diffuse large B cell lymphoma

18
Q

Which type of lymphoma typically affects young or immunocompromised patients?

A

Burkitt’s lymphoma

19
Q

What is the philadelphia chromosome?

A

Translocation between long arm of chromosome 9 and 22 - BCR-ABL gene [CML]

20
Q

Chronic Myeloid Leukaemia management:

A

imantinib (inhibits tyrosine kinase)
hydroxyurea
interferon-alpha
allogenic bone marrow transplant

21
Q

Typical blood picture for DIC:

A

reduced platelets, reduced fibrinogen, increased PT / APTT and increased fibrinogen degradation products

22
Q

treatment for immune thrombocytopenic purpura

A

oral prednisolone (first line)
pooled normal human immunoglobulin (IVIG)
splenectomy

23
Q

treatment for immune thrombocytopenic purpura

A

oral prednisolone (first line)
pooled normal human immunoglobulin (IVIG)
splenectomy