Heamatology 4

Question 1

Management TTP?

Answer 1

Plasma exchange
Glucocorticoids
Rituximab

Question 2

B-12 and folic acid anemia when to respond?

Answer 2

1-2 month

Question 3

alcohol?

Answer 3

Folate deficiency

Question 4

Vitamin B-12?

Answer 4

Vegetarian

Question 5

Follicular lymphoma feuthure?

Answer 5

Waxing and waning painless LDP
COmmon in older
Type of NHL
Peripheral, and rarely mediastinal LDP
14:18 translocation--Overexpression of BCL-evade Apoptosis
Absent B symptom
Normal lab finding(LDH)
Normal pheripherial morphology

Question 6

similarity B/N IDA and Thalassemia?

Answer 6

Both have microcytosis

Both will have Target cell

Question 7

How to D/T?

Answer 7

Thalassemia will have to sever microcytosis with mild anemia, normal or high serum iron and feritine and normal or increased RBC count.

Question 8

Management of thalassemia?

Answer 8

reassure and observe

Question 9

cause of CO poisoning?

Answer 9

smock inhalation
defective heating system
gas motor operation in poorly ventlated area

Question 10

symptom?

Answer 10

Mild-Headache, nausea, vomiting, confusion, malaise, and dizziness.
sever-seizures, syncope, coma, MI, and arrhythmia

Question 11

diagnosis?

Answer 11

ABG:Carbamino hemoglobinimia
saturation–normal
polycythemia

Question 12

Treatment?

Answer 12

high flow 100 % o2

intubation/hyperbaric o2 if sever

Question 13

The reference range for MCHC in adults?

Answer 13

is 33.4–35.5 grams per deciliter (g/dL).

Question 14

NSAID AND IDA?

Answer 14

NSAID—–GI ulcer–Chronic bleeding

Question 15

GVHD CM?

Answer 15

Generalized maculopapular rash(involve palm and sole)
Bood positive diarrhea
Abnormal liver function test and jaundice

Question 16

Pathophysiology?

Answer 16

Activation of donor T cell to host