Hematología Flashcards

1
Q

Most frequent cause of transient aplastic crisis in patients with chronic hemolytic anemia

ACP April 2008

A

Parvovirus B19 infection

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2
Q

Major use of cryoprecipitate is to replace this blood component

ACP April 2008

A

Fibrinogen

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3
Q

Most common enzyme deficiency associated with these red blood cells

ACP April 2008

A

Glucose 6-phosphate deficiency

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4
Q

Important cause of recurrent abdominal pain in patients with paroxysmal nocturnal hemoglobinuria

ACP April 2008

A

Portal or mesenteric thrombosis

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5
Q

Disease associated with “sausaging” of retinal veins

ACP April 2008

A

Macroglobulinemia (accept Waldenstrom’s, hyperviscosity syndrome)

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6
Q

Term for eating of nonfood substances

ACP August 2024

A

Pica

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7
Q

Technical name for ‘bite cells’ on a peripheral blood smear

ACP August 2024

A

Degmacytes

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8
Q

Diagnosis for a patient with mild microcytic, hypochromic anemia, target cells, and normal hemoglobin electrophoresis

ACP August 2024

A

α-Thalassemia trait (α-thalassemia minor)

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9
Q

Most common type of acute porphyria worldwide

ACP August 2024

A

Acute intermittent porphyria

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10
Q

Characteristic peripheral smear finding in addition to thrombocytopenia in Bernard-Soulier syndrome and May-Hegglin anomaly

ACP August 2024

A

Giant platelets (accept macrothrombocytes or abnormally large platelets

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11
Q

Nuclear remnant in red blood cells of asplenic patients

ACP July 2024

A

Howell-Jolly body

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12
Q

Factor deficiencies in hemophilia A, B and C

ACP July 2024

A

VIII, IX, XI (must list all three)

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13
Q

Two most common organ systems affected by leukostasis syndrome

ACP July 2024

A

Central nervous system (CNS) and pulmonary

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14
Q

Antibiotic used as an in-vitro assay for von Willebrand factor binding to platelet receptor glycoprotein Ib

ACP July 2024

A

Ristocetin

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15
Q

Lipid abnormality used as diagnostic criteria for hemophagocytic lymphohistiocytosis

ACP July 2024

A

Hypertriglyceridemia

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16
Q

Name of thalassemia condition characterized by two normal alpha globin chain genes

ACP may 2019

A

Alpha thalassemia trait (accept alpha thalassemia minor)

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17
Q

Test to diagnose acute intermittent porphyria

ACP may 2019

A

Urinary porphobilinogen (accept urine porphyrin)

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18
Q

Two FDA approved direct factor Xa inhibitor oral anticoagulants for VTE monotherapy

ACP may 2019

A

Rivaroxaban and apixaban

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19
Q

Syndrome consisting of eosinophilia without a secondary cause and organ dysfunction

ACP may 2019

A

Hypereosinophilic syndrome

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20
Q

Initial diagnostic study for all patients with confirmed amyloidosis

ACP may 2019

A

Amyloid typing

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21
Q

Diagnosis for Hgb 5.5 gm/dL with 0.1% reticulocytes and normal platelet count, leukocyte count, and bilirubin

ACP september 2019

A

Pure red cell aplasia

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22
Q

Underlying diagnosis responsible for this peripheral blood smear following treatment with nitrofurantoin

Falta imagen

ACP september 2019

A

G6PD deficiency

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23
Q

Diagnosis for splanchnic thrombosis, pancytopenia, and non-immune hemolytic anemia

ACP september 2019

A

Paroxysmal nocturnal hemoglobinuria

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24
Q

Most common scoring system used to assess the probability of heparin-induced thrombocytopenia

ACP september 2019

A

4T’s score

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25
Q

Agent that reverses dabigatran anticoagulant effect

ACP september 2019

A

Idarucizumab (accept Praxbind)

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26
Q

Diagnostic test for this hereditary condition

Falta imagen

ACP January 2020

A

Osmotic fragility test

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27
Q

Mechanism of action of dabigatran

ACP January 2020

A

Direct thrombin inhibitor

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28
Q

Diagnosis suggested by positive Coombs test for bound complement

ACP January 2020

A

Cold agglutinin disease (cold hemolytic anemia)

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29
Q

Two most common organ system dysfunctions associated with leukostasis syndrome

ACP January 2020

A

Pulmonary and CNS

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30
Q

Diagnosis associated with 25% hemoglobin A, 5% hemoglobin A2, and 65% hemoglobin

ACP January 2020

A

Sickle cell β-thalassemia

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31
Q

Most patients with leukostasis syndrome are also at risk for this oncological emergency

ACP November 2017

A

Tumor lysis syndrome

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32
Q

Playing this musical instrument is classically associated with intravascular hemolysis

ACP November 2017

A

Bongo drum

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33
Q

Two diagnoses most commonly accounting for acute fall in hemoglobin in patients with sickle cell anemia

ACP November 2017

A

Aplastic crisis and hyperhemolytic crisis

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34
Q

Definitive treatment for porphyria cutanea tarda

ACP November 2017

A

Phlebotomy

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35
Q

Giant hemangiomas can be associated with this coagulation disorder syndrome

ACP November 2017

A

DIC (also accept Kasabach-Merritt syndrome)

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36
Q

Coagulation study prolonged in hemophilia A and B

ACP November 2021

A

Activated partial thromboplastin time (accept aPTT or PTT)

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37
Q

Pretransfusion erythrocyte treatment to reduce risk of transfusion-associated graft-versus-host disease

ACP November 2021

A

Irradiation

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38
Q

Increased hepatic deposition of this inorganic substance plays a central role in the pathogenesis of porphyria cutanea tarda

ACP November 2021

A

Iron

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39
Q

Therapy that decreases recurrent stroke in sickle cell disease

ACP November 2021

A

Transfusion (accept exchange transfusion or hypertransfusion)

40
Q

Systemic syndrome characterized by engulfment of blood cells by macrophages

ACP November 2021

A

Hemophagocytic lymphohistiocytosis

41
Q

Test to detect antibody and complement on the erythrocyte surface

ACP September 2020

A

Direct antiglobulin (Coombs) test

42
Q

Condition characterized by an elevated blast cell count and symptoms of decreased tissue perfusion

ACP September 2020

A

Leukostasis syndrome (accept symptomatic hyperleukocytosis)

43
Q

All direct oral anticoagulants with generic name ending in ‘xaban’ have this common mechanism of action

ACP September 2020

A

Xa inhibitor

44
Q

Condition caused by acquired inhibition of hepatic uroporphyrinogen decarboxylase activity

ACP September 2020

A

Porphyria cutanea tarda

45
Q

Target hemoglobin level for patients with sickle cell disease undergoing moderate-risk surgery

ACP September 2020

46
Q

Test of peripheral blood that can identify cell type by patterns of surface antigen expression

ACP November 2020

A

Flow cytometry

47
Q

The two hallmark findings of thrombotic thrombocytopenic purpura

ACP November 2020

A

Microangiopathic hemolytic anemia and thrombocytopenia

48
Q

Difference between the terms ‘folate’ and ‘folic acid’

ACP November 2020

A

Folate is the natural form of the vitamin, folic acid is the synthetic, therapeutic form (accept synthetic or therapeutic)

49
Q

Meaning of ‘wet purpura’

ACP November 2020

A

Hemorrhagic blisters in mucous membranes, such as the oral mucosa

50
Q

Most common drug associated with hemolytic anemia

ACP November 2020

A

Piperacillin

51
Q

Acronym describing acute respiratory distress, elevated B-type natriuretic peptide level, and elevated central venous pressure within 6 hours of transfusion

ACP December 2020

A

TACO (Transfusion–associated circulatory overload)

52
Q

Condition resulting from IgG autoantibodies directed against platelet membrane glycoproteins

ACP December 2020

A

Primary immune thrombocytopenia (accept ITP, idiopathic thrombocytopenic purpura, immune thrombocytopenic purpura)

53
Q

Two direct oral anticoagulants approved as initial therapy without heparin for venous thromboembolism disease

ACP December 2020

A

Apixaban and rivaroxaban

54
Q

A syndrome defined by the occurrence of two or more immune cytopenias

ACP December 2020

A

Evans syndrome

55
Q

Diagnosis accounting for absence CD55 and CD59 on red cells and granulocytes

ACP December 2020

A

Paroxysmal nocturnal hemoglobinuria

56
Q

The most common of the four acute porphyrias

ACP April 2018

A

Acute intermittent porphyria

57
Q

Major antibody-related complication of hemophilia

ACP April 2018

A

Inhibitors to factor VIII or IX (accept inhibitors)

58
Q

Condition characterized by inheritance of only one functional alpha globin chain

ACP April 2018

A

Hemoglobin H

59
Q

Name of units used to measure coagulation inhibitor titers

ACP April 2018

60
Q

Monoclonal antibody effective in the treatment of complement-mediated hemolytic uremic syndrome

ACP April 2018

A

Eculizumab

61
Q

Cause of splenomegaly and hepatomegaly in myelofibrosis (myeloid metaplasia)

ACP July 2018

A

Extramedullary hematopoiesis

62
Q

Post-surgical complication of bevacizumab therapy

ACP July 2018

A

Delayed wound healing

63
Q

In addition to fresh frozen plasma, a therapeutic source of fibrinogen

ACP July 2018

A

Cryoprecipitate

64
Q

Most specific morphological abnormality associated with myelodysplastic syndrome

ACP July 2018

A

Ring sideroblasts

65
Q

Otherwise known as Factor VI in the coagulation cascade

ACP July 2018

A

Activated Factor V

66
Q

Two most common sites of bleeding in hemophilia A

A

Joints and muscles

67
Q

Eponym for Coombs-positive warm autoimmune hemolytic anemia and immune thrombocytopenia

ACP November 2018

A

Evans syndrome

68
Q

Most common cause of thrombocytosis >1,000,000/µL

ACP November 2018

69
Q

Anticoagulant associated with platelet clumping

ACP November 2018

70
Q

Otherwise known as Factor IV in the coagulation cascade

ACP November 2018

71
Q

A specific disease entity reflecting a deficiency of hematopoietic stem cells resulting in peripheral pancytopenia and bone marrow aplasia

ACP January 2022

A

Aplastic anemia

72
Q

Antibody type classically associated with warm autoimmune hemolytic anemia

ACP January 2022

73
Q

Initial medical therapy for patients with thrombocytosis-associated stroke

ACP January 2022

A

Aspirin and cytoreductive therapy (accept hydroxyurea, anagrelide, or pegylated interferon for cytoreductive therapy)

74
Q

Diagnosis associated with absence of the GPI anchor on two hematopoietic cell lines

ACP January 2022

A

Paroxysmal nocturnal hemoglobinuria

75
Q

Syndrome causing noninfectious fever and rash during the neutrophil recovery phase after autologous hematopoietic stem cell transplantation

ACP January 2022

A

Engraftement syndrome

76
Q

Term for the stacking of red blood cells on a peripheral blood smear

ACP June 2023

A

Rouleaux (accept rouleaux formation)

77
Q

Common term for the t(9;22) translocation in acute lymphoblastic leukemia

ACP June 2023

A

Philadelphia chromosome

78
Q

Autoantibodies directed toward complexes of herparin and this protein result in heparin-induced thrombocytopenia

ACP June 2023

A

Platelet factor 4 (do not accept only platelet factor)

79
Q

Elevation of this metabolic intermediate is associated with folate deficiency

ACP June 2023

A

Homocysteine

80
Q

Eponym for calculation using CBC parameters useful in differentiating iron deficiency anemia from thalassemia

ACP June 2023

A

Mentzer index (accept erythrocyte count divided by the mean corpuscular volume)

81
Q

Clinical condition most commonly associated with ‘bite cells’ on a peripheral blood smear

ACP April 2023

A

Glucose-6-phosphate dehydrogenase deficiency (accept G6PD deficiency)

82
Q

Hereditary hemochromatosis is most commonly associated with a mutation in this gene

ACP April 2023

A

HFE (accept C282Y)

83
Q

Medication with indications for treatment of acute promyelocytic leukemia and acne

ACP April 2023

A

Tretinoin (accept all-trans retinoic acid, ATRA)

84
Q

Eponym for triad of iron deficiency anemia, dysphagia, and esophageal webs

ACP April 2023

A

Plummer-Vinson syndrome (Accept Paterson-Brown-Kelly Syndrome or sideropenic dysphagia)

85
Q

Scoring system to predict severity of ADAMTS deficiency in suspected thrombotic thrombcytopenic purpura

ACP April 2023

A

PLASMIC Score

86
Q

A thrombotic microangiopathy caused by severely reduced activity of ADAMTS13

ACP August 2022

A

Thrombotic thrombocytopenic purpura (accept TTP)

87
Q

Diagnosis most strongly suggested by widely variable and random changes in serial platelet counts

ACP August 2022

A

Pseudothrombocytopenia

88
Q

Thalassemia syndrome associated with 2 normal alpha globin chain genes

ACP August 2022

A

Alpha thalassemia trait

89
Q

Myelodysplastic disorder that classically presents in older women with refractory macrocytic anemia and normal platelet count

ACP August 2022

A

Isolated del(5q) (accept 5 q syndrome)

90
Q

Monoclonal antibody to treat Waldenström macroglobulinemia

ACP August 2022

91
Q

Factor that carries factor VIII in the circulation

ACP April 2013

A

von Willebrand factor

92
Q

Four vitamin K dependent coagulation factors

ACP April 2013

A

II, VII, IX, and X (name all)

93
Q

A metalloproteinase that is deficient in TTP

ACP April 2013

94
Q

Intervention that decreases recurrent stroke in sickle cell disease

ACP April 2013

A

Exchange transfusion

95
Q

Cause of splenomegaly and hepatomegaly in myelofibrosis (myeloid metaplasia)

ACP April 2013

A

Extramedullary hematopoiesis