hematologic alteratations

Question 1

Primary regulatory hormone for red cell

production

Answer 1

EPO

Question 2

Organ responsible for red cell production

Answer 2

Erythron

Question 3

8 μm in diameter, anucleate, discoid
in shape, and extremely pliable in order to traverse
the microcirculation successful

Answer 3

mature red cells

Question 4

male anemic

Answer 4

<130g/L

Question 5

female anemic

Answer 5

120g/L

Question 6

10-15% blood loss (500-700ml)

Answer 6

hypotension and decreased organ perfusion

Question 7

> 30%(1500ml)

Answer 7

postural hypotension*, tachycardia

Question 8

hypovolemic shock including confusion, dyspnea, diaphoresis, hypotension, and tachycardia

Answer 8

> 40%

Question 9

Palmar crease – full palm is very pale or is as pale
as its surrounding areas; when this occurs the Hgb is
already ____

Answer 9

<7g/dL or <70g/L

Question 10

ACUTE HEMOLYSIS

Answer 10

o Acute back pain
o Free hemoglobin in the plasma and urine
o Renal failure

Question 11

Hemoglobin<70-80 g/L

Answer 11

severe anemia

Question 12

severe anemia tx

Answer 12

blood transfusion

Question 13

If the cause of anemia is acute blood

loss, the red cell production rate

Answer 13

increases (positive feedback)

Question 14

A reticulocyte response less than two to three

times normal indicates an

Answer 14

inadequate marriw response

Question 15

reflects absolute or relative marrow failure

Answer 15

hypoproliferative

Question 16

Ri >= 2.5

Answer 16

Hemolysis/ hemorrhage

Question 17

Is defined as an increase in the hemoglobin above
normal. This increase may be real or only apparent
because of a decrease in plasma volume (spurious or
relative)

Answer 17

POLYCYTHEMIA

Question 18

Petechiae pin point red rashes

Answer 18

Low counts of platelets

Question 19

loss of 80> cc of blood per

cycle

Answer 19

menorrhagia

Question 20

Normal platelet count:

Answer 20

150,000-350,000/μL

Question 21

thrombocytopenia platelet count

Answer 21

<100,000/μL

Question 22

a measurement of platelet
function, is abnormally increased if platelet
count is <100,000/μL; injury or surgery may
provoke excess bleeding

Answer 22

bleeding time

Question 23

Thrombocytopenia- dengue

Answer 23

Increased destruction

Question 24

Clopidogrel is avoided

Answer 24

I wk to 10 days

Question 25

Aspirins are stopped

Answer 25

atleast 3 days to 1 week

Question 26

major risk factor for arterial thrombosis

Answer 26

atherosclerosis

Question 27

Pt (extrinsic )

Answer 27

1,2,5,7,10

Question 28

Aptt (intrinsic)

Answer 28

11,9,8,19,5,2

Question 29

is the most important part in identifying lymphadenopathies on a patient

Answer 29

palpation

Question 30

Most frequent site of lymphadenopathy

Answer 30

neck

Question 31

Supraclavicular lymph nodes

Answer 31

tb, sarcoidosis, toxoplasmosis

Question 32

Tuberculosis

Answer 32

mesenteric lymphadenitis

Question 33

comparably accurate (65– 90%) in the diagnosis of metastases to cervical lymph nodes

Answer 33

ct, mri

Question 34

has been used to determine the long (L) axis, short (S) axis, and a ratio of long to short axis in cervical nodes.

Answer 34

ultrasonography

Question 35

Fine-needle aspiration should be reserved for

Answer 35

thyroid nodules

Question 36

Current procedure of choice for routine assessment

of spleen size

Answer 36

ultrasound

Question 37

Spleen

Answer 37

LUQ

Question 38

A common therapeutic indication for splenectomy is

Answer 38

TRAUMATIC OR IATROGENIC SPLENIC RUPTURE

Question 39

occurs after immediate postsplenectomy
period, but within 2–3 weeks, blood cell
counts and survival of each cell lineage are
usually normal

Answer 39

leukocytosis (up to 25,000/μL) and

thrombocytosis (up to 1 × 106 /μL)