Hematological

Question 1

in acute blood loss hgb levels may take up to ___ hours to demonstrate accuracy

Answer 1

24 hours

Question 2

+ Romberg test can be a sign of what nutritional deficiency?

Answer 2

B 12

Question 3

Macoovalocytes, megaloblasts and multisegmented neutrophils =

Answer 3

B12 deficiency

Question 4

Hodgkins lymphoma is cancer of ____ cells, Symptom onset is precipitated by consumption of _____ including night sweats, fevers and pain.

Answer 4

B cells
Alcohol

Question 5

Reed sternberg cells, lymphadenopathy that spreads in contiguous manner

Answer 5

Hodgkin lymphoma

Question 6

Ages affected by hodgkin lymphoma are

Answer 6

20-30s and 60’s (bimodal distribution)

Question 7

B or T cell lymphomas that does not spread contiguously with poorer prognosis

Answer 7

Non-hodgkin lymphoma

Question 8

Bence jones proteins

Answer 8

MM

Question 9

CRAB mnemonic and what it indicates

Answer 9

MM
Calcium elevated
Renal dysfunction - ie. bence jones proteins
Anemia
Bone pain

Question 10

Gold standard for diagnosis of sickle cell or thalassemia

Answer 10

Hemoglobin electrophoresis

Question 11

Secondary polycythemia common causes

Answer 11

Smokers or COPDers

Question 12

1 cause of IDA in infants

Answer 12

Consumption of cows milk before 12 months of age –> increased GI bleeding

Question 13

Variation in RBC shape

Answer 13

Poikilocytosis

Question 14

Variation in RBC size

Answer 14

anisocytosis

Question 15

Howell-Jolly Bodies and target cells on peripheral smear =

Answer 15

Sickle cell anemia

Question 16

Check reticulocyte count ___ weeks after starting supplementation to identify bone marrow response

Answer 16

2 weeks

Question 17

Best absorbed form of iron supplementation and cheapest

Answer 17

Ferrous sulfate

Question 18

T/F - ARBs and ACEs in pts with chronic disease can lower Hgb levels and worsen anemia?

Answer 18

True

Question 19

Pancytopenia due to drug, viral infection or radiation etc

Answer 19

Aplastic anemia

Question 20

autoimmune dx caused by dystruction of parietal cells in fundus impacting intrinsic factor production

Answer 20

Pernicious anemia

Question 21

T/F - B12 deficiency paresthesias start centrally and migrate peripherally

Answer 21

False, peripheral –> central

Question 22

What do all the following foods have in common:
green leafy veg, grains, beans, liver

Answer 22

High sources of folate

Question 23

T/F - people with sickle cell disease have increased resistance to malaria

Answer 23

True - cool!