Hematology

Question 1

Labs in iron deficiency anemia

Answer 1

Iron L
Ferritin L
TIBC H

Question 2

Labs in anemia of chronic disease

Answer 2

Iron L
Ferritin H
TIBC L

Question 3

How to diagnose thalassemia

Answer 3

Hemoglobin electrophoresis

Question 4

Treatment for thalassemia

Answer 4

Major thalassemia transfusion

Minor thalassemia nothing

Question 5

Diagnosis of sideroblastic anemia

Answer 5

Ringed sideroblasts in BM bx

Question 6

1st Test for G6PD

Answer 6

blood smear:

Bite cells and Heinz body

Question 7

Best test for auto immune hemolysis

Answer 7

Coombs test

Question 8

Best test for hereditary spherocytosis

Answer 8

Osmotic fragility

Question 9

Splenectomy is done for which conditions

Answer 9

Hereditary spherocytosis

Auto-immune hemolysis

Question 10

Treatment for sideroblastic anemia

Answer 10

B6

Question 11

MMA is elevated with

Answer 11

B12 def

Question 12

If lead is > 70ug/dL:

Answer 12

Hospitalization + 2 IV drugs (EDTA + Dimercaprol/British anti-lewisite)

Question 13

Lead level of >45ug/dL

Answer 13

Start chelation therapy

Question 14

Confirm diagnosis of lead poisoning

Answer 14

Venous lead sample

Question 15

Lead poisoning screening

Answer 15

Capillary blood sample

Question 16

Sequestration crisis labs

Answer 16

Low plt
Low hg
High retics

Question 17

Treatment for aplastic crisis

Answer 17

transfusion

Question 18

Treatment for sequestration crisis

Answer 18

transfusion

Question 19

Treatment for vaso-occlusive crisis

Answer 19

Hydration

Question 20

Sickle cell patient with new infiltration of chest

Answer 20

Acute chest syndrome

Question 21

TTP

Answer 21

TheTerrible Pentad:
1- Fever
2- Neurologic
3- Renal
4- Anemia
5- Platelets (thrombocytopenia)

Question 22

Cells see. In TTP

Answer 22

Schistiocytes

Question 23

HUS

Answer 23

Hemolysis
Uremia
Stomach virus
Thrombocytopenia

Question 24

Went to give antibiotics in HUS

Answer 24

Contraindicated.

Question 25

ITP labs

Answer 25

Isolated thrombocytopenia

Question 26

Chronic ITP:

Answer 26

Low plts for more than 12 months

Question 27

Rh positove vs negative ITP

Answer 27

Rh negative blood patient Tx: IVIG Rh positive blood patient Tx: Anti-D immune globulin

Question 28

When to treat ITP

Answer 28

Plt < 10k or bleeding

Question 29

Dec in ADAMTS level

Answer 29

TTP

Question 30

Tx of vWF

Answer 30

Desmopressin

Question 31

Hemophilia, Tx:

Answer 31

- Mild bleeding: Desmopressin (DDAVP) | - joint/severe bleeding: factor replacement

Question 32

Bleeding time in vWF

Answer 32

Increased

Question 33

Fanconi anemia Tx

Answer 33

Stem cell transplant

Question 34

Triphalangeal thumb present in

Answer 34

Diamond blackfan anemia

Question 35

Diamond blackfan anemia Tx

Answer 35

RBC tranfusion and steroids

Question 36

ADA is high in fanconi or blackfan

Answer 36

Diamond blackfan anemia

Question 37

Bone marrow of fanconi

Answer 37

Bone marrow failure