Hematology

Question 1

True or False:
At birth, in a normal full term, they have lower hemoglobin and hematocrit and smaller RBCs.

Answer 1

False. Higher hemoglobin and hematocrit and bigger RBCs

Question 2

True or False:
At birth, in a normal full term, they have lower hemoglobin and hematocrit and smaller RBCs.

Answer 2

False. Higher hemoglobin and hematocrit and bigger RBCs

Question 3

True or false:
There is physiologic anemia of infancy after the first week of lofe until 6 to 8 weeks.

Answer 3

True

Question 4

The most widespread and common nutritional disordee in the world

Answer 4

Iron Deficiency

Question 5

True or False:
Hemoglobin falls during the first 2 - 3 months

Answer 5

True

Question 6

Iron deficiency anemia:

Answer 6

Decreased serum ferritin
Decreased serum iron
Increased iron binding capacity
Serum transferrin increases (then)
Decreased transferrin

Question 7

Iron deficiency anemia:

Answer 7

Decreased serum ferritin
Decreased serum iron
Increased iron binding capacity
Serum transferrin increases (then)
Decreased transferrin

Question 8

The most important clinical sign of iron deficiency but is only evident if hemoglobin falls to 7 - 8 g/dL

Answer 8

Pallor

Question 9

The most concerning effects in infants and adolescents are impaired intellectual and motor functions before anemia develops

Answer 9

Iron deficiency anemia

Question 10

Microcytic anemia:

Answer 10

IDA
Thalassemia
Hemoglobinopathies

Question 11

Microcytic anemia:

Answer 11

IDA
Thalassemia
Hemoglobinopathies

Question 12

IDA

Answer 12

Decreased Ferittin
Decreased Serum Iron
Increased Total Iron Binding Capacity

Question 13

IDA

Answer 13

Decreased Ferittin
Decreased Serum Iron
Increased Total Iron Binding Capacity

Question 14

Noted increased RBCs and Normal RDW (Rbc distribution width)

Answer 14

Thalassemia

Question 15

Daily dose of elemental iron in IDA:

Answer 15

3-6mg/kg of Elemental Iron in 3 Divided Doses

Question 16

IDA correction, repeat CBCP during this time and will be observed to havd at least 1-2 g/dL increase in hemoglobin or has normalized already

Answer 16

4 weeks

Question 17

Iron medication is continued until when to re establish iron stores:

Answer 17

8 weeks

Question 18

A genetoc disorder in globin chain production with ineffective erythropoiesis

Answer 18

Thalassemia

Question 19

The marrow is hyperactive bit there are only a few reticulocytes nd severe anemia

Answer 19

Thalassemia

Question 20

Laboratory findings in Thalassemia:

Answer 20

Elevated unconjugated serum bilirubin
High ferittin and Transferrin

Question 21

Causes these two clinical syndrome: episodic hemolytic anemia and chronic non-spherocytic hemolytic anemia

Answer 21

G6PD Deficiency

Question 22

The blood may reveal precipitated hemoglobin (Heinz Bodies)

Answer 22

G6PD Deficiency

Question 23

Hallmark of hemophilic bleeding:

Answer 23

Hemarthrosis

Question 24

This condition is associated with hypoxia, acidosis, tissue necrosis, shock and or endothelial damage

Answer 24

Disseminated Intravascular Coagulopathy

Question 25

In a previously healrhy 1-4 year old child, with sudden onset of generalized petechiae and purpura usually with a history of infection prior to onset of symptoms

Answer 25

Idiopathic Thrombocytic Purpura

Question 26

Splenecromy in children with ITP:

Answer 26

More rhan 4 years old and severe ITP in a years Life threatening hemorrhage

Question 27

Splenecromy in children with ITP:

Answer 27

More rhan 4 years old and severe ITP in a years Life threatening hemorrhage