Hematology 4 Flashcards

1
Q

hereditary spherocytosis cause

A

Ankyrin

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2
Q

Hereditary elliptocytosis cause

A

Spectrin A

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3
Q

Southeast Asian ovalocytosis cuase

A

Band 3

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4
Q

Beta globin chain located on Ch

A

11

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5
Q

Hb Lepore

A

delta-beta fusion

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6
Q

MCV/RBC ratio in thalassemia

A

<13

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7
Q

HbConstant Spring

A

extra-long alpha chain (looks like alpha thal)

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8
Q

HbH disease

A

deletion of 3 alpha genes, Beta tetramers

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9
Q

%HbS in SA

A

35-45%

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10
Q

%HbS in S-alpha-thal

A

23-35%

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11
Q

% HbS in S-Beta-thal

A

> 80%

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12
Q

Most specific (1) and most sensitive (1) antibodies in pernicous anemia

A
specific = anti-intrinsic factor
sensitive = anti-parietal cell
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13
Q

homocysteine and methylmalonic acid both increased in

A

B12 deficiency

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14
Q

Defect in Pelger Huet

A

LaminB mutation

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15
Q

Chronic granulomatous disease infections

A

catalast + bacteria, fungal, S aureus, salmonella, serratia, aspergillus, nocardia

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16
Q

MCV in alpha-thal

A

65-75

17
Q

MCV in beta-thal

A

55-65

18
Q

complications more common in SC dz than SS

A

avascular necrosis and proliferative retinopathy

19
Q

HbC mutation

A

Glu6Lys

20
Q

HbE mutation

A

Glu26Lys

21
Q

HbG is ___ gene defect

A

alpha

22
Q

Hb Lepore on elecrophoresis

A

looks like 15-30% HbS

23
Q

Hbs with increased oxygen affinity

A

Chesapeake, Denver (show erythrocytosis)

24
Q

Unstable Hbs

A

Hasharon, Koln, Zurich, Hammersmith (most severe)

25
Q

only method that detects methemoglobin

A

co-oximeter

26
Q

location of alpha chain gene

A

CH16

27
Q

location of beta chain gene

A

Ch11

28
Q

most common alpha thal genotype in african americans

A

-/alpha
Alpha thal2
alpha+thal