Hematology Review

Question 1

MCV means what?

Answer 1

Mean corpuscular volume which indicates the SIZE of the red blood cell

Question 2

MCH means what/

Answer 2

Mean corpuscular hemoglobin which indicates the COLOR of the of the red blood cell

Question 3

a low MCV is called what?

Answer 3

microcytic

Question 4

a low MCH is called what?

Answer 4

hypochromic

Question 5

a high MCV is called what?

Answer 5

Macrocytic

Question 6

a high MCH is called what?

Answer 6

Hyperchromic

Question 7

what does RDW means?

Answer 7

Red cell distribution width
which means the variation of the RBCs

Question 8

what is the lab test that measures stored iron?

Answer 8

serum ferritin

Question 9

what does serum iron measure?

Answer 9

iron in the circulation

Question 10

transferrin is also called what?

Answer 10

total iron binding capacity

Question 11

lead toxicity looks just like what anemia?

Answer 11

iron deficiency anemia

Question 12

what are expected lab findings for iron deficiency anemia?
MCH, MCV, serum iron, serum ferritin, TIBC, RDW

Answer 12

microcytic, hypochromic anemia
low serum iron and low serum ferritin
increase TIBC
increased RDW

Question 13

what are good sources of iron?

Answer 13

liver, lentil soup, spinach, clams, red beans, rice, oysters

Question 14

with the diagnosis of iron deficiency anemia, what is the recommended amount of time a patient to be on iron supplementation?

Answer 14

4 to 6 months

Question 15

what type of cells (MCV and MCH) are common in a patient that has thalassemia?

Answer 15

microcytic, hypochromic anemia

Question 16

What lab findings are common in a patient with thalassemia?

Answer 16

Low hct/hgb
low MCV/MCH
Normal RDW
normal serum iron, ferritin, TIBC

Question 17

What kind of anemia has a normal MCV and MCH (normochromic, normocytic) ?

Answer 17

anemia of chronic disease

Question 18

What are the two most common macrocytic anemias?

Answer 18

B12 deficiency, pernicious anemia, and folate deficiency

Question 19

what is the the recommended supplement replacement for B12 deficiency?

Answer 19

B12 1000 mg to 2000 mcg daily

Question 20

what is the recommended supplement replacement for Folate deficiency?

Answer 20

1 mg daily

Question 21

The diagnosis of thrombocytopenia is based off of what lab?

Answer 21

Platelets being less than 150,000

Question 22

what is the treatment for a patient with thrombocytopenia?

Answer 22

Prednisone 4-6 week treatment, referral to a hematologist.
minimize activity to prevent injury

Question 23

reed sternberg cells are associated with what type of cancer blood disorder?

Answer 23

Hodgkin’s lymphoma

Question 24

what is the most sensitive test for iron deficiency anemia?

Answer 24

serum ferritin

Question 25

what is the gold standard test for sickel cell anemia and thalassemia?

Answer 25

hemoglobin electrophoresis

Question 26

what does koilonychia ?

Answer 26

spoon shape nails

Question 27

For women of childbearing age, what is the recommended folic acid supplementation replacement in mcg? what about mg?

Answer 27

400 mcg or 0.4mg

Question 28

Glucose 6 phosphate dehydrogenase deficiency (G6PD deficiency) anemia is more common in what gender and race?

Answer 28

males, has only one x chromosome.
Common in African American males or Mediterranean descent (some asians)

Question 29

sickle cell anemia is what type of genetic disorder?

Answer 29

autosomal recessive disorders

Question 30

what is the gold standard test for diagnosing sickel cell anemia?

Answer 30

hemoglobin electrophoresis

Question 31

what are common symptoms of iron deficiency anemia?

Answer 31

hair loss, dry rough skin, pallor, brittle nails, fatigue, and tachycardia