Heme Flashcards

1
Q

med that reduces frequency of sickle cell crises

A

hydroxyurea

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2
Q

what are the 3 encapsulate bacterium(individuals with surgical splenectomy or sickle cell are at increased risk)

A

Pneumococcus, N meningitits, h flu

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3
Q

when does heparin related thrombocytopenia occur

A

501- day safter therapy

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4
Q

which laboratory test assess teh intrinsic coagulation pathway

A

partial thromboplastin time (apTT)

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5
Q

malignancies commonly associated with superior vena cava syndreom

A

non-hodgkin’s lymphoma and small cell carinoma of the lung

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6
Q

lab test for extrinsic coagulation pathway

A

prothrombin time

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7
Q

what is the final strep in clotting

A

converison fo fibrinogen to fibrin

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8
Q

MOA for dabigatran

A

direct rhrombin inhibitor (inhibits production of fibrin)

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9
Q

philadelphia chromosome is associated with what?

A

chronic myelogenosu leukemia

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10
Q

cause of pernicious anemia

A

destruction of pariteal cells in the stomach

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11
Q

common symptom in individuals with sickle cell trait in extreme conditions

A

painless hematuria/ rhabdo at high altitudes

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12
Q

hemolytic anemia + elevated LDH suggest what

A

TTP

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13
Q

punched out lytic lesions often found in spine

A

multiple myeloma

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14
Q

young patients which repeated aplastic crisis with spherocytosis should receive what?

A

splenecomty

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15
Q

diagnosis of malaria

A

demonstration of hte parasite in stained peripheral blood smears

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16
Q

Does ITP cause hemolysis?

A

no, but TTP does

17
Q

bite cells are characteristic of what?

A

G6PD deficiency

18
Q

Auer rods and pathognomonic for what?

A

AML

19
Q

tx for Von Willebrand dz

A

vasopressin nasal spray (DDAVP) (also treats Factor VIII)

20
Q

best test to confirm an immune mediated hemolytic anemia

A

Coombs test (direct- antibody on red cell membrane) indirect is antibody in the serum