Heme

Question 1

Normal range for MCV

Answer 1

80-100

Question 2

What is the most common microcytic anemia

Answer 2

FE def

Question 3

Would anemia of chronic dz most likely be normo, micro, or macrocytis

Answer 3

Normocytic

Question 4

What 2 main causes should you think of in macrocytic anemia

Answer 4

Malnutrition and severe blood loss

Question 5

Does inc in retic’s indicated increase or dec in RBC production?

Answer 5

Increase (Retics are baby RBC)

Question 6

Auer rods

Answer 6

Acute Myeloid leukemia

Question 7

Koilonychia

Answer 7

spoon-shaped nails

Question 8

Will serum Ferritin be high or low in Fe anemia

Answer 8

low

Question 9

A low retic count and a normal serum ferr should make you think of what?

Answer 9

Anemia of chronic dz

Question 10

What hemoglobin level makes you start to think about transfussion

Answer 10

8

Question 11

AA teen presents w/ avascular necrosis of the r fem head. Most likey dx?

Answer 11

Sickle cell

Question 12

Tx sickle cell crisis

Answer 12

Fluids, oxygen, pain meds, transfusion

Question 13

Unconjugated bili will be high or low in scd?

Answer 13

high

Question 14

Howell jolly bodies

Answer 14

SCD due to functional asplenia

Question 15

G6PD deficiency follows what pattern of inheritence?

Answer 15

X-linked

Question 16

Heinz bodies

Answer 16

G6PD def. Chronic liver dz Alpha thalessemia

Question 17

Target cells

Answer 17

Severe FE def anemia

Question 18

Think alpha thalessemia if the question stem includes what 4 geographic areas?

Answer 18

Southeast asia, china, middle east, africa

Question 19

Pt of mediterranean descent is a clue for which type of anemia

Answer 19

beta thalassemia

Question 20

Stockign glove paresthesias make you think of what 2 dx?

Answer 20

B12 def. and diabetic neuropathy

Question 21

What is schillings test used for?

Answer 21

cause of B12 def.

Question 22

Is sickle cell micro, macro, or normocytic

Answer 22

micro

Question 23

Philadelphia chromosome

Answer 23

CML