Heme/Onc Flashcards

1
Q

What is diamond-blackfan anemia?

A

defect in erythropoeisis

increased HbF

macrocytic anemia with low reticulocytes

webbed neck, celt pallet, triphangeal thumbs

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2
Q

In AIP, what two substances accumulate?

A

ALA and porphobillinogen

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3
Q

What are the levels of PT, plasminogen and platlets like in DIC?

A

Low PLT

Low plasminogen

Prolonged PT

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4
Q

What chromosome is SCD associated with?

A

Cr 11

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5
Q

What is the MOA of Miraviroc?

A

Maraviroc is a fusion inhibitor that binds to CCR5 on the surface of T cells and monocytes to inhibit interaction with gp120on the HIV virus

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6
Q

What drug can be given for castration-resistant prostate cancer that is good for pain control and management of fractures?

A

Denosumab

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7
Q

What is the MOA of paclitaxel?

A

causes a hyperstabilization of polymerized microtubules, thereby preventing the breakdown of the mitotic spindle.

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8
Q

Which psych drug causes agranulocytosis?

A

Clozapine

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9
Q

In iron-deficient anemia, will there be anisocytosis or poiklocytosis?

A

anisocytosis (variety in size)

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10
Q

According to PERC rules, should you get a D-dimer or a CTA first?

A

CTA

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11
Q

Mycoplasma pneumoniae can cause cold-agglutins which is a (which type) hypersensitivity reaction?

A

type II

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12
Q

What is the bone marrow like in Acute Myeloid leukemia?

A

bone marrow in AML is hypercellular due to replacement of the normal cellular components of the marrow by blasts or blast equivalents and, thus, results in an associated anemia, lymphopenia, and thrombocytopenia

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13
Q

What drug and its MOA is a good treatment for preventing future TIAs?

(esp in a pt with GERD and ASA allergy>)

A

adenosine diphosphate (ADP) receptor blockers (clopidogrel)

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14
Q

What is the best treatment for PE esp in a pt with underlying renal failure?

what is the MOA?

A

unfractionated heparin. It potentiates binding of antithrombin III (AT-III), which inactivates the coagulation factors Xa and IIa (thrombin).

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15
Q

acute promyelocytic leukemia will have what findings?

A

Pancytopenia

possibly DIC

myeloblasts with red-staining intracytoplasmic inclusions

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16
Q

If a pt had a recent viral URI/infection, and the platlets are now elevated, what is the reason?

A

physiologic response to the virus

17
Q

If bruising is present, is it more likely ED or Marfans?

A

ED

-associated with teeth crowding, hypermobility, and aortic aneurysm formation

18
Q

Between FFP and Vit. K, which will MOST RAPIDLY correct the INR in a pt with Warfarin overdose?

A

FFP