Heme/Onc Flashcards

1
Q

What is the most appropriate prophylactic treatment to administer to a patient with vWD?

A

Administer DESMOPRESSIN prophylactically to patients with vWF

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2
Q

A “dark mark” under a finger nail is suggestive of what condition?

A

A ‘dark mark” under the nail is the presentation for a subungal melanoma- treatment for this is amputation.

Metastatic melanoma can go anywhere and metastasis can occur even after resection. it commonly mets to the lungs, liver, bones, brain, and (unlike other cancers, to the small bowel, heart, and pancreas).

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3
Q

What is the treatment of choice for multiple myeloma?

A

Treatment of multiple myeloma requires systemic chemotherapy to control the dysplastic plasma cell growth

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4
Q

What is the preferred agent for prophylaxis of thromboembolism in patients with chronic kidney disease who undergo high risk surgical proceedures?

A

Unfractionated heparin

In patients without CKD, LMWH is indicted

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5
Q

What blood product is important to have on hand during surgery for a patient with known hemophilia A?

A

cryoprecipitate (because its rich in factor VIII and fibrinogen)

the question might also tell you that the patient has hemophelia A if the patient is male with a prolonged PTT and a normal PT/bleeding time.

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