Hemotology

Question 1

Microcytic Anemia with low ferritin, low iron, High TIBC and High RDW

Answer 1

Iron deficiency Anemia

Question 2

Microcytic Anemia with Normal TIBC and Normal Ferritin

Answer 2

Thalassemia; Decreased a or B Hgb chains

Question 3

Name five neurological findings with Pernicious Anemia

Answer 3

Paresthesia, Loss of Vibratory sense, Loss of fine motor control, Positive Romberg, Positive Babinski

Question 4

Folic Acid Deficiency differs from Pernicious Anemia how?

Answer 4

Pernicious or B12 deficiency anemia has neuro findings

Question 5

Identify this anemia: Pt. complains of SOB Heart racing, fatigue, Nails are pale and canker sores. “I feel that my tongue is making it hard to breath”

Answer 5

Aphthous Ulcers or Canker sore is associated with Folic acid deficiency. Although Glossitis is present for both pernicious and folic acid deficiency

Question 6

What lab results affirms Pernicious anemia

Answer 6

Anti-If (Intrinsic factor) and anti parietal cell antibody test

Question 7

Nutritionally deficient homeless individuals, eating disorder patients, and substance use patients have a higher risk of developing this anemia

Answer 7

Folic Acid deficiency anemia

Question 8

Normocytic anemia is associated with low Iron, low TIBC but high ferritin level

Answer 8

Anemia of Chronic disease

Question 9

Anemia with Joint pain that is associated with stress and dehydration

Answer 9

Sickle Cell Anemia

Question 10

What are labs associated with Sickle cell anemia

Answer 10

Peripheral smear (SHOWS Sickle), Cellulose acetate and Citrate agar gel electrophoresis (Hgb genotype), Low Hgb

Question 11

A disorder with excessive amounts of Iron that causes pain on the knuckles of the pointer and middle finger

Answer 11

Hemochromatosis

Question 12

Treatment for Polycythemia is different from Hemochromatosis? what is the difference

Answer 12

Polycythemia: Phlebotomy and Aspirin, Hemochromatosis: Iron chelation, Avoid Iron rich foods

Question 13

Most common type of Leukemia in adults, which one is the most common for children

Answer 13

Chronic Lymphocytic Leukemia for Adults; Acute lymphocytic leukemia for children

Question 14

Hallmark of Chronic Lymphocytic Leukemia

Answer 14

Lymphocytosis; WBC > 30,000

Question 15

Hallmark of Acute Lymphocytic Leukemia

Answer 15

Pancytopenia

Question 16

Hallmark of Chronic Myelogenous Leukemia

Answer 16

Philadelphia chromosome

Question 17

Leukemia is associated with a…

Answer 17

Generalized Lymphadenopathy and weight loss

Question 18

What is Required to confirm the Diagnosis of Leukemia; How can you differentiate acute from chronic Leukemia

Answer 18

Bone marrow aspiration is needed to confirm diagnosis; Peripheral smear differentiates acute to chronic leukemia

Question 19

Stage the Lymphoma: Liver and Bone marrow involvement

Answer 19

Stage IV

Question 20

Stage the Lymphoma: More than one lymph node group, Confined to one side of diaphragm

Answer 20

Stage II

Question 21

Stage the Lymphoma: Lymph nodes of spleen involved and both sides of diaphragm

Answer 21

Stage III

Question 22

Stage the Lymphoma: Localized in one lymph node group

Answer 22

Stage I

Question 23

This type of lymphoma spreads in a predictable fashion along the lymph node groups; Also differentiated by another characteristic

Answer 23

Hodgkin’s Lymphoma; Reed-Sternberg Cells

Question 24

What medication to start when initiating chemotherapy to reduce tumor lysis syndrome

Answer 24

Allopurinol

Question 25

Malignant tumors are classified by a system T N M what does each letter signify; Also what is X

Answer 25

T: Size or direct extent of the primary tumor
N: Spread to regional lymph nodes
M: Distant metastasis