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HEMO > Walden > Flashcards

Walden Flashcards

1
Q

size

A

MCV

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2
Q

hemoglobin content

A

MCH

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3
Q

measure of avg color

A

MCHC

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4
Q

indicates variation of RBC size

A

RDW

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5
Q

iron in blood

A

serum iron

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6
Q

iron storage,

A

serum ferritin

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7
Q

ability of bone marrow production

A

reticulocyte count

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8
Q

total iron binding capacity, if iron is low TIBC is high vice versa

A

TIBC

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9
Q

indicate glomerulonephritis not UTI, acute/chronic renal fx nor urolithiasis

A

Red cell casts

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10
Q

lifespan is 3 months

A

RBC

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11
Q

shift to the left means severe bacterial infection

A

Bands

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12
Q

can indicate allergies, cancer, parasitic disease

A

Eosinophilia

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13
Q

biggest WBC then Lymphocytes

A

Neutrophils/Segs

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14
Q

is the breakdown of rbc

A

Bilirubin

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15
Q

Tx - phototherapy, hydration, breast feeding or formulary feeding

A

Hyper bilirubin

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16
Q

transmitted thru contaminated water and food

17
Q

transmitted thru blood, (most common is sexual activity) and mother child transfer at birth TX PEG-IFN, ETV, TDF

18
Q

transmitted thru mother and child at birth, tattoos and contaminated needles,
hemodialysis, sexual contact with someone with Hep C, common cause liver cancer, Dx - HCV antibody
Tx - antivirals and PEG-IFN,

19
Q

<30,000 plt, Plt broken down by spleen causing thrombocytopenia, Signs of bruising, petechia, purpura, epistaxis, gingival bleed,
Tx - initial glucocorticosteroids (prednisone)

A

Idiopathic thrombocytopenia purpura

20
Q

plt count <150,000 Signs of bruising, petechia, purpura, epistaxis, gingival bleed

A

Thrombocytopenia

21
Q

is screening test for all anemias

22
Q

toxoplasma, Other infections, Rubella, Cytomegalovirus, Herpes

23
Q

expected findings are positive Romberg/Babinski, Glossitis- burning of tongue, tingling and numbness of feet, diarrhea, dizzy, fatigue muscle weakness loss of appetite, SOB, confusion, paranoia, neuro changes causing nerve pain,
Tx - cobalamin IM

A

B12 deficiency -

Macrocytic anemia

24
Q

autoimmune disorder destruction of parietal cells which causes cessation of intrinsic factor, decreased reflexes
Dx - check vitamin b levels, antibody test for intrinsic factor,

A

Pernicious -

Macrocytic anemia

25
Q

alcoholic, normal signs of anemia,

Dx - cbc, peripheral smear, folate level give PO folate, leafy green vegetables, beans (liver, pasta cereals)

A

Folate deficiency -

Macrocytic anemia

26
Q

normocytic anemia normochromic, but <20% microcytic

Dx - serum ferritin

A

Anemia of chronic disease -

Microcytic anemia

27
Q

destruction of stem cells in bone marrow, causes pancytopenia
Dx - gold standard bone marrow biopsy, CBC plt count,
Tx - refer to hematologist, ER

A

Aplastic anemia -

Microcytic anemia

28
Q

microcytic, hypochromic but normal RDW, Mediterranean descent, Philippine….Beta
Dx - electrophoresis Alpha- - initial test is CBC Iron levels,

A

Thalassemia -

Microcytic anemia

29
Q

microcytic, hypochromic, pallor, fatigue, glossitis, cheilitis, poikilocytosis/shapes, anisocytosis/size, elevated RDW, numbness and tingling in both hands, pica, koilonychia
Dx - serum ferritin
Tx - correct anemia, rule out GI malignancy, increase fiber fluids, iron supplementation FERROUS SULFATE BEST IRON TO ABSORB

A

Iron deficiency anemia -

Microcytic anemia

30
Q

acquired or inherited, bone marrow unable to incorporate iron into hemoglobin
Dx - Prussian blue stain of bone marrow aspirate

A

Sideroblastic anemia -

Microcytic anemia

31
Q

1/500 Africans has sickle, higher risk of death from infection, ischemic necrosis of bones, skin renal liver, frequent infections
Dx - screen is CBC, gold test is electrophoresis
Tx - refer to hematologist, genetic counseling

A

Sickle cell

32
Q

cancer of b cells pruritic, painless lymph nodes, night sweats, fever, pain with alcohol drinks, young adults

A

Hodgkin’s lymphoma

33
Q

cancer of b cells and killer cells, painless lymph nodes, older adult >65, poor prognosis

A

Nonhodgkins lymphoma

34
Q

cancer of plasma cells, fatigue, weakness, bone pain on chest to back, proteinuria (Bence jones protein) hypercalcemia

A

Multiple myeloma

35
Q

tells us acute or chronic infection hepatitis B surface antigen (neg for current Hep B)

36
Q

When this is positive or reactive, it means that. you have HBV infection or had it at some time in the past. - hepatitis B core antibody (no antibody, never had Hep B)

37
Q

tells us if immune due to previous infection or vaccination hepatitis B surface antibody
(positive means immunized)
(positive=infected/negative= not infected)

38
Q

tells us if antibodies are present positive=immunized/negative= not immunized

A

Anti-HAV IgG

39
Q

previous anaphylaxis reaction

A

IgE mediated reaction

HEMO (1 decks)

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