Walden

Question 1

size

Answer 1

MCV

Question 2

hemoglobin content

Answer 2

MCH

Question 3

measure of avg color

Answer 3

MCHC

Question 4

indicates variation of RBC size

Answer 4

RDW

Question 5

iron in blood

Answer 5

serum iron

Question 6

iron storage,

Answer 6

serum ferritin

Question 7

ability of bone marrow production

Answer 7

reticulocyte count

Question 8

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

Answer 8

TIBC

Question 9

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

Answer 9

Red cell casts

Question 10

lifespan is 3 months

Answer 10

RBC

Question 11

shift to the left means severe bacterial infection

Answer 11

Bands

Question 12

can indicate allergies, cancer, parasitic disease

Answer 12

Eosinophilia

Question 13

biggest WBC then Lymphocytes

Answer 13

Neutrophils/Segs

Question 14

is the breakdown of rbc

Answer 14

Bilirubin

Question 15

Tx - phototherapy, hydration, breast feeding or formulary feeding

Answer 15

Hyper bilirubin

Question 16

transmitted thru contaminated water and food

Answer 16

Hep A

Question 17

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

Answer 17

Hep B

Question 18

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,

Answer 18

Hep C

Question 19

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

Answer 19

Idiopathic thrombocytopenia purpura

Question 20

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

Answer 20

Thrombocytopenia

Question 21

is screening test for all anemias

Answer 21

CBC

Question 22

toxoplasma, Other infections, Rubella, Cytomegalovirus, Herpes

Answer 22

TORCH

Question 23

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

Answer 23

B12 deficiency -

Macrocytic anemia

Question 24

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

Answer 24

Pernicious -

Macrocytic anemia

Question 25

alcoholic, normal signs of anemia, | Dx - cbc, peripheral smear, folate level give PO folate, leafy green vegetables, beans (liver, pasta cereals)

Answer 25

Folate deficiency - | Macrocytic anemia

Question 26

normocytic anemia normochromic, but <20% microcytic | Dx - serum ferritin

Answer 26

Anemia of chronic disease - | Microcytic anemia

Question 27

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

Answer 27

Aplastic anemia - | Microcytic anemia

Question 28

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

Answer 28

Thalassemia - | Microcytic anemia

Question 29

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

Answer 29

Iron deficiency anemia - | Microcytic anemia

Question 30

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

Answer 30

Sideroblastic anemia - | Microcytic anemia

Question 31

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

Answer 31

Sickle cell

Question 32

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

Answer 32

Hodgkin’s lymphoma

Question 33

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

Answer 33

Nonhodgkins lymphoma

Question 34

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

Answer 34

Multiple myeloma

Question 35

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

Answer 35

HBsAg

Question 36

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)

Answer 36

Anti-HBc

Question 37

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

Answer 37

Anti-HBs

Question 38

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

Answer 38

Anti-HAV IgG

Question 39

previous anaphylaxis reaction

Answer 39

IgE mediated reaction