passmed

Question 1

what medical condition can give a falsely low HbA1c

Answer 1

sickle cell anaemia

Question 2

what medical condition can give a falsely high HbA1c

Answer 2

splenectomy

Question 3

Howell-Jolly bodies and siderocytes

Answer 3

hyposplenism

Question 4

treatment after having a venous thromboembolism

Answer 4

Venous thromoboembolism - length of warfarin treatment
-provoked (e.g. recent surgery): 3 months
-unprovoked: 6 months

Question 5

antibiotic of choice for neutropenic sepsis

Answer 5

Piperacillin with tazobactam (Tazocin)

Question 6

isolated thrombocytopenia (low platelets)

Answer 6

immune thrombocytopenic prupura

Question 7

management of von willebrand

Answer 7

tranexamic acid for mild bleeding
desmopressin (DDAVP): raises levels of vWF by inducing release of vWF from Weibel-Palade bodies in endothelial cells
factor VIII concentrate

Question 8

mechanism of action of rivaroxaban

Answer 8

direct factor Xa inhibitor

Question 9

rate of transfusion of RBCs for a non-urgent scenario

Answer 9

over 2 hours

Question 10

raised HbA2?

Answer 10

beta thalassaemia trait

Question 11

Deranged coagulation in sepsis

Answer 11

DIC

Question 12

which blood product has the highest risk of bacterial contamination

Answer 12

platelets

Question 13

antibiotic of choice for neutropenic sepsis

Answer 13

Piperacillin with tazobactam (Tazocin)

Question 14

cause of sudden fall in Hb in someone with sickle cell

Answer 14

aplastic crisis

Question 15

what causes aplastic crisis

Answer 15

infection with parovirus

Question 16

should you give someone with TTP platelets

Answer 16

no
-will cause increased risk of death

Question 17

how do you reverse the effects of warfarin

Answer 17

vitamin k
-warfarin is a vit k antagonist

Question 18

heinz bodies

Answer 18

G6PD