Day 10 - HemOnc1 Quiz Flashcards Preview

Step 2 DIT Rapid Review > Day 10 - HemOnc1 Quiz > Flashcards

Flashcards in Day 10 - HemOnc1 Quiz Deck (19):
1

Teenage Af-Am male p/w right hip pain in ER, Hct 25%

Sickle cell pt w/ osteonecrosis of femoral head

2

Next step - febrile neutropenia 2/2 chemotherapy

Admit; Blood cultx, urine cultx, CXR; Broad spectrum IV antibx (cefipime, ceftazidime)

3

Most common cause of anemia in elderly pts

Iron deficiency anemia (may be due to chronic GI blood loss, but most commonly due to decreased iron intake)

4

Blood smear: anemia 2/2 lead poisoning

Microcytic, hypochromic anemia w/ basophilic stippling; possibly, also ringed sideroblasts

5

Cause of anemia: alcoholic pt w/ elevated MCV

Folate deficiency

6

Cause of anemia: after taking sulfa drug

G6PD deficiency

7

Med long-term mgt sickle cell disease

Hydroxyurea (induces HbF formation)

8

Iron studies w/ Iron deficiency anemia

Serum Fe Low, Ferritin Low, Transferrin high; Serum Fe/Transferrin

9

Lab values in anemia 2/2 hemolysis

H + H low, MCV normal (normocytic), High reticulocyte, Elevated unconjugated bilirubin, High LDH, Low Haptoglobin

10

Schistocytes

Hemolytic anemia, DIC, HUS/TTOP

11

Acanthocytes

aka Spur cell; Abetalipoproteinemia

12

Bite cells

G6PD deficiency

13

Basophilic stippling

Lead poisoning; Thalassemia, Alcohol

14

Peripheral neuropathy, sideroblastic RBCs

Lead poisoning

15

Hypersegmented neutrophils

B12 or Folate deficiency

16

Heinz bodies

G6PD deficiency

17

Vaccines particularly important in children w/ Sickle Cell disease

Pneumococcal, HiB, Hep B, Influenza

18

Other than vaccination, how prevent pneumococcal infx in children w/ sickle cell

ppx penicillin until 5 yo

19

Complication in 10% pts w/ sideroblastic anemia

Acute leukemia

Decks in Step 2 DIT Rapid Review Class (111):