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1
Q

IDA RBC characteristics

A

microcytic

hypochromic

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2
Q

shift left means:

A

more band cells (immature cells) than mature WBC

- usually occurs with inflammation/infxn

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3
Q

inspection of IDA would show:

A

swelling of tongue (angular cheilitis)
dry lips
craving for ice chips (PICA)

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4
Q

2nd MC leading cause of anemia WW is

A

chronic disease

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5
Q

infectious organism involved in Hemolytic-Uremic Syndrome

A

E. Coli 157-07

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6
Q

Risk factor for B12 deficiency (2)

A

Vegetarian Diet

Gastrectomy

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7
Q 
patient with:
abdominal stress
NEUROLOGICAL disturbances
trouble seeing yellow and blues
order what test:
A

B12 study

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8
Q

(3) characteristics associated with Hemolytic Anemia

A

DECREASE hemoglobin and cell pack volume
INCREASE reticulocyte count
DECREASE erythrocyte count
NOT increased hepatoglobin

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9
Q

with G-6-PD, a few characteristics are:

A

MC in Men
MC in Mediterranean, Asian or African descent
Sickling is SPONTANEOUS
Fatigue

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10
Q

IDA hematocrit and MCHC levels

A

decreased hematocrit

decreased MCHC

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11
Q

megaloblastic anemias

A

Vit B12 Anemia

Folic Acid Anemia

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12
Q

cobalamin transport out of gut is mediated by

A

intrinsic factor

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13
Q

aplastic anemia can be caused by: (3)

A

Infection
EBV/Hep B or C/ Parovirus
Radiation

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14
Q

severe aplastic anemia if untreated may lead to:

A

death

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15
Q

enlarged SPLEEN associated with which intrinsic anemia

A

hereditary spherocytosis

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16
Q

abnormal hemoglobin associated with MC sickle cell anemia

A

hemoglobin S

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17
Q

WBC count is 450,000 – you suspect

A

leukemia

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18
Q

polycythemia may be due to ____ platelets or ______ cells

A

decreased platelets

increased # of all cells

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19
Q

hallmark sign of polycythemia

A

elevated hematocrit, with normal MCV

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20
Q

treatment for minor thalassemia

A

NONE

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21
Q

treatment for major thalassemia

A

blood transfusion

chelation therapy

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22
Q 
Patient w/ high fever, sore throat and achy muscles. She is a 22 yo female.  
Nutrophil-28%, 
lymphocytes 68%
monocytes2%
 eosinophil 2% and basophil%.
 What do you suspect is her problem?
A

virus

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23
Q 
Patient w/ high fever, sore throat and achy muscles -- Boyfriend with similar symptoms. She is a 22 yo female.  
Nutrophil-28%, 
lymphocytes 68%
monocytes2%
 eosinophil 2% and basophil%.
 What do you suspect is her problem?
A

mononucleosis

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24
Q

Patient w/ high fever, sore throat and achy muscles. She is a 22 yo female.
+ streptococcus culture or ASO.
Nutrophil-28%,
lymphocytes 68%
monocytes2%
eosinophil 2% and basophil%.
What do you suspect is her problem and what organ may be enlarged?

A

strep throat

spleen may be enlarged

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25
Joe is an Italian American. He is overweight and reports poor dietary habits. He has fatigue and pallor. He is 40 years old and has had mild symptoms like this on and off his whole life. His disease would be characterized by:
Absence or decrease in synthesis of one or more goblin subunits
26
For cholesterol, optimum ratio is __:___ (LDL:HDL)
3.5:1 LDL:HDL
27
Hair on end appearance associated with:
thalassemia
28
honeycomb pattern on hand associated with
thalassemia
29
(3) anemias that are MICROcytic
IDA chronic disease anemia thalassemia
30
ESR is ____, and NOT _____
sensitive, | NOT specific
31
MC cause of IDA
Loss of nutrient exceeding the replenishment of nutrient
32
combination which may result in erythroblastosis fetalis anemia
Rh (+) BABY with Rh (-) mother
33
normal response to living at high altitudes, in a lowered oxygen environment
physiologic polycythemia
34
term for average size of RBC
MCV
35
term for average mass of hemoglobin per RBC
MCH
36
lab test would give information about a patient’s electrolyte/hydration status
complete metabolic panel
37
Hemophilia A is a lack of_______ and its severity is dependent on______
factor VII | genetic disorder
38
Hemophilia B is a lack of _____
factor IX
39
Bruising without a cause usually would most likely be classified as
thrombocytopenia
40
(3) characteristics of erythrocytes
anucleate outnumber WBC dependent on structure
41
400,000 platelets, you would assume
normal
42
50,000 platelets, patient at risk for
spontaneous bleeding
43
Von Willebrand Disease is problem with
platelet adhesion | **but platelet count is UNAFFECTED**
44
person with sever vit K deficiency is high risk for
clotting
45
Sodium NR
135-145
46
Potassium NR
3.5-5
47
Magnesium NR
1.3-2.1
48
Phosphate NR
2.7-4.5
49
calcium NR
8.2-10.2
50
chloride NR
100-108
51
Pa CO2 affects
respiratory acid-base balance
52
HCO3- affects
metabolic acid-base balance
53
NR Pa CO2
35-45 mm Hg
54
Pa CO2 > 45 =
respiratory acidosis
55
Pa CO2 less than 35 =
respiratory alkalosis
56
NR HCO3-
22-26 mEq/L
57
HCO3- > 26 mEq/L =
metabolic alkalosis
58
HCO3- less than 22 =
metabolic acidosis
59
cause of Hep A
RNA virus
60
clinical finding on exam of patient with Hep A
hepatomegaly
61
Biliverdin is converted into bilirubin in _____
spleen
62
nutrients needed for formation of RBC absorbed in SI
folic acid iron B12
63
21 female with body aches: differential diagnoses include (3)
IDA pregnancy EBV infxn
64
99% body calcium is in
skeleton | 1% in blood
65
micro element that activates enzymes for nucleic acids
magnesium
66
eosinophils will be increased in
bronchial asthma
67
Reed stein berg cells present in
Hodgkin Lymphoma
68
lymph nodes painful after alcohol in
Hodgkin Lymphoma
69
cells affected in Hodgkin Lymphoma
B cells
70
cells affected in Non-Hodgkin Lymphoma
B and T cells

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