Haematology Flashcards

(59 cards)

1
Q

What are the common causes of iron deficiency anemia?

A

Blood loss (menorrhagia, GI bleeding), poor diet, malabsorption, hookworm

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2
Q

What are the two types of thalassemia, and which globin chains are affected in each?

A

α-thalassemia (ɑ-globin chains), β-thalassemia (β-globin chains)

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3
Q

What is a common symptom seen in both α-thalassemia and β-thalassemia?

A

Splenomegaly

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4
Q

What characteristic feature is seen in the bone marrow of sideroblastic anemia?

A

Ringed sideroblasts

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5
Q

What is the primary treatment for iron deficiency anemia?

A

Ferrous sulfate 200mg/8h continued for >3mo after Hb normalizes

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6
Q

What is a hallmark symptom of sickle cell disease?

A

Vaso-occlusive “painful” crisis

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7
Q

What is the recommended treatment for acute chest syndrome in sickle cell disease?

A

O2, fluids, PCA, antibiotics ± blood transfusion

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8
Q

What distinguishes chronic lymphocytic leukemia (CLL) in blood tests?

A

High lymphocytes

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9
Q

What mutation is commonly associated with chronic myeloid leukemia (CML)?

A

Philadelphia chromosome, t(9;22)

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10
Q

What coagulation disorder is associated with the presence of Livedo reticularis?

A

Antiphospholipid syndrome

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11
Q

When is testing for thrombophilia recommended?

A

Criteria include a history of thrombosis, unexplained thrombosis at a young age, recurrent pregnancy loss, or a family history of thrombosis.

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12
Q

What are the diagnostic criteria for myeloma?

A

Monoclonal band in serum or urine, increased plasma cells on bone marrow biopsy, evidence of end-organ damage

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13
Q

What symptom is often seen in myelofibrosis?

A

Pruritis after a hot bath

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14
Q

What are the common symptoms of iron deficiency anemia?

A

Fatigue, koilonychia, atrophic glossitis, angular cheilosis

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15
Q

What characteristic finding is observed in the blood film of sickle cell disease?

A

Sickle cells and target cells

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16
Q

What is the primary treatment for thrombocytosis in essential thrombocythemia?

A

Aspirin, hydroxyurea/hydroxycarbamide

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17
Q

What is the common diagnostic test for inherited thrombophilia? (antiphospholipid syndrome)

A

Anti-cardiolipin, high aPTT, low platelet count

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18
Q

What are the characteristic symptoms of Hodgkin lymphoma?

A

Lymphadenopathy (usually regional, alcohol-induced pain), hepatosplenomegaly, B symptoms

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19
Q

What is the primary symptom in thrombotic thrombocytopenic purpura (TTP)?

A

Pentad of fever, renal failure, hemolytic anemia, thrombocytopenia, neurological changes

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20
Q

What is the primary cause of vitamin B12 deficiency?

A

Malabsorption (pernicious anemia, post-gastrectomy, bowel resection, Crohn’s disease)

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21
Q

What complications are commonly associated with thalassemia?

A

Failure to thrive, splenomegaly, bone hypertrophy

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22
Q

What symptoms are commonly observed in acute lymphoblastic leukemia (ALL)?

A

Bone marrow failure (anaemia, infection, bleeding), lymphadenopathy

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23
Q

What is a primary symptom observed in acute myeloblastic leukemia (AML)?

A

Gum hypertrophy, hepatosplenomegaly

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24
Q

What is the diagnostic test for von Willebrand’s disease?

A

Factor VIII and vWF assay

25
What complications are associated with myelofibrosis?
Tear-drop poikilocytes
26
What symptoms are commonly observed in immune thrombocytopenic purpura?
Bleeding - petechiae, bruising, B-symptoms, hepatosplenomegaly
27
What characteristic finding is observed in the blood film of chronic lymphocytic leukemia (CLL)?
Lymphocytes, smear/smudge cells
28
What is a key feature observed in the blood film of chronic myeloid leukemia (CML)?
Granulocytic cells at different stages of differentiation
29
What are the common causes of microcytic hypochromic anemia?
Iron deficiency, thalassemia, sideroblastic anemia
30
What diagnostic test confirms the presence of thalassemia?
Hemoglobin electrophoresis, DNA testing
31
What diagnostic feature is seen in the blood test of essential thrombocythemia?
Isolated high platelets
32
What characteristic finding is observed in the biopsy of Hodgkin lymphoma?
Reed Sternburg cells
33
Antibodies seen in pernicious anaemia
Intrinsic factor and anti-parietal cell antibodies
34
Which clotting factors are deficient in Haemophilia A and B
8 and 9 respectively
35
1st and 2nd line treatments of haemophilia A
Desmopressin >> Factor VIII + tranexamic acid
36
What is prolonged in VwF?
Prolonged bleeding time and APTT
37
Rona's tapped mnemonic for vitamin absorption sites
Dude Is Just Feeling Ill Bro Duodenum for iron; jejunum for folate; ileum for B12
38
Where is iron absorbed?
Duodenum
39
Where is folate absorbed?
Jejunum
40
Where is B12 absorbed?
Ileum
41
How do we differentiate between essential and immune thrombocytopaenia
Essential thrombocytopaenia in older patients. ITP is preceded by URTI or illness
42
Most common leukaemia in adults in the Western world
B cell chronic lymphocytic leukaemia
43
How does B cell CLL present in most patients
Generalised lymphadenopathy, and hepatosplenomegaly
44
'CRAB' features of multiple myeloma
hyperCalcaemia, Renal failure, Anaemia (and thrombocytopenia) and Bone fractures/lytic lesions
45
Investigation of choice in suspected multiple myeloma and result
Monoclonal band on serum electrophoresis.
46
What is seen on blood film in myelofibrosis?
'tear-drop' poikilocytes
47
Bloods that are raised in myelofibrosis + mutations
Raised LDH and uric acid + JAK2 V617F mutation
48
Causes of DIC
Sepsis, trauma, infection
49
What is seen on bloods in DIC?
Low fibrinogen
50
What type of anaemia is B12 deficiency?
Megaloblastic, macrocytic anaemia
51
Differentials for macrocytic anaemia
- Folate deficiency - Hypothyroidism - Reticulocytosis - Liver disease - Myeloproliferative/ myelodysplastic disease - Chronic alcohol excess
52
Where exactly is intrinsic factor secreted?
Parietal cells of stomach
53
If a patient was found to be deficient in both B12 and folate, how should this be managed, and why?
B12 replacement before folate replacement, due to risk of precipitating subacute degeneration of the spinal cord
54
Blood marker used to identify Granulomatosis with polyangiitis
cANCA positive
55
Symptoms of Granulomatosis with polyangiitis
- upper respiratory tract: epistaxis, sinusitis, nasal crusting - lower respiratory tract: dyspnoea, haemoptysis - rapidly progressive glomerulonephritis ('pauci-immune', 80% of patients) saddle-shape nose deformity
56
Which type of cancer is associated with pernicious anaemia?
Gastric cancer
57
Which cancer does Polycythemia rubra Vera typically progress to?
AML
58
What test is used to confirm autoimmune haemolytic anaemia
Direct Coomb's test
59
Which type of pneumonia is associated with autoimmune haemolytic anaemia?
Mycoplasma pneumonia