Heme Flashcards

(50 cards)

1
Q

Tx thalassemia (2)

A

Folic acid, hydroxyurea

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2
Q

Iron studies in anemia of chronic disease

A

Low iron, low transferrin, high ferritin

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3
Q

Dx hereditary spherocytosis

A

osmotic fragility test

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4
Q

Which diagnosis? Anemia, thrombocytopenia, and neurologic symptoms

A

TTP

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5
Q

Which diagnosis? Anemia, mild thrombocytopenia, AKI

A

HUS

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6
Q

Which diagnosis? Intra-erythrocytic parasites

A

Babesiosis, Malaria

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7
Q

Reason for newborn screening for sickle cell disease

A

Prophylactic PCN x5 years (prevent pneumococcal disease)

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8
Q

Most common cause of death in SCD

A

Acute chest syndrome

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9
Q

Tx of sickle cell anemia (2)

A

folate, hydroxyurea

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10
Q

Tx of SCD CKD (2)

A

EPO, ACEI

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11
Q

Severe cause of ITP

A

IIB/IIIA Inhibitors (Abciximab, eptifibatide, tirofiban)

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12
Q

Screening for what disease is indicated in ITP?

A

HIV

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13
Q

First-line tx of ITP

A

glucocorticoids or IVIG

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14
Q

Indications for ITP treatment (3)

A

Plt <10,000; active bleeding; Plt <50,000 and new dx

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15
Q

Which disease? Antibodies to ADAMTS13 protein

A

TTP-HUS

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16
Q

Tx TTP-HUS

A

Plasma exchange/glucocorticoids in severe cases

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17
Q

Which diagnosis? hypocellularity with increased fatty deposits on bone marrow biopsy

A

Aplastic anemia

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18
Q

Tx aplastic anemia (3)

A

HSCT, Cyclosporine, anti-thymocyte globulin

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19
Q

Dx AML

A

> 20% blasts on bone marrow biopsy

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20
Q

APML mutation

A

t(15;17)/RAR

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21
Q

Tx AML (2)

A

idarubicin, cytarabine

22
Q

Mutation in polycythemia vera

23
Q

Tx of polycythemia vera

24
Q

Mutation in CML

A

t(9;22)/BCR-ABL

25
Tx CML
Imatinib
26
Dx essential thrombocythemia
Plt>600,000; JAK2 negative
27
Which diagnosis? M protein <30, plasma cells <10%
MGUS
28
Which diagnosis? Monoclonal IgM gammopathy, anemia, lymphadenopathy
Waldenstrom Macoglobulinemia
29
Dx multiple myeloma
Plasma cells >10% on bone marrow biopsy or M protein >3.5g IgG
30
Tx Multiple Myeloma
Induction therapy then autologous HSCT (age <75)
31
Inheritance vWD
AD
32
Dx vWD
Ristopetin cofactor assay
33
Tx vWD
desmopressin
34
Inheritance Hemophilia
XR
35
Reversal of NOACs
Prothrombin Complex Concentrate
36
Inheritance Protein C Deficiency
AR
37
Inheritance Protein S Deficiency
AD
38
Inheritance Antithrombin deficiency
AD
39
Dx FVL
FVL Gene mutation
40
Dx Hyperhomocyteinemia
Fasting plasma homocysteine levels
41
Cause of delayed hemolytic transfusion reaction
Minor non-ABO antibodies
42
Which transfusion reaction? dyspnea, cough, cyanosis, edema, elevated BNP; 1-2 hours
TACO
43
Which transfusion reaction? drop in hemoglobin, jaundice, fever; 3-10 days
Delayed hemolytic transfusion reaction
44
Which transfusion reaction? Fever, flank pain, red/brown urine
Acute Hemolytic transfusion reaction
45
Which transfusion reaction? dyspnea, hypoxia, bilateral infiltrates on CXR; within 6 hours
TRALI
46
Which transfusion reaction? fever/chills within 1-6 hours
Febrile reaction
47
Prevention of transfusion-related anaphylaxis/allergy
Washing of cellular blood products
48
Which transfusion reaction? Severe pancytopenia, diarrhea, skin rash, liver test abnormalities
Graft vs. Host disease
49
Prevention of GvHD
Irradiation of blood products
50
Tx TACO
Diuretics, oxygen