Heme CE 3

Question 1

thrombocytopenia

Answer 1

decreased plt count

Question 2

thrombocytopenia - the rest of CBC

Answer 2

usually normal

Question 3

thrombocytopenia dx studies

Answer 3

plt count <150,000
WBC usually WNLs

Question 4

patient has petechia and purpura - what lab values do you suspect

Answer 4

thrombocytopenia

Question 5

neutrophils aka

Answer 5

segs/polys

Question 6

anytime you have low polys (neutrophils/segs) and elevated lymphs think

Answer 6

viral

Question 7

viral - cbc

Answer 7

low polys, elevated lymphs

Question 8

when do monocytes rise after infection

Answer 8

about 24 hours

Question 9

what rises about 24 hours after infection

Answer 9

monocytes

Question 10

which cells respond within 2 hours of infection

Answer 10

polys
lymphs

Question 11

eosinophils are elevated - think

Answer 11

allergic reaction or parasitic infection

Question 12

allergic reaction or parasitic infection - what cells would rise

Answer 12

eosinophils

Question 13

low poly
elevated lymphs

Answer 13

viral

Question 14

high polys
low lymphs

Answer 14

bacterial

Question 15

if you want to know if an infection is going on over 24 hours, look at what cell

Answer 15

monocyte

Question 16

immature WBC =

Answer 16

bands

Question 17

microcytic, hypochromic - but RDW is high, discuss chronic vs IDA

Answer 17

RDW would be normal if chronic issue; RDW is elevated, if this is IDA this is recent onset

Question 18

pernicious anemia results from

Answer 18

a decrease in intrinsic factor due to the autoimmune destruction of parietal cells leading to reduced vitamin B12 absorption

Question 19

a decrease in intrinsic factor due to the autoimmune destruction of parietal cells leading to reduced vitamin B12 absorption

Answer 19

pernicious anemia

Question 20

vitamin B12 def anemia non pharm mgmt food

Answer 20

1. increase dietary intake of fish, meats, peas and beans, fortified cereals and supplements, protein-rich foods

Question 21

b12 replacement - reticulocytes and hct do what

Answer 21

rapidly increase and peaks 7-10 days after treatment beings; hct begins to rise within 1 week after starting tx