Random .2 Flashcards

1
Q

MOA of rituximab

A

antibody whcih targets and kills cd20 positive b cells so works in b cell lymphomas

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2
Q

which anaemia causes koilonychia

A

iron def

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3
Q

worse afer hot bath

A

polycythaemia vera

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4
Q

first line investiugaton in GCA

A

plasma viscosity or esr

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5
Q

what is VWF a carrier for

A

factor 8

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6
Q

characteristics of myeloma

A

CRABBI
calcium rasied
renal imapirment
Anaemia,
Bones
Bleeding (thrombocytopaenia), and Infections (neutropaenia).

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7
Q

blood results of myeloma

A

hypercalcqemia
normal/ raised phosphate
normal alp

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8
Q

what can increase life span of red blood cells and so increasing hba1c

A

splenecomty

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9
Q

what does pernicous anaemia predispose to

A

gastric cancr

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10
Q

starry sky appearance

A

burkitts

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11
Q

multiple myeloma characteristics

A

roleoux formation, hypercalcaemia, anaemia, back pain- CRABBI pneumonic

confirmed with electrophoresis

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12
Q

first line management for warm autoimmune haemolytic anaemia

A

steroids and rituximab

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13
Q

first line chronic myeloid leukaemia

A

imatinib

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14
Q

do all myelomas show on electrophoresis

A

no

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15
Q

how is vaso occlusive crisis confirmed

A

doesnt need confirmation
confirmed via pain clinically

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16
Q

gold standard for non hodgkins

A

pet/ ct

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17
Q

heinz bodies

A

g6pd def

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18
Q

prophylactic drug for sickle cell

A

hydroxyurea

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19
Q

howell jolly bodies

A

coelic , hyposlenism

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20
Q

rivaroxaban moa

A

direct factor Xa inhibitor

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21
Q

taco v trali

A

trail is hypo taco is hyper

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22
Q

hand foot syndrome

A

swelling of hands and feet of child with sickle cell

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23
Q

what is taco treated with

A

loop diuretics

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24
Q

how is richters tranformation diagnosed

A

lymph node biopsy

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25
first line treatment for ITP
oral prednisolone
26
what is autoimune haemolytic anaemia characterised by
coombs test
27
what transfusions are at risk of bacterial infection and why
platelets as they are stored at room temp
28
what is used for reversal of doac in patients with severe bleed/ head injury
prothrombin complex concentrate
29
what can cause an isolated rise in hb
polycythaemia vera
30
what is HIV a risk for in tersm of cancer
non hodgkins
31
isolated rise in ggt in macrocytic anaemia
alcoholism
32
Exchange transfusion role
reduce number of sickle cells and increase numbe rof normal cells to improve oxygenation
33
what might methptrexate therapy result in
megaloblastic macrocytic anaemia
34
bite and bloster cells
g6pd
35
what type of cancer might polycythaemia rubra vera transform to
acute myeloid leukaemia
36
investiagtion for non hodgkins
excisional node biopsy
37
blue lines on gum margin
lead poisoning
38
What type of anaemia does sickle cell cause
normocytic rlow haemoglobin, normal nbc, raised retic
39
raised hba2 in terms of thalassaemias
beta trait
40
does alpha trait cause a raised hba2
no
41
what type of drugs have adverse effect on g6pd patients
sulfa containing drugs
42
what does a high tibc suggest
low iron in blood as there are more spots to fill up
43
aplastic crisis
sudden drop in hb
44
what should sickle cell patients be commeneced on to prevent crisis
hydroxycarbamide
45
what can rivaroxaban and apixaban be revrsed by
andexanet alfa
46
is fibrinogen high or low in dic
low
47
what counteracts warfarin
vit k
48
first line in polycythaemia vera
venesection- phlebotomy
49
blood film of folate def
hyper segmented neutrophisl
50
risk factor for non hodgkins
HIV
51
does trali present with abdo pain
no
52
acute haemolytic reaction symptoms
tachycardia, abdominal pain, fever, hypotension
53
what is creatinine
waste product of ormal muscle metabolism breakdown
54
protein def in ttp
ADAMTS13
55
massive splenomegaly
chronic myeloid leukaemia
56
translocation in cml
9, 22
57
what might ileocacael result in
b12 def
58
beefy red tongue
b12 def and folate
59
acquired haemolysis main note
prolonged aptt
60
first line for warm autoimmune haemolytic anaemia
steroids +/- rituximab
61
medication for patients with polycythaemia vera to reduce dvt
aspirin
62
treatment for aps during pregnancy
aspirin and lmwh
63
what can polycythaemia rubra v lead to
aml or myelofibrosis
64
most causative organsim in neutropenic sepsis
staph epi
65
definitive diagnosis for sickle cell
electrophoresis
66
what is alteplase used in
emergency situations
67
what does cryoprecipitate contain
VWF, factor viii, fibrinogen and factor xiii
68
which cancer has potential to involve CNS, testis and other extra marrow sites
ALL
69
sequestrian criss retics
high
70
aplastic crisis retics
low
71
diagnostic for cll
bone marrow biopsy ansd immunophenotyping
72
what are cabot rings highly suggestive of
pernicous anaemia
73
in kids how does itp usually present
post viral infection self limitting
74
slapped cheek appearance
parvovirus b19
75
what might haemolytic crisis be precipitated by
infection
76
what factors does vit k inhibit
2,7,9,10 same as warfarin
77
difference between vit k and warfarin
warfarin is anti coag and vit k promotes clotting
78
dry tap
myelofibrosis
79
what investigation would confirm aplastic anaemia
bone marrow biopsy
80
factor what def is most likely to result in prolonged pt time
vii
81