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Flashcards in Hematology Deck (37)
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1

what is the normal MCV?

80-100

2

what is the most common microcytic anemia

iron deficiency anemia

3

would anemia of chronic disease most likely be macrocytic, normocytic, or microcytic

normocytic

4

what two main causes should you be thinking of in a macrocytic anemia

malnutricion and sever blood loss

5

does an increase in reticulocytes indicate a decrease or an increase in RBC production

An increase, reticulocytes are newly released "baby" RBCs

6

Auer Rods are most commonly associated with what disease

Acute Myeloid leukemia

7

what molecule binds iron in the blood stream

transferrin

8

what does koilonychia refer to?

spoon shapped nails. this may be found in microcytic anemia

9

will the serum ferritin be high or low in a patient with iron deficiency anemia

it will almost always be low

10

a low retic count and a normal serum ferritin should make you think of what diagnosis

anemia of chronc disease

11

under normal conditions at what hemoglobin level would you begin to consider a transfusion

8

12

Asplenism secondary to sickle cell disease increases a patients risk for what type of infections

Capsulated organisms like Strep Pneumo and H. Flu

13

An african american teenager presents with avascular necrosis of the his right femoral head. what is the most likely diagnosis

Sickle cell disease

14

How do you treate sickle cell crisis

Fluids, oxygen, pain medication, transfusion may be nevessary

15

Will unconjugated bilirubin be high or low in a patient with sickle cell disease

HIgh

16

which anemia should you think of if you see the term Howell-Jolly Bodies

Sickle cell due to functional asplenia but it may also show up in a folic acid deficiency

17

G6PD deficiency follows what pattern of inheritance

x-linked

18

list the 3 diagnosis you should be thinking of if a question includes Heinz bodies

G6PD deficiency anemia, chronic liver disease, alpha thalassemia

19

what is pica

eating non food items including ice, paper, dirt, hair

20

Are target cells seen in mild or sever iron deficiency anemia

Severe, they are also seen in alpha thalassemia, chornic liver disease and asplenia

21

iron deficiency anemia will have a serum iron lower than what value

30

22

woud a B12 deficiency anemia most likely be microcytic, normocytic or macrocytic

macrocytic

23

you should be thinking alpha thalassemia if the question stem includes which four geographic areas

Southeast Asia, MIddle East, Africa

24

A patient of mediterranean descent is a clue for which type of anemia

Beta thatassemia

25

In a folic acid deficiency anemia the folic acid level is typically below what level

<150

26

What hematological disorder should you think of if the questions talks about the patient eating ice or dirt

Iron deficiency anemia

27

Inability to absorb vitamin B12 due to lack of intrinsic factor is what disease

Pernicious Anemia

28

Stocking glove paresthesias should make you think of what two diagnosis

B12 deficiency neuorpathy and diabetic neuropathy

29

will the rbs's be large, small, or normal size in a B12 deficient anemia

Macrocytes

30

Will the retic count be elevated, decreased, or normal in a B12 deficient anemia

Retic count will be low. low building blocks means low production