Hematology
1) After total gastrectomy (removal of stomach) pernicious anemia usually is developing, Absence of which cells is it due to?
a. Intrinsic factor
b. Endocrine
c. Goblet cells
d. Iron
2) Which of the fo
...
Hematology
1) After total gastrectomy (removal of stomach) pernicious anemia usually is developing, Absence of which cells is it due to?
a. Intrinsic factor
b. Endocrine
c. Goblet cells
d. Iron
2) Which of the following conditions could present with a reactive thrombocytosis?
a. Hypersensitive type I
b. Steroid use
c. Parasites
d. Infection
3) In which of the following conditions nucleated red cells and immature BLAST cells can be seen in the peripheral blood smear?
a. Leukemias
b. Anemia of chronic disease
c. Spherocytosis
d. B12 deficiency anemia
4) A 45 year old man complains of dizziness and headaches. He smokes 1 pack of cigarettes/day x 30 years. Clinically you suspect polycythemia and order an erythropoietin level. Based on the above clinical information what is your diagnosis?
a. Polycythemia Vera
b. Secondary polycythemia due to smoking.
c. Hemolytic disease
d. Patient has an acute bleeding
5) A mother brings her 12 year old son to his pediatrician for evaluation of easy bruising. You conclude active bleeding and accelerated bone marrow response if the following lab is elevated?
a. Basophils
b. Eosinophils
c. Lactic dehydrogenase
d. Reticulocyte count
6) An 8 year old boy with sickle cell disease presents with a crises and hemolytic anemia due to infection. Which of the following types of anemia classification is expected on this patient?
a. Normocytic normochromic
b. Microcytic Hypochromic
c. Macrocytic Normocytic
d. Normocytic hypochromic
7) Which of the following are necessary cofactors for the coagulation cascade?
a. Niacin and monocytes
b. Sodium and potassium
c. Vit. K and calcium
d. Kinin and chloride
8) A patient with renal failure is being treated for chronic anemia. Which of the following is affecting erythrocyte production?
a. Interleukin
b. Thrombopoeitin
c. Erythropoietin
d. Colony stimulating factor
9) Clinical manifestations of splenomegaly and hepatomegaly, bone lesions, hypercalcemia, and renal failure are indicative of which type of myelodysplastic disease?
a. Multiple myeloma
b. Sideroblastic anemia
c. Pernicous anemia
d. Leukemia
10) A 34-year-old man presents to his primary care physician complaining of a low-grade fever, drenching sweats at night, and an unintentional 5-kg (12-lb) weight loss over the past 3 months. CT of the chest reveals mediastinal lymphadenopathy. Subsequent biopsy of an involved node is remarkable for Hodgkin's Lymphoma. Which of the following disease could have preceded the appearance of Lymphoma? -> infectious mononucleosis (incorrect answer choices were – Gastroenteritis; Rheumatoid arthritis; Urinary tract infection)
11) The underlying disorder of _____ anemia is defective secretion of intrinsic factor, which is essential for the absorption of vitamin B12. -> pernicious
12) A woman complains of chronic gastritis, fatigue, weight loss, and tingling in her fingers. Laboratory findings show low hemoglobin and hematocrit levels, and a high mean corpuscular volume. These findings are consistent with _____ anemia. -> macrocytic anemia
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