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Hem/Onc 2 (Anemia)

Step-2

QuestionAnswer
What is the tx for the following diarrheal illness: entamoeba histolytica metronidazole
What is the tx for the following diarrheal illness: giardia lamblia metronidazole
What is the tx for the following diarrheal illness: salmonella quinolone or bactrim
What is the tx for the following diarrheal illness: shigella quinolone or bactrim
What is the tx for the following diarrheal illness: campylobacter erythromycin
What is the tx for mild persistent asthma? inhaled b-agonists and low dose ICS
What is charcot's triad in cases of gallbladder disease? fever, RUQ pai, jaundice
Describe the Serum Fe, ferritin, transferrin, Fe/TIBC % for iron deficiency anemia decrease Fe, decrease ferritin, increase transferrin, Fe/TIBC <12%
Describe the Serum Fe, ferritin, transferrin, Fe/TIBC % for anemia of chronic dz? decrease Fe, increase ferritin, decrease transferrin, Fe/TIBC >18%
Elderly man is in the office for evaluation of fatigue and SOB. He's fit for his age, has no fever or sx suggesting infection. On exam his conjunctiva are pale and stool guaiac +. Until proven otherwise, the pt. should be considered as having which dz? Colon CA
What would you see on a blood smear of a pt with anemia due to lead poisoning? microcytic, hypochromic anemia with basophilic stippling
What is the mcc of anemia in elderly pts? iron deficiency (poor intake or chronic blood loss)
Identify which RBC d/o has the following: schistocytes hemolytic anemia, DIC, TTP, HUS
Identify which RBC d/o has the following: acanthocyte (spur cell) abetalipoproteinemia
Identify which RBC d/o has the following: bite cell G6PD def
Identify which RBC d/o has the following: basophilic stippling of RBCs lead poisoning, thalassemia, alcohol use
Identify which RBC d/o has the following: peripheral neuropathy + sideroblastic RBCs lead poisoning
Identify which RBC d/o has the following: hypersegmented neurtophils B12 or folate deficiency
Identify which RBC d/o has the following: Heinz bodies (denatured Hgb in RBC) G6PD deficiency
Both folate deficiency and vit B12 deficiency can result in a megaloblastic anemia. How can they be differentiated clinically? Folate deficient pts will NOT have neurological signs. B12 deficient pts have neuro symptoms. For mild dz, need to check levels
Given the following description, what is the type of anemia?: mental status change, neuropathy, constipation lead poisoning, microcytic anemia
Given the following description, what is the type of anemia?: heavy menses, strict vegetarian, ice pica iron deficiency, microcytic anemia
Given the following description, what is the type of anemia?: Dark urine, jaundice, hepatosplenomegaly hemolytic anemia, normocytic anemia
Given the following description, what is the type of anemia?: alcoholic, malnourised b12 deficiency, folate deficiency. Macrocytic anemia
What virus can cause aplastic anemia as well as erythema infectiousum ("5th disease") Parvovirus B19
Which drugs are associated with drug-induced hemolytic anemia? PCN, L-dopa, quinidine, other drug use
What are the warm-reacting antibodies? IgG
What are teh cold-reacting antibodies? IgM
Prosthetic heart valve, HTN and coagulation disorders are all causes of ____________hemolytic anemia mechanical
What is the pathology causing hereditary spherocytosis? genetic defect of rbc membranes resulting in spherical RBCs
What physical exam finding is common in patients with hereditary spherocytosis? hepatosplenomegaly
What is the treatment for hereditary spherocytosis? splenectomy
Created by: shelybel
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