Question 1
Question
A 25 year old female with sickle cell trait plans to participate in a marathon. What symptom related to this trait is she most likely to experience?
Answer
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abdominal pain
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jaundice
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long bone pain
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painless hematuria
Question 2
Question
A 25 year old with sickle cell anemia plans to participate in a marathon. She is likely to experience all of the following EXCEPT
Answer
-
abdominal pain
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jaundice
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long bone pain
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painless hematuria
Question 3
Question
A 30 year old obese white female presents with fatigue and generalized weakness for several weeks. Physical exam reveals mucosal pallor and an atrophic tongue. Lab data shows a microcytic, hypochromic appearance to the RBCs. What is the most likely diagnosis?
Answer
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pernicious anemia
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iron deficiency anemia
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folate deficiency
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B-thalassemia minor
Question 4
Question
A 20 year old Asian female presents with ongoing fatigue and generalized weakness. She was treated for iron deficiency anemia but her symptoms have not improved. What is her most likely diagnosis?
Answer
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Iron deficiency anemia
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pernicious anemia
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folate deficiency
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Alpha- Thalassemia
Question 5
Question
An alcoholic presents with complaints of a sore tongue and vague GI symptoms. Laboratory data shows hypersegmented polymorphonuclear cells and Howell-Jolly bodies. What is the most likely diagnosis?
Answer
-
pernicious anemia
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iron deficiency anemia
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folate deficiency
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B-thalassemia minor
Question 6
Question
A patient who follows a strict vegan diet presents to the office with a painful tongue and complaints of loss of balance and fine touch sensation. Laboratory data shows a macrocytic anemia with hypersegmented neutrophils. What is the most likely diagnosis?
Answer
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Iron deficiency
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Vitamin B12 deficiency
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Alpha-thalassemia
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folate deficiency
Question 7
Question
After bathing, a 65 year old male notes intense whole body pruritus. He gives a history of headaches, sensation of fullness of his head and face, weakness, fatigue, and dizziness. Physical exam shows HTN, splenomegaly, and facial plethora. What is the treatment of this condition?
Question 8
Question
A 53 year old male is admitted with a compression fracture of the lumbar vertebra. Xray reveals punched-out lytic lesions of the vertebral column. What is the most likely diagnosis?
Answer
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chondroblastoma
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multiple myeloma
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osteoporosis
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amyloidosis
Question 9
Question
Which type of leukemia is associated with the Philadelphia chromosome?
Question 10
Question
Which type of leukemia is associated with auer rods?
Question 11
Question
Terminal deoxynucleotidyl transferase is diagnostic for which type of leukemia?
Question 12
Question
A patients blood smear reveals normal and hypochromic cells along with basophilic stippling. What type of anemia is this?
Answer
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Sideroblastic
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Iron deficiency
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Folate Deficiency
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B12 deficiency