Hematology Diagnostics

Descripción

Test sobre Hematology Diagnostics, creado por lwashing13 el 09/11/2014.
lwashing13
Test por lwashing13, actualizado hace más de 1 año
lwashing13
Creado por lwashing13 hace alrededor de 11 años
18
1

Resumen del Recurso

Pregunta 1

Pregunta
All of the following would decrease WBC levels EXCEPT
Respuesta
  • trauma
  • immunosuppression
  • drug toxicity
  • overwhelming infection

Pregunta 2

Pregunta
WBC in child < 2
Respuesta
  • 6,200-17,000
  • 5,000-10,000
  • 9,000-30,000

Pregunta 3

Pregunta
WBC level in >2 to adult
Respuesta
  • 5,000-10,000
  • 6,200-17,000
  • 9,000-30,000

Pregunta 4

Pregunta
WBC in newborn
Respuesta
  • 5,000-10,000
  • 6,200-17,000
  • 9,000-30,000

Pregunta 5

Pregunta
What are the panic values for WBC
Respuesta
  • < 1,000 > 30,000
  • < 2,000 > 30,000
  • < 2,500 > 30,000

Pregunta 6

Pregunta
All of the following are granulocytes EXCEPT
Respuesta
  • monocytes
  • neutrophils
  • basophils
  • eosinophils

Pregunta 7

Pregunta
T and B cells are part of what type of agranulocyte?
Respuesta
  • lymphocyte
  • monocyte
  • eosinophil

Pregunta 8

Pregunta
How many days are neutrophils in circulation?
Respuesta
  • 4
  • 5
  • 6
  • 7

Pregunta 9

Pregunta
Critical value of actual neutrophil count (ANC)
Respuesta
  • < 1200
  • < 1000
  • < 800

Pregunta 10

Pregunta
Eosinophils are what % of WBC's
Respuesta
  • 55-70
  • 1-4
  • -.5-1

Pregunta 11

Pregunta
Eosinophils and basophils respond to viral and bacterial infections.
Respuesta
  • True
  • False

Pregunta 12

Pregunta
Eosinophils and Basophils respond in allergic reactions and parasitic infections
Respuesta
  • True
  • False

Pregunta 13

Pregunta
What is responsible for hives and skin reactions due to cytoplasm containing heparin, histamine, and serotonin?
Respuesta
  • neutrophil
  • eosinophil
  • basophil

Pregunta 14

Pregunta
What type of cells provide humoral immunity?
Respuesta
  • T cells
  • B cells

Pregunta 15

Pregunta
What type of cell produces interferon?
Respuesta
  • lymphocyte
  • monocyte
  • neutrophil
  • eosinophil

Pregunta 16

Pregunta
All of the following are true for hemoglobin EXCEPT
Respuesta
  • Transports Oxygen
  • Transports Carbon Dioxide
  • acts as an acid base buffer
  • indicates infection

Pregunta 17

Pregunta
Hemoglobin panic values:
Respuesta
  • < 10 > 30
  • < 5 > 20
  • < 8 > 15

Pregunta 18

Pregunta
Hematocrit critical value:
Respuesta
  • < 20 > 60
  • < 15 > 45
  • < 10 > 60

Pregunta 19

Pregunta
MCV
Respuesta
  • % of hemoglobin in a single RBC (color)
  • Average weight of hemoglobin within a RBC
  • Average volume/size of single RBC

Pregunta 20

Pregunta
Increased reticulocyte means all of the following EXCEPT
Respuesta
  • bone marrow is putting an increased amount of RBC's into bloodstream
  • hemolytic anemia
  • aplastic anemia
  • SSA

Pregunta 21

Pregunta
Normal or low reticulocyte count with anemia indicates all of the following EXCEPT
Respuesta
  • hemolysis
  • Marrow is not appropriately responding
  • aplastic
  • Fe deficiency
  • B12 deficiency

Pregunta 22

Pregunta
All would be included in the work-up for macrocytic anemia EXCEPT?
Respuesta
  • B12 and folate
  • iron studies
  • peripheral smear
  • TSH

Pregunta 23

Pregunta
All would be included in microcytic anemia work-up EXCEPT
Respuesta
  • iron studies
  • peripheral smear
  • Hgb electrophoresis
  • bone marrow biopsy
  • B12 and folate

Pregunta 24

Pregunta
Iron tells us:
Respuesta
  • all proteins available for binding to iron
  • the major iron-storage protein
  • quantity of iron bound to transferrin

Pregunta 25

Pregunta
TIBC tells us:
Respuesta
  • the major iron storage protein
  • quantity of iron bound to transferrin
  • all proteins available for binding to iron

Pregunta 26

Pregunta
What are the iron-binding proteins?
Respuesta
  • transferrin
  • ferritin

Pregunta 27

Pregunta
What is the major iron-storage protein?
Respuesta
  • Transferrin
  • Ferritin

Pregunta 28

Pregunta
What is needed for adequate functioning of the RBC's and WBC's due to synthesis of amino acids and DNA?
Respuesta
  • ferritin
  • folic acid
  • transferrin

Pregunta 29

Pregunta
What does B12 activate?
Respuesta
  • folate
  • transferrin
  • ferritin

Pregunta 30

Pregunta
The Schilling Test is used for all of the following EXCEPT:
Respuesta
  • iron deficiency anemia
  • pernicious anemia
  • determine the cause of B12 deficiency

Pregunta 31

Pregunta
Increases LDH, increased bilirubin, and decreased haptoglobin are indicative of:
Respuesta
  • acute blood loss
  • hemolysis

Pregunta 32

Pregunta
Fetal hemoglobin contains all of the following EXCEPT:
Respuesta
  • 2 alpha chains
  • 2 beta chains
  • 2 gamma chains

Pregunta 33

Pregunta
What is the most common type of hemoglobin in adults?
Respuesta
  • A
  • A2
  • F

Pregunta 34

Pregunta
All of the following are found in sickle cell disease except?
Respuesta
  • D
  • S
  • C

Pregunta 35

Pregunta
What type of hemoglobin doesn't carry oxygen well?
Respuesta
  • S
  • A
  • F
  • C

Pregunta 36

Pregunta
What type of hemoglobin is found in people of Southeast Asian descent?
Respuesta
  • C
  • E
  • D

Pregunta 37

Pregunta
HBSS indicates:
Respuesta
  • inherited 1 sickle cell gene and 1 abnormal hemoglobin gene
  • inherited 2 sickle cell genes
  • inherited 1 sickle cell gene and 1 normal hemoglobin gene

Pregunta 38

Pregunta
HBSC indicates
Respuesta
  • one sickle cell gene and one abnormal hemoglobin gene
  • 1 sickle cell gene and one normal hemoglobin gene
  • 2 sickle cell genes

Pregunta 39

Pregunta
What test is used to differentiate hemolytic anemia into hereditary spherocytosis or thalassemia?
Respuesta
  • hemoglobin electrophoresis
  • genetic testing
  • osmotic fragility test

Pregunta 40

Pregunta
Decreased osmotic fragility test indicates:
Respuesta
  • hereditary spherocytosis
  • thalassemia
  • autoimmune hemolytic anemias

Pregunta 41

Pregunta
What should be suspected in people with hemolysis reactions after certain medications and foods?
Respuesta
  • G6PD deficiency
  • pernicious anemia
  • hereditary spherocytosis

Pregunta 42

Pregunta
PTT
Respuesta
  • intrinsic
  • extrinsic

Pregunta 43

Pregunta
All of the following cause prolonged bleeding time EXCEPT
Respuesta
  • iron deficiency
  • ASA/NSAIDs
  • Von Willebrand
  • scurvy
  • renal failure

Pregunta 44

Pregunta
What is used to monitor heparin therapy
Respuesta
  • aPTT
  • bleeding time
  • platelet count

Pregunta 45

Pregunta
aPTT/PTT evaluate what pathways?
Respuesta
  • extrinsic and common coagulation pathways
  • intrinsic and common coagulation pathways
  • intrinsic and extrinsic pathways

Pregunta 46

Pregunta
Warfarin therapy and liver synthetic function is monitored using:
Respuesta
  • PT/INR
  • aPTT/PTT

Pregunta 47

Pregunta
PT/INR evaluates what pathways?
Respuesta
  • intrinsic and common
  • extrinsic and common
  • intrinsic and extrinsic

Pregunta 48

Pregunta
Fibrinogen is a measure of what pathway?
Respuesta
  • intrinsic and common
  • extrinsic and common
  • factor I and common

Pregunta 49

Pregunta
A decrease in antithrombin III leads to
Respuesta
  • increased bleeding
  • hypercoagulation

Pregunta 50

Pregunta
Protein C inhibits:
Respuesta
  • Va and VIIIa
  • II, X, XI, XII
  • V, VI, VII

Pregunta 51

Pregunta
Antithrombin III inhibits:
Respuesta
  • Va, VIIIa
  • II, X, XI, XII
  • V, VI, VII

Pregunta 52

Pregunta
What is the co-factor to Protein C
Respuesta
  • Protein S
  • antithrombin III
  • factor Va

Pregunta 53

Pregunta
Proteins C and S are decreased in all of the following EXCEPT
Respuesta
  • Coumadin
  • liver disease
  • renal disease
  • nutritional deficiency

Pregunta 54

Pregunta
C4 binding protein from autoimmune diseases can inactivate:
Respuesta
  • protein S
  • antithrombin III
  • factor Va

Pregunta 55

Pregunta
What is the most common hereditary coagulation disorder in the US?
Respuesta
  • Factor V-Leiden
  • sickle cell disease
  • hereditary spherocytosis

Pregunta 56

Pregunta
In Factor V-Leiden, protein C can't break it down which results in all of the following EXCEPT
Respuesta
  • increased thrombin generation
  • increased antithrombin III generation
  • mild hypercoaguable state

Pregunta 57

Pregunta
APC is a natural anticoagulant that inactivates
Respuesta
  • X, XII, XI
  • fVa and fVIIIa
  • V, VI, VII

Pregunta 58

Pregunta
patients with factor V leiden will be resistant to WHAT when exposed to APC
Respuesta
  • deactivation of fVa and fVIIIa
  • activation of fVa and fVIIIa

Pregunta 59

Pregunta
In what disorder is the clotting mechanism inappropriately triggered producing thrombosis and hemorrhage?
Respuesta
  • Factor V Leidein
  • DIC
  • APC

Pregunta 60

Pregunta
In DIC, fibrin clots form intravascularly consuming platelets and clotting factors leading to what?
Respuesta
  • decreased bleeding time
  • increased clotting
  • excessive bleeding

Pregunta 61

Pregunta
The following image shows:
Respuesta
  • sickle cell
  • iron deficiency
  • sideroblastic

Pregunta 62

Pregunta
What is the following smear depicting?
Respuesta
  • Heinz bodies
  • nucleated RBC's
  • sideroblastic anemia

Pregunta 63

Pregunta
What acts as a carrier protein for factor VIII?
Respuesta
  • antithrombin III
  • Von Willebrand Factor
  • Hemophilia A

Pregunta 64

Pregunta
What is the most common bleeding disorder?
Respuesta
  • VWD
  • hemophilia A
  • hemophilia B

Pregunta 65

Pregunta
What is a Factor VIII deficiency?
Respuesta
  • Hemophilia A
  • Hemophilia B
  • Hemophilia C

Pregunta 66

Pregunta
What is a Factor IX deficiency?
Respuesta
  • Hemophilia A
  • Hemophilia B

Pregunta 67

Pregunta
Which hemophilia disorder is common among Ashkenazi Jews?
Respuesta
  • Hemophilia A
  • Hemophilia B
  • Hemophilia C

Pregunta 68

Pregunta
What would be high on your differential with mucosal and cutaneous bleeding?
Respuesta
  • VWD
  • hemophilia

Pregunta 69

Pregunta
What would be high on your differential with bleeding in joints, muscle, and GI tract?
Respuesta
  • VWD
  • hemophilia
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