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
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?
Pregunta 9
Pregunta
Critical value of actual neutrophil count (ANC)
Pregunta 10
Pregunta
Eosinophils are what % of WBC's
Pregunta 11
Pregunta
Eosinophils and basophils respond to viral and bacterial infections.
Pregunta 12
Pregunta
Eosinophils and Basophils respond in allergic reactions and parasitic infections
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?
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
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
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
Pregunta 21
Pregunta
Normal or low reticulocyte count with anemia indicates all of the following EXCEPT
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
Respuesta
-
all proteins available for binding to iron
-
the major iron-storage protein
-
quantity of iron bound to transferrin
Pregunta 25
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?
Pregunta 27
Pregunta
What is the major iron-storage protein?
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:
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?
Pregunta 34
Pregunta
All of the following are found in sickle cell disease except?
Pregunta 35
Pregunta
What type of hemoglobin doesn't carry oxygen well?
Pregunta 36
Pregunta
What type of hemoglobin is found in people of Southeast Asian descent?
Pregunta 37
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 39
Pregunta
What test is used to differentiate hemolytic anemia into hereditary spherocytosis or thalassemia?
Pregunta 40
Pregunta
Decreased osmotic fragility test indicates:
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 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:
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
Pregunta 59
Pregunta
In what disorder is the clotting mechanism inappropriately triggered producing thrombosis and hemorrhage?
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?
Pregunta 69
Pregunta
What would be high on your differential with bleeding in joints, muscle, and GI tract?