PANCE: Hematology

Description

Quiz on PANCE: Hematology, created by lwashing13 on 02/09/2015.
lwashing13
Quiz by lwashing13, updated more than 1 year ago
lwashing13
Created by lwashing13 about 9 years ago
5
2

Resource summary

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
  • abdominal pain
  • jaundice
  • long bone pain
  • 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
  • jaundice
  • long bone pain
  • 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
  • pernicious anemia
  • iron deficiency anemia
  • folate deficiency
  • 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
  • Iron deficiency anemia
  • pernicious anemia
  • folate deficiency
  • 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
  • iron deficiency anemia
  • folate deficiency
  • 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
  • Iron deficiency
  • Vitamin B12 deficiency
  • Alpha-thalassemia
  • 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?
Answer
  • Phlebotomy
  • Low dose heparin injections
  • IM steroid injections monthly
  • Supportive

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
  • chondroblastoma
  • multiple myeloma
  • osteoporosis
  • amyloidosis

Question 9

Question
Which type of leukemia is associated with the Philadelphia chromosome?
Answer
  • ALL
  • CLL
  • AML
  • CML

Question 10

Question
Which type of leukemia is associated with auer rods?
Answer
  • ALL
  • AML
  • CLL
  • CML

Question 11

Question
Terminal deoxynucleotidyl transferase is diagnostic for which type of leukemia?
Answer
  • AML
  • ALL
  • CML
  • CLL

Question 12

Question
A patients blood smear reveals normal and hypochromic cells along with basophilic stippling. What type of anemia is this?
Answer
  • Sideroblastic
  • Iron deficiency
  • Folate Deficiency
  • B12 deficiency
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