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HEMATOLOGY
  • Yves Laure Pimentel

  • 問題数 100 • 3/16/2024

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    問題一覧

  • 1

    Last coag factor in extrinsic and intrinsic pathway

    Factor I

  • 2

    Last coag in extrinsic and intrinsic pathway

    factor 2

  • 3

    Affected by coumadin

    Factor VII

  • 4

    Factor Affected by coumarin

    Factor VII

  • 5

    Affected by warfarin

    Factor VII

  • 6

    Affected by brodifacoum

    Factor VII

  • 7

    Affected by superwarfarin

    Factor VII

  • 8

    The function of thromboplastin in the prothrombin test is to provide _____ to the assay

    Phospholipoprotein

  • 9

    Not detected by PT or PTT

    Platelet factor Factor XIII

  • 10

    LASER –

    Light Amplified by Stimulated Emission of Radiation

  • 11

    Lifespan of platelet is

    8 to 12 days/ 9 to 10 days

  • 12

    RBC transfusion is primarily to:

    Increase Oxygen carrying capacity

  • 13

    Appropriate test for PNH

    Sucrose hemolysis If may FLOW CYTOMETRY sa choices, then flow cytometry answer

  • 14

    X-linked or sex-linked hemophilia -> Occurs in MALE X chromosome

    Hemophilia A Hemophilia B

  • 15

    FFP and CP are NOT USED in ANY platelet disorder example is ______

    ITP

  • 16

    Unique to platelet

    Open canalicular system

  • 17

    Immature RBC without nucleus

    Reticulocytes

  • 18

    Migrate with Hemoglobin E

    Hb C

  • 19

    Acute Hyperemia

    Blushing

  • 20

    control of cellular function and transmission of genetic information

    DNA

  • 21

    DNA Replication:

    : S phase

  • 22

    : : S phase

    DNA Replication

  • 23

    Division of the cellular cytoplasm

    Cytokinesis

  • 24

    the cells produced contain 23 chromosomes

    Meiosis

  • 25

    Meiosis the cells produced contain ? chromosomes

    23

  • 26

    first inherited hematologic disorder to be diagnosed using molecular biologic assay

    Sickle cell anemia

  • 27

    use to amplifies low levels of specific DNA sequences

    PCR

  • 28

    considered to be the “gold standard” of molecular methods

    DNA sequencing

  • 29

    cytokines for stem cell mobilization

    GCSF and GM-CSF

  • 30

    Stem cell CD marker

    CD34

  • 31

    Unstable Hb Portland 2 CONTAINS?

    2 Zeta and 2 Beta

  • 32

    Unstable Hb 2 Zeta and 2 Beta

    Portland 2

  • 33

    LOCATION OF TPO production

    Liver

  • 34

    Liver ? production

    TPO

  • 35

    PASSWORD CESS Increase platelet Increase WBC Increase cell inclusion Increase spherocytes

    Splenectomy

  • 36

    Splenectomy Increases? (4)

    Increase platelet Increase WBC Increase cell inclusion Increase spherocytes

  • 37

    the most frequently used site for bone marrow aspiration and biopsy

    iliac crest

  • 38

    - bone marrow failure syndrome/empty and hypoplastic bone marrow

    Aplastic Anemia

  • 39

    -failure to produce RBC, WBC, and platelets (pancytopenia)

    Aplastic Anemia

  • 40

    -lymphocyte production is less affected

    Aplastic Anemia

  • 41

    - is the drug most often implicated in acquired aplastic anemia

    Chloramphenicol

  • 42

    - Chloramphenicol is the drug most often implicated in

    acquired aplastic anemia

  • 43

    -decrease ESR

    aplastic anemia

  • 44

    -JAK 2 mutation

    Polycythemia vera

  • 45

    -Pancytosis (accd to Harr, it should be panmyelosis)

    Polycythemia vera

  • 46

    -Increase ESR

    Polycythemia vera

  • 47

    Polycythemia vera - ESR?

    Increase

  • 48

    Aplastic Anemia - ESR?

    decrease

  • 49

    -Increase RBC mass/count

    Polycythemia

  • 50

    decrease Vit B12 or folate or both

    Megaloblastic anemia

  • 51

    -Treatment with folic acid improves hematologic abnormalities but not neurologic problems

    Megaloblastic anemia

  • 52

    Megaloblastic anemia -Treatment with ? improves hematologic abnormalities but not neurologic problems

    folic acid

  • 53

    - – lack of castle intrinsic factor leading to LOW VIT B12 ABSORPTION

    Pernicious anemia

  • 54

    -Pernicious anemia – lack of ? factor leading to LOW VIT B12 ABSORPTION

    castle intrinsic

  • 55

    -parasite – causes Megaloblastic anemia, low Vit B12, Macrocytosis

    D.latum

  • 56

    -D.latum – causes (3)

    Megaloblastic anemia, low Vit B12, Macrocytosis

  • 57

    Hallmark of Megaloblastic anemia

    Hypersegmented neutrophil

  • 58

    Hypersegmented neutrophil Hallmark of

    Megaloblastic anemia

  • 59

    Hypersegmented neutrophil (nucleus ?)

    greater than 6 lobes

  • 60

    Lab findings in Megaloblastic anemia

    Ovalocytes and Pancytopenia

  • 61

    Differential test between Vit B12 deficiency and Folate deficiency

    Serum methylmalonic acid

  • 62

    Differentiate between Vit B12 deficiency and Folate deficiency

    Normal in folate def High in Vit B12 def

  • 63

    Beginning of Hb formation

    Pronormoblast

  • 64

    first hemoglobin-synthesizing cell (hubbard)

    Pronormoblast

  • 65

    Detectable of Hb synthesis

    Basophilic normoblast

  • 66

    -Hemoglobin appears for the first time

    Polychromatic normoblast

  • 67

    -the first stage in which the pink color associated with stained hemoglobin can be seen

    Polychromatic normoblast

  • 68

    - Last stage capable of mitosis

    Polychromatic normoblast

  • 69

    Last nucleated stage (RBC)

    Orthochromic normoblast

  • 70

    is SLIGHTLY HIGHER in Polychromasia or reticulocytosis

    MCV

  • 71

    MCV is SLIGHTLY HIGHER in ? or ?

    Polychromasia or reticulocytosis

  • 72

    1. Numerous NRBCs 2. Pronounced POlychormasia 3. Decreased Hb and HCT

    Red cell regeneration

  • 73

    Stain for Reticulocytes

    Methylene blue

  • 74

    is used for Reticulocyte count

    Miller disc

  • 75

    Miller disc is used for ?

    Reticulocyte count

  • 76

    RBC characteristics um

    6-8

  • 77

    RBC characteristics thickness

    140 um2

  • 78

    RBC characteristics average volume

    90fl

  • 79

    RBC characteristics color

    Pink

  • 80

    RBC characteristics Pallor:

    1/3 of the cell

  • 81

    RBC characteristics Average lifespan:

    120 days

  • 82

    RBC characteristics Low RBC (only) with normal WBC and platelet

    B ICE PAC Blackfan anemia/Congenital red Imperfecta/Chronic Cell aplasia/Joseph Diamond Erythroblastopenia/primary red Pure red cell anemia/Diamond Anemia/Erythrogenesis Cell aregenerative

  • 83

    AKA/Congenital red

    Blackfan anemia

  • 84

    AKA//Chronic

    Imperfecta

  • 85

    AKA/Imperfecta

    Chronic

  • 86

    blackfan anemia/

    Congenital red

  • 87

    anemia/

    Erythrogenesis

  • 88

    /Erythrogenesis

    anemia

  • 89

    /primary red

    erythroblastopenia

  • 90

    erythroblastopenia/

    primary red

  • 91

    cell aplasia/

    Joseph Diamond

  • 92

    /Joseph Diamond

    cell aplasia

  • 93

    Bizarre multinucleated erythroblasts,

    Congenital dyserythropoietic anemia

  • 94

    , increased unconjugated bilirubin, and ineffective

    Congenital dyserythropoietic anemia

  • 95

    Anaerobic ATP production

    EMP

  • 96

    Production of glutathione that detoxifies peroxide

    HMS

  • 97

    Reduce ferric to ferrous

    MRS (methemoglobin reductase shunt/pathway)

  • 98

    deficiency ? -bite cell

    G6PD deficiency

  • 99

    -Hemolysis by fava beans and primaquine

    G6PD deficiency

  • 100

    G6PD deficiency -Hemolysis by ? and ?

    fava beans and primaquine