Clin Skills Heme/Onc pt 1

a form of acquired hemolytic anemia is

a pt presents to you and states that they have been having cravings for ice and dirt lately. what is this called?

as mentioned per class disseminated late or untreated tick bites with associated lyme dz will lead to problems with all of the following except what?

an ANC calculation of 500-1000 is a ___________ risk for infections

normal Vit B12 levels are

normal values of Serum Folate in an adult range?

on physical exam of a pt, you could potentially see all of the following except

a platelet count of ______ is considered thrombocytosis

In Anemia of Chronic Dz (ACD) what lab value will be elevated?

basophilic stippling should make you think about

an elevated PT may be due to a deficency of which clotting factor?

mean corpuscular HGB concentration measures

a positive D-dimer test

normal reticulocyte range is __________% of total RBC

lymphocytes acount for what percent of WBC's?

a pt presents with mucocutaneous bleeding, spontaneous bruising, nose bleeds and petechiae. he has recently had a viral infection. PE, CBC and PT/PTT do not show other causes of isolated thrombocytopenia. what kind of thrombocytopenia does this pt have

a pt presents with a feeble pulse bilaterally, sunken eyes, dry mucousla membranes, decreased turgor and prominent intestinal sounds. midway through your exam the pt darts out of the room to use the lavoratory. as you read the history you not the pt just returned from a trip to a central america country. what does this pt have?

if a pt presents with unexplained bruising or bleeding, is on IV heparin therapy or presurgical what clotting test would you order?

a decreased level of Fibrinogen (factor 1) is associated with....

a pt present with a known inhibition of the ADAMTS13 enzyme. Like a pro you know that this is the enzyme responsible for cleaving the von Willebrand factor into smaller units. Untreated this can lead to Grand Mal Seizures. what thrombocytopenic problem does this pt have?

an increase in eosinophils count can mean a potential _______ infection

a normal non-Warfarin INR range is?

in Iron Deficiency Anemia (IDA) what lab value will be high?

the aPTT measures the?

after a night out to a sketchy restaurant, a pt presents with a moderate fever, bloody diarrhea, N/V, abdominal cramps and fatigue. with exam you hear hyperactive bowel sounds, abdominal TTP (tenderness to palpation) and delayed cap refill.

low Vit B12 or Folica Acid leads to what RBC problem?

a pt returns from a cave exploration trip in New Mexico and presents with fever, myalgias, SOB, chills and malaise. he has had worsening flu like symptoms over the past 72 hours with a temp running in the high 102's. An xray returns and shows bilateral hilar lymphadenopathy. what is this pts diagnosis?

the most common cause of anemia is?

whay is released form the kidneys when oxygen decreases in the blood to signal bone marrow to start more RBC production?

an example of a Granulocyte is?

normal range for serum ferritin is?

on a blood smear for hemolytic anemia you would expect to find?

Mean corpuscular value measures what?

Disseminate intravascular coagulation is caused by?

a prolonged bacterial infection of the upper respiratory tract characterized by paroxysms of an intense cough

another way of putting it, MCH measures what

this type of cell produces thrombocytes

a pt presents with a transferrin saturation of 62% is this

if the TIBC is high what possible problem could the patient have/be causing this?

the average lifespan of a RBC is aprox _______ days

Mean corpuscular hemoglobin measures

this test measures the variation in size of RBC. it may be useful in separating IDA and thalassemia minor. Reference range is 11-14.5%

normal Hgb for men __________g/dL; for women _________g/dL

which of the following is not one of the 4 processes involved in clot formation

a pt presents complaining of severe h/a and cough. she has radiating neck pain. she works at the local zoo in the aviary attraction. you send her away for xrays and see reticular nodular infiltrates on the xray. what is the most likely infection?

PT or prothrombin time measures what

if a platelet count returns and the value is 550,000, what would this mean is occurring with the pt?

a 26 y/o male present with body fatigue with associated muscle aches and h/a. social history shows that he is a crazy cat man and live with 20-30 cats but he cant remember all of them. what is the probable cause of this guys sickness?