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Quiz on PANCE: Hematology, created by lwashing13 on 02/09/2015.

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PANCE: Hematology

Question 1 of 12

1

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?

Select one of the following:

  • abdominal pain

  • jaundice

  • long bone pain

  • painless hematuria

Explanation

Question 2 of 12

1

A 25 year old with sickle cell anemia plans to participate in a marathon. She is likely to experience all of the following EXCEPT

Select one of the following:

  • abdominal pain

  • jaundice

  • long bone pain

  • painless hematuria

Explanation

Question 3 of 12

1

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?

Select one of the following:

  • pernicious anemia

  • iron deficiency anemia

  • folate deficiency

  • B-thalassemia minor

Explanation

Question 4 of 12

1

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?

Select one of the following:

  • Iron deficiency anemia

  • pernicious anemia

  • folate deficiency

  • Alpha- Thalassemia

Explanation

Question 5 of 12

1

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?

Select one of the following:

  • pernicious anemia

  • iron deficiency anemia

  • folate deficiency

  • B-thalassemia minor

Explanation

Question 6 of 12

1

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?

Select one of the following:

  • Iron deficiency

  • Vitamin B12 deficiency

  • Alpha-thalassemia

  • folate deficiency

Explanation

Question 7 of 12

1

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?

Select one of the following:

  • Phlebotomy

  • Low dose heparin injections

  • IM steroid injections monthly

  • Supportive

Explanation

Question 8 of 12

1

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?

Select one of the following:

  • chondroblastoma

  • multiple myeloma

  • osteoporosis

  • amyloidosis

Explanation

Question 9 of 12

1

Which type of leukemia is associated with the Philadelphia chromosome?

Select one of the following:

  • ALL

  • CLL

  • AML

  • CML

Explanation

Question 10 of 12

1

Which type of leukemia is associated with auer rods?

Select one of the following:

  • ALL

  • AML

  • CLL

  • CML

Explanation

Question 11 of 12

1

Terminal deoxynucleotidyl transferase is diagnostic for which type of leukemia?

Select one of the following:

  • AML

  • ALL

  • CML

  • CLL

Explanation

Question 12 of 12

1

A patients blood smear reveals normal and hypochromic cells along with basophilic stippling. What type of anemia is this?

Select one of the following:

  • Sideroblastic

  • Iron deficiency

  • Folate Deficiency

  • B12 deficiency

Explanation

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