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Hematology
Quick Review of Hematology
158
Medical
Professional
10/15/2009

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Term
Question/Issue
Definition
Answer/Fact
Term
Calculation for WBC estimate
Definition
Avg x 3000
Term
Calculation for platelet estimate
Definition
Avg x 20000
Term
Target cells seen in what 3 things
Definition
"liver disease, thalassemia, hemoglobinopathies"
Term
Basophilic stippling due to
Definition
precipitated RNA
Term
Maturation sequence of PMN
Definition
"blast, promyelocyte, myelocyte, metamyelocyte, band, PMN"
Term
LAP test distinguishes which 2 things
Definition
Leukemoid RXN (+) from CML (-)
Term
What is a reflection of total body iron stores
Definition
serum ferritin
Term
What 2 diseases associated with cold autoimmune HA
Definition
mycoplasma pneumonia and mono
Term
What 2 RBC abnormalities are present in iron def anemia
Definition
aniso/poikilocytosis
Term
Alpha globin gene loci on which chromosome
Definition
16
Term
Tx for sideroblastic anemia
Definition
pyridoxine in large doses
Term
MCV=
Definition
Hct/RBC count
Term
MCHC=
Definition
Hgb/Hct
Term
"Chipmunk fascies, spontaneous fractures, hair on end of skull xray"
Definition
B thal major
Term
Ring sideroblasts in a plumber
Definition
Lead overload blocking heme synthesis (ALA synthase)
Term
What RXNs does B12 help
Definition
"Homocysteine--> Methionine, Methylmalonyl CoA--> succinyl CoA"
Term
Deficiency of B12 results in what?
Definition
Trapping of THF as 5'mTHF
Term
Megaloblastic anemia of infancy caused by
Definition
Deficiency of Transcobalamin II (peripheral tissues)
Term
What is increased in the urine of B12 deficient patients
Definition
Methylmalonic acid (homocysteine also in Folate deficit)
Term
What is the side effect of B12 IM injections?
Definition
Sudden drop in serum K+
Term
Chronic exposure to what causes excessive oxidation of cobalamins?
Definition
Nitric Oxide
Term
Replace blood volume and O2 carrying capacity
Definition
Whole blood (has no platelets/granulocytes)
Term
Increase 02 carrying capacity
Definition
RBCs
Term
Thrombocytopenia/thrombocytopathy
Definition
Platelet concentrate
Term
Cytapharesis products
Definition
Platelets and Granulocytes
Term
What must be present to give granulocyte concentrate?
Definition
"Fever, neutropenia, bacterial infection, bone marrow hypoplasia"
Term
Labile/Stable coagulation factor replacement
Definition
Fresh Frozen Plasma
Term
Albumin/Plasma Protein Fraction
Definition
Volume expansion
Term
Blood donation tested for
Definition
"HIV, HBS/C, Hep C, p24, HTLV, Syphillis"
Term
Febrile Nonhemolytic RXN and Tx
Definition
"prev immun sensitization to donor WBCs,platelets,proteins;Tx:antipyretics (aspirin/tylenol)"
Term
"Flushing, itching, hives post transfusion; TX"
Definition
Allergic RXN TX: antihistamines prophylactically
Term
Infusions of IgA proteins into patient with Abs to IgA
Definition
Anaphylactic RXN
Term
Bilateral noncardiogenic pulmonary edema
Definition
TRALI TX with ventilatory support and steroids
Term
G6PD deficiency leads to the formation of
Definition
Heinz Bodies by oxidation of Hgb in RBCs
Term
Drugs related to acquired hemolytic anemias
Definition
"PCN, quinidine, alpha-methyldopa"
Term
What does parvovirus B19 target
Definition
P antigen on RBC precursors in BM
Term
Which G6PD type is positive for favism
Definition
Mediterranean
Term
What tests for G6PD deficiency
Definition
Rapid flourescent screening test
Term
Abnormal autohemolysis test not corrected with glucose
Definition
Pyruvate Kinase deficiency
Term
Sickle Cell osteomyelitis caused by
Definition
S. aureus and Salmonella
Term
Characteristics of Hg C trait and disease
Definition
"Target cells, Hemoglobin C crystals"
Term
Which proteins' bindings are affected in PNH
Definition
CD55 and CD59
Term
Tx for PNH
Definition
Eculizumab (against C5)
Term
Protein C/S inhibit
Definition
Va and VIIIa
Term
antithrombin III inactivates
Definition
Thrombin and Xa
Term
2 types of granules in platelets
Definition
Alpha granules and Dense Bodies
Term
Vit K dependent Factors
Definition
"2,7,9,10, Protein C and S"
Term
normal PT and aPTT in
Definition
Thrombocytopenia
Term
Abnormal PT and aPTT in
Definition
DIC
Term
5 signs of TTP
Definition
"HA, thrombocytopenia, fever, renal damage, neurological changes"
Term
Which bacteria associated with HUS
Definition
E coli 0157:H7
Term
Pathology of Factor V Leiden
Definition
Factor Va cannot be inactivated by Protein C
Term
Defective GPIb-IX-V platelet membrane receptor
Definition
Bernard Soulier syndrome
Term
Defeciency of GPIIb-IIIA platelet receptor
Definition
Glanzmann's thrombasthenia
Term
TTP pathogenesis
Definition
deficiency of vWF cleaving mettaloprotease (ADAMTS13)
Term
Tx for vWD
Definition
Desmopressin (DDAVP) which induces release of vWF
Term
Only factor not decreased in liver disease
Definition
8
Term
Most common cause of inherited thrombophilia
Definition
Factor V Leiden
Term
What is the mechanism of warfarin induced skin necrosis
Definition
decreased protein C levels
Term
Antiphospholipid antibody interferes with what?
Definition
PTT
Term
"Livedo reticularis, sneddon's syndrome"
Definition
Antiphospholipid antibody (lupus anticoagulant)
Term
What is released from platelets in the release RXN
Definition
ADP
Term
What activates Protein C
Definition
Thrombin
Term
Circulating plasmin inactivated by
Definition
a2-antiplasmin
Term
Plasmin dissolves
Definition
"fibrin, factors 1, 5, 7"
Term
Thrombolytic antagonists (2)
Definition
aminocaproic and tranexamic acid
Term
Definitive evidence of myeloid leukemia
Definition
Auer rods
Term
Genetic abnormality seen in M1 AML
Definition
"t(9,22)- 10-15%"
Term
Genetic abnormality seen in M2 AML
Definition
"t(8,21)- associated with better prognosis"
Term
AML with abundance of auer rods
Definition
M3
Term
"M3 presents with, genetic abnormality and Tx"
Definition
"DIC, t(15,17) and Vit A (retinoic acid)"
Term
M4eo genetic change
Definition
Chr 16 inversion- better prognosis
Term
AML with gum bleeding
Definition
M5
Term
M6 chr abnormalities
Definition
5 or 7
Term
M7 increased incidence w
Definition
Down Syndrome
Term
abnormality of 1-3 cell lines
Definition
myelodysplastic syndrome
Term
myelodysplastic syndrome most commonly effects which cell line
Definition
erythrocytic
Term
Type of myelodysplastic syndromes
Definition
Refractory anemia/with ringed sideroblasts/with excess blasts
Term
Chromosome anomaly with myelodysplastic syndromes
Definition
5 or 7
Term
4 myeloproliferative disorders
Definition
"CML, PV, ET, myelofibrosis"
Term
Genetic abnormality w CML
Definition
"t(9,22) Philly"
Term
Tear drop RBCs
Definition
Primary myelofibrosis
Term
Induction therapy for AML
Definition
anthracycline + cytarabine
Term
Poor prognosis for AML
Definition
Monosomy 7/5
Term
Blasts in spinal fluid only in which AML
Definition
M5
Term
M5 genetics
Definition
11q23 translocation
Term
Secondary AML genetics
Definition
"Chr 5,7,8"
Term
Secondary AML Tx
Definition
allogeneic stem cell transplant
Term
Possible Myelodysplastic Tx
Definition
"5-azacytidine, decitabine, lenalidomide"
Term
"Point mutation often seen with PV, ET, MF"
Definition
Jak2 gene
Term
Tx for CML
Definition
Imatinib (inhibits bcr-abl tyrosine kinase
Term
EBV associated w/
Definition
Burkitt and Hodgkin lymphoma
Term
What is the low grade and high grade B cell lymphoma
Definition
L: follicular; H: Burkitt
Term
B cell lymphomas express
Definition
Kappa or Lambda light chain but NOT both
Term
Burkitt genetics
Definition
"t(8,14)"
Term
Follicular Lymphoma
Definition
"t(14,18) (IgH bcl2)"
Term
NHL characteristics
Definition
"Disseminated, non-contiguous, Waldeyer and mesenteric, histo subtype important"
Term
CLL/SLL locations
Definition
"Peripheral blood, BM/Lymph node"
Term
Passes through germinal center
Definition
expresses CD10
Term
"Lymphocytosis, CD5+, and ?"
Definition
Smudge cell=CLL (B Cells)
Term
CLL may transform to
Definition
Richter's syndrome (Large B cell lymphoma)
Term
"Lack of tingible body macrophages, CD10+, lymphadenopathy"
Definition
Follicular lymphoma
Term
MALT can be caused by
Definition
H Pylori infection of stomach
Term
Rapidly enlarging symptomatic mass
Definition
diffuse large B cell lymphoma
Term
"CD5+, cyclin D1"
Definition
"Mantle Cell Lymphoma (aggressive, chemo resistant)"
Term
Mantle Cell Lymphoma genetics
Definition
t(11;14)
Term
Burkitt characteristics
Definition
"Starry sky, tingible body macrophages, CD10+, 20+, sIg+"
Term
Peripheral T cell immuno markers
Definition
"CD3+, TdT-"
Term
Mycosis Fungoides immuno markers
Definition
"CD3+, 4+, 7-, (T cell)"
Term
Adult T cell lymphoma/leukemia associated w/
Definition
HTLV-1
Term
Thrombocytopenia in children w/ bone pain
Definition
ALL
Term
favorable genetics in ALL
Definition
"hyperdiploidy, Philly unfavorable"
Term
B-ALL immuno markers
Definition
"CD 10+,19+,20+,34+, TdT+"
Term
T-ALL immuno markers
Definition
"CD2+,3+,7+, TdT+"
Term
Mediastinal Mass and cervical lymphadenopathy
Definition
HL
Term
When is pain felt for HL
Definition
after drinking alcohol
Term
Reed Sternberg immuno markers
Definition
"CD 10-,20-15+,30+, LCA-"
Term
Lacunar Cell
Definition
Nodular Sclerosis HL
Term
Reed Sternberg Cell
Definition
Mixed cellularity HL
Term
Popcorn Cell
Definition
Nodular Lymphocyte Predominant HL
Term
Nodular Lymphocyte Predominant HL immuno markers
Definition
"CD15-,30-,20+, LCA+"
Term
M protein
Definition
monoclonal Ig in serum
Term
Waldenstrom Macrglobulinemia
Definition
"IgM secretion, incurable"
Term
What is commonly mutated in MTC
Definition
ret gene
Term
Most common CF mutation
Definition
F508
Term
CF PCR Probe only matches w/
Definition
mutant DNA
Term
Increase risk of thrombosis w/ Factor 5 Leiden
Definition
Estrogens
Term
PET scans with lymphoma for
Definition
following response to therapy
Term
Diffuse Large B Cell Lymphoma Tx
Definition
Rituximab
Term
Indolent NHL Tx
Definition
Chlorambucil
Term
Pautrier's abscesses
Definition
Mycosis Fungoides
Term
Cloverleaf/Flower Like lymphocytes
Definition
Adult T cell Lymphoma/leukemia
Term
Adult T cell lymphoma/leukemia Tx
Definition
allogeneic stem cell transplant
Term
CRAB w/
Definition
"MM (hypercalcemia, renal failure, anemia, bone lesions)"
Term
MM Tx
Definition
"Corticosteroids (decadrine), thalidomide"
Term
WM Tx
Definition
"plasmaphersis, chemo and rituximab"
Term
B cell with hypogammaglobulinemia
Definition
CLL
Term
Kidney bean looking
Definition
Hairy cell leukemia
Term
CLL staging
Definition
"lympocytosis,+enlarged nodes,+enlarged spleen/liver,+anemia,+thrombocytopenia"
Term
CLL Tx
Definition
"cyclophosphamide, fludarabine, rituximab"
Term
ALL bad prognostic indicator and Tx
Definition
"Philly Chr, allogeneic stem cell transplant"
Term
Chemotherapy that causes blood in urine
Definition
"cyclophosphamide, ifosfamide"
Term
Chemotherapy that causes pumonary infiltrates and fibrosis
Definition
Busulfan
Term
Chemo that causes ringing in the ears
Definition
Cisplatin
Term
Fluorouracil binds these
Definition
Thymidylate synthase and methylene tetrahydrofolate
Term
Chemo that causes hand-foot syndrome
Definition
capecitabine
Term
6-mercaptopurine accumulates with this mutation
Definition
TPMT enzyme
Term
Chemo with red urine (not blood)
Definition
Doxorubicin
Term
Two chemo drugs with cardiac toxicity
Definition
Doxorubicin and Epirubicin
Term
Chemo with low BM toxicity
Definition
Bleomycin (but high pulmonary toxicity) and Vincristine
Term
Chemo with foot drop and motor dysfunction
Definition
Vincristine
Term
Chemo with weakening of heart muscle
Definition
Trastubzumab
Term
Normal PT and abnormal PTT
Definition
"Defect in factor 8,9,10,11, heparin therapy"
Term
Elevation of PT w/ normal PTT
Definition
"Vit K deficiency, Warfarin Therapy, Liver disease"
Term
Stem Cell immuno markers
Definition
CD34+
Term
Identical twin stem cell transplant
Definition
Syngenic Transplant
Term
Improves engraftment in patient with aplastic anemia
Definition
Antithymocyte globulin
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