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Pathology - Systemic Pathology 1B
Pathology - Systemic Pathology 1B
29
Pathology
Professional
04/22/2013

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Term
How to differentiate if megaloblastic anemia is caused by B12 or folate ?
Definition
Measure methylmalonic acid or
Check RBC folate or
Serum B12
Term
One health complication that is common to any type of anemia ?
Definition
High output cardiac failure
Term
In Vitamin B12 deficiency, does methylmalonyl acid and homocysteine increase or decrease ?
Definition
Both increase
Term
Dry tap ?
Definition
In a bone marrow aspirate, you don't get any material.
Ex) In aplastic anemia, you do dry tap and only get fat cells
Term
Most common cause of aplastic anemia ?
Definition
Idiopathic
Term
Translocation and oncogene for Burkitt's Lymphoma ?
Definition
(8;14) translocation and c-myc oncogene
Term
"Starry sky" pattern of cells seen in what lymphoma ?
Definition
Burkitt's Lymphoma
Term
Markers for Burkitt's Lymphoma ?
Definition
CD10, CD19, CD20, Surface IgM
Term
Markers for CLL ?
Definition
CD5+ CD19 CD20
Term
Markers for Hairy Cell Leukemia ?
Definition
CD11c and CD103
Term
Most common complication of multiple myeloma is ?
Definition
Acute renal failure
Term
Hypercalcemia seen in multiple myeloma ?
Definition
Yes
Term
You see tear-drop cells (dacrocytes) where ?
Definition
In primary myelofibrosis
Term
Normal myeloid : erythroid ratio is ?
Definition
3 : 1
Is a bone marrow index that is used in diagnosing disease
Reversed ratio is in hemolytic anemia
Term
Characteristics of Hereditary Spherocytosis ?
Definition
Aut. Dominant
Increased MCHC
Ankyrin is most common protein
Can see pigment gall stones
Osmotic Fragility test
Negative Coombs test
Trt is splenectomy (eliminates anemia but still have spherocytes)
Howell Jolly bodies after splenectomy
Term
Most common risk factor for G6PD deficiency ?
Definition
Infection
Term
G6PD is what type of genetic disorder ?
Definition
X-linked recessive disorder
Term
Heinz bodies are seen in G6PD and Alpha Thalassemia ; what stain can be used to see them ?
Definition
Supravital stain or Crystal blue stain

Also see bite cells
Term
Most definitive test and trt for G6PD enzyme deficiency ?
Definition
G6PD enzyme assay at 1 month post-crisis

Trt is ony supportive therapy
Term
What is rare in G6PD deficiency ?
Definition
Splenomegaly and gall stones
Term
What test can you do to diagnose PHN (Paroxysmal Nocturnal Hemoglobinuria) ?
Definition
Ham's test
Term
Schistocytes and helmet cells seen where ?
Definition
Microangiopathic Haemolytic Anemia
Term
What is sodium metabisulphate ?
Definition
Is used in reduction test to diagnose sickle cells
Term
Howell Jolly inclusions and basophilic Stippling are both seen in what disorder ?
Definition
Megaloblastic anemia
Term
What stains positive for PAS and TDT ?
Definition
ALL
Term
Bone marrow biopsy shows what in apalastic anemia ?
Definition
Hypocellular marrow
Term
Pre-T cells in ALL have what mutation ?
Definition
NOTCH 1
Term
Characteristics of Haemophilia A ?
Definition
X-linked recessive
Factor 8 deficiency (intrinsic pathway)
Prolonged PTT
Term
Prolonged PTT and prolonged bleeding time is seen in ?
Definition
vWF deficiency
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