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ABIM Heme/ Onc questions with 100% correct answers graded A+ already passed
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ABIM Heme/ Onc questions with 100% correct answers graded A+ already passed
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ABIM Heme/ Oncvitiligo, recurrent sinusitis, hx of pneumonias - correct answer ✔✔Common Variable Immunodeficiency
impaired B-cell differentiation & Ig production
= recurrent infections & low antibody levels - correct answer ✔✔Common Variable Immunodeficiency
infections
chronic lung disease
low immunoglobulin levels
poor response to vaccinations - correct answer ✔✔Common Variable Immunodeficiency
nasal polyposis
otitis
recurrent respiratory infections
situs inversus
infertility - correct answer ✔✔Primary ciliary dyskinesia
fibro-inflammatory disease causing fibrosis & tumor-like swelling of affected organs - correct answer
✔✔IgG4-related disease
generalized LAD
pancreatitis
sclerosing cholangitis
b/l salivary & lacrimal gland enlargement without sicca - correct answer ✔✔IgG4-related disease
CBC in IgG4-related disease - correct answer ✔✔eosinophilia
,diagnose IgG4-related disease - correct answer ✔✔peripheral eosinophilia
elevated serum IgG4
tissue biopsy: IgG4-positive plasma cells
treat IgG4-related disease - correct answer ✔✔glucocorticoids
--> if refractory: Azathioprine, Mycophenolate mofetil, Rituximab
blood products for IgA deficiency - correct answer ✔✔washed red cells
irradiated red cells are for: - correct answer ✔✔bone marrow transplant
cellular immunodeficiency
blood donated by 1st or 2nd-degree relatives
leukoreduced red cells are for: - correct answer ✔✔chronically transfused patients
CMV negative at-risk Pts [AIDS, transplant]
transplant recipients
previous Febrile nonhemolytic transfusion reaction
severe reaction to bee sting
-upon discharge, need to - correct answer ✔✔refer for immunotherapy
60% of Pts with anaphylaxis from previous sting will have anaphylaxis on repeat sting
,sneezing
watery nasal discharge
pale turbinates - correct answer ✔✔Allergic rhinitis
treat Allergic rhinitis - correct answer ✔✔nasal corticosteroid spray
-Flonase
turbinates - correct answer ✔✔
PESI = PE Severity Index score - correct answer ✔✔used to determine inpatient vs outpatient treatment
treat PE with PESI score <65 - correct answer ✔✔Apixaban/ Eliquis
~or
Rivaroxaban/ Xarelto
med used to improve quality of life & decrease transfusion-associated iron overload - correct answer
✔✔Lenalidomide
eosinophilia + end-organ damage - correct answer ✔✔Hypereosinophilic syndrome
diagnose PE in pregnant Pt - correct answer ✔✔V/Q scan
ferritin - correct answer ✔✔iron storage
ferritin level consistent with iron deficiency anemia - correct answer ✔✔<15
reverse warfarin in Pt requiring urgent surgery - correct answer ✔✔4f-PCC
, [four-factor prothrombin complex concentrate]
4f-PCC contains - correct answer ✔✔2, 7, 9, 10
cryoprecipitate used to treat - correct answer ✔✔low fibrinogen
-in DIC or severe liver disease
FFP [Fresh Frozen Plasma] - correct answer ✔✔no longer the best option to reverse warfarin due to:
-timely in prep/ administration
-risk volume overload
unprovoked VTE
--> need to investigate further for: - correct answer ✔✔occult malignancy. Make sure to perform age-
appropriate screening tests
immature leukocytes with prominent granules in the cytoplasm - correct answer ✔✔Acute
promyelocytic leukemia
IgG monoclonal spike 0.7
serum free light chain assay & 24-hr urine protein electrophoresis normal - correct answer ✔✔MGUS
[Monoclonal Gammopathy of Undetermined Significance]
MGUS significance - correct answer ✔✔can progress to MM
M-spike level in MGUS that has a low risk of progression to MM - correct answer ✔✔<1.5
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