Exam (elaborations)
Haematology practice questions
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practice questions- systems based approach(HAEMATOLOGY)
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Hematology1. An elevated level of hemoglobin A2 in a 6. Which finding is NOT frequently found in
patient with mild microcytic anemia Chronic Myelogenous Leukemia (CML)?
suggests the diagnosis of: a) Elevated WBCs
a) Alpha-thalassemia b) Elevated vitamin B12 level
b) Sickle trait c) Elevated LDH
c) Beta-thalassemia d) Translocation between
d) Hereditary spherocytosis chromosomes 9 and 14
e) Hereditary persistence of fetal e) Increased uric acid level
hemoglobin
7. Schistocytes on blood film examination are
2. It is unlikely to see macrocytosis in a patient UNLIKELY to be seen in which of the
with anemia in which of the following? following:
a) Reticulocytosis a) Thrombotic thrombocytopenia
b) Vitamin B12 deficiency purpura (TTP)
c) Folate deficiency b) Thalassemia
d) Myelodysplastic syndrome c) Vasculitis
e) Sideroblastic anemia d) Disseminated intravascular
coagulation (DIC)
e) Glomerulonephritis
3. Hemolytic anemia is characterized by all of
the following EXCEPT:
a) Increased LDH 8. All of the following can INHIBIT the
b) Increased reticulocytosis absorption of ingested non-heme iron
c) Increased unconjugated bilirubin EXCEPT:
d) Increased haptoglobin a) Alcohol
e) Lead poisoning b) Achlorhydria
c) Phosphate (i.e. as found in milk)
d) Phytates (i.e. as found in cereals)
4. The treatment of choice for thrombotic e) Antacids
events in the antiphospholipid antibody
syndrome is:
a) Intravenous steroids 9. A 26 year old female presents to emergency
b) High-dose oral steroids with a rapid with widespread petechiae on her arms and
taper legs. Her past medical history is significant
c) Penicillamine for thyroid disease. Her lab values show
d) Aspirin hemoglobin of 115, WBC of 6.6 and platelet
e) Warfarin count of 9. INR and PTT are normal. What is
the most likely diagnosis?
a) ITP
5. All of the following are vitamin-K dependent b) TTP
proteins EXCEPT: c) HUS
a) Protein C d) VWD
b) Antithrombin III e) Iron deficiency anemia
c) Factor IX
d) Factor II
e) Factor VII
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