1Based on the provided notes on anemia, here is the complete, sequential set of flashcards following your strict formatting and content requirements.
2Identify the condition defined as the decrease below normal of the number of red blood cells, hemoglobin, or volume of packed red cells.
Anemia.
3Fill in the blank: The morphologic classification of anemias is based on ________ and MCHC.
MCV.
4Identify the morphologic classification where both MCV and MCHC are normal.
Normocytic, normochromic anemias.
5Enumerate three normocytic, normochromic conditions associated with a normal or decreased reticulocyte count.
1-Aplastic anemia, kidney disease, and acute blood loss.
6Enumerate five normocytic, normochromic conditions associated with an increased reticulocyte count.
1-PNH, Donath-Landsteiner PCH, sickle cell disease, hemolytic anemia, and enzyme deficiencies like G6PD or PK def.
7Identify the rare but potentially deadly bone marrow failure syndrome characterized by a decrease in the number of RBCs, WBCs, and platelets.
Aplastic anemia.
8Identify the primary cause of aplastic anemia involving the depletion of specific cells.
Hematopoietic stem cells.
9Fill in the blank: Approximately 80% to 85% of aplastic anemia cases are classified as ________ aplastic anemia.
Acquired.
10Identify the category of acquired aplastic anemia that has no known cause.
Idiopathic acquired aplastic anemia.
11Enumerate three identified causes of secondary acquired aplastic anemia.
1-Chemicals (insecticides, benzene), viruses (Epstein-Barr), and drugs.
12Identify the specific drug most frequently implicated in acquired aplastic anemia.
Chloramphenicol.
13Enumerate two diseases associated with the 15% to 20% of inherited aplastic anemia cases.
1-Dyskeratosis congenita and Shwachman-Bodian-Diamond syndrome.
14Identify the most common inherited aplastic anemia which is also a chromosome instability disorder.
Fanconi Anemia (FA).
15Enumerate three specific skeletal abnormalities associated with Fanconi Anemia.
1-Thumb malformations, microcephaly, and scoliosis.
16Identify the specific skin pigmentation characteristic of Fanconi Anemia.
Café-au-lait lesions.
17True or False: Fanconi Anemia is the same as Fanconi Syndrome.
False.
18Identify the condition also known as Marchiafava-Micheli Syndrome.
Paroxysmal Nocturnal Hemoglobinuria (PNH).
19Enumerate the two specific complement regulatory proteins (and their CD numbers) that are deficient in PNH.
1-DAF (CD55) and MIRL (CD59).
20Fill in the blank: Without complement regulatory proteins, the body will ________ its own cells.
Lyse.
21Enumerate three specific laboratory tests used for PNH diagnosis.
1-Ham's Acidified Serum Test, Sugar Water Test, and Flow cytometry.
22Identify the specific reagent used in flow cytometry for PNH that is a fluorescent labelled proaerolysin variant.
FLAER.
23Identify the morphologic classification where both MCV and MCHC are low, showing small cells with increased central pallor.
Microcytic, hypochromic anemias.
24Identify the specific deficiency that results in microcytic anemia by failing to maintain normal erythropoiesis.
Iron level.
25Enumerate the conditions using the acronym CTAILS for microcytic, hypochromic anemias.
1-Chronic blood loss, Thalassemia, Anemia of chronic inflammation, Iron deficiency anemia, Lead poisoning, and Sideroblastic anemia.
26Identify the most common anemia among hospitalized patients, formerly known as ACD.
Anemia of chronic inflammation (ACI).
27Identify the central feature of ACI characterized by decreased serum iron despite abundant iron stores.
Sideropenia.
28Enumerate the three acute phase reactants (APRs) that contribute to ACI.
1-Hepcidin, Ferritin, and Lactoferrin.
29Identify the master regulatory hormone for systemic iron metabolism that controls ferroportin activation.
Hepcidin.
30Identify the protein responsible for transporting iron from the tissues to the blood.
Ferroportin.
31Identify the protein that specifically transports iron within the blood.
Transferrin.
32True or False: In Iron Deficiency Anemia (IDA), Serum Iron is low and TIBC is high.
True.
33Identify the condition where Serum Iron is high, TIBC is normal, and Serum Ferritin is high.
Sideroblastic anemias.
34Identify the microcytic anemia where FEP (Free Erythrocyte Protoporphyrin) remains normal while Serum Ferritin is normal.
Thalassemias.
35Identify the morphologic classification characterized by a high MCV and normal MCHC.
Macrocytic, normochromic anemias.
36Enumerate three causes for Vitamin B12 deficiency.
1-Inadequate intake, increased need, and competition (D. latum) or lack of intrinsic factor.
37Identify the specific cells in the stomach that produce HCl and Intrinsic Factor.
Parietal cells.
38Identify the condition characterized by antibodies directed against parietal cells and intrinsic factor.
Pernicious Anemia.
39Identify the characteristic cell finding that is essentially pathognomonic for megaloblastic anemia.
Hypersegmented neutrophils.
40True or False: Hypersegmented neutrophils are present in nonmegaloblastic anemia.
False.
41Identify the shape of macrocytes in megaloblastic anemia versus nonmegaloblastic anemia.
Oval in megaloblastic and round in nonmegaloblastic.
42Identify the root cause of megaloblastic anemia involving DNA synthesis.
Impaired DNA synthesis.
43Identify the specific structure required for DNA synthesis that cannot be made without a methyl group from folate.
Thymidine triphosphate (TTP).
44Identify the cofactor responsible for transferring the methyl group to methyl tetrahydrofolate.
Vitamin B12.
45Fill in the blank: If TTP cannot be made, it is replaced by ________ triphosphate.
Deoxyuridine.
46Identify the scientific names for Vitamin B12 and Folate.
Cobalamin and Folic acid.
47Identify the synthetic form of Vitamin B12 found only in supplements.
Cyanocobalamin.
48Identify the symptom described as the loss of epithelium on the tongue resulting in a smooth, sore surface.
Glossitis.
49Enumerate four neurologic symptoms unique to Vitamin B12 deficiency.
1-Memory loss, numbness, tingling in toes/fingers, and loss of balance.
50True or False: Vitamin B12 is destroyed by cooking.
False.
51Identify the specific diet group that is at risk for dietary Vitamin B12 deficiency.
Vegans.
52Identify the potential fetal complication of folate deficiency during pregnancy.
Neural tube defects (like spina bifida).
53True or False: Folates are heat labile and can lose nutritional value by overcooking.
True.
54Identify the specific diagnostic lab test result for folate deficiency involving Homocysteine.
Increased serum/plasma homocysteine.
55Identify the specific diagnostic lab test result for Vitamin B12 deficiency involving Methylmalonic acid.
Increased serum methylmalonic acid.
56Identify the metabolically active form of Vitamin B12.
Holotranscobalamin (holoTC).