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Internal Credit

Second Faculty of Medicine

Subject
No category / Others
Language of creation
English
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Cards in this set

Card 281

Question

What is the most frequent underlying cause of lymphadenopathy?

Answer

Benign reasons - Infections

Card 282

Question

Which imaging method could be used for evaluation of the size of lymph nodes.

Answer

CT 

Card 283

Question

What does sentinel lymph node mean?

Answer

FIRST LYMPH NODE DRAINING A TUMOR, PRIMARY SITE OF METASTASIS 

Card 284

Question

Is lymphadenopathy present in a patient with Whipple´s disease?

Answer

YES 

Card 285

Question

At what size of a lymph node do we consider lymphadenectomy?

Answer

> 2.5 CM (DEPENDING ON LOCATION)

Card 286

Question

What antidote do we use in a serious heparin overdosing?

Answer

PROTAMINE SULFATE 1MG/100IU 

Card 287

Question

Is disseminated intaravascular coagulation a dynamic disorder?

Answer

YES

Card 288

Question

Could reaction antigen–antibody trigger disseminated intravascular coagulation?

Answer

YES 

Card 289

Question

What are the most frequent complications after bone marrow transplantation?

Answer

PANCYTOPENIA, INFECTION, GvHD

Card 290

Question

At what concentration of hemoglobin do we administer blood transfusion?

Answer

70g/L and lower 

Card 291

Question

At what concentration of hemoglobin do we administer blood transfusion in cardiac patients?

Answer

<100g/L (from the ppt)

Card 292

Question

What is the most frequent type of anemia in pregnant women?

Answer

SIDEROPENIA

Card 293

Question

At what site do we perform confirmatory determination of blood groups of a patient and PRBC?

Answer

BEDSIDE TABLE

Card 294

Question

List class of drugs used for treatment of immune-mediated adverse reaction to blood transfusion?

Answer

ANTIHISTAMINICS, CS, ANTIPYRETICS, ANTITHROMBIN, HEPARIN, COAGULATION  FACTORS. (I would say IV fluids + diuretics?)

Card 295

Question

What is the first therapeutic measure in case of adverse reaction to blood transfusion?

Answer

STOP TRANSFUSION

Card 296

Question

What is mycosis fungoides?

Answer

A cutaneous CD4+ T-cell lymphoma

Card 297

Question

Which disease is associated with Pel-Ebstein fever with?

Answer

Hodgkin lymphoma

Card 298

Question

What is Walderstrom´s disease?

Answer

non-Hodgkin lymphoma associated with abnormal production of monoclonal IgM antibodies, mostly occurs in old age. Lymphoplasmocytic lymphoma with macroglobulinemia

Card 299

Question

Describe the mechanism of vitamin B12 absorption

Answer

STOMACH: B12 binds to haptocorrin. DUODENUM: B12 binds to IF. TERMINAL ILEUM: IF+B12 complex is absorbed → B12 is transported in blood bound to transcobalamin

Card 300

Question

Which conditions support the development of macrocytic anemie - what could cause lack of folic acid and vitamin B12?

Answer

B12: inadequate dietary intake (vegetarians, alcoholics), achlorhydria (PPI use, gastritis), pernicious anemia, terminal ileitis (crohn’s disease, resection), medications like metformin. B9: malnutrition, malabsorption (celiac, IBD, surgery), drugs (methotrexate), increased consumption (hemolysis, pregnancy)

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