Blood Quiz

Factor VIII is produced by

After gastrectomy, patient might develops

Most autoimmune hemolytic anemias are mediated by auto antibodies that are classified as

Type of defect in Hereditary spherocytosis is

A patient has Hb 6, platelet 4,50,000, with hyper cellular bone marrow. Diagnosis is

In chronic Myelogenous Leukemia, which cell does not increases in number

Which investigation to be done in patient with hemophilia

In Hemophillia

Iron is stored in the form of

In megaloblastic anemia, peripheral blood smear will show

Reticulocytosis is most commonly seen in

Spleenectomy will help in treating which type of anemia

A patient with CML develops joint pain. Which investigation should be done

Bence jones protein are produced in

Factor 1 X deficiency, what should be given

Rh negative mother delivered a baby at 34 weeks with anemia pallor. Baby died 6 hours after transfusion. Most likely cause is

Regarding the iron requirement of a pregnant woman, following test is appropriate

A patient presented with signs and symptoms of megaloblastic anemia. The likely cause is

12 years old boy presents with joint pain, abdominal pain & examination has hepato splenomegaly. The condition is due to

Hemolytic anemia in hereditary spherocytosis is most probably due to

60 year male with lymph adenopathy and low Hb, low platelets and increased WBC. Microscopy show large mature cells. What is the diagnosis

Bence Jones proteins are derived from

Regarding DIC most inappropriate is

If factor IX is not available, what is the next best choice

Subarchnoid hemorrhag is commonly due to

40 year male presents with skin pigmentation and disturbance in balance. H is also anemic. His lab reports shows mcv 126 fl serum and ferritin 600ng/ml. Diagnosis is

A soldier posted at high altitude for may years cam with PVC > 40

14 year old girl present with fatigue, her father was diagnosed having recurrent anemia. On examination she is pale, with tinge of jaundice, tip of her spleen is palpabel and osmotic fragility test is positive

Splenic infarction commonly occurs in

Staking of red cell into rouleaux and abnormal plasma cells

A patient of burn has hypotension and tachycardia. Most likely diagnosis is

In boy the most common cause of petechial rash on oral mucosa and skin after pancreatomy is due to

Iron absorption increases in

Anemia of maturation failure is

Which haemoglobinopathy presents with crises

What is Hb H disease

Autoimmune haemolytic anemia is seen in

A patient is found to have bone pain and pallor. His blood picture shoes numerous cells with an “off centre nucleus”their is an increased no of immunoglobulin in serum that are monocolonal in origin. Wha tis the likely percentage of immunoglobulins in this patient

A boy has increase bleeding time after circumcision. His cousin also have same problem. Which of the following will raise

Female patient with history of backache has 30% plasma cell and monoclonal immunoglobulin on serum electrophoresis. Most likely diagnosis is

Best indicator of serum iron stores is

A 58 years old woman with Addson disease and peripheral neuropathy

Young patient having Hb:6.0, TL C : 3.5/ul,Plts:1lac is suffering from

Thalassemia are characterized by

Acute lympho blastic leukemia is a disease of

62 year old man with shortness of breath undergoes a lung biopsy that reveals diffuse depositions of calcium into the interstitum. Which of the following disease most likely to produces this type of severe metastasis

Which investigation is least likely done in a suspected case of DIC

A 4 year old boy with history of haemarthrosis has prothrombin tiem (PT) and platelet counts were normal, but factor level of factor IX was reduced while factor VIII was normal

Anemia of pregnancy is due to

Poiklocytoosis, anisocytosis and macrocytosis and hyper segmented poymorphs

Patient has pancytopenia, test to do is

Ineffective erythropoesis occurs in

Leucocyte alkaline phosphatase is reduced in

Deficiency of vit K will effect all of the following except

Patient presented with history of chest infection 10 days back and resolved now. He developed petechiae and echymosis. Which will be increased

A 42 year old man with following lab investigations: PT12 s APTT 60BT prolonged, TT 13s

Patients had gastrectomy after 3 months she presents with

Which of the following differentiates pernicous anemia from other causes of vit B 12 or folate def

Aplastic anemia is best described as

Percentage of thalassemia trait in Pakistan

In hairy cell leukemia, the neoplastic cells are classified as

Intrinsic and extrinsic pathways converge at

20 year lady has endotoxic shock after septic abortion, which of the following investigation is least likely to benefit

PT shows

Pregnant lady has MCV of 70fl, and Hb 8.1 g/dl. She is suffering from

patient MCV 106 with peripheral neuropathy. HB 8.0 cause is

Erytropotien is always raised in

Impaired production of hemoglobin A or A2 or fetal hemoglobin is typically for

A 45 years old man with hepatosplenomegally, increased leukocyte count,1% blasts, normocytic anemia, thrombocytopenic, a low leukocytes alkaline phosphatase (LAP) score and abnormal chromosomes study

Patient has decrease levels of factor II, VII, IX, X most likely have

Multigravida P9+0 delivered a boy in a village 2 hours later. She started bleeding profusely and also had oozing from gums. She was brought to hospital. Her lab results showed hb 6, TLC 15000/ul, platelets 30000/ul. She is suffering from

Young patient bruises on the body and no other significant history and examination unremarkable. He has

A woman gravida 4 has Hb 8 and occult blood in stool. Cause is

In megoloblastic anemia which structure is deficient

A soldier posted at high altitude for many years came with PVC > 40

Hereditary spherocytosis is accompanied by an increased incidence of

50 year old radiographer present with pallor, recurrent infection and epistaxis, most likely diagnosis is

A person fell on road and had an abrasion on elbow. The first event likely occurred would be

Which of the following will be given for vWB

If a woman at 10th week pregnancy have Hb 12; Hct 25 Normocytic normochromic film but at 32 wk pregnancy her Hb is 10.9; Hct 20 with same peripheral film. What is the cause

A patient is found to be pale and has large size RBCs with nuclear remnants. In this patient what can be found

Increase level of erythropoetin is seen in

A 17 year old greek boy with dysmorphic features was treated for 8 weeks with oral iron for anemia. His response to iron therapy was poor and his blood film was dysmorphic

In Burkit lymphome, the causative agent is

A person brought in emergency department had burns on his body. He was admitted and later on he developed fever and bleeding diasthesis. He is suffering from

Vit K directly influences the reaction

Iron deficiency anemia is best diagnosed by

A patient developed hemolytic anaemia after blood transfusion. hemoglobin released will be attached with

A soldier, living in high altitude for 6 months presents with headache and blue discholoration of fingertips. His Bp is 150/90 mmhg.pcv 60% and also have moderate splenomegally. Most likely cause is

A 6 month baby boy presents with severe anemia and failure to thrive . His blood film shows target cells and hypochromic microcystic cells and HbF persists

A middle aged patient presented with fever and generalized lymphadenopathy. Bone marrow examination is normal and weight loss is positive. he is suffering from

Following is not a cause of DIC

DIC is related to all except

The pathogenesis of hypocromic anaemia in lead poisoning is due to

Indication for splenectomy

Bone marrow RBCs precursors continue to produce RBCs because of effect of

8 year old female presented with moderate splenomegally, and microsytic hypochromic anemia. Most likely cause is

The sub type of Hodgkin’s disease, which is histogenetically distinct from all the other sub types is

7 years old boy deeply jaundiced presented with gum bleeding due to

There was a long history of hemolytic disease in both male and female children. Both APTT and bleeding time are prolonged. What is the diagnosis

A 25 years old female having complains of sysphagia and eakness. Labs show hb=6.2 mg/dl MCV=68 fl and target cells in peripheral film, what is the most common diagnosis

Hemolytic anemia results in increased blood hemoglobin levels. Hb will appear in urine when which of following protein become saturated

In polycythemia vera, all the following are seen except

In thalassemia trait what will be the finding

A 40 year old male is diagnosed as having Hodgkin lymphoma. Which among the following types has good prognosis

D. I. C. is stimulated by

In factor 8 deficiency specific test is

A patient presents generalized body weakness & numbness. On investigation he is having un-conjugated bilirubinemia, Hb=7.4 md/dl MCV>120 fl, the anemia is due to

A female presents with jaundice. Her lab reports shows ALT 17, Alk phos. 75 and Retics 10. Cause of jaundice is

Headaches and visual problem are common symptoms of

A patient with microsytic hypochromic anemia has target cells

DIC ouurs in

Regarding Von Will brand disease

A female patient which is on oral contraceptive & you want to give her oral anticoagulant, you will must check

Patient after gastrectomy is on Vit B12. The cells lost in the gastrectomy are

Autoimmune hemolytic anemia is an example of

Erythroid hyperplasia of the bone marrow is often found in people who live

In thalassemia which is characteristic

A diagnosed case of lymphoma with cervical enlargement and splenic involvement would be in which of the following stage

Hemophilia is

Which of the following is not seen in DIC