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Hematology and Oncology · USMLE Step 1

USMLE Hematology and Oncology High-Yield Review

A condensed rapid review pass over the highest yield hematology and oncology facts for final week review.

40 cards · basic cards · AI-written, checked twice. Edit anything.

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What is the most common cause of microcytic anemia worldwide?
Iron deficiency anemia
In iron deficiency anemia, what happens to serum TIBC?
It increases
How does serum ferritin differ between iron deficiency anemia and anemia of chronic disease?
Ferritin is low in iron deficiency anemia but normal or high in anemia of chronic disease
What red blood cell shape is characteristic of thalassemia on peripheral smear?
Target cells
Vitamin B12 deficiency classically produces ____ on peripheral blood smear.
hypersegmented neutrophils
Which vitamin deficiency, B12 or folate, causes neurologic symptoms such as subacute combined degeneration?
Vitamin B12 deficiency
Why does G6PD deficiency cause hemolysis after oxidative stress such as sulfa drugs or fava beans?
Red cells cannot regenerate enough NADPH to neutralize oxidative damage, so hemoglobin denatures and cells hemolyze
What is the definitive treatment for hereditary spherocytosis?
Splenectomy
What amino acid substitution causes sickle cell disease?
Glutamic acid is replaced by valine in the beta globin chain
What infection does sickle cell trait provide partial protection against?
Malaria
Paroxysmal nocturnal hemoglobinuria results from a somatic mutation in which gene?
PIGA
Warm autoimmune hemolytic anemia is mediated by which antibody class?
IgG
Cold agglutinin disease is most often mediated by which antibody class?
IgM
What bone marrow finding defines aplastic anemia?
A hypocellular marrow with fatty replacement
What mutation is present in most cases of polycythemia vera?
JAK2 V617F

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