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Hematology and Oncology · USMLE Step 1 · Healthcare and Nursing

USMLE Hematology and Oncology

Anemias, coagulation disorders, leukemias and lymphomas, and classic tumor markers tested on USMLE Step 1.

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45 mixed cards for USMLE Step 1 Hematology and Oncology. It opens with "What is the MCV classification (microcytic, normocytic, or macrocytic) of iron" and "In iron deficiency anemia, how do serum ferritin and TIBC change?". Study it alongside the other USMLE Step 1 sets below.

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What is the MCV classification (microcytic, normocytic, or macrocytic) of iron deficiency anemia?
Show answerMicrocytic
In iron deficiency anemia, how do serum ferritin and TIBC change?
Show answerFerritin decreases; TIBC (total iron binding capacity) increases
What red blood cell finding on peripheral smear is characteristic of thalassemia?
Show answerTarget cells
What bone marrow finding defines sideroblastic anemia?
Show answerRinged sideroblasts (erythroblasts with iron laden mitochondria encircling the nucleus)
What peripheral smear finding is classically seen in lead poisoning?
Show answerBasophilic stippling of red blood cells
In megaloblastic anemia, neutrophils show ____ (nuclei with 6 or more lobes).
Show answerhypersegmentation
What is the mechanism of pernicious anemia?
Show answerAutoantibodies against intrinsic factor or gastric parietal cells impair vitamin B12 absorption
Unlike vitamin B12 deficiency, folate deficiency does not cause ____.
Show answerneurologic symptoms
What happens to serum haptoglobin during hemolysis?
Show answerIt decreases, since it is consumed binding free hemoglobin
What single amino acid substitution causes sickle cell disease?
Show answerGlutamic acid is replaced by valine at position 6 of the beta-globin chain
What red cell membrane protein defect underlies hereditary spherocytosis?
Show answerDeficiency of spectrin or ankyrin
What peripheral smear findings are seen in G6PD deficiency during an oxidative stress episode?
Show answerHeinz bodies and bite cells
What test detects antibodies bound to a patient's own red blood cells in autoimmune hemolytic anemia?
Show answerDirect Coombs test (direct antiglobulin test)
What clotting factor is deficient in Hemophilia A?
Show answerFactor VIII
In hemophilia, what happens to PT and PTT?
Show answerPTT is prolonged; PT is normal

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