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Pathology · USMLE Step 1 · Healthcare and Nursing

USMLE Rapid Review: Heme/Onc and Musculoskeletal

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

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40 basic cards for USMLE Step 1 Pathology. It opens with "What is the classic lab pattern in iron deficiency anemia?" and "What is the classic lab pattern in anemia of chronic disease?". Study it alongside the other USMLE Step 1 sets below.

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What is the classic lab pattern in iron deficiency anemia?
Show answerLow ferritin and high TIBC, with low serum iron.
What is the classic lab pattern in anemia of chronic disease?
Show answerLow serum iron, low TIBC, and high ferritin.
In vitamin B12 deficiency, the blood smear classically shows ____.
Show answerhypersegmented neutrophils
What neurologic complication is unique to B12 deficiency and not seen in folate deficiency?
Show answerSubacute combined degeneration of the dorsal columns and corticospinal tracts.
What is the molecular defect in most cases of hereditary spherocytosis?
Show answerDeficiency of spectrin or ankyrin in the red cell membrane cytoskeleton.
What is the definitive treatment for symptomatic hereditary spherocytosis?
Show answerSplenectomy.
What red cell findings appear on smear during a G6PD deficiency hemolytic episode?
Show answerHeinz bodies and bite cells.
What point mutation causes sickle cell disease?
Show answerA single amino acid substitution of valine for glutamic acid at position 6 of the beta globin chain.
Which hemoglobin is markedly elevated in beta thalassemia major?
Show answerHemoglobin F (fetal hemoglobin).
What antibody class mediates warm autoimmune hemolytic anemia?
Show answerIgG.
What antibody class mediates cold autoimmune hemolytic anemia?
Show answerIgM.
What lab pattern characterizes disseminated intravascular coagulation?
Show answerSchistocytes on smear, low platelets, low fibrinogen, elevated D-dimer, and prolonged PT/PTT.
What enzyme is deficient in thrombotic thrombocytopenic purpura?
Show answerADAMTS13, a von Willebrand factor cleaving protease.
What is the underlying mechanism of immune thrombocytopenic purpura?
Show answerAutoantibodies against platelet surface proteins cause splenic platelet destruction.
Which clotting factor is deficient in hemophilia A?
Show answerFactor VIII.

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