Pathology · USMLE Step 1

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.

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

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What is the classic lab pattern in iron deficiency anemia?
Low ferritin and high TIBC, with low serum iron.
What is the classic lab pattern in anemia of chronic disease?
Low serum iron, low TIBC, and high ferritin.
In vitamin B12 deficiency, the blood smear classically shows ____.
hypersegmented neutrophils
What neurologic complication is unique to B12 deficiency and not seen in folate deficiency?
Subacute combined degeneration of the dorsal columns and corticospinal tracts.
What is the molecular defect in most cases of hereditary spherocytosis?
Deficiency of spectrin or ankyrin in the red cell membrane cytoskeleton.
What is the definitive treatment for symptomatic hereditary spherocytosis?
Splenectomy.
What red cell findings appear on smear during a G6PD deficiency hemolytic episode?
Heinz bodies and bite cells.
What point mutation causes sickle cell disease?
A 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?
Hemoglobin F (fetal hemoglobin).
What antibody class mediates warm autoimmune hemolytic anemia?
IgG.
What antibody class mediates cold autoimmune hemolytic anemia?
IgM.
What lab pattern characterizes disseminated intravascular coagulation?
Schistocytes on smear, low platelets, low fibrinogen, elevated D-dimer, and prolonged PT/PTT.
What enzyme is deficient in thrombotic thrombocytopenic purpura?
ADAMTS13, a von Willebrand factor cleaving protease.
What is the underlying mechanism of immune thrombocytopenic purpura?
Autoantibodies against platelet surface proteins cause splenic platelet destruction.
Which clotting factor is deficient in hemophilia A?
Factor VIII.

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