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Hematology Rodaks (chapter 1)

Total questions: 134

Worksheet time: 2hrs 2mins

Name
Class
Date
1.

Average human blood volume

(a)  

2.

Blood functions

a)

Carries oxygen from to to tissues

b)

Clears tissue of CO2

c)

Transport glucose, fats, and protiens

d)

Moves wastes to kidneys and liver

e)

Gives red color

3.

Provides coagulation enzymes

(a)  

4.

Ordered nearly to everyone who visit a physician or admitted to hospital

(a)  

5.

Who describe worms in blood in 1657

(a)  

6.

He gave an account to RBC on 1674

(a)  

7.

Described platelets as petites plaques

(a)  

8.

Developed wright stain on 1902

(a)  

9.

Polychromatic mixture of acidic and basic dyes

(a)  

10.

RBC

a)

Anucleate

b)

Biconcave

c)

Discoid cells

d)

Hemoglobin

11.

Occupies 1/3 the center of Rbc

(a)  

12.

Often reflected of reduced RBC count and RBC hemoglobin concentration

(a)  

13.

Condition that may lead to hyperviscosity

(a)  

14.

Dilution ration Typical for RBC count

(a)  

15.

Glass pipette designed to 1:200 dilution ratio of RBC

(a)  

16.

A glass counting chamber

(a)  

17.

RBC count unit

a)

Microliter

b)

Milliliter

c)

Liter

d)

Cubic millimeter

e)

Cubic centimeter

18.

When Automated particle counters became available

(a)  

19.

First automated counter patented on 1953 was by

(a)  

20.

Joseph and wallace coulter principle

(a)  

21.

Weak solution of K cyanide and K ferricyanide

(a)  

22.

Whole blood is mixed w/ measured Drabkin rgt and hemoglobin is converted to

(a)  

23.

Normal hematocrit

(a)  

24.

A.k.a. packed cell volume

(a)  

25.

Often see between rbc and plasma

(a)  

26.

light-colored layer between the RBCs and plasma.

(a)  

27.

RBC indices

a)

MCV

b)

MCHC

c)

MCH

d)

RDW

e)

HGB

28.

The MCV, volume measurement is recorded in what unit

(a)  

29.

reflects RBC diameter on a Wright-stained blood film.

(a)  

30.

expressed in g/dL

(a)  

31.

reflects RBC staining intensity and amount of central pallor.

(a)  

32.

MCH is expresses in

(a)  

33.

reflects the mass of hemoglobin and parallels the MCHC

(a)  

34.

Extreme RBC volume variability is visible on the Wright-stained blood film as variation in diameter and is called

(a)  

35.

expresses the degree of variation in RBC volume.

a)

RBC count

b)

RDW

c)

RBC distribution width

d)

RBC

36.

In the Wright-stained blood film, 0.5% to 2% of RBCs exceed the 6- to 8-mm average diameter and stain slightly blue-gray. These are

(a)  

37.

RBC production site

(a)  

38.

closely observed because they indicate the ability of the bone marrow to increase RBC production in anemia due to blood loss or excessive RBC destruction

(a)  

39.

stain used to differentiate and count these young RBCs.

(a)  

40.

methylene blue dyes

a)

vital stains

b)

nucleic acid stains

c)

vital acid stains

41.

are dyes absorbed by live cells

(a)  

42.

Young RBCs contain ribonucleic acid (RNA) and are called (a)   when the RNA is visualized using vital stains.

43.

Now all fully automated profiling instruments provide an absolute reticulocyte count and, in addition, an especially sensitive measure of RBC production,

a)

immature reticulocyte count

b)

immature reticulocyte fraction

c)

WBC count

d)

RBc count

44.

a loosely related category of cell types dedicated to protecting their host from infection and injury

(a)  

45.

SOURCE OF WBC

a)

Bone marrow

b)

lymphoid tissue

c)

blood

46.

so named because they are nearly colorless in an unstained cell suspension.

a)

wbc

b)

rdw

47.

WBCs typical dilution ratio is

(a)  

48.

The normal WBC count ranges

(a)  

49.

A decreased WBC count (fewer than 4500/mL)

(a)  

50.

increased WBC count (more than 11,500/mL)

(a)  

51.

neutrophils

a)

NEUTs

b)

segmented

c)

SEGs

d)

PMNs

e)

EOs

52.

phagocytic cells whose major purpose is to engulf and destroy microorganisms and foreign material, either directly or after they have been labeled for destruction by the immune system

(a)  

53.

An increase in neutrophils is called

(a)  

54.

has many causes, but it is often caused by certain medications or viral infections.

(a)  

55.

neutrophilia is an indication of

a)

bacterial infection

b)

viral infection

c)

parasitic infection

d)

pagpakamatay nalang lol

56.

describe bands

(a)  

57.

An increase in bands also signals bacterial infection and is customarily called as

(a)  

58.

cytoplasm granules of neutrophils and bands

a)

pink staining

b)

lavender staining

c)

submicroscopic

d)

subsubta

59.

bright orange-red, regular cytoplasmic granules filled with proteins involved in immune system regulation.

(a)  

60.

elevated eosinophil count is called (a)  

61.

often signals a response to allergy or parasitic infection

(a)  

62.

cells with dark purple, irregular cytoplasmic granules that obscure the nucleus.

(a)  

63.

contain histamines and various other proteins.

(a)  

64.

is rare and often signals a hematologic disease.

(a)  

65.

The distribution of basophils and eosinophils in blood is so small compared with that of neutrophils that the terms eosinopenia and basopenia are theoretical and not used.

a)

true

b)

false

66.

Neutrophils, bands, eos, and basos are collectively called granulocytes because of their prominent cytoplasmic granules, although their functions differ.

a)

true

b)

false

67.

is an uncontrolled proliferation of WBCs.

(a)  

68.

myelogenous (granulocytic) leukemia

a)

chronic

b)

acute

69.

myeloid leukemia

a)

acute

b)

chronic

70.

granulocytic leukemias identification

a)

Wright-stained bone marrow smears

b)

cytogenetics

c)

flow cytometric immunophenotyping,

d)

molecular diagnostic technology

e)

cytochemical staining

71.

comprise a complex system of cells that provide for host immunity.

(a)  

72.

lymphocytes mount

a)

humoral (antibodies) antagonistic responses.

b)

cell-mediated antagonistic responses.

c)

antagonistic responses.

73.

On a Wright-stained blood film, most lymphocytes are are

a)

nearly round

b)

slightly larger than RBCs

c)

have round featureless nuclei

d)

thin rim of nongranular cytoplasm.

e)

thin rim of granular cytoplasm.

74.

often is associated with viral infections.

(a)  

75.

often associated with drug therapy

or immunodeficiency.

(a)  

76.

is more prevalent in people older than 65 years,

(a)  

77.

common form of childhood leukemia

(a)  

78.

Medical laboratory scientists and hematopathologists classify lymphocytic leukemias largely based on

a)

Wright-stained blood films

b)

flow cytometric immunophenotyping

c)

molecular diagnostic techniques

d)

cytogenitics

e)

wright stain-bone marrow

79.

is an immature macrophage passing through the blood from its point of origin, usually the bone marrow, to a targeted tissue location.

(a)  

80.

most abundant cell type in the body, more abundant than RBCs or skin cells

(a)  

81.

monocytes comprise a minor component of peripheral blood WBCs.

(a)  

82.

occupy every body cavity; some are motile and some are immobilized.

(a)  

83.

Macrophage tasks are to identify and phagocytose (engulf and consume) foreign particles and assist the lymphocytes in mounting an immune response through the assembly and presentation of (a)  

84.

On a Wright-stained blood film, monocytes characteristic are

a)

have a slightly larger diameter than other WBCs,

b)

blue-gray cytoplasm with fine azure granules,

c)

a nucleus that is usually indented or folded.

d)

have a slightly smaller diameter than other WBCs,

85.

Monocytosis may be found in

a)

infections,

b)

collagen-vascular diseases,

c)

acute leukemias

d)

chronic leukemias

86.

true blood cells that maintain blood vessel integrity by initiating vessel wall repairs

(a)  

87.

the major cells that control hemostasis

(a)  

88.

Platelets function are

a)

rapidly adhere to the surfaces of damaged blood vessels,

b)

form aggregates with neighboring platelets to plug the vessels,

c)

secrete proteins and small molecules that trigger thrombosis

d)

clot formation.

89.

a series of cellular and plasma based mechanisms that seal wounds, repair vessel walls, and maintain vascular patency (unimpeded blood flow)

(a)  

90.

Platelets

a)

2 to 4 mm in diameter,

b)

round or oval,

c)

anucleate

d)

discoid cells

e)

6 - 8 micronin diameter

91.

Uncontrolled platelet and hemostatic activation is responsible for

a)

deep vein thrombosis,

b)

pulmonary emboli,

c)

acute myocardial infarctions (heart attacks)

d)

, cerebrovascular accidents ,

e)

(strokes)

92.

have largely replaced visual platelet counting and provide greater accuracy

(a)  

93.

Elevated platelet counts,signal inflammation or trauma but convey modest intrinsic significance.

(a)  

94.

is a rare malignant condition characterized by extremely high platelet counts and uncontrolled platelet production.

(a)  

95.

a common consequence of drug treatment and may be life-threatening.

(a)  

96.

A complete blood count (CBC) is performed on automated hematology profiling instruments and includes

a)

RBC measurements

b)

WBC measurements

c)

platelet measurements

d)

HGB

97.

When one of the results from the profiling instrument is abnormal, the instrument provides an indication of this, sometimes called a

(a)  

98.

specialized, demanding, and fundamental CBC activity.

(a)  

99.

Nevertheless, if all profiling instrument results are normal, the blood film examination is usually included from the CBC.

a)

false

b)

true

100.

To accomplish a blood film examination, the microscopist prepares a (a)   blood film on a glass microscope slide, allows it to dry, and fixes and stains it using Wright or Wright-Giemsa stain

101.

WBCs to determine their percent distribution. This process is referred to as determining the

(a)  

102.

is the final arbiter for all BLOOD cell identification.

a)

medical laboratory professional

b)

hematopathologist

c)

MAm MEGS

103.

endodermal cells that form the inner surface of the blood vessel

(a)  

104.

endothelial cells are important in.

a)

maintaining normal blood flow,

b)

in tethering (decelerating) platelets during times of injury,

c)

in enabling WBCs to escape from the vessel to the surrounding tissue when needed

d)

ENABLING wbc to enter to the tissues and site of infection

105.

key component of hemostasis,

(a)  

106.

employs a complex sequence of plasma proteins, some enzymes, and some enzyme cofactors

(a)  

107.

a third system of enzymes and cofactors digests clots to restore vessel patency, a process called

(a)  

108.

minor blood specimen defects,

a)

including clots,

b)

hemolysis,

c)

lipemia,

d)

plasma bilirubin,

e)

lipidemia

109.

High-volume coagulation tests suited to the acute care facility include

a)

platelet count and MPV

b)

prothrombin time and partial thromboplastin time

c)

fibrinogen assay

d)

d-dimer assay

e)

activated partial thromboplastin time

110.

mostly clot-based, are available in specialized or tertiary care facilities.

a)

30 to 40 moderate-volume assays

b)

40 moderate-volume assays

c)

30 moderate-volume assays

d)

high-volume coagulation test

111.

immature precursors to blood cells.

a)

nucleated cells

b)

anucleated cells

112.

are precursors to RBCs

(a)  

113.

mature to form bands and neutrophils, eosinophils, and basophils

(a)  

114.

produce platelets

(a)  

115.

increase in the erythroid cell line may indicate bone marrow not compensate excessive RBC destruction or blood loss

a)

false

b)

true

116.

biopsy specimen, enhanced by (a)   staining, may reveal abnormalities in bone marrow architecture indicating leukemia, bone marrow failure, or one of a host of additional hematologic disorders.

117.

Results of examination of bone marrow aspirates and biopsy specimens are compared with (a)   results generated from the peripheral blood to correlate findings and develop pattern-based diagnoses.

118.

may occasionally be employed to differentiate abnormal myeloid, erythroid, and lymphoid cells.

(a)  

119.

cytochemical stains may occasionally be employed to differentiate abnormal myeloid, erythroid, and lymphoid cells. These stains include

a)

myeloperoxidase,

b)

Sudan black B,

c)

nonspecific esterase,

d)

periodic acid–Schiff,

e)

tartrate-resistant acid phosphatase, and alkaline phosphatase

120.

Since 1980, however, (a)   have enabled identification of cell lines by detecting lineage-specific antigens on the surface or in the cytoplasm of leukemia and lymphoma cells

121.

a membrane protein that is present in the megakaryocytic lineage and may be diagnostic for megakaryoblastic leukemia

(a)  

122.

are time-honored stains that in most laboratories have been replaced by flow cytometry immunophenotyping, cytogenetics, and molecular diagnostic techniques

(a)  

123.

time-honored form of molecular technology, is employed in bone marrow aspirate examination to find gross genetic errors

(a)  

124.

a reciprocal translocation between chromosomes 9 and 22 that is associated with chronic myelogenous leukemia

(a)  

125.

t(15;17), a translocation between chromosomes 15 and 17 associated with (a)  

126.

the fastest-growing area of laboratory medicine, enhance and even replace some of the advanced hematologic methods.

(a)  

127.

uses graduated concentrations of saline solutions to detect spherocytes in hereditary spherocytosis or warm autoimmune hemolytic anemia

(a)  

128.

osmotic fragility test uses graduated concentrations of saline solutions to detect spherocytes (RBCs with proportionally reduced surface membrane area) in (a)   or warm autoimmune hemolytic anemia

129.

phenotypically detects an inherited RBC enzyme deficiency causing severe episodic hemolytic anemia

(a)  

130.

The sickle cell solubility screening assay follow-up tests,

a)

hemoglobin electrophoresis

b)

high performance liquid chromatography

c)

HGB

d)

HCT

131.

used to detect and diagnose sickle cell anemia and other inherited qualitative hemoglobin abnormalities and thalassemias

(a)  

132.

One of the oldest hematology tests and detects inflammation and roughly estimates its intensity

(a)  

133.

Analysis of non blood body fluids is always performed with a rapid turnaround, because cells in these perfect environments rapidly lose their integrity.

a)

true

b)

false

134.

An internal standard methodology that supports hematology laboratory applications.

(a)