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WorksheetsHEMA 1 LEC WEEK 1 TO 4
Total questions: 206
Worksheet time: 2hrs 1mins
What is the specific gravity of whole blood
1.045-1.066
1.050-1.070
7.35
7.45
HE discovered erythrocytes
Swammerdam
Van Leuwenhoek
Wharton Jones
Jean Dausset
He described human erythrocytes
Swammerdam
Van Leuwenhoek
Wharton Jones
Jean Dausset
Year when the 1st complete classification of leukocytes
1897
1902
1846
1842
Year when wright stain was developed
1942
1846
1902
1897
Year when the PMN was distinguished from other leukocytes
1902
1897
1846
1842
Year when the platelets was described
1902
1897
1846
1842
Year when the worm described in the blood
1657
1658
1674
1842
Year wen the erythrocytes was described
1842
1674
1658
1657
Terminology used for "color"
(a)
Terminology used for "marrow"
(a)
meaning of MCH
(a)
It is the fluid that remains after coagulation has occurred and clot has formed
Serum
plasma
it is composed of approximately 90% water and contains proteins, enzymes, hormones, lipids and salts
serum
plasma
it is pale yellow or straw colored/ slightly hazy
plasma
serum
TBV of newborns
4-5 liters
5-6 liters
150-250 ml
250-350 ml
What is the range of normal pH
7.35-7.45
7.45
7.30-7.50
8.20-9.02
What is the pH of arterial blood
(a)
It is the ratio of the density of a substance to the density of a reference substance
Blood specific gravity
Blood viscosity
Osmolality
pH
Specific gravity of serum
1.024-1.028
1.025-1.029
Specific gravity of plasma
1.024-1.028
1.025-1.029
What is the color of pulmonary arteries and veins with an hemoglobin that has no oxygen?
blue
violet
bright red
dark reddish purple
concentration of solutes dissolved in the blood
osmolality
viscosity
specific gravity
pH
reference range of osmometer
282-297 mosms
281-298 mosms
281-297 mosms
Transports oxygen and carbon dioxide
hematocrit
hemoglobin
plasma
serum
Increased RBC count reflecting increased circulating RBC mass
polycythemia
anemia
leukopenia
lyphodenopathy
What is the measurement used for MCV
femtoliter
picograms
What is the measurement used for MCH
femtoliter
picograms
It reflects RBC diameter on a wright stained blood film
MCV
MCHC
MCH
Reflects RBC staining intensity and amount of central pallor
MCHC
MCV
MCH
Expresses the degree if variation in RBC volume
MCHC
MCH
MCV
RDW
It aids in diagnosis of anemia
MCHC
MCV
RDW
MCH
Used to differentiate and count these young RBCs
Vital stain
smears
Increased bands indicates bacterial infection and is customarily called?
Left shift
Right shift
Dark purple, irregular cytoplasmic granules and contains histamines and various proteins
basophil
lymphocytes
neutrophils
eosinophils
It is rare and often signals a hematologic proteins
Basophilia
lymphodenopathy
lymphocytosis
lymphocytopenia
Comprise a complex system of cells that provides for host immunity
lymphocytes
basophils
neutrophils
monocytes
Increased lymphocyte count and associated with viral infections
Lymphocytosis
lymphocytopenia
Chronic lymphatic leukemia
Acute lymphoblastic leukemia
Abnormally low lymphocyte count and associated with drug therapy / immunodeficiency
Lymphocytosis
lymphocytopenia
Chronic lymphatic leukemia
Acute lymphoblastic leukemia
More prevalent in people older than 45 years old
Chronic lymphatic leukemia
Acute lymphoblastic leukemia
Most common form of childhood leukemia
Chronic lymphatic leukemia
Acute lymphoblastic leukemia
Found in certain infections, collagen vascular diseases, or acute and chronic leukemia
monocytosis
lymphodenopathy
thrombocytsis
essential thrombocytopenia
Elevated platelet levels and signals inflammation/ trauma but convey modest intrinsic significance
Monocytosis
Thrombocytosis
Essential Thrombocytopenia
Endothelial cell
Rare malignant condition characterized by extremely high platelet counts and uncontrolled platelet production
Monocytosis
Thrombocytosis
Essential Thrombocytopenia
Endothelial cell
They are important in maintaining normal blood flow, in tethering (decelerating) platelets during times of injury, and in enabling WBCs to escape blood vessels
thrombocytosis
essential throbocytopenia
endothelial cells
monocytosis
detects lineage specific antigens on the surface or in the cytoplasm of leukemia and lymphoma cells
immunostaining method
cytogenetic
osmotic fragility test
glucose 6 phosphate dehydrogenase assay
A membrane protein that is present in the megakaryocytic lineage and may be diagnostic for megakaryocytic leukemia
CD42b
CD22
CD24C
CD23
Uses graduated concentration of saline solution to detect spherocyte in hereditary spherocytosis or warm autoimmune hemolytic anemia
OFT
RDW
MCH
MCHC
Oldest hematological test and detects inflammation and roughly estimates its intensity
ESR
RDW
CD42b
An internal standard methodology which supports hematology lab applications
moving average
moving high
moving low
Main clotting protein
fibrinogen
albumin
hemoglobin
Main clotting protein
fibrinogen
albumin
The study of disorder and abnormalities related / associated with the quality and quantity of the cellular elements of the blood
(a)
he described worms in the blood
athanasius kircher
James Homer Wright
Jean dausset
Luc montagnier
The year when hematology was considered a separate science from clinical pathology
1920
1921
1930
1940
terminology used for "without"
a
none
absent
leave
terminology used for "youngest/nucleated"
(a)
terminology used for "cell"
(a)
terminology used for "abnormal"
(a)
terminology used for "in the blood"
(a)
terminology used for "iron"
(a)
terminology used for "increased"
(a)
terminology used for "decreased"
(a)
terminology used for "equal"
(a)
terminology used for "large"
(a)
terminology used for "very large/huge"
(a)
terminology used for "small"
(a)
terminology used for "normal"
(a)
terminology used for "like"
(a)
Meaning of FBC
(a)
A life sustaining fluid which circulates through the heart and blood vessels
(a)
It is the liquid portion of unclotted blood
serum
plasma
it is pale yellow, clear and transparent
plasma
serum
the <20% remains in serum is called?
fibrinogen
residual prothrombin
albumin
How long 'til the blood coagulates?
(a)
TBV of male
5-6 L
4-5 L
250-350 mL
TBV of female
5-6 L
4-5 L
250-350 mL
it can be described as the thickness and stickiness of blood. It measures the resistance of blood flow.
Blood viscosity
Osmolality
Specific gravity
viscosity depends on what?
(a)
It is a measure of the acidity or basicity of an aqueous solution it is the negative decimal logarithm of hydrogen concentration
specific gravity
ph
viscosity
osmolality
What is the average normal pH
7.35
7.40
7.45
Specific gravity is also called?
(a)
Color of arterial blood
Bright red
Dark purple red
Purple
Blue
Color of venous blood
Bright red
Dark purple red
Purple
Blue
pH below 7.35
Acidosis
Alkalosis
pH above 7.45
Acidosis
Alkalosis
Transports oxygen from lungs to tissues and clears tissues of carbon dioxide and transports glucose, proteins, and fats moves waste to the liver and kidneys
blood
plasma
hemoglobin
hematocrit
Provides coagulation enzymes that protect vessels from trauma and maintain the circulation
serum
plasma
anemia
Polycythemia leads to?
anemia
polycythemia
high blood pressure
Hyperviscosity
Excluded from the hematocrit determination
Buffy coat
plasma
serum
What is the measurement used for MCHC
g/dl
fl
pg
Expresses the mass of hemoglobin and parallel the MCHC
MCHC
MCH
MCV
Newly released from bone marrow
hematocrit
polychromatic erythrocytes
erythrocytes
Phagocytic cells and its purpose is to engulf and destroy microorganism and foreign materials
Neutrophi
Basophil
Eosinophil
Monocyte
Bright orange red regular cytoplasmic granules filled with proteins involved in immune system regulation
Neutrophils
MOnocytes
Lymphocytes
Eosinophils
It signals a response to allergic reaction or parasitic infection
Eosinophilia
MOnocytophilia
polycythemia
These are immature macrophages
Monocytes
Dendritic cells
Mast cells
It is the most abundant cell type in the body, more abundant than RBC, or skin cells
Macrophage
Monocyte
LYmphocyte
Eosinophils
True blood cells that maintains blood vessels integrity by irritating vessel wall repairs
platelets
rbc
wbc
A third system of enzymes and cofactors digests clots to restore vessel patency
fibrinolysis
globulin
hemoglobin
A continuous, regulated process of blood cell production that includes cell renewal, proliferation, differentiation and maturation
hematopoiesis
hematopoietic system
It serves as a functional model to study stem cell biology, proliferation, maturation and their contribution to disease and tissue repair
Hematopoiesis
Hematopoietic system
It begins on the 19th day of embryonic development
Hemoglobin phase
Mesoblastic phase
Hepatic phase
Medullary Phase
What is the major site of adult blood formation in the embryo?
Spleen
Liver
Yolk sac
Bone marrow
5 to 7 gestational weeks
Hemoglobin phase
Mesoblastic phase
Hepatic phase
Medullary phase
It is where the lymphoid cells begins to appear
Hemoglobin Phase
Medullary Phase
Mesoblastic phase
Hepatic phase
Hematopoiesis in hepatic phase happens ______
Intravascularly
Extravascularly
It is the first organ in the fetus and also the major site of T cell production
Spleen
Bone marrow
Thymus
Liver
In the hepatic phase, which of the following produces B cells?
Liver
Spleen
Thymus
Kidney
It is the predominant hemoglobin in the hepatic phase but detectable level of hemoglobin A may be present
Hb F
Hb A
Hb A1
Hb A2
This phase happens on the 5th month of fetal development
Hemoglobin phase
Hepatic phase
Medullary phase
mesoblastic phase
A type of embryonic tissue, differentiate into structural elements that supports the developing blood cells
Mesenchymal cell
Epithelial Cells
Hemoglobin
In the medullary phase, what is the myeloid to erythroid ratio?
1:1
1:2
3:1
3:2
At the end of the 24 weeks gestation, what organ becomes the primary site of hematopoiesis under the medullary phase
Spleen
Lymph nodes
Liver
Bone marrow
In this organ, it contains developing erythroid, myeloid, megakaryocytic, and lymphoid
Bone marrow
Liver
Spleen
It consist of the bone marrow and thymus and is here T and B lymphocytes are derived
Primary lymphoid tissue
Secondary lymphoid tissue
None of the above
It is where lymphoid cells respond to foreign antigens, consists of the spleen, lymph nodes, and mucosa associated lymph tissue
Primary lymphoid tissue
Secondary lymphoid tissue
None of the above
What is the largest organ in the body, it contains the tissue located within the cavities of the cortical bones
Bone marrow
Spleen
Lymph nodes
Liver
The projection of calcified bone, radiate out from the bone cortex into the central space, forming 3 dimensional matrix resembling a honeycomb
Bone marrow
Trabeculae
Fimbriae
Corticoids
Hematopoietically active marrow consisting of the developing blood cells and their progenitors
Yellow marrow
Red marrow
Brown marrow
None of the above
Hematopoietically inactive marrow composed primarily of adipocytes, with undifferentiated mesenchymal cell and macrophage
Red marrow
Yellow marrow
Brown marrow
None of the above
The process of replacing the active marrow by adipocytes during development
retrogression
Progression
Impression
None of the above
The red marrow is capable of reverting back to active marrow.
The brown marrow is capable to convert back to brown marrow.
The first statement is correct while the second statement is incorrect
The first statement is incorrect while the second statement is correct
Both of the statements are incorrect
Both of the statements are correct
These cells originates from mesenchymal cell tat migrate into the central cavity of the bones
Stromal cells
Epithelial cells
Macrophage
mesenchymal cells
These cells regulate the flow of particulates entering the leaving hematopoietic spaces in the vascular sinuses
Stromal cells
Epithelial cells
Mesenchymal cells
None of the above
These are large cells with a single fat vacuole that plays a role in regulating the volume of the marrow in which active hematopoiesis occurs
Stromal cells
Adipocytes
Epithelial cells
Mesenchymal cells
Bone forming cells
osteoblast
osteoclast
bone resorbing cells
osteoblast
osteoclast
It forms an incomplete layer of cells on the abluminal surface of the vascular sinuses
Epithelial cells
Adipocytes
Reticular adventitial cells
Stromal cells
It secretes a semifluid extracellular matrix that serves to anchor developing hematopoietic cells in the bone cavity
Adipocytes
Stromal cells
Mesenchymal cells
None of the above
It is composed of the hematopoietic ells and macrophage arranged in extravascular cords
Yellow marrow
Red marrow
It is found surrounding iron laden macrophage
Erythroblast
Megakaryocytes
Leukocytes
It provides nutrients for the osseous bone and the marrow
Erythroblast
Megakaryocytes
Periosteal arteries
It plays an important role in nurturing and protecting HSCs and regulating a balance among their quiescence, self renewal, and differentiation
Niche
Cache
Kupffer cells
Liver
It serves as a major site of blood cell production during the second trimester of fetal production
Spleen
Liver
Kupffer cells
Medullary phase
They are macrophages that remove senescent cells and foreign debris from the blood that circulates through the liver
Stromal cells
Adipocytes
Kupffer cells
None of the above
They secrete mediators that regulate protein synthesis in the hepatocytes
Kupffer cells
Stromal cells
Epithelial cells
It is the largest organ in the body that is vital but not essential for life
Bone marrow
LIver
Spleen
Skin
It consists of scattered follicles with germinal centers
White pulp
Red pulp
Marginal zone
They are found with germinal centers
Activated B lymphocytes
Periarteriolar lymphatic system
marginal zone
kupffer cells
It surrounds the white pulp and forms a reticular meshwork containing blood vessels, macrophage, memory B cells, and CD4+ cells
White pulp
Red pulp
Marginal zone
It is composed primarily of vascular sinuses separated by cords of reticular cell meshwork containing loosely connected specialized macrophage
White pulp
Red pulp
Marginal zone
Cells are phagocytized with subsequent degradation of cell organelles
Culling
Pitting
In splenic macrophages remove inclusions or damage surface membrane from the circulating RBC
Culling
Pitting
What organ serves as a storage site for platelets
Liver
Spleen
Bone marrow
This is when the spleen becomes enlarge and is palpable
Splenomegaly
hypersplenism
lymph nodes
afferent lymphatic vessels
It is the enlargement of the spleen resulting in some degree of pancytopenia despite the presence of hyperactive bone marrow
Splenomegaly
Hypersplenism
Spleen
Apoptosis
It is located along the lymphatic capillaries that parallel, but are not part of the circulatory system
Spleen
Bone marrow
Lymph nodes
the cortical region of some follicles develop foci of activated B cells proliferation
Germical center
Secondary follicles
Primary follicles
Follicles with germinal centers
Germinal centers
Secondary follicles
Primary follicles
Without follicles an germinal centers
Germinal center
Secondary follicles
Primary follicles
Located between the cortex and the medulla that contains T cells and numerous macrophage
Cortex
Paracortex
Medulla
Infection of the lymph node
(a)
It is characterized by a blood supply system that is unique in that it consist of capillaries
Cortex
Medulla
It suggests that all blood cells are derived from a single progenitor stem cells called pluripotent hematopoietic stem cells
monophyletic theory
polyphyletic theory
It suggests that each of the blood cell lineages is derived from its own unique stem cell
monophyletic theory
polyphyletic theory
What is the most widely accepted theory among experimental hematologists today?
Stem cell theory
monophyletic theory
polyphyletic theory
It proliferates and differentiates into T, B and NK lymphocytes and dendritic lineages
hematopoietic stem cells
common lymphoid progenitor
common myeloid progenitor
Proliferates and differentiates into individual granulocytic, erythrocytic, monocytic, and megakaryocytic lineages
Common lymphoid progenitor
Common myeloid progenitor
Hematopoietic stem cells
It is able to reconstitute the hematopoietic system of lethally irradiate host
hematopoietic stem cells
common lymphoid progenitors
common myeloid progenitor
A bipotential progenitor cell of mesodermal origin that gives rise to hematopoietic and endothelial lineages
hemangioblast
osteoblast
hemoglobinopathies
Stem cell
Associated with a loss of stemness
CD38 & HLA-DR
CD33 & CD38
CD10 & CD38
CD 7
Seen on committed myeloid progenitors
CD38 & HLA-DR
CD33 & CD38
CD10 & CD38
CD7
Seen on committed lymphoid progenitor
CD38 & HLA-DR
CD3 & CD38
CD10 & CD38
CD9
Seen on T lymphoid progenitors cells and natural killer cells
CD 10 & CD38
CD 7
CD 19
CD 10
Seen on B lymphoid progenitors
CD10 & CD38
CD17
CD 7
CD 19
A group of specific glyoproteins
(a)
It is responsible for stimulation / inhibition of production, differentiation, and trafficking of mature blood cells and their precursors
Cytokines
Progenitors
hemangioblast
A programmed cell death
Apoptosis
Necrosis
Am early acting growth factor, its receptor is the transmembrane
Kit ligand
KIT
FLT2
FLT3
It is a receptor type tyrosine protein kinase that is expressed on HSCs and is down regulated with differentiation
KIT ligand
KIT
FLT2
FLT3
It is a receptor type tyrosine protein kinase
KIT ligand
KIT
FLT 2
FLT 3
It regulates process for maintaining adequate number of erythrocytes in the peripheral blood
erythropoiesis
EPO
BFU-E
Produces a large multiclustered colony that resembles a cluster of grapes containing brightly colored hemoglobin
erythropoiesis
BFU-E
EPO
activities done in prior to the examination of the specimen or sample that is intended to establish system conducive to accuracy
preventive
assessment
corrective
activities done during testing to determine whether the test systems are performing correctly
preventive
assessment
corrective
IT is done when error is detected to correct the system. recalibration f instrument / machine
preventive
assessment
corrective
It is the closeness to the estimated value
Accuracy
Precision
It is the reproducibility of a result, whether accurate or inaccurate
accuracy
precision
It means it is free from defects or errors
Quality control
Quality
Quality assurance
It minimizes error
Quality
Quality control
Quality assurance
It ensures results are reliable and to determine how correct or incorrect the result is
Quality
Quality control
Quality assurance
Unit of measurement for ESR
(a)
Length of needle
(a)
Bind to non ionize form of calcium then chelates calcium
sequesterene
citrate
heparin
oxalate
Most common and preferred anticoagulant for coagulation studies
(a)
It binds calcium
EDTA
Citrate
Oxalate
Double Oxalate
Heparin
Most commonly used for osmotic fragility testing & immunotyping
(a)
What evacuated tube is not recommended for blood transfusion
(a)
A tube used in all RBC evaluation test ssince there is no effect on RBC
(a)
At what phase does the production of Alpha globin chain begins?
mesoblastic phase
medullary phase
hepatic phase
hemoglobin phase
What is the globin chain combination of gower 1
(please use "&" instead of "and")
(a)
What is the globin chain combination of gower 2
(please use "&" instead of "and")
(a)
What is the globin chain combination of Portland
(please use "&" instead of "and")
(a)
Hematopoiesis at this phase occurs extravascularly with liver remaining the major site of hematopoiesis during the second trimester of fetal life
Mesoblastic phase
Hepatic phase
Medullary phase
What is the major site of hematopoiesis during the second trimester of fetal life?
(a)
What organ does hematopoiesis begins in myeloid phase?
(a)
What is the globin chain combination of hemoglobin A?
(please use "&" instead of "and")
(a)
What is the globin chain combination of hemoglobin F
(please use "&" instead of "and")
(a)
A pan myeloid rgowth factor that stimualte granu-, mono, megakaryocytes and eosinophil progenitors
GM-CSF
G-CSF
M-CSF
MEG-CSF
Stimulates granulocytes production and functional activation
GM-CSF
G-CSF
M-CSF
MEG-CSF
GM-CSF
fibroblast
T cells
endothelial cells
Monocyte
megakaryocytes
G-CSF
fibrblast
T cell
endithelial cell
monocyte
M-CSF
monocyte
fibroblast
endothelial cells
macrophage
t cells
MEG-CSF
monocyte
fibroblast
megakaryocyte
endothelial cells
lymphocyte
What is the source of EPO?
(a)
