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Hemolytic Anemias

Total questions: 20

Worksheet time: 11mins

Name
Class
Date
1.

These inclusions which cannot be visualized on Wright-stained peripheral smears are often associated with:

a)

Pyruvate kinase deficiency

b)

Basophilic stippling

c)

Hgb H inclusion bodies

d)

G6PD

deficiency

2.

Which RBC morphology is formed as a result of Heinz bodies being pitted from the RBC in the spleen

a)

acanthocytes

b)

bite cells

c)

burr cells

d)

stomatocytes

3.

Which of the following hemolytic disorders has RBCs that are especially sensitive to lysis by complement

a)

PNH

b)

PCH

c)

Hereditary spherocytosis

d)

G6PD deficiency

4.

An anemia that manifests as decreased marrow cellularity, cytopenias in two cellular elements, and reticulocytopenia is termed

a)

Diamond Blackfan Anemia

b)

Aplastic anemia

c)

Sideroblastic anemia

d)

Hemolytic anemia

5.

Individuals with Fanconi's anemia characteristically show

a)

intravascular hemolysis

b)

Increased Hgb F

c)

Ringed Sideroblasts

d)

Increased Hgb H

6.

Which of the following red cell indices would most likely be found in Hereditary spherocytosis?

a)

MCV - 87

MCH - 29.9

MCHC- 34.5

b)

MCV - 65

MCH - 27

MCHC - 29.8

c)

MCV - 80.5

MCH - 33.4

MCHC - 39.0

d)

MCV 101

MCH 30

MCHC - 33.0

7.

Choose the principal confirmation test for a diagnosis of hereditary spherocytosis

a)

autohemolysis test

b)

sucrose hemolysis test

c)

thermal stability test

d)

osmotic fragility test

8.

Which of the following erythrocyte disorders is associated with abnormal membrane permeability?

a)

hereditary elliptocytosis

b)

hereditary stomatocytosis

c)

PNH

d)

hereditary spherocytosis

9.

The osmotic fragility test determines whether a patient's RBCs are osmotically fragile by measuring the amount of hemolysis that occurs

a)

after a patients RBCs have been incubated in acidified serum

b)

when a patients RBCs have been incubated in various concentrations of hypotonic saline

c)

after a patients RBCs have been incubated in a sucrose solution

d)

after a patients RBCs have been incubated in their own serum for 48 hours

10.

Immunophenotyping for a diagnosis of PNH uses the following monoclonal antibodies?

a)

CD55 and CD59

b)

CD11b and CD18

c)

CD33 and CD34

d)

CD56 and CD10

11.

Which is the most common RBC enzyme deficiency?

a)

pyruvate kinase

b)

G6PD

c)

PNH

d)

PCH

12.

What compound can induce anemia in G6PD deficiency?

a)

Iron

b)

Vitamin C

c)

Primaquine

d)

Fava beans

13.

PK enzyme deficiency has this affect on the glycolytic pathway:

a)

decreased ATP production

b)

Heinz body formation

c)

decreased formation of reduced glutathione

d)

decreased formation of 2,3 -BPG

14.

Which lab test would be most useful in diagnosing G6PD deficiency?

a)

PEP fluorescent test

b)

retic count

c)

CBC

d)

fluorescent spot test

15.

Which of the following might be observed on a peripheral blood smear in cases of cold autoimmune hemolytic anemia:

a)

helmet cells

b)

macrocytes

c)

agglutination

d)

spherocytes

16.

Which of the following parameters on an automated hematology instrument could be seen in cases of cold agglutinin disease:

a)

Falsely elevated MCV

b)

Falsely elevated RBC count

c)

Falsely decreased RBC count

d)

Falsely decreased MCV

17.

The Donath-Landsteiner antibody is found in which type of hemolytic anemia?

a)

WAIHA

b)

PCH

c)

CAS

d)

PNH

18.

The antibody found in PCH is:

a)

IgM

b)

IgG

c)

directed against Rh antigens

d)

directed against complement

19.

What is the typical morphological classification of RBCs in aplastic anemia?

a)

microcytic, hypochromic

b)

normocytic, normochromic

c)

microcytic, normochromic

d)

macrocytic, hypochromic

20.

Diamond Blackfan anemia involves which cell lines:

a)

All cell lines are decreased

b)

Only red cells are decreased

c)

WBC and RBC are decreased

d)

Only red cells are increased