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MIDTERM LAB EXAM HEMATOLOGY

Total questions: 61

Worksheet time: 53mins

Name
Class
Date
1.

What does the hematocrit test measure?

a)

Total plasma volume

b)

Volume of platelets

c)

Volume of red blood cells compared to total blood volume

d)

Volume of white blood cells

2.

What is the ideal use of the hematocrit test?

a)

To measure blood pressure

b)

To follow the progress of anemic or bleeding patients

c)

To diagnose infections

d)

To assess liver function

3.

Which equipment is used in the microhematocrit procedure?

a)

Blood pressure cuff

b)

Capillary tube

c)

Syringe

d)

Test tube

4.

How long should the blood sample be centrifuged in the microhematocrit test?

a)

2 minutes

b)

10 minutes

c)

4 minutes

d)

6 minutes

5.

What is the first step in the microhematocrit determination process?

a)

Sealing the capillary tube

b)

Centrifuging the sample

c)

Performing a capillary puncture

d)

Filling the capillary tube

6.

Interpret hematocrit result.

Female: 48%

a)

Increased

b)

Decreased

c)

Normal

7.

Interpret hematocrit result.

Male: 35%

a)

Increased

b)

Decreased

c)

Normal

8.

Interpret the result based on initial visualization of microhematocrit tube.

a)

Increased

b)

Decreased

c)

Normal

9.

Identify LABEL 1

(a)  

10.

Identify LABEL 3

(a)  

11.

What does ESR stand for?

a)

Erythrocyte Sediment Rate

b)

Erythrocyte Serum Ratio

c)

Erythrocyte Sedimentation Rate

d)

Erythrocyte Serum Rate

12.

What is the primary purpose of the ESR test?

a)

To diagnose specific diseases

b)

To indicate inflammation or tissue injury

c)

To measure blood pressure

d)

To assess kidney function

13.

What is the normal range of ESR for adult males using the Wintrobe method?

a)

0-30 mm/hr

b)

<50 mm/hr

c)

0-20 mm/hr

d)

>50 mm/hr

14.

Which factor does NOT affect the sedimentation rate in the ESR test?

a)

Temperature of the environment

b)

Patient's age

c)

Concentration of alpha and beta globulin

d)

Rouleaux formation

15.

What is the first stage of the ESR process?

a)

Settling or sedimentation

b)

Reading the results

c)

Rouleaux formation

d)

Packing of the sedimentation cell column

16.

What type of blood is used for the ESR test?

a)

Citrated blood

b)

Whole blood

c)

Oxalated blood

d)

Heparinized blood

17.

How long should the tube be allowed to stand for the ESR test?

a)

15 minutes

b)

2 hours

c)

1 hour

d)

30 minutes

18.

What is the expected ESR range for children?

a)

0-9 mm/hr

b)

0-20 mm/hr

c)

0-30 mm/hr

d)

0-13 mm/hr

19.

What is the significance of the sedimentation rate results?

a)

They measure blood viscosity

b)

They indicate the presence of inflammation

c)

They assess liver function

d)

They are used to diagnose specific diseases

20.

Which of the following is NOT a material used in the ESR test?

a)

Pasteur pipette

b)

Wintrobe tube

c)

Syringe

d)

Stop watch

21.

What is the primary use of a hemocytometer?

a)

To analyze blood chemistry

b)

To measure blood pressure

c)

To determine blood type

d)

To count blood cells

22.

Which of the following is NOT a reason to use a hemocytometer?

a)

Automated cell counters are unavailable

b)

Blood cell counts are extremely low

c)

To measure blood glucose levels

d)

To count cells in body fluids

23.

What is the depth of the scales on a Neubauer slide?

a)

0.05 mm

b)

0.1 mm

c)

0.2 mm

d)

0.3 mm

24.

What color bead is found on an RBC pipette?

a)

Red

b)

White

c)

Blue

d)

Green

25.

What is the dilution factor when using a Thoma pipette for RBC counting?

a)

1:400

b)

1:200

c)

1:100

d)

1:300

26.

What is the area of the smallest square on the grid of a hemocytometer?

a)

0.001 mm²

b)

0.0025 mm²

c)

0.005 mm²

d)

0.01 mm²

27.

Which solution is NOT mentioned as a diluting fluid for RBC counting?

a)

Isotonic saline

b)

Hayam’s solution

c)

Gower’s solution

d)

Sodium bicarbonate solution

28.

What is the normal range of erythrocytes for males?

a)

6.0 – 7.0 x 10^6/μL

b)

5.5 – 6.5 x 10^6/μL

c)

4.2 – 5.4 x 10^6/μL

d)

3.6 – 5.0 x 10^6/μL

29.

What should be done to the Neubauer chamber before use?

a)

Heat to sterilize

b)

Clean with 70% ethanol

c)

Soak in water

d)

Rinse with saline

30.

Which pipette has a larger bulb?

a)

Neither has a bulb

b)

Both are the same

c)

WBC pipette

d)

RBC pipette

31.

What is the volume correction factor if the counted volume is 0.02 cumm?

a)

100

b)

25

c)

200

d)

50

32.

What is the main reason for falsely low RBC counts?

a)

Collection from hemoconcentrated area

b)

Blood dilution with tissue fluid

c)

Errors in calculation

d)

Improper pipetting

33.

What is the purpose of using an anti-coagulant in the diluting fluid?

a)

To increase viscosity

b)

To preserve RBC shape

c)

To prevent cell clumping

d)

To enhance color

34.

Which objective lens is used first to focus on the large central square?

a)

40x

b)

10x

c)

100x

d)

4x

35.

What is being counted in the five red small squares?

(a)  

36.

What is being read in the 4 blue large squares?

(a)  

37.

Count the RBC in the Upper left Corner. (save your answer here in scratch paper to be used in another questions)

(a)  

38.

Count the RBC in the Lower left corner (save your answer here in scratch paper to be used in another questions)

(a)  

39.

Count the RBC in the middle square (E) (save your answer here in scratch paper to be used in another questions)

(a)  

40.

Count the RBC in the Upper Right corner (save your answer here in scratch paper to be used in another questions)

(a)  

41.

Count the RBC in the lower right corner. (save your answer here in scratch paper to be used in another questions)

(a)  

42.

Compute the RBC count you counted in the 5 squares in the last 5 questions.

(a)  

43.

Interpret the calculated RBC count from the previous question. FEMALE

a)

Decreased

b)

Increased

c)

Normal

44.

What is the purpose of a buffy coat smear?

a)

For WBCs < 1.0×10^9/L

b)

For blood typing

c)

For RBCs

d)

For platelets

45.

Which type of blood smear is prepared from fresh blood?

a)

Thick smear

b)

Spun smear

c)

Buffy coat smear

d)

Wedge smear

46.

What can excessive anticoagulant in a specimen cause?

a)

Change in RBC morphology

b)

Increase in WBC count

c)

Decrease in platelet count

d)

Thickening of blood

47.

What is the main component of a blood smear?

a)

Anticoagulant

b)

Glass slide

c)

Blood film

d)

WBCs

48.

Which type of blood cell is classified as a granulocyte?

a)

Monocyte

b)

Neutrophil

c)

Platelet

d)

Lymphocyte

49.

What is the effect of old blood on RBC morphology?

a)

Increases oxygen capacity

b)

Causes spiculated cells

c)

Makes them larger

d)

No effect

50.

What is the recommended time frame for preparing a wedge blood smear?

a)

4 to 5 hours

b)

2 to 3 hours

c)

Immediately

d)

1 hour

51.

What type of blood smear is used for detecting blood parasites?

a)

Spun smear

b)

Buffy coat smear

c)

Thick blood smear

d)

Wedge smear

52.

What is the role of a clean glass slide in blood smear preparation?

a)

To reduce drying time

b)

To enhance color

c)

To increase thickness

d)

To prevent contamination

53.

What is the primary purpose of a peripheral blood smear?

a)

To check for heart disease

b)

To perform a blood transfusion

c)

To analyze blood cell morphology

d)

To measure blood pressure

54.

Which of the following is NOT a common clinical indication for peripheral blood film analysis?

a)

Suspected chronic myeloproliferative disease

b)

High blood sugar levels

c)

Unexplained jaundice

d)

Unexplained cytopenia

55.

What is the size range of a normal red blood cell?

a)

10-12 μm

b)

8-10 μm

c)

6-8 μm

d)

4-6 μm

56.

Which staining method is commonly used for blood smears?

a)

Hematoxylin and Eosin Stain

b)

Romanowsky Stains

c)

Fluorescent Stain

d)

Silver Stain

57.

What is the lifespan of platelets?

a)

20-30 days

b)

4-9 days

c)

10-15 days

d)

1-3 days

58.

Which type of white blood cell is characterized by 2-5 nuclear lobes?

a)

Basophil

b)

Monocyte

c)

Eosinophil

d)

Neutrophil

59.

What is the normal value range for neutrophils in a leukocyte differential count?

a)

75-90%

b)

50-70%

c)

25-40%

d)

0-10%

60.

What is the method used for automated blood smear analysis?

a)

Manual Counting

b)

Erlich Method

c)

Wright Stain

d)

DiffMaster

61.

Which of the following is a method of blood smear preparation?

a)

Cross-sectional method

b)

Longitudinal method

c)

Battlement method

d)

All of the above