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Approach to Hemolytic Anemia Quiz

Total questions: 20

Worksheet time: 12mins

Name
Class
Date
1.

Investigation of choice for Paroxysmal Nocturnal Hemoglobinuria?

a)

Ham test

b)

Flow cytometry

c)

Acidified glycerol test

d)

Acidified serum test

2.

Most probable diagnosis is?

a)

Thalassemia major

b)

Thalassemia minor

c)

Sickle cell anemia

d)

Immune hemolytic anemia

3.

Hb Barts is composed of:

a)

Four γ chains

b)

Four β chains

c)

Four alpha chains

d)

Four ε chains

4.

Identify the peripheral smear picture.

a)

Sickle cell anemia

b)

Beta Thalassemia minor

c)

Microangiopathic hemolytic anemia

d)

HbH disease

5.

Autosplenectomy is seen in

a)

Hereditary spherocytosis

b)

Immune hemolytic anemia

c)

Thalassemia

d)

Sickle cell anemia

6.

Most common mutation in Hereditary spherocytosis

a)

Spectrin

b)

Ankyrin

c)

Band 3

d)

Band 4.2

7.

Intravascular hemolysis is predominant in

a)

Hereditary spherocytosis

b)

Thalassemia

c)

Hereditary elliptocytosis

d)

Hemolytic uremic syndrome

8.

Features of hemolytic anemia are all except:

a)

Increased bilirubin

b)

Increased reticulocytes

c)

Increased urobilinogen

d)

Increased haptoglobin

9.

Investigation of choice for Thalassemia?

a)

Ham test

b)

Bone marrow Aspiration

c)

Hemoglobin electrophoresis

d)

Acidified serum test

10.

During Hematology class, Arnav learnt about G6PD deficiency and its effects on red blood cells. His facilitator mentioned various aspects of this condition. Which of the following statements about G6PD deficiency is false?

a)

Episodic hemolysis

b)

Young RBCs are more prone to hemolysis

c)

Both intra & extravascular hemolysis

d)

X linked recessive

11.

A patient with ABO incompatibility will characteristically show the presence of following on peripheral smear:

a)

Schistocytes

b)

Elliptocytes

c)

Target cells

d)

Microspherocytes

12.

Direct Coombs test detects:

a)

Antigen on RBC surface

b)

Antibody on RBC surface

c)

Antigen in serum

d)

Antibody in serum

13.

Identify the renowned personality in this picture.

a)

Robert Koch

b)

Waldeyer

c)

Mackenzie

d)

Virchow

14.

Hemoglobin synthesis starts in

a)

Proerythroblasts

b)

Early Normoblasts

c)

Intermediate Normoblasts

d)

Late Normoblasts

15.

True about warm-antibody hemolytic anemia

a)

Does not need complement

b)

Active at 2-8 deg.celsius

c)

IgM Antibody

d)

CLL is an important cause

16.

Supravital staining is used for?

a)

Basophilic Normoblasts

b)

Polychromatophilic Normoblasts

c)

Orthochromic Normoblasts

d)

Polychromatophilic Erythrocytes

17.

A correct diagnosis is three-fourths the remedy

a)

Mahatma Gandhi

b)

Jawaharlal Nehru

c)

Sardar Vallabhai Patel

d)

Thiruvalluvar

18.

A 42-year-old, previously healthy man from the tropics passes dark urine 2 days after having an anti-malarial drug. On examination: afebrile, pallor present, no hepatosplenomegaly. CBC: WBC Count: 7600 cells/mm³ RBC count: 3.8 million cells/mm³ Hb: 10.5 g/dl MCV: 78 fL, MCH: 25 pg, RDW: 14.6%, Platelet count: lakhs/mm³. What could be the probable diagnosis?

a)

Paroxysmal Nocturnal Hemoglobinuria

b)

Sickle cell anemia

c)

G6PD deficiency anemia

d)

Thalassemia

19.

A 3-year-old boy from the Mediterranean is underweight for his age and height. On physical examination, there is severe pallor & hepatosplenomegaly. History of repeated blood transfusions. A radiograph of the skull shows maxillofacial deformities and expanded marrow spaces. CBC reveals: WBC Count: 12,280 cells/mm³; RBC count: 2.3 million cells/mm³; Hb: 5.4 g/dl; MCV: 51 fL; MCH: 16 pg; MCHC: 31 g/dl; RDW: 17.4% Platelet count: 4.75 lakhs/mm³. What is the diagnosis?

a)

Thalassemia major

b)

Sickle cell anemia

c)

Hereditary spherocytosis

d)

Thalassemia minor

20.

A 15-year-old boy has a sudden onset of severe abdominal pain accompanied by fever, cough & chest pain. On physical examination, his temperature is 39.3°C, PR is 116/min, respirations are 22/min, and BP is 80/50 mm Hg. He has diffuse abdominal tenderness but no organomegaly. RBC has an abnormal shape on microscopy. CBC revealed WBC Count: 14,850 cells/mm³; RBC Count: 3.27 million cells/mm³; Hb: 9.2 g/dl; MCV: 85 fL; MCH: 27 pg; RDW: 15.7%; Platelet count: 3.2 lakhs/mm³

What is the most probable cause of this illness?

a)

Thalassemia major

b)

Hereditary spherocytosis

c)

Thalassemia minor

d)

Sickle cell anemia