A 72-year-old woman has the following results: Hemoglobin: 6 g/dL MCV: 114 fL MCH: 39 pg MCHC: 34 g/dL Oval macrocytes on Wright stain Serum B12: 55 pg/mL (Normal: 200–1000 pg/mL) Serum folate: 7 ng/mL (Normal: 1–10 ng/mL) Anti-intrinsic factor antibodies: positive What is the most likely diagnosis?

Which condition results from decreased synthesis of globin chains?

What is the normal myeloid-to-erythroid (M:E) ratio for an adult bone marrow?

The failure of granulocytes to develop past the band or two-lobed stage is characteristic of:

A patient has markedly elevated WBC count with neutrophilia, left shift, toxic granulation, vacuoles, Döhle bodies, and increased LAP score. What is the most likely diagnosis?

Lymphocytes with cytoplasmic projections and a positive tartrate-resistant acid phosphatase stain are most likely found in:

Plasma cells evolve from which cell line?

A peripheral smear stained with Prussian blue shows siderocytes. On a Wright-stained smear, these would appear as:

A “dry tap” bone marrow aspiration is most commonly associated with:

Which red cell inclusion consists of precipitated RNA and appears as fine blue granules with Wright’s stain?

After exposure to an oxidizing drug, a patient with G6PD deficiency would most likely have:

Which finding is characteristic of hereditary spherocytosis?

In the Kleihauer-Betke test, fetal hemoglobin (HbF) appears as:

The term “shift to the left” in a WBC differential refers to:

Which of the following pairs of fasting plasma glucose values demonstrates unequivocal hyperglycemia that can be used toward the diagnosis of diabetes mellitus?

Which serum enzyme is elevated in all hepatobiliary disorders?

Aldosterone regulates the levels of which electrolyte?

A deficiency of which vitamin produces abnormal bone mineralization and can lead to osteomalacia?

Absorption of vitamin B12 in the gastrointestinal tract requires the presence of:

Which enzyme is specific for acute pancreatitis and is not elevated in salivary gland disorders?

Which protein is increased in diseases with expanded fluid volume and is a marker for congestive heart failure (CHF)?

An increase in which protein is associated with primary carcinoma of the liver and is a useful tumor marker?

Which protein is a marker for liver cancer?

The very low-density lipoprotein (VLDL) fraction primarily transports:

A blood sample for a trough drug level should be drawn:

Which disorder is related to mucus accumulation, recurrent infection with unusual pathogens, and increased inflammation in the lungs?

Urea/BUN is produced from:

Calcium concentration in the serum is regulated by:

Ninety percent of the copper present in the blood is bound to:

Urobilinogen is formed in the:

Aspartate aminotransferase (AST) is characteristically elevated in diseases of the:

The presence of which isoenzyme indicates acute myocardial damage?

The conversion of glucose to lactate or pyruvate is called:

TSH is produced by the:

A 45-year-old woman has fatigue, heat intolerance, and hair loss. Total and free T4 are low, and TSH is markedly elevated. This is consistent with:

Crystals found in urine that are associated with pathogenic disease include:

A 23-year-old female has burning on urination. Urinalysis shows large blood, positive nitrite, and positive leukocyte esterase. Microscopic exam reveals many bacteria, 20–40 WBCs, and 5–10 RBCs. What is the most likely diagnosis?

A 40-year-old male’s urinalysis reveals few squamous epithelial cells, rare mucus, and rare WBCs. These findings suggest:

Motility during urine sediment examination is most noticeable with:

The only type of urinary cast capable of polarization is the:

The major constituent of urinary casts is:

The type of cast most closely associated with tubular damage is the:

A negative reagent strip test for glucose with a positive Clinitest result suggests:

A positive reagent strip test for blood but no RBCs seen microscopically is called:

Difficulty interpreting reagent strip color reactions in thick orange urine is most likely due to:

Bilirubin concentrated on the surface of an absorbent pad is the principle of which test?

Excessive fat metabolism is indicated by urinary presence of:

Reagent strip reaction for ketones primarily detects: