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05 :sm188: :

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the method of hemoglobin measuerement requires the conversion of hemoglobin to

--- cyanmethemoglobin ---

which of the following will result in afalsely decreased erythrocyte sedimmentation rate --presence of codocytes

the " rule of three means that theHCT is three times the HB

After staining aperipheral blood smear with wright'stain and a buffer with correct pH the RBC's appear pale pink and the WBC's stian very weakly with little - to- no nuclear deatail One possible explanation is

. There was excessive washing of the smear

Which of the following conditions would introduce a source of error into amanual WBC count

Uneven distribution of leukocytes in the counting chamber- --

False positive results may occur in the screening solubility test for hemoglobin S due to

. adding more blood to the reagent than called for by test procedure -

An increase in ****myelocytes , myelocytes , and promyelocytes in the peripheral blood can be ? referred to as

a shift to the left

While performing a WBC differentia count on a capillary blood smear ,no platelets were observed . ? What action should be taken

Look at the edge of the smear for platlet clumping --. A falsely elevated hematocrit is obtained on adefective centrifuge . Which of the following values will ? not be affected

MCH

? What effect would the use of abuffer with a PH of 6.0 have on a Wright stained smear

. RBC's would be too pink ---

Which of the following red - cell inclusions can be detected with a supravital perparation that uses new methylene -blue Nas the dye reagent but are not visible with Romanowsky stain

Heinz bodies ---

Which of the following contain RNA and are usually identified by staining with brilliant cresyl blue or new methylene blue

. Reticulocytes ---

: Astudent cosistently makes peripheral blood smears that are too thin . you instruct the student to try

increasing the angle of the spreader slide ---

which characteristic differentiates the myelocyte from other myelocytic cells Appearance of specific granules ---

vigorous mixing of a whole -blood specimen collected with EDTA results in

---a falsely decreased hematocrit

During the examination of a cerebrospinal- apecimen from a 45- years old man . the clinical laboratory techinican noted the ? presence of rare choroid plexus cells in a total WBC count . these results are indictive of

. normal state ---

Blood collected for anticoagulation testing should be collected in

sodium citrate with a 9:1 blood to anticoagulant ratio %4.3 ---

?ALL of the following conditions may cause an increased thrombin time except

decreased prothrombin ---

The APTT is a screening test for all ? coagulation factors in the intrinsic pathway except which of the following

X111 ---

the coagulation factor that is decreased in hemophilia A is factor

V111 ---

Thawing of platelet - poor plasma that has been stored at -- 40C for coagulation studies should be - performed at what temperature

C38- C35 -

Which two plasma coagulation factors are the least stable in vitro

V and V111 ---

A clinical laboratory techncian notes that aspecimen for an APTT has been stored at room temperature : for five hours prior to testing . the CLT should

. request anew sample ---

Plasma is diluted in afibrinogen activity determination to decrease the influence of inhibitors ---

WHich of the following is appropriate in preparing an EDTA anticoagulated specimen for analysis when it has been standing in arack and not ? on a mechanical rotator

. Invert gently at least 60 times ---

A patient has an RBC count of 2.70 *10 L ahemoglobin of 5.5 g/dl , and ahematocrit of 0.19 L/L . what erythrocyte morphology would / 23" ? you expect to see on the periphal blood smear

microcytic hypochromic cells -

When reviewing a peripheral blood smear. the clinical labratory scientist notes many macrocytes . the ? MCV has been reported as 85 FL . This appearent discrepancy may indicate that

The smear was made from the wrong sample

In the performance of amodified Westergren ESR . what is the recommened dilution

) volume diluent +4 volumes blood ( 5/2 ---

many schizocytes are seen on aperiphral blood smear . one of the most common causes for these cells : is

microangiopathic anemia ---

Which of the following procedures is not necessary to confirm the majority of iron realted anemias

Bone marrow evulation

? Afalesly elevated G- 6- PD assay using the fluorescent spot test may be seen in patieants with

the presence of many reticulocytes

The presence of microorganisms, increased protein and a high leukocyte count in CSF will cause the : CSF to appear cloudy or turbid ---

In selecting material for smears of bone marrow cell morphology the clinical labratory scientist should :select

gray particles floating in blood and fat droplets ---

Which of the following would be an acceptable specimen for semen analysis Collected at the office without a ---

condom and eximened in 1 hour

The coagulation factor defiency that can display both an abnormal PT and APTT is factor

X ---

A patient has an abnormal thrombin time and normal reptilase time .Which of the following can : produce this results

Heaparin ---

The most frequent hereditary condition predisposing to venous thrombosis is

activeted protein C resistant ---

: anexpectedly small anticoagulant response to heparin therapy may be caused by decreased levels of

anti thrombin ---

Un fractionated heparin must have which one of the following coagulation inhibitors present in normal amounts in order for it to properly : anticoagulate a patient

Anti thrombin 111 ---

: The formation of D-dimeris the by- product of the effect of plasmin on

across- linked fibrin ---

In the performance of platelet aggregometry on patient samples the instrument should be set to 100% : transmittance using

)patieant platelet - poor plasma (PPP ---

Which is the following conditions can cause a prolonged thrombin clotting time

Pro thrombin deficiency ---

The most common generalized : hemostiatic disorder is

liver disease ---

Red blood cells morphology characteristic of multiple myeloma Rouleaux ---

All of the peripheral blood smears made by a certain clinical laboratory technician are too thick . Which of the following corrective actions should be :taken

Lower the angle of the spreader slide to 45 degrees ---

Which of the following cells may be found only in ascitic fluid

Mesothelial cells ---

The first of 3 tubes of CSF appearspink and cloudy the remaining 2 tubes appear to be clear and colorless This is indicative of a/an

traumatic tap ---

secondary granules first appear in which stage of neutrophilic development

Myelocyte ---

A supravital stain must be used to demonstrate the presence of

reticulum

An erroneously high spin hematocrit can be caused by

reading the buffy coat as the part of the packed -cell portion

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