21.Which of the following conditions is frequently associated with these cells?

Hemolytic anemiaChronic blood

lossMegaloblastic anemiaSickle cell anemia

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Hypersegmented n eutrophils are associated with megaloblastic anemias.22.The cell indicated by

the arrow in this illustration is called:Hair cellSmudge cellMegakaryocyte Blast

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Smudge Cells (bar e nuclei) are commonly

seen in blood smears from patients withchronic lymphocytic leukemia.23.Identif y the urine sediment elements shown by the arrow:Cholesterol

crystalsUric acid crystalsA m o r p h o u s u r a t e crystalsC ystine crystals

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Cystine crystals are characteristica lly seen as colorle ss hexagonal plates i

n acidurine. They may be confused with hexagonal ur ic acid crystals. T hey can bediffere ntiated from uric acid by their solubility in dilute hydrochlo ric

acid versuscrystall ine uric acid, which is not soluble in dilute hydrochloric acid. The cyanidenitroprusside test can be used to confirm the presence of

cystine in urine. Cystinecrystals are not present in normal urine.24.Identify the urine sediment elements shown by the arrow:

YeastWBCsFatSta rchcrystals
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Starch crystals often contaminate normal urine. They appear round to oval, areh ighly refractile, with an irregular indentation in the center. They may exhibit the"Maltese

cross" appearance under polarized light.25.The RBCs seen in this illustration are indicative of:

Normal cellsMicrocytic cellsMacrocytic

cellsHypochrom iccells
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Normal red cells are uniformly shaped and sized with 2-3mm of central pallor.26.The McFarland

Comparison Card shown in the illustration is used to:

Perform sensitivity testingStandardi ze concentrations

of organismsQ. C. broth mediaDetermin e MICs

27.The WBC indicated by the arrow in this illustration is exhibiting:

Dohle bodiesHyperseg mentationDegra nulationPelgerHuet

anomaly
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Pelger-Huet anomoly is an autosomal dominant condition characterized byhyposegmentati on of neutrophils. Decreased nuclear

segmentation may also be seenas an acquired disorder in cases of granulocytic leukemia, myeloproliferativedi sorders, infections,

and after exposure to certain drugs.

Image courtesy and copyright of the Clinical Chemistry and Hematology Laboratory, WadsworthCenter, NY State Department of Health (http://www.w adsworth.org)

28.The abnormal RBC shape seen in this illustration is:

Sickle cell Thorn cellFragmented cellCrenated cell

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Crenated red cells usually occur as an artifact during the preparation of bloodsmears.

Acknowledgement

I m thank full to my God he give

meAnd also I thank full my friend Mr. Sami Khan he help me in down load, Thanks,
Muhammad Younis

Lab. Technician NNP,

Rabigh, KSA00966-591342865Unis_mem on85@yahoo.com