Chapter 44- Analysis of Blood Flashcards

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1
Q

What can cause hematocrit values?

A

Age, Gender, Collection Techniques, Pathologic Conditions

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2
Q

How are microhematocrit specimens processed?

A

Capillary blood is collected in two capillary tubes, centrifuged in a microhematocrit centrifuge, and read on a microhematocrit reader.

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3
Q

What factors can affect hematocrit?

A

Age and Gender, Collection Techniques, Geographic Location, Physiologic and Pathologic Factors

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4
Q

What can increase a RBC count?

A

Severe burns, Dehydration, Polycythemia Vera

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5
Q

What are the factors that can affect RBC count?

A

Gender, Illness or Disease, Geographic Location

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6
Q

What is the condition in which the RBC count is too low?

A

Anemia

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7
Q

What does the white blood cell count component of a CBC indicate?

A

Total number of leukocytes

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8
Q

Which is true about mean cell volume?

A

It helps classify types of anemia.
It determines the average size of RBC’s
The normal reference range is 82 to 108 femoliters (fL)

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9
Q

What will a decreased MCHC show in a stained blood smear?

A

Hypochromic RBC’s

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10
Q

Which index is calculated to give the average weight of hemoglobin in the RBC?

A

Mean Cell Hemoglobin (MCH)

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11
Q

What considerations must an MA take when processing a Sed rate?

A

Specimen tube must remain undisturbed for an hour.
Test must be performed within 62 hours of specimen collection
Specimen should be stored at room temperature if not tested immediately

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12
Q

In what time frame must a Sed Rate be tested on a blood sample?

A

Within 62 hours

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13
Q

Which Sed Rate is significant?

A

30 mm/hr in a female under age 50.

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14
Q

What can increase a white blood cell count?

A

Stress, Pneumonia, Appendicitis, Bacterial Infection

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15
Q

What is a decrease in white blood cell count called?

A

Leukopenia

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16
Q

Which Pathologic conditions can cause leukocytosis?

A

Leukemia, Pneumonia, Appendicitis

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17
Q

What are the PT and PTT tests used to screen?

A

Hemophilia, Hereditary Clotting Disorders, Results of Anticoagulant Treatment

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18
Q

What is the INR?

A

A conversion unit that takes into account the different sensitivities of reagents used for PT testing.

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19
Q

Which is a normal PT value?

A

INR of 1.4

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20
Q

Which type of blood could blood type B- receive?

A

O- and B-

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21
Q

What is the purpose of a type and cross match?

A

To determine the correct blood type to be used during a transfusion

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22
Q

What factor must an Rh negative mother consider if her infant is Rh positive?

A

In future pregnancies, the fetus can be at risk of hemolytic disease of the newborn.

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23
Q

What are the tests that are commonly done in physician offices for diabetes?

A

Hemoglobin A1c, Fasting Blood Glucose, Glucose Tolerance Test,

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24
Q

What chronic conditions are frequently tested for in physician offices?

A

Liver failure, Diabetes Mellitus, Endocrine Disorders, Cardiovascular Disease

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25
Q

How frequently should adults have cholesterol screening done?

A

Once every 5 years

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26
Q

Which term describes an abnormal decrease in the white blood cells in the body?

A

Leukopenia

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27
Q

Leukopenia

A

abnormal decrease in the number of white blood cells.

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28
Q

At which and should a MA position the spreader slide while preparing a blood smear?

A

30 degrees

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29
Q

Which section performs a test to count red blood cells, white blood cells, and platelets?

A

Immunohematology

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30
Q

Which should the MA do after a blood smear has been made for a differential cell count?

A

Allow the slide to air dry

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31
Q

A MA is determining the hemoglobin level of a 6 year old child . Which are the correct hemoglobin reference values for the child?

A

10 to 15 g/dL

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32
Q

A medical assistant is assessing the laboratory reposts of a patient who had a stroke and is taking warfarin ( Coumadin). The patient’s prothrombin time (PT)/ international normalized ratio (INR) result shows 3.6 clothing ability. Which instruction can the MA expect from the healthcare provider? .

A

Decrease the dose of Warfarin (Coumadin)

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33
Q

While reviewing the reposts of a female patient, the medical assistant finds the patient has a hematocrit of 52%. What does this reading intricate?

A

Polycythemia

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34
Q

When using manual methods, the mean corpuscular volume (MCV) is calculated by dividing the hematocrit by the red blood cell count and multiplying by __.

A

10

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35
Q

In the United States, blood type B+ is commonly seen among people of which ethnicity?

A

Asian

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36
Q

Which is the normal range of neutrophils?

A

38% to 80%

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37
Q

Neutrophil-

A

A type of white blood cell
* plays a major role in the immune system

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38
Q

Normal range of eosinophils ?

A

1% to 6%

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39
Q

The normal range of monocytes?

A

3% to 10%

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40
Q

Normal range of lymphocytes:

A

20% to 40%

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41
Q

Which sample is used for performing a hematocrit test?

A

EDTA treated blood

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42
Q

Citrates plasma

A

Used for Prothrombin time

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43
Q

PT:

A

(Prothrombin time)

test that measures the time it takes blood to form a fibrin clot.

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44
Q

Which measurement helps in diagnosing the type and cause of anemia?

A

Red blood cell indices

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45
Q

Differential cell count:

A

helps identify and count the five types of white blood cells.

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46
Q

Which finding could enable a MA to conclude that a pt has polycythemia ?

A

Increased red cell count

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47
Q

What is the composition of the buffy coat that is formed after the centrifugation of whole blood?

A

White blood cells and platelets

48
Q

A MA is preparing to perform an Ruth to cure sedimentation rate (ESR) test. Which item is required?

A

Westergren tube

49
Q

What are true regarding mature erythrocytes?

A

They have no nucleus.
They transport oxygen.
They survive for 120 days.

50
Q

What is a characteristic of a correct smear?

A

Presence of a feathered edge at the thin end

51
Q

The approximate life span of an erythrocyte is ___

A

120 days

52
Q

Which cells are leukocytes?

A

Basophils, Eosinophils, Monocytes

53
Q

What percentage of the blood is plasma?

A

55%
The remaining 45% consists of cellular elements, such as RBC’s, WBC’s and thrombocytes (platelets).

54
Q

A MA observes that the platelets on a stained slide are few and far away from each other. A platelet count reveals 60,000 platelets/mm. Which term used for this condition?

A

Thrombocytopenia

55
Q

Thrombocytopenia:

A

A decrease in the number of platelets

56
Q

Platelets is also known as?

A

Thrombocytes

57
Q

Poikilocytosis:

A

Significant variation in the shape of red blood cells

58
Q

Thrombocytosis:

A

An increase in the platelet count

59
Q

Which hormones are produced by the thyroid gland?

A

T3, and T4

60
Q

Triiodothyronine:

A

T3

61
Q

Tetraiodothyronine:

A

T4

62
Q

Thyroid Stimulating Hormone (TSH):

A

Produced by the pituitary gland

63
Q

Thyrotropin releasing hormone (TRH):

A

Produced by the hypothalamus

64
Q

Total ion binding capacity (TIBC):

A

Is a measure of the blood’s capacity to transport iron

65
Q

An adult male pt’s laboratory report shows a red blood count of 35 x 10(6)/mm(3) and a hemoglobin level of 10 g/dL. Which complication can be expected from these findings?

A

Anemia

66
Q

Which analyzer helps determine the hemoglobin level in in blood?

A

Stat- Site Hgb Meter

67
Q

Stat- Site Hgb Meter

A

A CLIA- waived hemoglobin analyzer that helps determine the hemoglobin level in blood.

68
Q

Cell- Dyn:

A

Is a non waived blood cell counter used to determine the white blood cell count.

69
Q

QBC auto read analyzer:

A

Helps determine the complete blood cell count.

70
Q

Coulter cell counter:

A

Is an automated analyzer used to determine the white blood cell count.

71
Q

How is a manual differential blood count performed?

A

Examining a blood smear

72
Q

Which is the reference range for hematocrit in women?

A

36% to 45%

73
Q

If the blood cgluxose level exceeds __ g/dL, glucose escapes into the urine.

A

200

74
Q

What happens when the blood glucose exceeds it’s levels?

A

When the blood glucose level exceeded 200 g/dL, the renal tubules can no longer absorb the excessive amount of glucose present in the glomerulus. This excess amount of glucose escapes into the urine.

75
Q

Which intervention of the medical assistant while preparing a blood smear for differential cell count manually shows a need for further learning?

A

Using sodium citrate as the anticoagulant

76
Q

Immunoglobulins:

A

A group of related proteins that function as antibodies. They are found in plasma and other body fluids.

77
Q

Hematocrit:

A

measurement of the percentage of packed RBC in a volume of blood.
- normal hct varies with age and general 36%- 52%
- high levels may be caused by dehydration or Polycythemia Vera.
- low levels can indicate anemia or the presence of bleeding.

78
Q

Polycythemia Vera:

A

A disorder characterized by an abnormal increase in the number of red blood cells in the blood.

79
Q

Anemia:

A

A deficiency of hemoglobin in the blood. It is accompanied by a reduced number of red blood cells, pale skin, weakness, and shortness of breath, among other symptoms.

80
Q

Buffy coat:

A

The layer of white blood cells and platelets that separates red blood cells and plasma in a centrifuged sample of the whole blood.

81
Q

Eosinophils:

A

Are associated with allergies.

82
Q

Basophils:

A

Microscopic cells that have large, dark, blue black, granules and contain histamine.

83
Q

Lymphocytes:

A

they destroy foreign substances by producing antibiotics. B and T cells combined are the second must abundant WBC in the blood.

84
Q

B cells:

A

Produce specific antibodies against a particular antigen.

85
Q

Hemoglobin:

A

The orgen-carrying placement of RBCs.
Normal range: Female - 12-16 g/dL
Mate: 14-18g g/dL

86
Q

Platelets:

A

Fragments of a larger cell called megakaryocyte. The smallest of the red formed elements in the peripheral blood and assists with blood clotting.

87
Q

Plasma:

A

Made up of approximately 55% of blood volume.

88
Q

ESR:

A

Lab test that measures the rate at which RBC’s gradually separate from plasma and settle at the bottom of a specifically calibrated tube in one hour.

89
Q

Dehydration:

A

High RBC count

90
Q

H & H “ Hemoglobin & Hematocrit:

A

performed by Hematology.

91
Q

Hypochrimic:

A

Pale red blood cells. Lacking color.

92
Q

Differential:

A

to analyze and count types of WBC’s found in a sample of blood.

93
Q

Morphology:

A

The study of the form, shape and structure of an organism.

94
Q

BUN:

A

Blood test that analyzes the ability of the kidneys to perform their function.

95
Q

Cardiac Panel-

A

CPK, Troponin 1, Troponin T

96
Q

Thyroid panel:

A

TSH, T3, T4

97
Q

Electrolyte panel:

A

Sodium, potassium, chloride

98
Q

Renal panel:

A

creatinine, BUN, uric acid, Glucose

99
Q

Liver panel:

A

ALP, GGT, AST, ALT, LDH

100
Q

Hemoglobin A1c:

A

Measures the blood glucose (sugar) over 2 to 3 months

101
Q

Fasting Blood Glucose (FBG):

A

The amount of glucose present is used to measure the body’s ability to break down and use glucose.

102
Q

Cholestech LDX analyzer:

A

HDL, LDL, ratios, glucose

103
Q

Macrocytic:

A

RBC that is larger than normal.

104
Q

Band:

A

Name used to describe an immature neutrophil.

105
Q

Centrifuge:

A

An instrument used to separate blood cells from plasma

106
Q

Where are all blood cells formed?

A

Bone marrow

107
Q

Thrombocytes are formed elements that assist with __________ in the blood system.

A

clotting

108
Q

When testing blood, the physician orders a hemoglobin A1C test. Which diagnosis is the physician trying to confirm?

A

Diabetes

109
Q

The normal hematocrit in a male is:

A

42-52%

110
Q

The normal hematocrit result in an infant is:

A

37-41%

111
Q

Low microhematocrit values can indicate:

A

Anemia

112
Q

When a patient presents with pain, which test is ordered to diagnose inflammation in the body?

A

ESR

113
Q

Which result is a normal hemoglobin level for a female patient?

A

12-16 g/dL

114
Q

What is the optimal level for LDL (low-density lipoprotein) when screening for cholesterol?

A

Less than 100 mg/dL

115
Q

Patients with type _____ blood are considered universal donors.

A

O