HEMATOLOGY-PLE-EXAM BY MAAM TJ Flashcards
- Stress and anxiety can temporarily cause which of the
following?
a. Affect the coagulation test
b. Activate the platelets
c. Elevate WBC counts
d. Hemolyze specimens
c. Elevate WBC counts
- N:C ratio is 6:1
a. Metarubricyte
b. Rubricyte
c. Rubriblast
d. Prorubricyte
d. Prorubricyte
- Presence of 1-2 nucleoli
a. Prorubricyte
b. Rubricyte
c. Metarubricyte
d. Rubriblast
d. Rubriblast
- All of the following tube stopper colors indicate the
presence or absence and type of additive in the tube
EXCEPT:
a. Light blue
b. Royal Blue.
c. Lavender
d. Green
b. Royal Blue.
- Portland Hemoglobin
contains: 2 zeta/2 gamma
a. Mesoblatic phase
b. Hepatic phase
c. Yolksac phase.
c. Yolksac phase.
- Last stage capable of hemoglobin synthesis
a. Reticulocyte.
b. Metarubricyte
c. Rubricyte
d. Mature Erythrocyte
a. Reticulocyte.
- When is the best time to release the tourniquet during
venipuncture?
a. As soon as the needle penetrates the skin
b. After the needle is withdrawn and covered
c. After the last tube has been filled completely.
d. As soon as the blood begins to flow into the tube
d. As soon as the blood begins to flow into the tube
- This gauge of needle is used primarily as a transfer
needle rather than for blood donation
a. 23
b. 18
c. 21
d. 16
b. 18
- Has 120 days life span
a. Mature erythrocyte.
b. Rubricyte
c. Metarubricyte
d. Reticulocyte
a. Mature erythrocyte.
- What is the purpose of antiglycolytic agent?
a. Enhance the clotting process
b. Inhibit electrolyte breakdown
c. Preserves glucose.
d. Prevent clotting
c. Preserves glucose.
- Slides made in from EDTA specimens must be prepared within 1 hour of specimen collection for all the following reasons EXCEPT to:
a. Minimize RBC distortion on the smear
b. Preserves the integrity of the blood cells
c. Prevent artefact formation from additive
d. Ensure they are made before clots appear
d. Ensure they are made before clots appear
- The ratio of blood to anticoagulant is most critical for
which of the following test?
a. Alkaline phosphatase
b. Glycohemoglobin
c. Prothrombin time.
d. Complete blood count
b. Glycohemoglobin
- Sitting upright with an extended arm gives a 10% higher value for RBC mass.
a. TRUE.
b. FALSE
a. TRUE.
- When selecting a venipuncture site, how can you tell a vein from an artery
a. An artery has a distinct pulse
b. A vein has more resilience
c. An artery is more superficial
d. A vein pulses and feels larger.
a. An artery has a distinct pulse
- According to the Clinical and Laboratory Standards
Institute (CLSI), venipuncture should not be performed
on leg, ankle, foot of the veins unless:
a. There are no acceptable antecubital or hand veins.
b. Both arms have intravenous lines or other vascular
devices.
c. The patient does not have any coagulation problems
d. Permission of the patient’s physician is obtained
d. Permission of the patient’s physician is obtained
- ESR determination on specimens held at room
temperature must be made within:
a. 24hrs
b. 4 hrs
c. 1 hour
d. 12 hrs
c. 1 hour
- Where is the best place to apply the tourniquet
a. Distal to the wrist bone if drawing a hand vein
b. 1 to 2 inches above the venipuncture site
c. 3 to 4 inches above the desired venipuncture site
d. Immediately above the venipuncture site
c. 3 to 4 inches above the desired venipuncture site
- Milking process is not allowed during skin puncture
a. False
b. True
b. True
- What is the best angle to use for insertion needle during routine phlebotomy?
a. 35o to 45o
b. 45o to 60o
c. Less than 15o
d. 15o to 30o
d. 15o to 30o
- Too blue smear is caused by?
a. Too thick film
b. Acidic buffer
c. Too slow smearing
d. Low angle of spreading
a. Too thick film
- How may times do you mix non-additive tubes?
a. 2 or 3
b. 8 to 12
c. None
d. 5 to 10
c. None
- Hemoglobin F -> Hepatic phase
a. Hepatic phase 2 zeta
b. Mesoblastic phase 2 alpha
c. Yolk sac stage
a. Hepatic phase
- Main site: Red bone marrow
a. Yolk sac stage
b. Mesoblastic phase
c. Hepatic phase
d. Medullary or myeloid phase
d. Medullary or myeloid phase
- Which of the following areas does capillary specimen
collection differ from routine venipuncture when during
collecting a BUN and CBC?
a. Antiseptic used
b. ID procedures
c. Additives used
d. Order of draw
d. Order of draw
- What additive in a blood sample can inhibit the
metabolism of glucose by the cells?
a. EDTA
b. NaF Fluoride
c. Heparin
d. Oxalate
b. NaF Fluoride
- According to CLSI depth of heel puncture should not
exceed:
a. 1.5 mm
b. 4.9 mm
c. 2.4 mm
d. 2.0 mm
c. 2.4 mm
- Never leave a tourniquet on for more than:
a. 30 seconds
b. 3 minutes
c. 1 minutes
d. 2 minutes
c. 1 minutes
- Heparin is the first tube to be filled during venipuncture
a. TRUE
b. FALSE
b. FALSE
- Heparin is the anticoagulant of choice for EOFT
a. TRUE
b. FALSE
a. TRUE
- When platelet satellitosis was seen in the PBS, the next course of action is to recollect sample using heparinized tube?
a. TRUE
b. FALSE
b. FALSE
- Last nucleated stage?
a. Prorubricyte
b. Metarubricyte
c. Rubricyte
d. Rubriblast
b. Metarubricyte
- EDTA induced Platelet clumping results to lower red
blood cell count
a. TRUE
b. FALSE
b. FALSE
- There is a sign above the patient’s bed that reads, “No blood pressure or venipuncture, right arm”. The patient has an IV in the left forearm. You have a request to collect a complete blood on the patient. How should you proceed?
A. Ask the patient’s nurse what to do when sign is
posted
B. Collect a CBC from the right arm without using
tourniquet
C. Collect the specimen from the left hand by finger
puncture
D. Ask the patient’s nurse to collect the specimen from
the IV
C. Collect the specimen from the left hand by finger
puncture
- The purpose of tourniquet in the venipuncture procedure to:
a. Obstruct blood flow to concentrate the analyte
b. Redirect more blood flow to the venipuncture site
c. Enlarges vein so the are easier to find and enter
d. Block the flow of arterial blood into the area
c. Enlarges vein so the are easier to find and enter
- Earliest recognizable cell in the light microscope
a. Metarubricyte
b. Prorubricyte
c. Rubricyte
d. Rubriblast
d. Rubriblast
- Which of the following are all anticoagulants that remove calcium from the specimen by forming insoluble calcium salts, and therefore prevent coagulation
a. EDTA, lithium heparin, citrate
b. Sodium Fluoride, Sodium heparin, EDTA
c. Oxalate, SPS, sodium heparin
d. Sodium citrate EDTA, oxalate
d. Sodium citrate EDTA, oxalate
- Oxalate is the anticoagulant of choice for platelets counts
a. FALSE
b. TRUE
a. FALSE
- ESR test must be set – up within 10 hrs of collection if the specimen is refrigerated
a. FALSE
b. TRUE
a. FALSE
- First drop of blood is wiped off during micro sampling in order to prevent platelet satellitosis
a. TRUE
b. FALSE
b. FALSE
- Hemoglobin A2
a. Yolk sac stage
b. Hepatic stage
c. Mesoblastic phase
d. Medullary phase
d. Medullary phase