Lab Final Flashcards
Your patient has such extensive kidney damage that she is barely able to produce urine. She has no platelets in her blood smear. She exhibits extensive bruising. She has low back pain and now has abdominal pain as well as heart palpitations. The most likely diagnosis based on this brief description would be:
Thrombotic thrombocytopenic purpura- hemolytic uremic syndrome
TTP-HUS
A 7-year-old patient is brought to your office complaining of fever, rash of small red macules, hacking cough and sore throat. It began 3 days ago. The patient recently developed a. The lab values are as follows. Hematocrit. Within the norm (35-45%) Hemoglobin Within the norm (11.6-15.2 g/dL) Neutrophils 20% (norm 38-80%) Lymphocytes 75% (15-49%) Monocytes Within the norm (0-13%) Eosinophils Within the norm (0-8%) Basophils Within the norm (0-2%) Platelets Within the norm (7-10 phf)
The most likely diagnosis is:
a. Measles
b. Mosquito bites
c. Miliaria
d. Chicken pox
Chicken pox
Hematocrit is:
a. % of solids to the total volume of blood
b. % of plasma to the total volume of blood
c. % of RBCs to the total volume of blood
d. % of WBCs to the total volume of blood
% of RBCs to the total volume of blood
A male patient 42 years of age presents with lab work indicating decreased platelets, highly increased eosinophils,
and highly increased basophils. Most likely leukemia is:
a. ALL
b. CLL
c. AML
d. CML
CML
A patient from a Scandinavian country has been diagnosed with a genetically inherited hemolytic anemia. Name the
most likely disease from the list below:
a. Thalassemia
b. Aplastic anemia
c. Spherocytic anemia
d. Sickle cell anemia
Spherocytic anemia
Normal fasting blood sugar is approx.:
a. 30-60 mg/dl
b. 80-110 mg/dl
c. 120-150 mg/dl
d. 160-190 mg/dl
80-110 mg/dL
Which of the following white cell counts would be typical for a leukemia:
a. 10,000
b. 30,000
c. 60,000
d. 250,000
250,000
Reed Sternberg cells are found in
a. HUS-TTP
b. Aplastic anemia
c. Hodgkin’s Disease
d. Spherocytic anemia
Hodgkin’s disease
An elevation of neutrophils may indicate?
A) Viral Infection
B) Bacterial Infection
C) Allergic Reaction
Bacterial infection or sepsis
An elevation of eosinophils may indicate?
A) Viral Infection
B) Bacterial Infection
C) Allergic Reaction
Allergic reaction or bee bites
An elevation of lymphocytes may indicate
A) Viral Infection
B) Bacterial Infection
C) Allergic Reaction
Viral infection or mumps
Correct angle of the needle for venipuncture is:
a. 15
b. 25
c. 35
d. 45
15 degrees
In venipuncture, after the needle is removed, advise the patient to hold the cotton over the puncture site for \_\_\_ minutes. a. 1 b. 5 c. 10 d. 15 e. 20
5 minutes
Barbara, a 25 y/o female, comes into your office complaining of constant fatigue that has been progressively getting worse over the last four months. She bleeds heavily during her menses (hypermenorrhea). She tends to eat on the run because she is so busy. Lately she has noticed a strange craving for dirt. She has spooning of her fingernails. Her lab results are as follows.
Hematocrit. 15% (35-45%) Hemoglobin 5g/dL (11.6-15.2 g/dL) Neutrophils 49% (norm 38-80%) Lymphocytes 40% (15-49%) Monocytes 7% (0-13%) Eosinophils 4% (0-8%) Basophils Within the norm (0-2%) Platelets Within the norm (7-10 phf)
Her most likely diagnosis is:
a. Iron Deficiency Anemia
b. Aplastic Anemia
c. Polycythemia Vera
d. Thalassemia
Iron deficiency anemia
Barbara, a 25 y/o female, comes into your office complaining of constant fatigue that has been progressively getting worse over the last four months. She bleeds heavily during her menses (hypermenorrhea). She tends to eat on the run because she is so busy. Lately she has noticed a strange craving for dirt. She has spooning of her fingernails. Her lab results are as follows.
Hematocrit. 15% (35-45%) Hemoglobin 5g/dL (11.6-15.2 g/dL) Neutrophils 49% (norm 38-80%) Lymphocytes 40% (15-49%) Monocytes 7% (0-13%) Eosinophils 4% (0-8%) Basophils Within the norm (0-2%) Platelets Within the norm (7-10 phf)
If you looked at Barbara’s blood under a microscope, what characteristics would you expect her red blood cells to have? a. Macrocytic, Hyperchromic b. Macrocytic, Hypochromic c. Microcytic, Hyperchromic d. Microcytic, Hypochromic
Microcytic hypochromic
Barbara, a 25 y/o female, comes into your office complaining of constant fatigue that has been progressively getting worse over the last four months. She bleeds heavily during her menses (hypermenorrhea). She tends to eat on the run because she is so busy. Lately she has noticed a strange craving for dirt. She has spooning of her fingernails. Her lab results are as follows.
Hematocrit. 15% (35-45%) Hemoglobin 5g/dL (11.6-15.2 g/dL) Neutrophils 49% (norm 38-80%) Lymphocytes 40% (15-49%) Monocytes 7% (0-13%) Eosinophils 4% (0-8%) Basophils Within the norm (0-2%) Platelets Within the norm (7-10 phf)
Which of the following signs and symptoms would not be found with her condition?
a. Tachycardia
b. Dyspnea upon exertion
c. Tachypnea
d. Excessive bleeding and bruising
Tachypnea
Clarissa is a four year old patient of yours. Her mom brought her into your office complaining about spontaneous nosebleeds, fatigue, pallor, and mild fever. Her condition began two weeks ago and had been ever since. Mom has noticed some projectile vomiting. Clarissa’s laboratory report is as follows.
Hematocrit. 27% (35-45%) Hemoglobin 9g/dL (11.6-15.2 g/dL) Neutrophils 15% (norm 38-80%) Lymphocytes 78% (15-49%) Monocytes 3% (0-13%) Eosinophils 4% (0-8%) Basophils Within the norm (0-2%) Platelets 4phf (7-10 phf)
The most likely diagnosis for Clarissa is:
a. AML
b. CML
c. ALL
d. CLL
ALL
If a patient has polycythemia vera, what range would best describe their hematocrit?
a. Low
b. Average
c. High
d. None of the above
High
List one example of a condition in which you would expect to find macrocytic red cells.
a. Thalassemia
b. Megaloblastic anemia
c. Spherocytic anemia
d. Hodgkin’s Lymphoma
Megaloblastic anemia
A patient presents with decreased platelets, decreased RBC count, lymphocytes are typical, increased myeloblasts,
and median patient age of 60. The most likely diagnosis would be:
a. ALL
b. AML
c. CLL
d. CML
AML
62 y/o man presents with a decreased RBC count, decreased platelets, increase atypical lymphocytes; the patient has
splenomegaly and lymphadenopathy. The most likely diagnosis would be:
a. ALL
b. AML
c. CLL
d. CML
CLL
A 19 y/o male patient presents with severe fatigue, weakness and rapid heart rate. He has a decreased numbers of all
his blood cells, red, white & platelets. He works with many different chemicals in his job. The fatigue and weakness
came on gradually over the course of about 2 months. Most likely, the diagnosis would be:
a. Spherocytic anemia
b. Sickle cell anemia
c. Thalassemia
d. Aplastic anemia
Aplastic anemia
A patient has a hematocrit of 60%. Assuming that his RBCs are normal size and normal shape, what would the hemoglobin be? a. 20% b. 40% c. 60% d. 80%
20%
A patient has a hematocrit of 60%. Assuming that his RBCs are normal size and normal shape.
On the above patient, what would an approximation of the RBC count be?
a. 3%
b. 6%
c. 12%
d. 24%
6%
When performing a venipuncture on a patient, the maximum time that you can leave the tourniquet on is:
a. 1 minute
b. 2 minutes
c. 5 minutes
d. 10 minutes
1 minute
Normal fasting blood sugar is approx.:
a. 30-49 mg/dl
b. 50-69 mg/dl
c. 70-100 mg/dl
d. 125-130 mg/dl
70-100 mg/dL
Elevated indirect (unconjugated) bilirubin could be found in:
a. Iron deficiency anemia
b. Aplastic anemia
c. Sickle cell anemia
d. Pernicious anemia
Sickle cell anemia
A patient with nucleated RBCs, hepatosplenomegaly, basophilic stippling, high blood level of iron, fatigue, liver, heart,
kidney pathology would be most indicative of:
a. Spherocytic anemia
b. Iron deficiency anemia
c. Sickle cell anemia
d. Sideroblastic anemia
Sideroblastic anemia
Diagnosis of absolute polycythemia is based on:
a. Increased amount of plasma
b. Increased number of cells
c. Increased ceruloplasmin
d. Decreased ferritin
Increased number of cells
When performing a venipuncture on a patient, the following is best order in process takes place?
a. Wash hands and put on gloves
b. Swab the antecubital fossa
c. Apply tourniquet
d. Insert needle with bevel of the needle up at approximately 15*
e. Release tourniquet
f. Remove vacutube
g. Apply sterile cotton ball
h. Remove needle
Oliver Twist comes into office complaining of HA, fever, and congestion. It began a week ago and he notices that his joints are very achy and he has had a fever for the last day and half. Oliver has a relatively uneventful history since he moved to Atlanta from Michigan 4 years ago. His lab values are: Eosinophils (n= 0-8) (p = 25).. What do you think is the Problem?
a. Bacterial infection
b. Seasonal Allergies
c. Viral infection
d. None of the above
Seasonal allergies