Lab Final Review

Question 1

A Greek patient with nucleated RBCs, splenomegaly, basophilic stippling, fatigue and muscle weakness, signs of gallstones (right scapular pain), and possibly jaundice would be most indicative of:

Answer 1

Thalassemia

Question 2

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 had low back pain and now has abdominal pain as well as heart palpitations. The most likely diagnosis based on this brief description would be:

Answer 2

TTP-HUS

Question 3

Case Study:
A 7 year old patient i brought to your office complaining of fever, hacking cough and sore throat. It began 3 days ago. The patient recently developed a rash of small red macules.
The most likely diagnosis is:

Answer 3

Chicken pox

Question 4

Hematocrit is:

Answer 4

% of RBCs to the total volume of blood

Question 5

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:

Answer 5

CML

Question 6

A patient from a Scandinavian country has been diagnosed with a genetically inherited hemolytic anemia. Name the most likely disease from the list below:

Answer 6

Spherocytic anemia

Question 7

Normal fasting blood sugar is approx.:

Answer 7

80-110 mg/dl

Question 8

Which of the following white cell counts would be most typical for a leukemia:

Answer 8

250,000

Question 9

Reed Sternberg cells are found in:

Answer 9

Hodgkin’s Disease

Question 10

An elevation in neutrophils may indicate:

Answer 10

Bacterial infection

Question 11

An elevation of eosinophils may indicate:

Answer 11

Allergic reaction

Question 12

An elevation of lymphocytes may indicate:

Answer 12

Viral infection

Question 13

Correct angle of the needle for venipuncture is:

Answer 13

15

Question 14

In venipuncture, after the needle is removed, advise the patient to hold the cotton over the puncture site for ___ minutes.

Answer 14

5

Question 15

Case Study:
Barbara, a 25 yo female, comes into your office complaining of consent 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 most likely diagnosis is:

Answer 15

Iron Deficiency Anemia

Question 16

Case Study:
Barbara, a 25 yo female, comes into your office complaining of consent 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.
If you look at Barbara’s blood under a microscope, what charcteristics would you expect her red blood cells to have?

Answer 16

Microcytic, Hypochromic

Question 17

Case Study:
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 constant ever since. Mom has also noticed some projectile vomiting.
The most likely diagnosis for Clarissa is:

Answer 17

ALL

Acute lymphatic leukemia

Question 18

If a patient has polycythemia vera with weakness, headache, 2 packs of cigarettes daily, light headedness. What range would best describe their hematocrit?

Answer 18

High

Question 19

List one example of a condition in which you would expect to find macrocytic red cells.

Answer 19

Megaloblastic anemia

Question 20

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:

Answer 20

AML

Question 21

A patient present with a decreased RBC count, decreased platelets, increased atypical lymphocytes, and 90% of cases are over age 50, patients often have splenomegaly and lymphadenopathy. The most likely diagnosis would be:

Answer 21

CLL

Question 22

A 19 yo male patient presents with sever fatigue, weakness and rapid heart rate. He has a decreased numbers of all his blood cells, red, white, and platelets. He works with many different chemicals in his job. The fatigue and weakness came on gradually over the coarse of about 2 months. Most likely, the diagnosis would be:

Answer 22

Aplastic anemia

Question 23

A patient has a hematocrit of 60%. Assuming that his RBCs are normal size and normal shape, what would the hemoglobin be?

Answer 23

20%

Question 24

A patient has a hematocrit of 60%. Assuming that his RBCs are normal size and normal shape, what would an approximation of the RBC count be?

Answer 24

6%

Question 25

When performing a venipuncture on a patient, the maximum time that you can leave the tourniquet on is:

Answer 25

1 minute