OFT Flashcards

1
Q

Disadvantages of OFT

A
  1. Time consuming
  2. Lack sensitivity
  3. non-specific
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2
Q

Main factor of OFT

A

shape of erythrocyte

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3
Q

Shape of the erythrocyte depends on?

A
  1. volume
  2. surface area
  3. functional state of erythrocytic membrane
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4
Q

Whole blood + varying conc of NaCl

A

OFT

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5
Q

Solution where water molecules will pass in & out of the membrane in EQUAL AMOUNTS

A

Isotonic solution

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6
Q

What will happen to erythrocytes in HYPOTONIC solution?

A
  1. RBCs will hemolyze;

2. more water molecules enter THAN leave

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7
Q

It ruptures more quickly

A

Spherocytic erythrocyte

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8
Q

Characteristics of spherocytic rbcs (dec or inc/ easily lysed or not)

A
  1. easily lysed
  2. ↓ SA:V
  3. ↑ OFT
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9
Q

Have large surface area per volume

A

Target/sickle cells

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10
Q

Cells that can withstand osmotic pressure

A

Target/sickle cells

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11
Q

Is erythrocytic fragility inversely proportional to the rate of hemolysis or directly?

A

Directly proportional

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12
Q

Specimen used in OFT?

A

Heparinized Whole Blood/Fresh Defribinated Whole Blood

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13
Q

How many hours is the specimen in OFT stable at room temperature?

A

2

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14
Q

Stability hours of the specimen if refrigerated?

A

6

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15
Q

T/F: In each tube water enters & leaves RBC until equilibrium is reached

A

TRUE

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16
Q
  1. Absorbance 0
  2. Supernatant at tube 1
  3. 0% hemolysis
A

Spectrophotometer digital

17
Q
  1. percentage transmittance %T

2. conversion table to read absorbance

A

Spectrophotometer conventional

18
Q

Point where the tube with the highest concentration of NaCl

A

End point

19
Q

Concentration where hemolysis should end

A

0.30% NaCl

20
Q

T/F: Beginning hemolysis should NOT occur in a concentration >0.45%

A

TRUE

21
Q

Test wherein you will know the type of cells that are easily ruptured

A

Osmotic Fragility Test

22
Q

Initial & complete hemolysis of NORMAL OFT

A

I: 0.45%
C: 0.30%

23
Q

Initial & complete hemolysis of HEREDITARY SPHEROCYTOSIS

A

I: 0.65&
C: 0.45%

24
Q

T/F: Thalassemia & Sickle Cell Anemia DOES NOT have the same initial & complete hemolysis

A

FALSE; both have 0.35% (I) & 0.20% (C)

25
Q

↑ OFT

A

Hereditary Spherocytosis

Acquired Hemolytic Anemia w/ Spherocytes

26
Q

↓ OFT

A

Anemia w/ target cells

27
Q

Curve shifted to the right

A

RBC ↓ OF

Initial hemolysis of NaCl = >0.5%

28
Q

Curve shifted to the left

A

RBC ↑ OF

29
Q

Incubating blood in 37C for 24hrs before OFT

A

Incubated OFT

30
Q

It allows hereditary spherocytosis in a spherical shape

A

Incubated OFT

31
Q

Test that demonstrates ↑ RBC fragility & RBCs have ↓ surface-area-tp-volume ratios

A

OFT