HEMATOLOGY CERTIFICATION
EVALUATION QUESTIONS AND SOLUTIONS
EXAMPREP MATERIAL
●● In order to make a differential diagnosis of abnormalities in the
blood _______, WBC, platelets, and coagulation should be analyzed
Answer: RBC
●● If a patient presents to their primary care physician with a social
history of 36 cans of beer each day, increased weight loss, and a vitamin
B12 level of 150 pg/mL. What hematological disorder could be present
in this patient?
A. Microcytic anemia
B. Megaloblastic anemia
C. Polycythemia
D. Leukemia
Answer: B. Megaloblastic anemia
●● A 6 year old boy presents with spoon nails, glossitis, and an
abnormal craving to eat sand and dirt. Which of the following disease
states could be the cause of these symptoms?
A. Hodgkin lymphoma
B. Iron deficiency
,C. Clotting factor deficiency
D. Hemolysis
Answer: B. Iron deficiency
●● Select 2 possible causes of glossitis
A. Iron deficiency
B. Vitamin B12 deficiency
C. Thiamine
D. Folic Acid
Answer: A & B
●● Select the answer that has the correct reference range matched with
the correct lab value
A. Sodium: 50-60 mEq/L
B. Magnesium: 15-20 mEq/L
C. Albumin 3.5-5.5 g/dL
D. Alkaline phosphatase: 120-140 U/L
Answer: C. Albumin 3.5-5.5 g/dL
●● A patient has a mean cell hemoglobin concentration of 21% hb/cell.
What are the possible causes?
A. Deficiency in Hgb synthesis
B. Spherocytosis
,C. Autoimmune diseases
D. Bone marrow diseases
E. A and B
F. All of the above
Answer: E. A and B
●● Which of the following 3 definitions are matched correctly?
A. Anemia - increase in red cell count
B. Leukocytosis - decrease in white cell count
C. Pancytopenia - decrease in all myeloid elements
D. Erythrocytosis - increase in red cell count
E. Thrombocytopenia - increase in platelet count
F. Lymphocytosis - increase in lymphocyte count
Answer: C, D, & F
●● A bone marrow biopsy would be appropriate to determine which of
the following?
A. Elevated platelet count
B. Decreased MCH
C. Increased myeloblasts
D. Anisocytosis
Answer: C. Increased myeloblasts
, ●● _______ is when blood samples are smeared on a microscope slide
and changes in number and shape of cells are recognized
A. Culture and sensitivity
B. Blood culture
C. Peripheral smear
D. Hemoglobin-Hematocrit analysis
Answer: C. Peripheral smear
●● What are the 3 important body components of hematology?
A. Secondary lymphoid tissue
B. Heart
C. Biliary system
D. Thymus
E. Gastrointestinal system
F. Bone marrow
Answer: A, D, & F
●● Bone marrow tissue contains all of the following cells except:
A. Platelets
B. Mononuclear cells
C. Megakaryocytes
EVALUATION QUESTIONS AND SOLUTIONS
EXAMPREP MATERIAL
●● In order to make a differential diagnosis of abnormalities in the
blood _______, WBC, platelets, and coagulation should be analyzed
Answer: RBC
●● If a patient presents to their primary care physician with a social
history of 36 cans of beer each day, increased weight loss, and a vitamin
B12 level of 150 pg/mL. What hematological disorder could be present
in this patient?
A. Microcytic anemia
B. Megaloblastic anemia
C. Polycythemia
D. Leukemia
Answer: B. Megaloblastic anemia
●● A 6 year old boy presents with spoon nails, glossitis, and an
abnormal craving to eat sand and dirt. Which of the following disease
states could be the cause of these symptoms?
A. Hodgkin lymphoma
B. Iron deficiency
,C. Clotting factor deficiency
D. Hemolysis
Answer: B. Iron deficiency
●● Select 2 possible causes of glossitis
A. Iron deficiency
B. Vitamin B12 deficiency
C. Thiamine
D. Folic Acid
Answer: A & B
●● Select the answer that has the correct reference range matched with
the correct lab value
A. Sodium: 50-60 mEq/L
B. Magnesium: 15-20 mEq/L
C. Albumin 3.5-5.5 g/dL
D. Alkaline phosphatase: 120-140 U/L
Answer: C. Albumin 3.5-5.5 g/dL
●● A patient has a mean cell hemoglobin concentration of 21% hb/cell.
What are the possible causes?
A. Deficiency in Hgb synthesis
B. Spherocytosis
,C. Autoimmune diseases
D. Bone marrow diseases
E. A and B
F. All of the above
Answer: E. A and B
●● Which of the following 3 definitions are matched correctly?
A. Anemia - increase in red cell count
B. Leukocytosis - decrease in white cell count
C. Pancytopenia - decrease in all myeloid elements
D. Erythrocytosis - increase in red cell count
E. Thrombocytopenia - increase in platelet count
F. Lymphocytosis - increase in lymphocyte count
Answer: C, D, & F
●● A bone marrow biopsy would be appropriate to determine which of
the following?
A. Elevated platelet count
B. Decreased MCH
C. Increased myeloblasts
D. Anisocytosis
Answer: C. Increased myeloblasts
, ●● _______ is when blood samples are smeared on a microscope slide
and changes in number and shape of cells are recognized
A. Culture and sensitivity
B. Blood culture
C. Peripheral smear
D. Hemoglobin-Hematocrit analysis
Answer: C. Peripheral smear
●● What are the 3 important body components of hematology?
A. Secondary lymphoid tissue
B. Heart
C. Biliary system
D. Thymus
E. Gastrointestinal system
F. Bone marrow
Answer: A, D, & F
●● Bone marrow tissue contains all of the following cells except:
A. Platelets
B. Mononuclear cells
C. Megakaryocytes
