Clinical Hematology I - Module 4 Review
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Bone marrow - CORRECT ANSWER - One of the body's largest organs (4-6% of total
body weight)
Red marrow - CORRECT ANSWER - Hematopoietically active marrow
Yellow marrow - CORRECT ANSWER - Inactive marrow, primary fat cells
Early childhood, infancy - CORRECT ANSWER - Age where the bone marrow is
primarily red
Age 5-7 - CORRECT ANSWER - Age where yellow bone marrow increases
Adulthood - CORRECT ANSWER - Age where there is equal amounts of yellow and red
marrow
Reasons for bone marrow evaluation - CORRECT ANSWER - Hematologic conditions:
- RBC disorders: anemias, erythrocytosis, and polycythemia
- WBC disorders: leukopenia and unexplained leukocytosis
- Immature/abnormal cells in the peripheral blood
- Platelet disorders such as thrombocytopenia/thrombocytosis
Systemic diseases:
- Possible metastasis of solid tumors, i.e., lymphomas
- Fungal and parasitic infections
- Hereditary/acquired disease that involve the bone marrow
, - Monitor therapy
Bone marrow aspirate - CORRECT ANSWER - Used to determine types and proportion
of cells in the marrow
Bone marrow biopsy - CORRECT ANSWER - Cellularity, cell to fat ratio
- Focal rather than diffuse problems
- Evaluated when dry tap is experienced
Iliac crest, sternum - CORRECT ANSWER - Adult bone marrow aspiration locations
Upper end of tibial bone - CORRECT ANSWER - Newborn bone marrow aspiration
locations
Aspiration procedure - CORRECT ANSWER - - Shave & clean site, sterile drape
- Inject anesthetic
- Cut skin at site of aspiration
- Penetrate skin with needle
- Remove stylet & attach syringe
- Aspirate 1-1.5 mL quickly to avoid clotting and continued discomfort
Bedside - CORRECT ANSWER - Wedge slides, crush smears, and biopsy touch prep
slides are made where?
Core biopsy procedure - CORRECT ANSWER - - Insert cutting blades into cannula
- Cut medullary bone
- Withdraw blade from cannula
- Withdraw all from patient
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Bone marrow - CORRECT ANSWER - One of the body's largest organs (4-6% of total
body weight)
Red marrow - CORRECT ANSWER - Hematopoietically active marrow
Yellow marrow - CORRECT ANSWER - Inactive marrow, primary fat cells
Early childhood, infancy - CORRECT ANSWER - Age where the bone marrow is
primarily red
Age 5-7 - CORRECT ANSWER - Age where yellow bone marrow increases
Adulthood - CORRECT ANSWER - Age where there is equal amounts of yellow and red
marrow
Reasons for bone marrow evaluation - CORRECT ANSWER - Hematologic conditions:
- RBC disorders: anemias, erythrocytosis, and polycythemia
- WBC disorders: leukopenia and unexplained leukocytosis
- Immature/abnormal cells in the peripheral blood
- Platelet disorders such as thrombocytopenia/thrombocytosis
Systemic diseases:
- Possible metastasis of solid tumors, i.e., lymphomas
- Fungal and parasitic infections
- Hereditary/acquired disease that involve the bone marrow
, - Monitor therapy
Bone marrow aspirate - CORRECT ANSWER - Used to determine types and proportion
of cells in the marrow
Bone marrow biopsy - CORRECT ANSWER - Cellularity, cell to fat ratio
- Focal rather than diffuse problems
- Evaluated when dry tap is experienced
Iliac crest, sternum - CORRECT ANSWER - Adult bone marrow aspiration locations
Upper end of tibial bone - CORRECT ANSWER - Newborn bone marrow aspiration
locations
Aspiration procedure - CORRECT ANSWER - - Shave & clean site, sterile drape
- Inject anesthetic
- Cut skin at site of aspiration
- Penetrate skin with needle
- Remove stylet & attach syringe
- Aspirate 1-1.5 mL quickly to avoid clotting and continued discomfort
Bedside - CORRECT ANSWER - Wedge slides, crush smears, and biopsy touch prep
slides are made where?
Core biopsy procedure - CORRECT ANSWER - - Insert cutting blades into cannula
- Cut medullary bone
- Withdraw blade from cannula
- Withdraw all from patient
