UPDATED ACTUAL Exam Questions and
CORRECT Answers
Touch prep slide from trephine biopsy - CORRECT ANSWER - On a bone marrow tap
that yields a dry specimen, Wright stain smears could be prepared from
Bone marrow cellularity
Number and distribution of megakaryocytes
Nonhematopoietic tumor cells infiltrating bone marrow - CORRECT ANSWER - When
examining the bone marrow smear on low magnification 10X objective (initial scan), the tech is
examining for?
Fat cells - CORRECT ANSWER - In the estimation of bone marrow cellularity, the
cellularity is reflected in the ratio of nucleated hematopoietic cells to:
Granulopoietic and erythropoietic precursors - CORRECT ANSWER - The cells found in
largest concentration in a normal adult bone marrow are:
Megakaryocyte - CORRECT ANSWER - The name of the largest cell in the normal
marrow that produces platelets is:
Aplastic anemia or chemotherapy - CORRECT ANSWER - When observing a bone
marrow smear, the technologist observes that only fat and connective tissues are formed. This is
found in individuals with
3:1 - CORRECT ANSWER - The normal M:E ratio in adults is:
Iron Deficiency - CORRECT ANSWER - Small, pale RBC precursors with jagged
cytoplasm; absent Fe
, Megaloblastic - CORRECT ANSWER - Large, basophilic RBC precursors with
asyncrhony, karyorrhexis, and "moth eaten" nuclei
Hemolytic - CORRECT ANSWER - RBC hyperplasia (Bone Marrow findings)
Sideroblastic - CORRECT ANSWER - Increased ringed sideroblasts
Aplastic - CORRECT ANSWER - Fat to cell ratio of 90:10
Ferritin - CORRECT ANSWER - The major iron storage compound is:
CLL - CORRECT ANSWER - 90% small mature lymphs
Multiple myeloma - CORRECT ANSWER - 80% immature and multi-nucleated plasma
cells
CML - CORRECT ANSWER - M:E of 20:1; immature granulocytes; increased
eosinophils and basophils
ALL - CORRECT ANSWER - > 30% blasts; PAS positive, other stains negative
M1 AML - CORRECT ANSWER - >30% blasts with Auer rods
M4 AML - CORRECT ANSWER - > 30% blasts; postiive specific and non-specific
esterase stains
Metastic tumor - CORRECT ANSWER - Large cells in tight clumps with incrased nucleus
to cytoplasm ratio and giant nucleoli