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1. Chapter 01-01 Hematology k . k
is the study of:
k . k k.k k . k k . k
*a. k . k blood cells. k . k
b. serum electrolytes. k . k
c. plasma hormone levels. k . k k . k
d. bacteria in the blood. k . k k . k k . k
General Feedback: k . k
Hematology is the study of blood cells—red blood cells, whiteblood cells, k . k k . k k . k k . k k . k k . k k . k k . k k . k k . k
k . k and platelets. Plasma and serum electrolytes and hormone levels are evaluated in
k.k k . k k . k k . k k . k k . k k . k k . k k . k k . k k . k
k . k various subdivisions of clinical chemistry, andbacteria are evaluated in clinical
k.k k . k k . k k . k k . k k . k k . k k . k k . k
k . k microbiology.
2. Chapter 01-02 k . k
The morphology of blood cells is important to evaluate:
k . k k . k k . k k . k k . k k . k k . k k . k
a. every time a complete blood count (CBC) is requested on apatient. k . k k . k k . k k . k k . k k . k k . k k . k k . k k . k
b. when an instrument-generated flag is obtained. k . k k . k k . k k . k k . k
*c. when a profiling instrument result is abnormal.
k . k k . k k . k k . k k . k k . k k . k
d. when the white count is elevated.
k . k k . k k . k k . k k . k k . k
General Feedback: k . k
Every laboratory must determine—based on its instrumentation,needs of k . k k . k k . k k . k k . k k . k k . k
k . k the clinician and other parameter flags that alert the medicallaboratory scientist
k.k k . k k . k k . k k . k k . k k . k k . k k . k k . k
k . k to the necessity for further evaluation—when it isnecessary to evaluate cell
k . k k . k k.k k . k k . k k . k k . k k . k k . k k . k
k . k morphology. Many instrument- generated flags,although useful, may not require k . k k . k k.k k . k k . k k . k k . k k . k
k . k review. If an automated CBC does not suggest the need, no reason exists to
k . k k . k k . k k . k k . k k . k k . k k.k k . k k . k k . k k . k k . k
k . k evaluate the blood film, even if the white count is elevated. k . k k . k k . k k . k k . k k . k k . k k . k k . k k . k
3. Chapter 01-03 k . k
Who is ultimately responsible for determining the specimen integritybefore analysis?
k . k k . k k . k k . k k . k k . k k . k k . k k . k
*a. k . k Medical laboratory professional k . k k . k
b. Nursing staff k . k
c. Phlebotomist
d. Specimen-processing personnel k . k
General Feedback: k . k
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k .k k .k k. k. k .k k .k k . k
The medical laboratory scientist is responsible for ensuring the k . k k . k k . k k . k k . k k . k k . k k . k
k integrity of a specimen before analysis. Only he or she can judge whether the
. k k . k k . k k.k k . k k . k k . k k . k k . k k . k k . k k . k k . k k . k
k specimen is acceptable so that valid results can be obtained. Acceptable criteria
. k k . k k . k k . k k.k k . k k . k k . k k . k k . k k . k k . k
k .include such things as type of specimen for the test ordered (e.g., blood, serum,
k k . k k . k k . k k . k k . k k . k k.k k . k k . k k . k k . k k . k k . k
k urine); appropriate additive present (if needed) and amount of specimen relative
. k k . k k . k k . k k . k k . k k . k k.k k . k k . k k . k
k to the additive; time interval since obtained; and presence or absence of
. k k . k k . k k . k k . k k . k k . k k . k k . k k . k k.k k . k
k hemolysis, lipemia, and other similar conditions. None of the other personnel
. k k . k k . k k . k k . k k . k k . k k . k k . k k . k k . k
k.k named have the education and understanding to fully make that judgment.
k . k k . k k . k k . k k . k k . k k . k k . k k . k k . k
TESTBANKSELLER.COM
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4. Chapter 01-04 Hematocrit k . k k . k
is also called:
k . k k.k k . k
a. white cell count. k . k k . k
b. bone marrow examination. k . k k . k
c. red blood cell (RBC) count. k . k k . k k . k k . k
*d. k . k packed red cell volume. k . k k . k k . k
General Feedback: k . k
Historically the hematocrit was determined by centrifuging analiquot of k . k k . k k . k k . k k . k k . k k . k k . k
k.k anticoagulated whole blood under specified conditions (e.g.,centrifugal force, capillary k . k k . k k.k k . k k.k k . k k . k k . k
k tube length, and bore diameter) and then determining the ratio of the space
. k k.k k . k k . k k . k k . k k . k k . k k . k k . k k . k k . k k . k
k occupied by the packed red cells compared with that of the entire blood volume
. k k . k k . k k.k k . k k . k k . k k . k k . k k . k k . k k . k k . k k . k
k .in the capillary tube, often expressed as a percentage. Hence, it is also called
k k . k k . k k . k k . k k.k k . k k . k k . k k . k k . k k . k k . k k . k
k the packed red cell volume.
. k k . k k . k k . k k . k
5. Chapter 01-05 k . k
The primary function of platelets is to:
k . k k . k k . k k . k k . k k . k
a. defend the body against bacterial invasion. k . k k . k k . k k . k k . k
b. carry oxygen to tissues. k . k k . k k . k
*c. facilitate blood clotting. k . k k . k k . k
d. regulate acid-base balance. k . k k . k
General Feedback: k . k
Whenever disruption occurs to a blood vessel so that bleedinghresults, k . k k . k k . k k . k k . k k . k k . k k . k k . k
k . k platelets respond initially to stop the bleeding in small vessels; they also play k.k k . k k . k k . k k . k k . k k . k k . k k . k k . k k . k k . k
k . k an integral role in facilitating the formationof a blood clot. White cells defend
k . k k . k k . k k.k k . k k . k k . k k . k k . k k . k k . k k . k
k . k against bacterial invasion; red cells (i.e., hemoglobin) carry oxygen to tissues; and k . k k . k k . k k . k k.k k . k k . k k . k k . k k . k k . k
k . k a complex interaction of plasma electrolytes, proteins, and carbon dioxide
k . k k . k k . k k . k k . k k.k k . k k . k k . k
k . k participates in acid-base balance. k . k k . k k . k
6. Chapter 01-06 k . k
Which of the following can be evaluated only through the microscopicexamination of a
k . k k . k k . k k . k k . k k . k k . k k . k k . k k . k k . k k . k
kstained blood film?
. k k.k k . k
a. White blood cell (WBC) count k . k k . k k . k k . k
b. Reticulocyte count k .k
c. Hemoglobin concentration k .k
*d. k . k Presence or absence of cytoplasmic inclusions k . k k . k k . k k . k k . k
General Feedback: k . k
Making and staining a blood film and then placing it under amicroscope k . k k . k k . k k . k k . k k . k k . k k . k k . k k . k k . k
k . k allow the medical laboratory scientist to evaluate the morphology of blood cells
k . k k.k k . k k . k k . k k . k k . k k . k k . k k . k k . k
k . k and examine them for the presence or absenceof blood cell inclusions. These
k . k k . k k . k k.k k . k k . k k . k k . k k . k k . k k . k
k . k inclusions are important for cell identification and, when abnormal inclusions are k . k k . k k . k k . k k.k k . k k . k k . k k . k k . k
k . k present, sometimes provide “clues” as to the cause of disease. All the other k . k k . k k . k k . k k . k k . k k.k k . k k . k k . k k . k k . k
k . k parameters mentioned are or can be performed using an automated hematology k . k k . k k . k k . k k . k k . k k . k k . k k.k k . k
k . k instrument, including reticulocyte counting. k . k k . k k . k
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