Chapter 01-01
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Hematology is the study of:
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, *a. blood cells.
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b. serum electrolytes. uu
c. plasma hormone levels. uu uu
d. bacteria in the blood. uu uu uu
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Hematology is the study of blood cells* uu uu uu uu uu uu
red blood cells, white blood cells, and platelets. Plasma and serum electrolytes and hormo
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ne levels are evaluated in various subdivisions of clinical chemistry, and bacteria are evalua
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ted in clinical microbiology.
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2. Chapter 01-02 uu
The morphology of blood cells is important to evaluate:
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a. every time a complete blood count (CBC) is requested on a patient.
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b. when an instrument-generated flag is obtained.
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*c. when a profiling instrument result is abnormal.
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d. when the white count is elevated.
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General Feedback: uu
Every laboratory must determine*
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based on its instrumentation, needs of the clinician and other parameter flags that alert the
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medical laboratory scientist to the necessity for further evaluation*
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when it is necessary to evaluate cell morphology. Many instrument-
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generated flags, although useful, may not require review. If an automated CBC does not su
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ggest the need, no reason exists to evaluate the blood film, even if the white count is elev
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ated.
3. Chapter 01-03 uu
Who is ultimately responsible for determining the specimen integrity before analysis?
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*a. Medical laboratory professional
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b. Nursing staff uu
c. Phlebotomist
d. Specimen-processing personnel uu
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The medical laboratory scientist is responsible for ensuring the integrity of a
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,specimen before analysis. Only he or she can judge whether the specimen is acceptable s
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o that valid results can be obtained. Acceptable criteria include such things as type of sp
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ecimen for the test ordered (e.g., blood, serum, urine); appropriate additive present (if nee
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ded) and amount of specimen relative to the additive; time interval since obtained; and pr
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esence or absence of hemolysis, lipemia, and other similar conditions. None of the other
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personnel named have the education and understanding to fully make that judgment.
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, 4. Chapter 01- uu
04 Hematocrit is also called:
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a. white cell count. uu uu
b. bone marrow examination. uu uu
c. red blood cell (RBC) count.
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*d. packed red cell volume.
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General Feedback: uu
Historically the hematocrit was determined by centrifuging an aliquot of antico
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agulated whole blood under specified conditions (e.g., centrifugal force, capillary tube lengt
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h, and bore diameter) and then determining the ratio of the space occupied by the packed
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uu red cells compared with that of the entire blood volume in the capillary tube, often expr
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essed as a percentage. Hence, it is also called the packeduureduucelluuvolume.
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5. Chapter 01-05 uu
The primary function of platelets is to:
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a. defend the body against bacterial invasion.
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b. carry oxygen to tissues. uu uu uu
*c. facilitate blood clotting.
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d. regulate acid-base balance.
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General Feedback: uu
Whenever disruption occurs to a blood vessel so that bleeding results, platelet
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s respond initially to stop the bleeding in small vessels; they also play an integral role in
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facilitating the formation of a blood clot. White cells defend against bacterial invasion; red
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uu cells (i.e., hemoglobin) carry oxygen to tissues; and a complex interaction of plasma elec
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trolytes, proteins, and carbon dioxide participates in acid-base balance.
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6. Chapter 01-06 uu
Which of the following can be evaluated onlyuuthrough the microscopic examination of a stai
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ned blood film?uu uu
a. White blood cell (WBC) count uu uu uu uu
b. Reticulocyte count uu
c. Hemoglobin concentration uu
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