EXAM | REAL EXAM QUESTIONS AND ANSWERS
WITH RATIONALES | LATEST UPDATE 2026/2027 |
GUARANTEED PASS | GRADED A+.
How is the Mean Cell Volume calculated?
A) (Hemoglobin/RBCs) x 10
B) (Hemoglobin/ RBCs) x 100
C) (Hematocrit %/ RBCs) x 10
D) (Hematocrit % / Hemoglobin) x 100
C) (Hematocrit %/ RBCs) x 10
The Mean Cell Volume, or MCV, can be calculated by dividing the hematocrit (%) by the red
blood cell count and multiplying by 10. The MCV describes the volume, or size, of the red blood
cell population.
The Mean Cell Hemoglobin, or the MCH, can be calculated by dividing the hemoglobin (g/dL)
by the red blood cell count and multiplying by 10. The MCH represents the average weight of
hemoglobin in red blood cells.
The Mean Cell Hemoglobin Concentration, or the MCHC can be calculated by dividing the
hemoglobin (g/dL) by the hematocrit (%) and multiplying by 100. The MCHC is the ratio of
hemoglobin mass to volume of RBCs.
Which of the following is characteristic of an exudate effusion?
A) Leukocyte count greater than 1,000 WBC/microliter
B) Clear appearance
C) Protein concentration less than 3.0g/dL
D) Absence of fibrinogen
A) Leukocyte count greater than 1,000 WBC/microliter
Effusion is the increase of fluid between the serous membranes due to disruption of the
mechanisms of formation and reabsorption of serous fluid. Exudates are caused by conditions
affecting the particular cavity such as infections and malignancies.
Exudate effusion characteristics include:
,- Leukocyte count greater than 1,000WBC/microliters
- Fluid: Serum Protein ratio >0.5
- Yellow or cloudy appearance
- Possible spontaneous clotting
A mean value of 100 mg/dL and a standard deviation 1.8mg/dL were obtained from a set of
glucose measurements on a control solution. Based on 95% confidence interval (in mg/dL), what
would be the calculated 2 SD upper and lower limits for this control?
A) 94.6 to 105.4 B)
96.4 to 103.6 C)
97.3 to 102.7
D) 98.2 to 101.8
B) 96.4 to 103.6
The 95% confidence interval can also be described as the probability that 95% of the time, the
quality control will fall within +/- 2 standard deviation of the mean. In this case, 2 standard
deviations would be calculated as 1.8mg/dL multiplied by 2 which equals 3.6mg/dL.
Therefore, the calculated 2SD (3.6mg/dL plus and minus the mean) based on the 95% confidence
interval would be 96.4 - 103.6.
Which of the following sources of error will give a false negative result in antihuman globulin
testing?
A) Low pH of saline
B) Dirty glassware
C) Samples collected in gel separator tubes D) Refrigerated specimen
C) Samples collected in gel separator tubes
A low pH of saline is indicated as a false negative source of error in antihuman globulin testing.
Dirty glassware, samples collected in gel separator tubes, and refrigerated specimens are all
indicated as false positive sources of error in antihuman globulin testing.
Lymphocyte pleocytosis refers to a(n) _________ in a CSF when compared to a normal shape.
A) Increased number of lymphocytes
B) Decreased number of lymphocytes
C) Normal number of lymphocytes
D) Absence of lymphocytes
A) Increased number of lymphocytes
,The presence of a greater than normal number of lymphocytes in the spinal fluid is termed
lymphocyte pleocytosis. Typically, the majority of cells seen in a normal adult CSF specimen are
lmyphocytes and monocytes (7:30 ratio). This ratio is reversed in children.
The element that is indicated by the arrow is a:
A) Red blood cell cast
B) Granular cast
C) Hyaline cast
D) Renal tubular epithelial cast
A) Red blood cell cast
This is a red blood cell cast. RBCs can be identified within the matrix of the cast. The
identification of the cast as a red blood cell cast is supported by the appearance of RBCs outside
of the cast.
Granular casts are composed of plasma protein aggregates and cellular remnants. Their presence
in the urine may be of pathologic or onpathologic significane. Granular casts appear as coarse or
fine granules in cast matrix.
Hyaline cats generally appear colorless, homogeneous, and transparent with rounded ends. They
can also be seen as a result of dehydration, after diuretic therapy, in renal disease, and transiently
as a result of exercise.
Renal tubular epithelial (RTE) casts are cause by the sloughing of necrotic renal tubular cells due
to advance tubular destruction. RTE cells are usually seen as a part of the cast.
Which of the following donors could be accepted for blood donation?
A) 22-year female who is currently pregnant
B) 40-year old female who lived in London from 1988-1995
C) 44-year old male who used a needle to administer nonprescription drugs
D) 24-year old man who had a tooth extraction two months ago.
D) 24-year old man who had a tooth extraction two months ago.
, A tooth extraction that occurred two months ago would not be a reason for rejection as a blood
donor.
Potential donors who are currently pregnant or have been pregnant in the past 6 weeks are
deferred from donating blood.
Potential donors who have spent time in the United Kingdom or Europe are at risk for variant
Creutzfeldt-Jakob disease and are deferred from donation.
All of the following statements are true regarding the significance of performing direct
microscopic examinations of specimens for culture, EXCEPT:
A) Provide a quality control comparison to the culture for actual isolates recovered.
B) It can provide the physician with a rapid presumptive diagnosis
C) It may serve as a guide for selecting appropriate culture media based on microorganisms
observed.
D) Allows the microbiologist to discard the sample and cancel testing if no organisms are
observed.
D) Allows the microbiologist to discard the sample and cancel testing if no organisms are
observed.
The microscopic examination does not determine whether or not a culture is going to grow the
organism, as the culture is oftentimes able to enhance organisms that may not have been visible
via gram stain, but will growl well in culture media.
The direct microscopic examinations of specimens for culture do provide a quality control
comparison to the culture for actual isolates recovered, it can provide the physician with a rapid
presumptive diagnosis, and it may serve as a guide for selecting appropriate culture media based
on microorganisms observed.
All other cells are lymphocytes but do not have the receptors to which EBV attaches to itself.
Upon centrifugation, a cerebrospinal fluid (CSF) sample supernatant exhibited xanthochromia.
The image is a Wright-Giemsa stained smear that was made from that CSF sample. What
condition is probably related to these macroscopic and microscopic findings?
A) Previous subarachnoid hemorrhage
B) Traumatic tap
C) Leukemia
D) This is a normal microscopic finding for CSF specimen
A) Previous subarachnoid hemorrhage