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Hematology- UAMS Final Exam questions with verified answers graded A+, Exams of Nursing

University of OxfordNursing

Hematology- UAMS Final Exam questions with verified answers graded A+

Typology: Exams

2024/2025

Available from 07/12/2025

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Hematology- UAMS Final Exam questions with
verified answers graded A+
1.
What is the formula for cell counts using
a hemocytometer?
2.
The patient has 3 % of cells with huge red
- orange granules and a segmented
nucleus . The patient's clinical condition is
most likely
3.
The patient has many large cells in the
blood which have high N / C ratio ,
multiple
nucleoli , no granules and fine
nuclear chro- matip . The patient's clinical
condition most
likely is :
Total count = (# cells counted x dilution
factor x depth factor (10))/ area counted
based on 1 large square (1 mm3)
-
volume of total area: 9 x 0.1 = 0.9mm3
(WBCs), 1x 0.1 = 0.1 mm3 (PLTs)
-depth
factor=
ALWAYS
10
-
dilution
factor
=
WBCs
(20),
PLTs
(200)
** rarely used for RBC counts
Normal
Leukemia
4.
Which
of
following
cells
can
be
found
in
the
Polychromatic
Erythrocyte
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13
pf14
pf15
pf16
pf17
pf18
pf19
pf1a
pf1b
pf1c
pf1d
pf1e
pf1f
pf20
pf21
pf22
pf23

Partial preview of the text

Download Hematology- UAMS Final Exam questions with verified answers graded A+ and more Exams Nursing in PDF only on Docsity!

verified answers graded A+

  1. What is the formula for cell counts using a hemocytometer?
  2. The patient has 3 % of cells with huge red
    • orange granules and a segmented nucleus. The patient's clinical condition is most likely
  3. The patient has many large cells in the blood which have high N / C ratio , multiple nucleoli , no granules and fine nuclear chro- matip. The patient's clinical condition most likely is : Total count = (# cells counted x dilution factor x depth factor (10))/ area counted based on 1 large square (1 mm3) - volume of total area: 9 x 0.1 = 0.9mm (WBCs), 1x 0.1 = 0.1 mm3 (PLTs) -depth factor= ALWAYS 10 - dilution factor = WBCs (20), PLTs (200) ** rarely used for RBC counts Normal Leukemia
  4. Which of following cells can be found in the Polychromatic Erythrocyte

verified answers graded A+

blood of a normal healthy adult?

  1. The patient is 5 years old and has white blood count of 9,000 / μL with 75 % lym- Probably Normal

verified answers graded A+

neutrophils , what term would be correct? Absolute neutropenia

  1. If a patient has a white count of 150,000 / μL Relative neutropenia Absolute neutrophil- with 40 % neutrophils , what term would be ia correct?

verified answers graded A+

  1. A low Leukocyte Alkaline Phosphatase ( LAP CML from a severe infection ) may help distinguish :
    • CML will have low LAP score
    • Severe infection will have high LAP score
  2. Acute leukemia almost always has which of Low platelet count the following blood counts?
  3. What is the typical blood picture in lym- phoma without bone marrow involvement ?
  4. A patient has a hemoglobin value of 7. g / dL. The patient's MCH will be?
  5. Match the following : A. Serious life threat- ening disease B. No or minimal clinical dis- ease
  6. Which anemia would produce the most polychromasia on the blood smear? Normal Could be low , normal , or high Microangiopathic Anemia (A) Sickle Cell Trait ( Hemoglobin AS ) (B) Sports Anemia ( march Hemoglobinuria ) (B) Alpha Thalassemia 4 gene deletion (A) Loss of 10 % of total blood from an acute bleed (B) Hereditary Elliptocytosis

verified answers graded A+

  1. Select the disorder that best fits this case . F.M. is a 50 - year - old white female who is experiencing shortness of breath on ex- ertion , and numbness and tingling of her fingers. She is thin and pale with a slight yellow tinge to her skin. Her tongue is very smooth and slightly reddened. Lab results : HGB = 4.7 g / dL HCT 13.6 % RBC = 1.1 x 10 / μl WBC = 2.0 2.0X1 x 10³ / μl PLT = 87.0 x 10¹ / μL
  2. At 0.55 % NaCl there was a tinge of color in the supernatant and at 0.35 % NaCl there was Valen a dark red color with no red cell button. This osmotic fragility test is indica- tive of :
    1. All of the following cause an elevated ESR EXCEPT

verified answers graded A+

Pernicious Anemia A normal patient Polycythemia

  1. Which of the following would have a normal Burr Cell MCH?

verified answers graded A+

hematocrit was 30 %. The cell counter Acute blood loss , a couple of days later Lipemia PLT Report the results - it makes sense in view of the therapy

verified answers graded A+

controls were within 2SD and all other val- ues " matched ". The doctor called con- cerned that her hematocrit dropped 5 % when there was no evidence of bleeding , and the only treatment was IV therapy to restore hydration. Select the best course of action.

  2. What will interfere with hemoglobin deter- mination on the Coulter analyzer?

  3. Will spherocytes interfere with the hemo- globin concentration?

  4. Where will NRBC be indicated on the Coul- ter WBC histogram?

    1. What cells are increased in Myeloid Hyper- plasia?
    2. What would the M : E ratio be in myeloid hyperplasia?

verified answers graded A+

  1. An 80 year old male with 98 % lymphs , 2 % segs and smudge cells most likely has?
  2. Which leukemia is associated with the Philadelphia Chromosome?

CLL

CML

  1. Which leukemia is found in children? ALL
  2. What must RBCs be able to do to escape the Change their Shape

verified answers graded A+

macrophages in the spleen?

  1. What characteristic distinguishes a myeloblast from a lymphocyte? Nuclear clumping
  2. Are sickle cells a normal finding in adults? No!

verified answers graded A+

anemia of chronic disease?

  1. What is the best test to distinguish PV from Oxygen saturation secondary polycythemia?

verified answers graded A+

  1. Which AML is more likely to develop DIC? M
  2. If a patient has peripheral smear contain- ing blasts that react with the non - specif- ic esterase stain , a positive murimadase , and bleeding gums , what is the most likely leukemia?
  3. Which cell has the highest nuclear to cyto- plasm ratio? M5 ( monocytic ) Myeloblast
  4. Which cell has a round nucleus and specific Myelocyte granules?

verified answers graded A+

  1. Which WBC has nucleoli with no granules? Myeloblast
  2. Will the presence of urine hemosiderin in- dicate extravascular hemolysis occurring in the spleen?
  3. If 100 particles are counted in the center large square of a hemacytometer and the dilution is 1:10 , how many particles are pre- sent in 1 μL? No. 100 X 10 X 10 / 1 = 10,000 / μl
  4. If a patient is found to have dimorphic RBCs Sideroblastic Anemia and ringed sideroblasts in the bone marrow , what is the probable diagnosis?
  5. Administering Chloramphenicol often caus- Aplastic Anemia es what?
  6. A patient that has TTP , thrombocytopenia , Microangiopathic Anemia and shistocytes has what?

verified answers graded A+

  1. A patient that has an increased osmotic fragility result , increased retic and ‘MCH and MCHC has? Hereditary Spherocytosis