Ch. 54 Clinic Mod 3

Front 1

Plasma makes up appr 55% of blood by volume

Back 1

True

Front 2

The most important red cell index for classification of anemia as macrocytic or microcytic is the mean corpuscular volume.

Back 2

True

Front 3

Blood type o is considered the universal donor because no anti A or anti B antibodies are found in the plasma

Back 3

False

Front 4

Hemoglobin A1c determination is more useful than blood glucose measurement in the management of diabetes, because it provides information on the average blood sugar level over a 2 to 3 month period

Back 4

True

Front 5

Fasting is necessary before cholesterol testing because HDL LDL cholesterol are greatly affected by food consumption

Back 5

False

Front 6

The lifespan of an erythrocyte is approximately 90 days

Back 6

False

Front 7

If a capillary tube is not plugged it must filled with a special clay before centrifugation

Back 7

T

Front 8

The INR therapeutic range for a patient receiving warfrin is 1 to 2

Back 8

false

Front 9

Cytoxoc T cells produce protiens that cause celluar death

Back 9

True

Front 10

B cells produce specific antibodies against a particular antigen

Back 10

True

Front 11

Lavender topped tubes are used for rountine CBC counts

Back 11

True

Front 12

RBC values range from 4000 to 6000 cells/mm3

Back 12

False

Front 13

Increases in the WBC count that are not related to disease are seen in pregnant women and idviduals facing extreme stress

Back 13

True

Front 14

Eosinophils are pahgocytic and are closely associated with allergic reactions

Back 14

True

Front 15

If the shape of RBCs shows significant variation from normal the alteration in shaped is called thrombocytopenia

Back 15

False

Front 16

An RBC with a normal amount of hemoglobin is said to be normachromic

Back 16

False

Front 17

If the vacutainer is not compleletly filled with blood a false ESR reading may result

Back 17

True

Front 18

On a blood glucose tolerance test, a level over 200 g/dL indicates diabetes mellitus

Back 18

true

Front 19

An HDL cholestrol level over 20 mg/dL indicates a low risk for cardiac disease

Back 19

false

Front 20

AST and ALT testing is done to monitor potential liver damage in patients receiving statin drugs

Back 20

True

Front 21

Erythocytes have a typical _________ shape bc of ________

Back 21

D. concave their lack of a nucleus

Front 22

Granular Leukocytes

Back 22

C. act as phagocytes

Front 23

Which of the following is normal adult WBC count?

Back 23

C. 10,000 cells/mm3

Front 24

Platelets

Back 24

D. All of the above
assist in the delivery of oxygen to tissues
are elevated in thrombocytopenia
are fragments of a larger cell called a poikilocyte

Front 25

In performance of a microhematocrit

Back 25

C. The open end of the capillary tube should be sealed with clay before centrifuging

Front 26

The buffy coat

Back 26

C. White

Front 27

The copper sulfate method of determining the hemoglobin level is

Back 27

D. all the above
a qualitive test
based on the specific gravity of hemoglobin
commonly used to screen blood donors

Front 28

While Mr.Chakrabarti's hematocrit sample is spinning in the centrifuge, you perform an automated hemoglobin test on a sample of his blood and record the value as 15g/dL. You do a quick mental calculation and expect that the hematocrit value will be approximately

Back 28

D. 45%

Front 29

Which of the following is a normal H&H for a female?

Back 29

B. 36% and 14g/dL

Front 30

Increases in the RBC count are found in which of the following

Back 30

C. Dehydration

Front 31

Which component of the complete blood count is not necessary to calculate the red cell idices?

Back 31

A. Differential

Front 32

A properly prepared wedge smear:

Back 32

A. has blood covering one half to three quarters of the slide

Front 33

`A hematocrit reading of 37 indicates what?

Back 33

B. RBCs account for 37% of the total blood volume

Front 34

Which statement is true about leukocytes?

Back 34

E. All of the above
Leukocytes are the largest circulating blood cells
Granulocytes have segemented nuclei
Neutrophils are the most numerous WBCs in circulation
Bacterial infections stimulate increased production of neutrophils

Front 35

Which of the following is an abnormal value for a differential?

Back 35

D. 50% to 70% basophils

Front 36

The ESR test results

Back 36

B. Vary greatly between genders and as people age

Front 37

The protime is

Back 37

D. All of the above

Front 38

A blood test that analyzes the ability of the kidneys to perform their function is the

Back 38

B. BUN

Front 39

A person with type O blood has

Back 39

B Anti A and Anti-B antibodies in circulation

Front 40

When is administration of Rho (D) immune globulin absolutely necessary?

Back 40

A. If and RH negative mother gives birth to an RH positive stillborn

Front 41

Which of the following is not detected in a liver panel test?

Back 41

D. CBC

Front 42

TSH levels are assessed to determine the function of what organ(s)?

Back 42

B. Pituitary

Front 43

Troponin is a component of a(n) ___________ panel.

Back 43

c. Cardiac

Front 44

Which statement is true about HDL?

Back 44

A. It transports cholesterol

Front 45

Hemoglobin A1c is measured to monitor

Back 45

C. Diabetes

Front 46

_________ cells, the most numerous types of agranular leukocytes stimulate the activity of other T lymphocytes

Back 46

Helper T cell

Front 47

The smallest of the formed elements in the peripheral is a cell fragment that assists with clotting, it is known as ____________.

Back 47

Platelet

Front 48

A counting chamber known as a ________ is used to enumerate blood cells in a diluted specimen.

Back 48

hemocytometer

Front 49

The granualar leukocytes which are called ____________ leuckocytes include neutrophils eosinphils and basophils.

Back 49

polymorphonuclear

Front 50

Increases in the _________ may indicate conditions such as acute and chronic infections rheumatoid arthitis tuberculosis, hepatitis, cancerm multiple myeloma, rheumatic fever, and lupus erythematosus.

Back 50

Erythrosedimentation Rate (ESR)
``

Front 51

______ cholestrol is known as "good" cholestrol because a high level seems to protect the body against heart attack.

Back 51

HDL

Front 52

A low microhematocrit is seen in patients with

Back 52

Anemia

Front 53

Patients with _______ have an unsually large number of all blood cells

Back 53

polycythemia vera

Front 54

Blowing on a blood slide smear to help it dry quickly can cause _____ to form.

Back 54

artifacts

Front 55

A _______ is an immature neutrophil.

Back 55

band

Front 56

An RBC that is larger than normal is described as ________.

Back 56

macrocytic

Front 57

Babies born to mothers with Rh-negative of an increased risk of developing ___________.

Back 57

HDN

Front 58

A high level of ______ is indicative of an increased risk of heart disease.

Back 58

LDL

Front 59

A test that determines long-range blood glucose control is the ______ test.

Back 59

hemoglobin

Front 60

Fibrin creates a network of threadlike structures called ________ that begin clot formation.

Back 60

fibrils

Front 61

List 5 studies included in a CBC.

Back 61

RBC count, WBC count, red cell indices, estimation of platelet numbers, hemoglobin determination

Front 62

Significance of the HbA1c test in the control of diabetes mellitus

Back 62

Hemoglobin A1c give feedback on previous 2-3 mths this test pt's are tested every 2-3 mths.

Normal range range 4-6% Hemoglobin A1c

The higher the blood glucose the higher A1c will be

Front 63

Liver

Back 63

ALT
AST
ALP
GGT
LDH

Front 64

Cardiac

Back 64

Triponin
Triponin T
CPK check muscle damage

Front 65

Mrs Grace Hernandez is suspected of having rheumatoid arthritis. Explain the ESR procedure to Mrs. Hernandez

Back 65

Its not going to specifically tell you if you have a specfic disease but gives the Dr. general information of imfammation. Elevated ESR indicates the pt may have RA.