Comprehensive Hematology Proficiency 2019
by Jerry Crabtree MT(ASCP)SH
2019 Hematology


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1: Only a cell count and diff are ordered on an ascites fluid. Doing the diff you see the cell in Slide 2019001. After resulting the count and differential, you… Choose the BEST option:
File the slide, you are finished
Leave the slide out for Path Review with a note about atypical cell(s)
Call the physician stat and tell him (her) this patient has cancer
Add a culture to the order
2: Identify the cell in Slide 00011:
Basophilic Stippling
Howell Jolly body
Giant Platlet
Polychromatophilic rbc
3: Slide 00013 reflects:
A negative mono test
A negative sickle screen
A positive sickle screen
A positive hemolytic disease test
4: Identify the abnormality in Slide 2:
Stain precipitate
Smudge cells
Basket cells
Schistocytes
Platelet clumps
5: Which of the following will prevent a negative from autoverification?
A Delta Check.
Specimen not received.
Patient is locked by another user.
All the above.
6: An MCHC of 45.7 may be indicative of:
An extremely high blood glucose.
The presence of a cold agglutinin
A low osmolality
Hypochromia
7: A positive sickledex requires :
A hemoglobin electrophoresis
Notifying the Indiana State Board of Health
That the physician be notified immediately
Notification of our Medical Director (Dr. Bo).
8: A CBC designated NEGATIVE by the XN-2000 requires:
Scanning the stained smear only.
Classifying 100 wbc's and performing a scan.
No further action.
A review by Path.
9: Identify the abnormality seen in the polarized synovial fluid in Slide 00014
Calcium pyrophosphate
Uric Acid Crystals
Calcium oxalate crystals
Ammonium Biurate crystals
Cholesterol crystals
10: Is the cell seen in Slide 9910
Macrophage
Mesothelial cell
11: On the ACLTOP 500, an INR value of 5.6 (choose the BEST answer):
Will not auto verify
Is a "Panic Value"
Is above the therapeutic range
All the above
12: On the XN-2000, body fluid wbc count of 0.056 reflects a body fluid count of:
56 per cubic mm
560 per cubic mm
5.6 per cubic mm
None of the above
13: Slide 13 abnormality:
Thalassemia
Sickle Cell Anemia
Blast cell
Lead Poisoning
CML
14: RecombiPlastin 2G is reconstituted with:
8.0 mL distilled wather
4.0 mL distilled water
Entire contents of RecombiPlastin 2g diluent
8.0 mL RecombiPlastin 2g diluent
15: A grossly lipemic specimen may result in:
A fasley increased RBC
A falsely increased MCHC
A fasley increased PLT count
A falsely decreased MCV
16: When you get a "platelet clumps?" flag and a 90 platelet count on the printout and the microscopic appears as in Slide 2:
NP the platelet count and report "Unable to quantitate platelets due to invitro platelet clumping.
Report out a platelet count of 90.
Add hyaluronidase to the specimen, rock 10 minutes and rerun
17: Abnormality in Slide 4:
Bacterial inclusions
Malarial Signet Rings
Schistocytes
Howell-Jolly bodies
Spherocytes
18: The Diff result entry screen will display previous cell count and indices as well as diagnosis:
True
False
19: A specimen that does not aspirate or reports a very low platelet count:
Should be checked for a clot.
Is probably a defective tube.
Press "AutoRinse" and rerun.
Must be run on the backup Hematology analyser
20: Slide 5:
Nuclated RBC
Howell-Jolly body
Lymphocyte
Dohle Body
21: Slide 6:
Neutrophil
Lymphocyte
Eosionphil
Basophil
22: IMG_E5490:
Myelocyte
Promyelocyte
Metamyelocyte
Segmented neutrophil
23: Slide 8:
Sickle cell
Schistocyte
Ovalocyte
Tear droph cell
24: Slide 9:
Sickle Cells
Ovalocytes
Eliptocytes
Acanthocytes
25: Slide 10:
Lymphocyte
Megakaroycyte
Plasma cell
Giant Platelet
26: Slide 11:
Ovalocytes
Target Cell
Hgb C crystal
Basophilic stippling
27: Slide 12:
Mature Lymphocytes
Blast Cells
Monocytes
Atypical Lymphocytes
28: MCV of 65 MCHC of 28.2:
Microcytic, Hypochromic
Macrocytic, Hypochromic
Microcytic Normochromic
Normocytic, Mormochromic
Macrocytic, Normochromic
29: Slide 14:
Promyelocytes
Atypical Lymphocytes
Blast cells
Monocytes
30: Slide 15:
Schistocytes
Tear drop cells (Dacrocytes)
Target cells
Crenated RBC's
31: Slide 16:
Rouleaux
Cold Agglutinin
Invitro Hemolysis
Autoimmune response
32: Slide 17:
Atypical lymphocyte
Nucleated RBC
Mature Lymphocyte
Myelocyte
33: Slide 19:
Myelocytes
Lymphocytes
Pelger Huet Anomaly
May Haglin Anomaly
34: When placing the right side of the XN-2000 in the body fluid mode:
CBC cannot be performed on the left side
A background count is performed on the right side
Only "open mode" CBC can be performed on the left side
35: Identify the arrowed cell in Slide 00020(pleural fluid):
Macrophage
Blast
Neutrophil
Mesothelial
Eosionphil
Lymphocyte
36: Identify the arrowed cell in Slide 20 (pleural fluid):
Macrophage
Blast
Neutrophil
Mesothelial
Eosinophil
Lymphocyte
37: Identify the arrowed cell in Slide 00022(pleural fluid):
Macrophage
Blast
Neutrophil
Mesothelial
Eosinophil
Lymphocyte
38: Identify the arrowed cell in Slide 00023(pleural fluid):
Macrophage
Blast
Neutrophil
Mesothelial
Eosinophil
Lymphocyte
39: Identify the abnormality in slide 2018
Myelocyte
Intra cellular yeast
Intra cellular bacteria
pyknotic cell

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