Anemia Diagnostic Tests

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Questions and Answers

Which test directly assesses the size of red blood cells?

  • Hematocrit (Hct)
  • Hemoglobin (Hb)
  • Red Blood Cell Count
  • Mean Corpuscular Volume (MCV) (correct)

What does MCHC reflect?

  • White blood cell count
  • Platelet count
  • RBC count
  • Hemoglobin concentration in RBCs (correct)

Which test measures the variation in RBC size?

  • Hematocrit (Hct)
  • Hemoglobin (Hb)
  • Red Cell Distribution Width (RDW) (correct)
  • Mean Corpuscular Volume (MCV)

What is indicated by an increased reticulocyte count?

<p>Increased bone marrow response (A)</p> Signup and view all the answers

What is the purpose of a peripheral blood smear?

<p>To examine RBC morphology (D)</p> Signup and view all the answers

What's the role of serum ferritin in anemia diagnosis?

<p>Marker of iron stores (A)</p> Signup and view all the answers

Deficiencies in which vitamin(s) lead to macrocytic anemia?

<p>Vitamin B12 and Folate (C)</p> Signup and view all the answers

What is TIBC a measure of?

<p>Total Iron-Binding Capacity (B)</p> Signup and view all the answers

In hemoglobin electrophoresis, what causes proteins to migrate at different rates?

<p>Charge of the proteins (A)</p> Signup and view all the answers

The CBC includes measurement of which of the following?

<p>RBC Count, Hemoglobin, Hematocrit (B)</p> Signup and view all the answers

What does a low hemoglobin level typically indicate?

<p>Anemia (B)</p> Signup and view all the answers

Which of the following is used in supravital staining for reticulocyte count?

<p>New Methylene Blue (D)</p> Signup and view all the answers

What term describes the variation in RBC shape?

<p>Poikilocytosis (D)</p> Signup and view all the answers

What is determined by measuring Mean Corpuscular Volume (MCV)?

<p>RBC size (C)</p> Signup and view all the answers

In hemoglobin electrophoresis, what pH is used with cellulose acetate?

<p>Alkaline pH (D)</p> Signup and view all the answers

Which of the following reflects Hb concentration in RBCs?

<p>MCHC (C)</p> Signup and view all the answers

Anemia severity is indicated by which measurements in CBC?

<p>RBC Count, Hemoglobin (Hb), Hematocrit (Hct) (B)</p> Signup and view all the answers

What does a reticulocyte count measure?

<p>Bone marrow response to anemia (D)</p> Signup and view all the answers

Which of these is a cause of macrocytic anemia?

<p>B12 deficiency (D)</p> Signup and view all the answers

Serum iron along with what other test helps assess iron availability?

<p>TIBC (B)</p> Signup and view all the answers

Flashcards

RBC count, Hemoglobin (Hb), Hematocrit (Hct)

Indicates the severity of anemia.

Mean Corpuscular Volume (MCV)

Determines red blood cell size (microcytic, normocytic, or macrocytic).

Mean Corpuscular Hemoglobin Concentration (MCHC)

Reflects the concentration of hemoglobin in red blood cells.

Red Cell Distribution Width (RDW)

Measures the variation in red blood cell size, indicating anisocytosis.

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Reticulocyte Count

Measures bone marrow response to anemia, such as increased response in hemolysis or blood loss.

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Peripheral Blood Smear

Examines the size, shape, and inclusions of red blood cells

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Anisocytosis

Variation in the size of red blood cells, seen in peripheral blood smear.

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Poikilocytosis

Variation in the shape of red blood cells, seen in peripheral blood smear.

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Serum Ferritin

Marker of iron stores, helping assess iron availability.

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Serum Iron and TIBC

Helps assess iron levels and availability.

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Vitamin B12 and Folate Levels

Deficiencies in these vitamins can lead to macrocytic anemia.

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Hemoglobin Electrophoresis Principle

Differently charged proteins migrate at different rates across a gel.

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Study Notes

  • Routine diagnostic tests are performed to diagnose anemia in patients

Learning Objectives

  • To explain the purpose and significance of routine diagnostic tests to evaluate anemia
  • Diagnostic tests discussed are:
    • Complete Blood Count (CBC)
    • Reticulocyte Count
    • Peripheral Blood Smear
    • Serum Ferritin
    • Serum Iron
    • TIBC (Total Iron-Binding Capacity)
    • Vitamin B12/Folate Levels
    • Hemoglobin Electrophoresis

Complete Blood Count (CBC)

  • RBC Count, Hemoglobin (Hb), and Hematocrit (Hct) indicate anemia severity
  • Mean Corpuscular Volume (MCV) determines RBC size such as:
    • Microcytic anemia
    • Normocytic anemia
    • Macrocytic anemia
  • Mean Corpuscular Hemoglobin Concentration (MCHC) reflects Hb concentration in RBCs
  • Red Cell Distribution Width (RDW) measures variation in RBC size, indicating anisocytosis

Reticulocyte Count

  • Reticulocyte Count measures bone marrow response to anemia
    • Increased in cases of hemolysis or blood loss
    • Decreased in production-related anemias
  • Performed using supravital staining such as:
    • New Methylene Blue
    • Brilliant Cresyl Green

Peripheral Blood Smear

  • A peripheral blood smear examines RBC morphology - size, shape, and inclusions
  • It also identifies:
    • Anisocytosis
    • Poikilocytosis

Serum Chemistry

  • Serum Ferritin, Serum Iron, and Total Iron-Binding Capacity (TIBC) are assessed
    • Ferritin indicates iron stores, while serum iron and TIBC indicate iron availability
  • Vitamin B12 and Folate Levels are assessed; deficiencies lead to macrocytic anemia

Hemoglobin Electrophoresis

  • Differently charged proteins migrate at different rates across the charged agarose or cellulose acetate gel in Hemoglobin Electrophoresis
  • Alkaline pH: Cellulose Acetate (pH 8.4)
  • Acidic pH: Agarose gel (pH 6.0)

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