Blood Smear & ABO-Rh Typing Quiz

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Questions and Answers

Which of the following stains is commonly used for blood smears?

  • Wright stain (correct)
  • Methylene blue
  • Safranin
  • Crystal Violet

What is the primary purpose of using immersion oil in microscopy?

To improve resolution

What is the purpose of the warming box in the staining process?

  • To enhance the staining reaction
  • To prevent bacterial contamination
  • To dry the slides quickly
  • To fix the blood cells to the slide (correct)

What is the purpose of alcohol preps when taking a blood sample?

<p>To disinfect the puncture site (D)</p> Signup and view all the answers

What is the best way to dispose of used lancets?

<p>In a sharps container (D)</p> Signup and view all the answers

Which reagents are used for ABO blood typing?

<p>Anti-A, Anti-B, and anti-D sera (B)</p> Signup and view all the answers

If a blood sample agglutinates with both anti-A and anti-B sera, what is the blood type?

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

What does agglutination with anti-D serum indicate?

<p>The person is Rh positive (D)</p> Signup and view all the answers

What does the 'Rh' in ABO-Rh blood typing refer to?

<p>The Rhesus factor (D antigen) (B)</p> Signup and view all the answers

What type of microscope is used to examine blood smears?

<p>Compound light microscope (D)</p> Signup and view all the answers

What do anti-A and anti-B sera contain?

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

If a blood sample does not agglutinate with any of the anti-A, anti-B, or anti-D sera, what is the blood type?

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

What are "Hype-Wipes" used for in a laboratory setting involving blood?

<p>Disinfecting surfaces and cleaning spills, especially blood spills (B)</p> Signup and view all the answers

What is the purpose of using a gauze pad after a finger prick?

<p>To absorb the blood and stop bleeding (D)</p> Signup and view all the answers

What is the purpose of fixing the blood smear (although not explicitly mentioned, it's an implied step)?

<p>To preserve the cell morphology and adhere them to the slide (A)</p> Signup and view all the answers

What is the correct order of steps related to slide preparation and viewing?

<p>Smear blood, fix, stain, view under microscope (B)</p> Signup and view all the answers

What does the absence of agglutination with all antisera (anti-A, anti-B, and anti-D) indicate?

<p>Blood type O- (D)</p> Signup and view all the answers

The Ward's 36W0019 kit mentioned is a...

<p>Simulated ABO-Rh blood typing kit (D)</p> Signup and view all the answers

What is the definition of erythrocytes?

<p>Red blood cells</p> Signup and view all the answers

What is the definition of leukocytes?

<p>White blood cells</p> Signup and view all the answers

What is the definition of platelets?

<p>Thrombocytes</p> Signup and view all the answers

Platelets are not blood cells. They are cytoplasmic fragments, split from large cells called mega-karyocytes in the bone marrow.

<p>True (A)</p> Signup and view all the answers

Platelets have a dark-staining granular portion called a chromomere surrounded by a light-staining cytoplasmic portion called a Hyalomere.

<p>True (A)</p> Signup and view all the answers

The number of platelets in blood normally range from 150,000 to 350,000 per microliter of blood.

<p>True (A)</p> Signup and view all the answers

Platelets play several important roles in hemostasis.

<p>True (A)</p> Signup and view all the answers

Leukocytes are actually white; they appear translucent or colorless in an unstained preparation because they don't contain colored pigment as do erythrocytes.

<p>True (A)</p> Signup and view all the answers

In contrast to erythrocytes, all leukocytes contain a nucleus.

<p>True (A)</p> Signup and view all the answers

Leukocytes can be divided into two groups, based on the appearance of their cytoplasm.

<p>True (A)</p> Signup and view all the answers

Granulocytes contain large granules that are easily distinguished by the presence of large granules.

<p>True (A)</p> Signup and view all the answers

Agranulocytes contain cytoplasm that appears relatively homogenous or free of large granules.

<p>True (A)</p> Signup and view all the answers

Granulocytes consist of neutrophils, eosinophils, and basophils.

<p>True (A)</p> Signup and view all the answers

Granulocytes are produced in the bone marrow and range in size from 10 - 14 µm in diameter.

<p>True (A)</p> Signup and view all the answers

The cytoplasm of granulocytes contains large granules, mostly lysosomes, and their nuclei appear irregular and lobular, hence they are frequently called polymorphonuclear leukocytes.

<p>True (A)</p> Signup and view all the answers

Agranulocytes consist of lymphocytes and monocytes.

<p>True (A)</p> Signup and view all the answers

Lymphocytes and monocytes are produced in lymphatic tissue, such as lymph nodes and spleen.

<p>True (A)</p> Signup and view all the answers

Monocytes are produced in bone marrow.

<p>True (A)</p> Signup and view all the answers

The nucleus of lymphocytes and monocytes is generally spherical, and occasionally indented, giving rise to a horseshoe shape.

<p>True (A)</p> Signup and view all the answers

The amount of cytoplasm is reduced in agranulocytes because of its relatively large nucleus.

<p>True (A)</p> Signup and view all the answers

Leukocytes combat foreign substances that enter the body.

<p>True (A)</p> Signup and view all the answers

Leukocytes fight foreign substances in the body in the following ways: 1. Phagocytosis, 2. Take up toxins, 3. Release enzymes, 4. Produce antibodies and other important substances.

<p>True (A)</p> Signup and view all the answers

Erythrocytes are biconcave, disk shaped cells.

<p>True (A)</p> Signup and view all the answers

Erythrocytes have a diameter of approximately 8.5 µm and a thickness of 2.5 µm (near the edge of the cell).

<p>True (A)</p> Signup and view all the answers

The biconcave discoid shape of the erythrocyte is ideal because it allows the red cells to rapidly exchange CO2 and O2 with plasma.

<p>True (A)</p> Signup and view all the answers

Gas exchange, specifically the transport of oxygen and carbon dioxide in the blood is the erythrocyte's primary function.

<p>True (A)</p> Signup and view all the answers

Mature circulating erythrocytes do not have a nucleus.

<p>True (A)</p> Signup and view all the answers

About 35% of an erythrocyte is composed of a respiratory pigment and hemoglobin.

<p>True (A)</p> Signup and view all the answers

Hemoglobin, when bound with oxygen, imparts a red color to the cell.

<p>True (A)</p> Signup and view all the answers

The biconcave shape of an erythrocyte is attributed to tension of the cell membrane and the interaction with intracellular contents.

<p>True (A)</p> Signup and view all the answers

Abnormally shaped erythrocytes, such as sickle cells and microcytes, are frequently due to the presence of abnormal hemoglobin molecules or to an abnormal amount of hemoglobin.

<p>True (A)</p> Signup and view all the answers

Flashcards

Wright stain

A type of stain commonly used for blood smears, allowing for differentiation of blood cells based on their staining properties.

Immersion oil

A technique that enhances the resolution of a microscope by using a specific oil to minimize light refraction, leading to a clearer image of the specimen.

Disinfectant

A substance that kills microorganisms on a surface, crucial for preventing contamination and infection during blood sample collection.

Sharps container

Specialized containers designed to safely dispose of sharp objects, like lancets, to protect healthcare professionals and prevent accidental needle sticks.

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Anti-A and anti-B sera

Used for ABO blood typing, these contain antibodies that react specifically with corresponding antigens on red blood cells to determine a person's blood type.

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Rh factor

The presence of the D antigen, typically on red blood cells, which determines if a person is Rh positive or negative.

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Blood type O

Blood type where red blood cells lack both A and B antigens, making it a universal donor in blood transfusions.

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Agglutination

The process of red blood cells clumping together when exposed to specific antibodies, indicative of a particular blood type based on the presence of antigens.

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Coverslip

A thin, transparent sheet of glass placed over a specimen on a slide, protecting the microscope objective lens from damage and allowing light to pass through the specimen for viewing.

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Compound light microscope

A type of microscope that uses visible light and lenses to magnify small objects, commonly used for examining blood smears.

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Blood smear

A process that involves spreading a small amount of blood on a glass slide to create a thin layer suitable for examination under a microscope.

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Fixing the blood smear

A pre-staining step that fixates and preserves the morphology of blood cells, preventing their distortion or movement during staining.

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Lancet

A small, sharp instrument used to puncture the skin for obtaining a blood sample.

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Gauze pad

A sterile absorbent pad used to absorb blood and stop bleeding after a finger prick in blood sample collection.

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Adhesion

The process of attaching blood cells to a microscope slide, typically achieved through chemical treatment or heat, ensuring the cells remain in place for further analysis.

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Simulated blood typing kit

A kit used for simulating ABO-Rh blood typing procedures, allowing students to learn and practice blood typing techniques without using real blood samples.

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Hype-Wipes

A special type of wipe used in laboratory settings for disinfecting surfaces and cleaning spills, especially those containing blood.

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No agglutination with all antisera

The absence of agglutination with anti-A, anti-B, and anti-D sera, indicating a lack of A, B, and Rh antigens on red blood cells, resulting in blood type O negative.

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Antigen

A substance or molecule that binds to an antibody, triggering an immune response, specifically in blood typing, antigens are found on the surface of red blood cells and determine a person's blood type.

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Antibody

A protein found in the blood that specifically binds to a particular antigen, playing a vital role in identifying and attacking foreign substances in the body.

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Study Notes

Blood Smear Preparation and Staining

  • Common stain used for blood smears: Methylene blue.
  • Immersion oil microscopy increases magnification and resolution.
  • Purpose of a warming box: To dry slides quickly and enhance staining reaction.
  • Alcohol prep purpose: Disinfect the puncture site to prevent clotting.
  • Proper disposal of used lancets: Sharps container.

ABO-Rh Blood Typing

  • Agglutination with anti-D serum indicates Rh positive.
  • Anti-A and anti-B sera contain antibodies.
  • Absence of agglutination with any sera: Blood type O-.
  • "Rh" in ABO-Rh blood typing refers to the Rhesus factor (D antigen).
  • If a blood sample agglutinates with both anti-A and anti-B sera, blood type is AB.

Hype-Wipes

  • Used for cleaning microscope slides and spills.

Blood Smear Specifics

  • Fixing the blood smear preserves cell morphology and adheres them to the slide.
  • Correct order for slide preparation and viewing: Smear blood, fix, stain, view under microscope.
  • Absence of agglutination with anti-A, anti-B, and anti-D indicates blood type O-.
  • The Ward's 36W019 kit is a blood staining kit.

Blood Cells and Blood Types

  • Whole blood consists of formed elements (red blood cells, white blood cells, platelets).

  • Platelets are cytoplasmic fragments of megakaryocytes in bone marrow.

  • Platelets are small, anucleate bodies about 2-4 micrometers in diameter.

  • They consist of a dark-staining granular portion (chromomere) surrounded by a light-staining cytoplasmic portion (hyalomere).

  • Platelets are 150,000 to 350,000 per microliter of blood and important for hemostasis.

Leukocytes (White Blood Cells)

  • Leukocytes are translucent or colorless; they do not contain colored pigments.
  • They are classified as granulocytes or agranulocytes.
  • Granulocytes contain large granules. Granulocytes include neutrophils, eosinophils, and basophils.
  • Agranulocytes consist of lymphocytes and monocytes.
  • Leukocytes are produced in bone marrow to combat foreign substances.

Erythrocytes (Red Blood Cells)

  • Erythrocytes are biconcave, disk-shaped cells.
  • Diameter approximately 8.5 mm and thickness 2.5 mm.
  • They are ideal for rapid gas exchange with plasma.
  • Erythrocytes do not have a nucleus after development stage in bone marrow.
  • About 35% of an erythrocyte is composed of hemoglobin, a respiratory pigment that binds to oxygen.
  • Biconcave shape due to membrane tension and interaction with intracellular contents; this maximizes surface area for gas exchange.
  • Abnormal shapes may result from abnormal hemoglobin or abnormal hemoglobin amount.

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