Complete Blood Count (CBC) Analysis and Interpretation

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Questions and Answers

Which of the following complete blood count (CBC) findings suggests a condition characterized by an increased number of red blood cells?

  • Anemia
  • Thrombocytopenia
  • Polycythemia (correct)
  • Leukocytosis

Hematocrit can be directly measured using a hemocytometer.

False (B)

A differential diagnosis (DDx) list is used primarily to:

  • Pinpoint a diagnosis based on suggested diagnostic tests. (correct)
  • Identify the types of white blood cells present.
  • Measure the size of red blood cells.
  • Count the number of platelets in a blood sample.

Which diagnostic method uses an x-y diagram for two antigens to identify the neoplastic cell of origin?

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

What is one hematologic manifestation of HIV infection mentioned?

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

NRBCs and reticulocytes are used in RBC histograms to identify compensatory ______.

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

Match the following leukemia with its abbreviation:

<p>Acute Lymphoblastic Leukemia = ALL Acute Myeloid Leukemia = AML Chronic Lymphocytic Leukemia = CLL Chronic Myeloid Leukemia = CML</p> Signup and view all the answers

Besides anemia/polycythemia, leukocytosis/leukopenia and thrombocytopenia/thrombocytosis, which of the following conditions can be identified using virtual slides and CBCs?

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

Identifying karyotypes is not useful for classifying lymphomas.

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

What is used, besides photomicrographs and virtual slides, to identify disease processes?

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

Flashcards

What is a Complete Blood Count (CBC)?

A blood test to evaluate overall health, including red blood cells, white blood cells, and platelets.

What is hematocrit?

The percentage of blood volume occupied by red blood cells.

What is hemoglobin?

The oxygen-carrying protein found in red blood cells.

What is differential diagnosis (DDx)?

A list of possible diseases or conditions that could be causing a patient's symptoms or signs.

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What is flow cytometry?

A technique used to identify and count cells with specific markers, often used in the diagnosis of hematologic malignancies.

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What is Karyotyping?

Visual analysis of chromosomes to identify abnormalities, such as translocations or deletions.

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What is polycythemia?

A condition characterized by an abnormally high number of red blood cells in the blood.

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What is anemia?

A condition characterized by a deficiency of red blood cells or hemoglobin in the blood, resulting in pallor and fatigue.

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Study Notes

  • Able to read and interpret a CBC, which includes the clinical significance of abnormal findings
  • Polycythemia/anemia can be microcytic, normocytic, or macrocytic
  • Hemolytic anemia involves schistocytes and spherocytes
  • Compensatory hematopoiesis uses RBC histogram and includes nRBCs and reticulocytes
  • Leukopenia/leukocytosis includes neutrophilia, eosinophilia, basophilia, lymphocytosis, and monocytosis
  • Thrombocytopenia/thrombocytosis must be understood
  • Must know the normal hematocrit and hemoglobin ranges for males and females
  • Know the actual molecule measured by the Hemocue
  • Know how to determine hematocrit from a capillary tube of centrifuged blood
  • Suggest additional diagnostic tests to pinpoint a diagnosis from provided differential diagnosis (DDx) list

Flow Cytometry

  • Able to interpret a flow cytometry x-y diagram for two antigens
  • Use flow cytometry results to identify the neoplastic cell of origin for acute leukemias (ALL, AML), chronic leukemias (CLL, CML, ET, PV), aplastic anemia (AA), myelodysplasia (MDS), lymphomas (Hodgkin, follicular, diffuse large B cell) and myeloma
  • Interpret hematologic manifestations of HIV infection

Disease Identification

  • Identify diseases on three microscope slides from among IDA, SCD, ALL, AML, IM, CLL, ET, CML, HL, FL, DLBCL, MM, AA
  • Answer questions regarding the corresponding disease processes

Unknown Disease Identification

  • Apply knowledge to identify a disease process in one unknown slide
  • Use characteristic features, photomicrographs, virtual slides, and CBCs to identify sepsis, MBA, IDA, SCD, HDFN, ALL, AML, IM, CLL, ET, PV, CML, HL, FL, DLBCL, MM, AA
  • Answer questions regarding the corresponding disease processes

Karyotypes

  • Recognize characteristic karyotypes for CML, acute leukemia/Hodgkin lymphoma (complex karyotype), myeloma/Burkitt lymphoma, follicular lymphoma

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