Peripheral Blood Smear Anisocytosis Interpretation
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Questions and Answers

What is the primary purpose of bone marrow aspirate and biopsy?

  • To monitor the effectiveness of chemotherapy
  • To determine the patient's blood type
  • To diagnose blood disorders and cancers (correct)
  • To assess lung function
  • Which condition is associated with hypercellular bone marrow?

  • Kidney Stones
  • Acute Megakaryoblastic Leukemia (correct)
  • Chronic Obstructive Pulmonary Disease
  • Rheumatoid Arthritis
  • What stain is typically used for assessing bone marrow trephine biopsy?

  • Masson's Trichrome Stain
  • Periodic Acid-Schiff (PAS) Stain
  • Wright Stain
  • Hematoxylin and Eosin (H&E) Stain (correct)
  • In which disease might hypocellular bone marrow be observed?

    <p>Aplastic Anemia</p> Signup and view all the answers

    Which laboratory test is most appropriate to order on a patient with a suspected hematologic disorder?

    <p>Complete blood count (CBC)</p> Signup and view all the answers

    What is the primary purpose of a peripheral blood smear (PBS) in evaluating a patient with a suspected hematologic disorder?

    <p>To evaluate blood cell characteristics</p> Signup and view all the answers

    Which laboratory test is used to identify and quantify the different types of white blood cells?

    <p>Complete blood count (CBC)</p> Signup and view all the answers

    What does a corrected reticulocyte count (CRC) measure in a patient with a suspected hematologic disorder?

    <p>Blood cell production activity</p> Signup and view all the answers

    In addition to the complete blood count (CBC), what other lab test might be indicated for a patient with a suspected hematologic disorder?

    <p>Hemoglobin electrophoresis</p> Signup and view all the answers

    What would be the next appropriate step if bone marrow examination is indicated for a patient with a suspected hematologic disorder?

    <p>Bone marrow aspirate and biopsy</p> Signup and view all the answers

    What is the best indicator of the oxygen-carrying capacity of blood?

    <p>Hemoglobin (g/dL)</p> Signup and view all the answers

    Which laboratory test is used for the evaluation of color or chromia of red blood cells and classification of anemias?

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

    Which condition is associated with increased mean platelet volume?

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

    What is the average volume of red blood cells called?

    <p>Mean cell volume (MCV)</p> Signup and view all the answers

    Which component is used for the differential count and abnormal cell morphology in a peripheral blood smear?

    <p>Abnormal WBCs</p> Signup and view all the answers

    What is the normal range for white blood cell count (WBCs) in adults?

    <p>4 - 10 x109/L</p> Signup and view all the answers

    What does decreased hemoglobin indicate?

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

    Which condition is associated with neutrophilia?

    <p>(Acute) inflammatory response</p> Signup and view all the answers

    What does increased lymphocyte count indicate?

    <p>(Chronic) inflammatory response</p> Signup and view all the answers

    What does decreased platelet count indicate?

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

    What is the significance of increased eosinophils?

    <p>Allergic reactions</p> Signup and view all the answers

    Which abnormal cells are evaluated in a peripheral blood smear?

    <p>Parasites like malaria, babesia, filaria</p> Signup and view all the answers

    Intravascular hemolysis is characterized by which of the following clinical features?

    <p>Low serum haptoglobin and hemoglobinemia</p> Signup and view all the answers

    Which laboratory findings are associated with extravascular hemolysis?

    <p>Elevated urobilinogen and hemosiderinuria</p> Signup and view all the answers

    Which condition is commonly associated with jaundice and splenomegaly?

    <p>Malaria-induced hemolytic anemia</p> Signup and view all the answers

    What is the main difference in the clinical presentation of intravascular and extravascular hemolysis?

    <p>Dark urine color</p> Signup and view all the answers

    Which enzyme level is typically elevated in extravascular hemolysis?

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

    What is the primary site of hemolysis in extravascular hemolysis?

    <p>Spleen, liver, and lymph node macrophages</p> Signup and view all the answers

    What is a characteristic morphologic finding in the blood smear of a patient with extravascular hemolysis?

    <p>Spherocytes and spur cells</p> Signup and view all the answers

    Which urinary finding is associated with intravascular hemolysis?

    <p>Cola-colored urine</p> Signup and view all the answers

    What is a common symptom associated with both intravascular and extravascular hemolysis?

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

    Which clinical feature distinguishes intravascular from extravascular hemolysis?

    <p>Dark urine color</p> Signup and view all the answers

    What is the primary mechanism of destruction of red blood cells in intravascular hemolysis?

    <p>Immune destruction by spleen macrophages</p> Signup and view all the answers

    Which enzyme level is typically elevated in intravascular hemolysis?

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

    What is the classification of anemias based on RBC size?

    <p>Normocytic, e.g., iron-deficiency anemia and thalassemia</p> Signup and view all the answers

    What are spherocytes?

    <p>Spherical RBCs with normal MCV, MCH, and MCHC</p> Signup and view all the answers

    Which stain is used to identify immature RBCs in a peripheral blood smear?

    <p>Wright-Giemsa stain</p> Signup and view all the answers

    What is the marker of erythropoietic activity?

    <p>Reticulocyte count (RC)</p> Signup and view all the answers

    Where does extravascular hemolysis primarily occur?

    <p>Within the macrophages of the spleen, liver, and lymph nodes</p> Signup and view all the answers

    What is the clinical feature associated with intravascular hemolysis?

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

    Which stain is used to assess reticulocytes in human blood?

    <p>Supravital new methylene blue stain</p> Signup and view all the answers

    What is the average volume of red blood cells called?

    <p>$MCV$</p> Signup and view all the answers

    What distinguishes spherocytes from normal RBCs?

    <p>Shape and color intensity</p> Signup and view all the answers

    Which enzyme level is typically elevated in extravascular hemolysis?

    <p>Lactate dehydrogenase (LDH) level</p> Signup and view all the answers

    What are polychromatophilic or orthochromic macrocytes indicative of?

    <p>Erythropoietic activity</p> Signup and view all the answers

    What does a high reticulocyte count indicate?

    <p>Erythropoietic activity</p> Signup and view all the answers

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