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Hematology Internship Section 1
Part D: Automation
60
Biology
Undergraduate 4
09/25/2015

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Term
Calculate the MCV for Patient A with the following table:
[image]
Definition
96.67
((29*10)/3.00)
Term
Calculate the MCV for Patient B with the following table:
[image]
Definition
92.0489
((30.1*10)/3.27)
Term
Calculate the MCV for Patient C with the following table:
[image]
Definition
130.168
((23.3*10)/1.79)
Term
Calculate the MCV for Patient D with the following table:
[image]
Definition
100.294
((34.1*10)/3.40))
Term
Calculate the MCV for Patient E with the following table:
[image]
Definition
131.25
((21.0*10)/1.6))
Term
Calculate the MCH for Patient A with the following table:
[image]
Definition
46.67
((14*10)/3.00)
Term
Calculate the MCH for Patient B with the following table:
[image]
Definition
37.61
((12.3*10)/3.27)
Term
Calculate the MCH for Patient C with the following table:
[image]
Definition
54.18994
((9.7*10)/1.79)
Term
Calculate the MCH for Patient D with the following table:
[image]
Definition
32.35
((11.0*10)/3.40))
Term
Calculate the MCH for Patient E with the following table:
[image]
Definition
43.75
((7.0*10)/1.6))
Term
Calculate the MCHC for Patient A with the following table:
[image]
Definition
48.275
((14*100)/29)
Term
Calculate the MCHC for Patient B with the following table:
[image]
Definition
40.86
((12.3*100)/30.1)
Term
Calculate the MCHC for Patient C with the following table:
[image]
Definition
41.63
((9.7*100)/23.3)
Term
Calculate the MCHC for Patient D with the following table:
[image]
Definition
32.258
((11.0*100)/34.1))
Term
Calculate the MCHC for Patient E with the following table:
[image]
Definition
33.3
((7.0*100)/21.0))
Term
Match the following lettered patient results with the correct interpretation
[image]
Cold agglutination secondary to infectious mono - values incorrect
Definition
C
Term
Match the following lettered patient results with the correct interpretation
[image]
Lipemia - Hgb is not correct
Definition
A
Term
Match the following lettered patient results with the correct interpretation
[image]
Spherocytes - indices abnormal but correct
Definition
B
Term
Match the following lettered patient results with the correct interpretation
[image]
Megaloblastic anemia - indices abnormal but correct
Definition
E
Term
Match the following lettered patient results with the correct interpretation
[image]
Elevated WBC interfering - all results incorrect
Definition
D
Term
What is the correct action to take when an "imm gran" flag on the automated cell counter occurs?
Definition
Perform a differential manually
Term
What condition produces a bi-modal red cell curve with HIGHLY INCREASED RDW?
Definition
Transfused Iron Deficiency
Term
Match the following scatterplots with the conditions:
Normal
A [image]
B [image]
C [image]
D [image]
Definition
A
Term
Match the following scatterplots with the conditions:
Parasitic Infection or Allergy
A [image]
B [image]
C [image]
D [image]
Definition
B
Term
Match the following scatterplots with the conditions:
Infectious Mono
A [image]
B [image]
C [image]
D [image]
Definition
C
Term
Match the following scatterplots with the conditions:
Bacterial Infection
A [image]
B [image]
C [image]
D [image]
Definition
D
Term
On a hematology analyzer, which parameters would indicate a plasma replacement might be required on the hematology analyzer?
Definition
Increased MCH & MCHC
Term
RBC Agglutination will cause falsely elevated ___________.
Definition
Mean Cell Volume (MCV)
Term
Given the Interference, what are the parameters affected?
Lipemia, icterus, or Chylomicrons
Definition
Hgb, MCH, MCHC
Term
Given the Interference, what are the parameters affected?
Hemoglobin S, C, and F (failure to lyse)
Definition
WBC, Hgb
Term
Given the Interference, what are the parameters affected?
WBC count greater than 100,000 / microliter
Definition
All except for platelets
Term
Given the Interference, what corrective action should be taken?
Lipemia, icterus, or Chylomicrons
Definition
Replace plasma with equal amounts of saline and re-run
Term
Given the Interference, what corrective action should be taken?
Hemoglobin S, C, and F (failure to lyse)
Definition
WBC could be counted manually.
Allow incubation time for lysis
Term
Given the Interference, what corrective action should be taken?
WBC count greater than 100,000 / microliter
Definition
Dilute with diluent & re-run.
Multiply values by the dilution factor.
Can also subtract Hct & Recalculate the indices.
Term
Match the lettered patients with the corrective action:
[image]
Dilute blood, rerun to get WBC then correct or recalculate other values
Definition
D
Term
Match the lettered patients with the corrective action:
[image]
Report results (two can be reported)
Definition
B & E
Term
Match the lettered patients with the corrective action:
[image]
Warm to 37 degrees Celsius and rerun
Definition
C
Term
Match the lettered patients with the corrective action:
[image]
Replace plasma with saline and rerun
Definition
A
Term
Identify what number 1 is point to:
[image]
WBC Histogram
Definition
Large Platelets
Term
Identify what number 2 is point to:
[image]
WBC Histogram
Definition
Lymphs
Term
Identify what number 3 is point to:
[image]
WBC Histogram
Definition
Blasts
Term
Identify what number 4 is point to:
[image]
WBC Histogram
Definition
Monocytes & Eosinophils
Term
Identify what number 5 is point to:
[image]
WBC Histogram
Definition
Segs
Term
Identify what number 1 is point to:
[image]
RBC Curve
Definition
Fragments
Term
Identify what number 2 is point to:
[image]
RBC Curve
Definition
MCV
Term
Identify what number 3 is point to:
[image]
RBC Curve
Definition
Retics
Term
Identify what number 4 is point to:
[image]
RBC Curve
Definition
Doublets or WBCs
Term
Identify what number 1 is point to:
[image]
Platelet Curve
Definition
Bubbles
Term
Identify what number 2 is point to:
[image]
Platelet Curve
Definition
Tiny RBCs
Term
Identify what number 3 is point to:
[image]
Platelet Curve
Definition
Large Platelets
Term
Match the automated test with its derivation on most automated instruments:
A. measured by amount of light hitting a sensor
B. Counted
C. Calculated

White Count
Definition
B. Counted
Term
Match the automated test with its derivation on most automated instruments:
A. measured by amount of light hitting a sensor
B. Counted
C. Calculated

Platelet
Definition
B. Counted
Term
Match the automated test with its derivation on most automated instruments:
A. measured by amount of light hitting a sensor
B. Counted
C. Calculated

MCV
Definition
C. Calculated
Term
Match the automated test with its derivation on most automated instruments:
A. measured by amount of light hitting a sensor
B. Counted
C. Calculated

Red Count
Definition
B. Counted
Term
Match the automated test with its derivation on most automated instruments:
A. measured by amount of light hitting a sensor
B. Counted
C. Calculated

Hemoglobin
Definition
A.Measured by amount of light hitting a sensor
Term
Match the automated test with its derivation on most automated instruments:
A. measured by amount of light hitting a sensor
B. Counted
C. Calculated

MCH
Definition
C. Calculated
Term
A suriously high hemoglobin is suspected by using the rule of three. What is the MOST LIKELY reason for this spurious result?
Definition
Lipemia
Term
While EDTA is the preferred anticoagulant for hematology, and citrate for coagulation, in an emergency, which of the following could correctly be performed, using a green top (heparin)?
A. Entire CBC
B. Differential
C. Hgb & Hct
D. PT & PTT
Definition
C. Hgb & Hct
Term
The platelet count results from the analyzer is 38,000 / microliter. On examination of the peripheral blood smear, the platelets were satellite around the neutrophils, but appeared to be a relatively normal number. How could the correct platelet count be determined?
Definition
Redraw in blue top adding 10% to platelet count to compensate for the extra anticoagulant volume.
-Some labs vortex the sample to separate the platelets before redrawing
Term
The cell counter prints out a platelet count of 40,000 / microliter on a new patient. What would be the best action?
Definition
Verify the count by scanning a manual differential.
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