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Last Updated: Aug 22, 2026
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| Section | Objectives |
|---|---|
| Topic 1: Blood Banking / Immunohematology | - Blood group systems and antibody identification
|
| Topic 2: Microbiology | - Clinical microbiological techniques
|
| Topic 3: Clinical Chemistry | - Metabolic and analytical testing
|
| Topic 4: Hematology | - Blood cell analysis and disorders
|
| Topic 5: Laboratory Operations | - Quality and safety in the clinical lab
|
| Topic 6: Urinalysis and Body Fluids | - Fluid analysis and interpretation
|
1. The MCV is indicative of microcytosis with MCV=<80fL. The RDW is within normal limits and indicative of a homogenous cell population.
If the MCV was >100 fL, this would be indicative of macrocytosis. An RDW that was outside of normal limits would be indicative of a heterogenous cell population.
An 18 year old female has a CBC as part of a routine physical exam. The following results were obtained and the physician determines she is anemic. After reviewing her CBC results shown below, which of the following would be an appropriate description of the anemia?
White blood cells (WBC): 5.6 x 10^9/L (RR:4.0-10.0 x 10^9/L)
Red blood cells (RBC): 3.7 x 10^12/L (RR: 4.2-5.9 x 10^12/L)
Hemoglobin: 9.9 g/dL (RR:12-16 g/dL)
Hematocrit: 28% (RR: 37-48%)
MCV: 75 fL (80-100 fL)
RDW-CV: 14% (RR: 11.0-15.0%)
A) Macrocytic, heterogenous
B) Microcytic, heterogenous
C) Macrocytic, homogenous
D) Microcytic, homogenous
2. Which of the following cardiac biomarkers rises within 30 minutes - 4 hours after chest pain, peaks in 2 - 12 hours, and is usually normal within 24 - 36 hours.
A) Myoglobin
B) Cardiac troponins
C) CK-MB
3. Flow cytometry employs a combination of fluorescent antibody tagging of cells and analysis with laser light scatter.
What principle(s) of flow cytometry are employed when performing immunophenotyping:
A) Defraction gradients
B) Impedance
C) Fluorescent antibody tagging and light scatter
D) Defraction gradients and impedance
4. Name the comprehensive written safety plan detailing the proper use and storage of hazardous chemicals in the workplace.
A) chemical hygiene plan
B) SOP
C) MSDS
D) OSHA
5. Beta-thalassemia major, also known as Cooley's anemia, has inherited two genes for beta thalassemia without a normal beta-chain gene. This disease is assoicated with a marked deficiency in beta chain production and in the production of normal Hb A. These patients exhibit increased amounts of iron due to the mutliple transfusions that keep them alive. There is also a striking increase in hemoglobin F and an elevation in hemoglobin A2.
Hematology
A 5-year-old African American child with hepato-splenomegaly and skeletal abnormalities has the following lab results:
WBC = 4,800/cu.mm
20 NRBC/100 WBC
RBC = 2.70 X 106
HGB = 6.2 g/dL
Many target cells
Marked hypochromasia, anisocytosis & poikilocytosis
Serum Iron = 200 µg/dL (elevated)
Sickle Solubility = negative
Hemoglobin F = elevated
What is the PROBABLE cause of these findings?
A) Sickle cell anemia
B) Beta-thalassemia major
C) Hemoglobin C disease
D) Aplastic anemia
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: A | Question # 3 Answer: D | Question # 4 Answer: A | Question # 5 Answer: B |
Bartley
Carter
Drew
Giles
Jason
Lyle
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