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HEME EXAM 3 QUESTIONS AND ANSWERS
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HEME EXAM 3 QUESTIONS AND ANSWERSCHP 11: Which of the following is characteristic of severe intravascular
hemolysis?
a. decreased bilirubin
b. increased hemopexin
c. decreased urobilinogen
d. decreased haptoglobin - ANSWER d. decreased haptoglobin
CHP 11: A patient with anaemia has an RPI of 2.3 with an MCV of 103
fL. How would you classify this anaemia?
a. macrocytic
b. normocytic
c. microcytic
d. maturation defects - ANSWER a. macrocytic
CHP 11: Which of the following tests will give information about rate of
erythrocyte production?
a. RPI
b. serum bilirubin
c. serum ferritin
d. MCV - ANSWER a. RPI
CHP 11: A patient has the following results: RBC count, 2.5x10^12/L
and hemoglobin 5.3g/dL, hematocrit 0.17L/L, reticulocyte count 1%.
What are the absolute reticulocyte count and RPI?
a. absolute count, 25x10^9/L; RPI, 0.19
b. absolute count, 250x10^9/L; RPI, 0.15
c. absolute count, 170x10^9/L; RPI, 0.38
d. absolute count, 100x10^9/L; RPI, 1.5 - ANSWER a. absolute count,
25x10^9/L; RPI, 0.19
, CHP 11: How would you classify the cell population with the following
indices: MCV 70 fL, MCH 25 pg, MCHC 30 g/dL?
a. normocytic, normochromic
b. macrocytic, normochromic
c. microcytic, normochromic
d. microcytic, hypochromic - ANSWER d. microcytic, hypochromic
CHP 11: Which of the following is a hemolytic anemia that would be
classified as an extrinsic defect?
a. immune hemolytic anemia
b. anemia caused by a membrane defect
c. anemia associated with a deficiency of an erythrocyte enzyme
d. anemia associated with a structurally abnormal hemoglobulin that is
unstable - ANSWER a. immune hemolytic anemia
CHP 11: Which of the following indicates that compensated hemolytic
disease is present in a patient with increased erythrocyte destruction?
a. increased carboxyhemoglobin
b. decreased hemoglobin
c. increased hemoglobin
d. normal hemoglobin - ANSWER d. normal hemoglobin
CHP 11: Which of the following is most likely typically found in a
hemolytic anemia?
a. reticulocytopenia
b. decreased IRF
c. RPI > 2
d. increased M:E ratio in bone marrow - ANSWER c. RPI > 2
CHP 11: Upon examination of the stained blood smear from a patient
with anemia and jaundice, the laboratory professional noted many
spherocytes. This is an indication of:
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