MEDICAL TECHNOLOGY INTERNSHIP
HEMATOLOGY
1) Causes spurious decrease in MCV
a. Cryofibrinogen
b. hyperglycemia
c. autoagglutination
d. high WBC ct
2) When the entire CBC is suppressed due to either anemia, infection, or hemorrhage is
called?
a. Erythroplasia
b. Thrombocytopenia
c. Pancytopenia
d. Leukopenia
3) What is the major metabolically available storage form of iron in the body?
a. Hemosiderin
b. Ferritin
c. Transferrin
d. Hemoglobin
4) In Laboratory Studies: Red Cell Indices: Determination of relative size of RBC. ( 8298fl)
a. MCH
b. MCV
c. MCHC
5) Vitamin B12 and folic have the similar adverse effects, but what separates one form the
other?
a. Glossitis
b. No neurological symptoms in folic acid
c. muscle wasting
d. Dizziness
6) Hydroxyurea increases hemoglobin production and decreases reticulocyte cells.
a. True
b. b. False
7) Which test can be used to detect hemolytic anemia?
a. Coombs test
b. Genetic testing
c. Peripheral blood smear (PBS)
d. Schilling test
8) Which anemia is classified as not being able to use iron properly to synthesize hemoglo-
bin because of an inherited cause.
a. Iron deficiency anemia
b. hypochromic anemia
c. aplastic anemia
d. anemia of chronic disease
9) What is the life span of RBC
a. 120 days
b. 100 days
c. 200 days
d. 80 days
10) Chronic Lymphocytic Leukemia is characterized by peripheral blood and bone mar-
row_
a. lymphocytopenia
b. lymphocytosis
11) What is the recommended cleaner for removing all oil from objective lens?
a. 70 % alcohol or lens cleaner
b. Xylene
c. Water
d. Benzene
12) During the Medullary Phase of hematopoietic development, which bone is the first to
showhematopoietic activity?
a. Femur
b. Iliac Crest
c. Skull
d. Clavicle
13) The hexose monophosphate pathway activity increases the RBC source of
a. Glucose and lactic acid
b. 2,3BPG and methemoglobin
c. NADPH and reduced glutathione
d. ATP and other purine metabolites
14) Which single feature of normal RBC’s is most responsible for limiting their life span?
a. Loss of mitochondria
b. Increased flexibility of the cell membrane
c. Reduction of Hb iron
d. Loss of nucleus
15) Which of the following cells may develop in the thymus and the bone marrow?
a. Monocyte
b. Lymphocyte
c. Megakaryocyte
d. Neutrophil
16) During midfetal life, the primary source of blood cells is the:
a. Bone marrow
b. Spleen
c. Lymph Nodes
d. Liver
17) What is the distribution of normal Hb in adults?
a. 80- 90% Hb A, 5-10% Hb A2, 15% Hb F
b. >95% Hb A, <3.5 % Hb A2, <12% Hb F
18) The most frequent cause of needle punctures is:
a. Patient movement during venipuncture
b. Improper disposal of phlebotomy equipment
c. Inattention during removal of needle after venipuncture
d. Failure to attach needle firmly to tube holder
19) Iron is incorporated into the heme molecule in which of the following forms:
a. Ferro
b. Ferrous
c. Ferric
d. Apoferritin
20) The most important practice in preventing the spread of disease is:
a. Wearing masks during patient contact
b. Proper handwashing
c. Wearing disposable lab coats
d. Identifying specimens from known or suspected HIV and HBV patients with a red label
21) Which of the following would correlate with an elevated ESR value?
a. Osteoarthritis
b. Polycythemia
c. Decreased globulins
d. Inflammation
22) The enzyme deficiency in the Embden Meyerhof pathway that is responsible for most
cases of non spherocytic hemolytic anemia is:
a. Hexokinase
b. Phosphotriptokinase
c. Pyruvate Kinase
d. Glyceraldehyde-3-Phosphate
23) A 24-year-old man is involved in a road traffic accident and rushed to emergency ac-
companied by his mother who was unharmed. An examination shows severe abdominal in-
juries, peripheral cyanosis and cold extremities. The doctor on call decides a blood transfu-
sion is necessary. The mother thinks the patient is blood group B negative but is unsure.
The most appropriate blood group to give the patient is?
a. Group O positive blood
b. Group B positive blood
c. Group A negative blood
d. Group O negative blood
24) The Phildelphia chromosome is classically associated with which of the following
a. CLL
b. CML
c. Burkits lymphoma
d. Hairy cell leukaemia
25) The response to iron administration would be earliest seen by
a. Increased TIBC
b. Increased haemoglobin
c. Reticulocytosis
d. Increased hematocrit
