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Hematology final

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Question
Answer
What is erythrocytosis?   increase RBC count  
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What is oligocythemia   decrease RBC count  
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What are NV for adult RBC count?   men= 4.5-6 mill women= 4-5.5 mill  
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What makes heme?   iron + protoporphyrin  
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What makes globin?   RNA + amino acid  
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What makes hemoglobin?   Iron heme and globin  
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What is electrophoresis?   Seperates genetic types of hemoglobin  
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What are normal values of hemoglobin?   Men= 15-17 g/dL Women 12-16 g/dL  
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What diseases cause an increase in Hgb?   polycythemia vera and hydration  
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What diseases cause a decrease in Hgb?   anemia, leukemia and bleeding  
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What size drop of blood is used to make a differential blood smear?   Size of match head  
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What is the composition of Wright's stain?   Alcohol colution, acid dye (eosin) and alkaline dye (ethylene)  
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What is the function of a neutrophilic seg cell?   Phagocytosis of bacteria and small particles  
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What is the function of eosinophilic segmented cells?   to limit effects of an allergic reaction  
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What is the function of a monocyte?   phagocytosis of bacteria and large particles  
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What is the function of a lymphocyte?   Produce antibodies and transplant rejection  
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What are the three components of the cellular portion of the blood?   Erythrocytes, leukocytes, and thrombocytes  
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What are the components of the fluid portion of the blood?   Water, protein, horomones, wastes, electrolytes  
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How would blood settle in an anticoagulated tube from top to bottom?   Plasma, buffy coat then RBC  
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What is leukocytosis?   Increase in WBC  
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What causes leukocytosis?   Acute bacterial infections, pneumonia  
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What is leukopenia?   Decrease in WBC  
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What causes leukopenia?   Viral infections, influenza  
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What are the normal values for an adult WBC?   4000-11000  
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What is and example of a critical WBC count value?   >2 and more than 50  
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What tests make up a CBC?   RBC count WBC count Hemoglobin Hematocrit Differntial Estimation of platelet # RBC indices  
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What are the 3 parts of the coagulation system?   Vascular, platelets, clotting factors/fibrin clot  
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What are the three functions of platelets?   Addhere, aggrigatem platelet plug - release substances used in the formation of the fibrin clot - clot retraction  
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What substance is necessary for the formation of the fibrin clot? and is also known as factor IV?   Calcium  
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What is the meaning of thrombocytosis?   Increase of platelets  
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What is thrombocytosis seen in?   Hemolytic anemias and hemorrage  
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What is the meaning of thrombocytopenia?   Decrease platelet count  
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What is thrombocytopenia seen in?   Aplastic anemia and pernicious anemia  
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What factor is missing in Hemophilia A?   VIII (8)  
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What factor is missing in Hemophila B?   IX (9) aka christmas factor  
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What are two main causes of acquired clotting factor defciency?   Liver disease and vitamin K  
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What does PT stand for?   Prothrombin Time  
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What does the PT measure?   checks extrinsic system and coumadin measures time it takes to form a fibrin clot  
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What does APTT stand for?   activated partial thromboplastin time  
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What does the APTT measure?   Time it takes to form clot measures intrinsic and heparin  
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What colored stopper tubes are used for coagulation studies?   Blue  
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What is hematocrit?   percent volume occupied by the packed RBC  
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How are Hb and Hct related?   Hgb X 3 = Hct +- 3 units  
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When is the Hct increased?   polycythemia vera and dehydration  
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When is the Hct decreased?   Anemia, leukemia, and excess fluid  
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What kind of capillary tube is used to perform an Hct from tube blood?   plain/blue  
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What kind of capillary tube is used to perform an Hct from a finger puncture?   red/ heparinized  
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What three points are located to read an Hct results?   Bottom of packed cells, meniscus of plasma and top of packed cells below buffy  
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What units are used with the Hct result?   women= 36-45% men= 42-52%  
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What is the sedimentation rate?   Rate and speed at which RBC settle out of plasma  
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What is the abbreviation for the sedimentation rate?   ESR  
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What method is used to perform the ESR?   Westergram  
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