1 refers to the increased number of red cells with variation in size.
Anisocytosis
2Normal RBCs (normocytes) measure between these diameters.
6-8 um
3Normal RBCs (normocytes) are usually seen when the MCV is in this range.
80-100 fL
4RBCs that are larger than normal with a diameter > 8.0 um are called.
Macrocytes
5Macrocytes are usually seen when the MCV value is.
> 100 fL
6Macrocyte formation is associated with this specific physiological impairment.
impaired DNA synthesis
7RBCs that are smaller than normal with a diameter < 6.0 um are called.
Microctyes
8Microcytes are usually seen when the MCV value is.
< 80 fL
9Microcyte formation is associated with this specific formation defect.
defective hemoglobin formation
10List the four ways to detect anisocytosis.
1.) Using the nucleus of a small lymphocyte, 2.) Using the MCV value, 3.) Using the RBC histogram, 4.) (Not listed on page)
11In a peripheral blood smear (PBS), the size of an RBC is compared to the nucleus of this specific cell.
small lymphocyte
12This value represents the average volume of individual RBCs.
MCV (Mean Corpuscular Volume)
13Provide the formula for calculating MCV.
14Reference range for MCV.
80 – 100 fL
15Generally, a decreased MCV indicates this.
Microcytic
16Generally, an MCV within the 80-100 fL range is considered.
Normal MCV
17Generally, an increased MCV indicates this.
Macrocytic
18Visual display of cell size on the X-axis and cell frequency or number of cells on the Y-axis.
blood cell histogram
19Automated hematology analyzers produce histograms for these three cell types.
RBCs, WBCs, and platelets
20Name the two parameters calculated from an RBC histogram.
MCV and RDW
21Instruments count cells as RBCs when they fall between these volume sizes.
36 fL and 360 fL
22RBC histograms can measure cells as small as this volume.
24 fL
23Cells in the 24 to 36 fL range are not included in this measurement.
RBC count
24These cells are present in diluted fluid but are statistically insignificant in the RBC count.
Leukocytes
25If the RBCs are macrocytic, the histogram curve will.
shift to the right
26If the RBCs are microcytic, the histogram curve will.
shift to the left
27This term describes a histogram curve indicating two distinct populations of RBCs in a sample.
bimodal
28Calculated index from the RBC histogram used to help identify anisocytosis and provide information about its degree.
Red Cell Distribution Width (RDW)
29Two methods provided by most recent hematology analyzers to calculate RDW.
RDW-CV (coefficient of variation) and RDW-SD (standard deviation)
30Method based on both the width of the RBC distribution curve and the mean RBC size.
RDW-CV
31Method based on the actual measurement of the width of the RBC distribution curve in fL (femtoliters).
RDW-SD
32Reference range for RDW-CV in adults.
11.5% to 14.5%
33Reference range for RDW-SD in adults.
39 to 46 fL
34Earliest method provided by hematology analyzers to measure red cell variations.
RDW-CV
35RDW calculation method that is dependent on the width of the distribution curve and the MCV.
RDW-CV
36Point on the RBC distribution curve where the width for RDW-SD is measured.
20% above the baseline
37The RDW-SD is considered a better and more reliable measure of erythrocyte variability because it is not influenced by this value.
MCV
38RDW calculation method preferred for highly abnormal conditions.
RDW-SD
39Derivation of RDW-CV is associated with these two specific corporations.
Beckman Coulter, Inc and Sysmex Corporation
40Reference range for RDW in newborns.
14.2 to 19.9%
41Expected trend of RDW values in newborns as they grow.
Markedly increased, then gradually decreases
42Age at which a newborn's RDW value typically reaches adult levels.
6 months of age
43Description of the RDW value if the RBC histogram is wider than normal.
Abnormal
44Condition associated with Normal RDW and Decreased MCV (microcytic).
Anemia of chronic inflammation (ACI)
45Condition associated with Normal RDW and Normal MCV (normocytic).
G6PD deficiency
46Condition associated with Normal RDW and Increased MCV (macrocytic).
Liver disease
47Condition associated with Increased RDW (anisocytosis) and Decreased MCV (microcytic).
Iron deficiency anemia
48Condition associated with Increased RDW (anisocytosis) and Normal MCV (normocytic).
Sickle cell anemia
49Condition associated with Increased RDW (anisocytosis) and Increased MCV (macrocytic).
Megaloblastic anemia