RBC POIKILOCYTE AND INCLUSIONS

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1
Identify the test used to differentiate HS that can be corrected with either glucose or ATP.
Autohemolysis test.
2
True or False: Green top tubes contain the anticoagulant Heparin.
True.
3
Identify the result of the Osmotic Fragility Test (OFT) in cases of Hereditary Spherocytosis (HS).
Increased osmotic fragility.
4
Fill in the blank: The ________ binding test is a confirmatory test for HS using flow cytometry.
EMA.
5
Identify the term for polychromatophilic erythrocytes which are larger than normal red cells with a bluish tinge.
Diffusely basophilic erythrocytes.
6
Identify the substance responsible for the bluish tinge in polychromatophilic RBCs.
Residual RNA.
7
Identify three conditions associated with large numbers of polychromatophilic RBCs.
1-Decreased RBC survival, hemorrhage, or erythroid hyperplastic marrow.
8
Fill in the blank: In the grading of polychromasia, a percentage of 1% is graded as ________.
Slight.
9
Fill in the blank: A polychromasia percentage of 3% corresponds to a grade of ________.
1
10
.
11
Fill in the blank: A polychromasia percentage of 5% corresponds to a grade of ________.
2
12
.
13
Fill in the blank: A polychromasia percentage of 10% corresponds to a grade of ________.
3
14
.
15
Fill in the blank: A polychromasia percentage of
11% corresponds to a grade of ________.
16
.
17
Identify the term used to describe an increased number of red cells with variation in shape.
Poikilocytosis.
18
Identify the RBC that is almost spherical in shape and lacks central pallor.
Spherocyte.
19
Enumerate four conditions associated with spherocytes.
1-Hereditary spherocytosis, autoimmune hemolytic anemia, burns, and ABO HDN.
20
True or False: Spherocytes may be wrongly reported if the feathered edge of the blood film is examined.
True.
21
Identify the RBC also known as a "Mouth Cell" that has a slit-like central pallor.
Stomatocyte.
22
Enumerate four conditions associated with stomatocytes.
1-Rh Deficiency Syndrome, Alcoholism, Electrolyte Imbalance, and Severe liver diseases.
23
Identify the dehydrated form of a stomatocyte that appears "puddled" at one end.
Xerocyte.
24
Identify the RBC also known as a Thorn or Spur cell characterized by an irregularly spiculated surface.
Acanthocyte.
25
Fill in the blank: Abetalipoproteinemia is also known as ________ syndrome.
Bassen-Kornzweig.
26
Enumerate the three substances NOT found in the plasma of patients with Abetalipoproteinemia.
1-VLDL, LDL, and chylomicron.
27
Identify the RBC also known as Echinocytes characterized by a regularly spiculated surface.
Burr cell.
28
Identify the condition characterized by a marked increase in plasma urea and waste products where Burr cells are commonly seen.
Uremia.
29
Identify the RBC shape described as oval-shaped or "eggs."
Elliptocyte.
30
Identify the condition also known as Southeast Asian Ovalocytosis.
Hereditary Ovalocytosis.
31
Enumerate four conditions where elliptical or cigar-shaped RBCs are seen.
1-Hereditary Elliptocytosis, Hb C disease, Iron deficiency anemia, and Pernicious anemia.
32
Identify the RBC also known as a Teardrop cell.
Dacryocyte.
33
Enumerate three characteristics of Primary Myelofibrosis (PMF) found in the marrow or blood.
1-Splenomegaly, marrow fibrosis, and presence of dacryocytes.
34
Identify the term for fragmented RBCs also known as Schizocytes.
Schistocyte.
35
Identify the specific bacteria serotype associated with Hemolytic Uremic Syndrome (HUS).
Escherichia coli serotype 0157:H7.
36
Identify the group of disorders characterized by RBC fragmentation and thrombocytopenia.
MAHAS.
37
Enumerate the four major disorders classified under MAHAS.
1-TTP, HELLP, HUS, and DIC.
38
Identify the helmet-shaped schistocyte that may appear in MAHA.
Helmet cell.
39
Fill in the blank: DIC is also known as ________ syndrome or consumption coagulopathy.
Defibrination.
40
Identify the specific test used for DIC.
D-dimer test.
41
Enumerate the six causes of DIC using the acronym TOMASA.
1-Tissue trauma, Obstetric complications, Mucus-secreting tumors, Acute infections, Snake bites, and Acute promyelocytic leukemia.
42
Identify the RBC also known as Sickle cells or Menisocytes.
Drepanocyte.
43
Identify the form of drepanocyte that is crescent-shaped with long projections and cannot return to its original shape.
Irreversible sickle cell.
44
Identify the form of drepanocyte that has less pronounced projections and can return to a biconcave shape.
Oat-shaped cells.
45
Identify the RBC also known as a Codocyte, Platycyte, or Leptocyte.
Target cell.
46
True or False: Codocytes show a centrally stained area with a thin outer rim of hemoglobin.
True.
47
Identify the enzyme deficiency associated with the presence of codocytes.
LCAT deficiency.
48
Identify the RBC also known as a Degmacyte that resembles a bite mark.
Bite cell.
49
Identify the condition associated with the presence of Bite cells.
G-6-PD deficiency.
50
Identify the folded RBCs associated with Hemoglobin SC disease.
Biscuit cell.
51
Identify the RBC with bipolar or central distribution of hemoglobin seen in Sickle cell anemia.
Bronze Elliptocyte.
52
Identify the large, pale-pink staining "ghost" of a red cell frequently seen in malaria.
Semilunar body.
53
Identify the content of Basophilic Stippling, also known as Punctate Basophilia.
Aggregated RNA.
54
Identify the condition also known as plumbism or saturnism associated with coarse basophilic stippling.
Lead poisoning.
55
Identify the RBC inclusion also known as Pappenheimer bodies.
Siderotic granules.
56
Identify the staining reaction used to confirm the presence of iron in Siderotic granules.
Prussian blue reaction.
57
Identify the peripheral blood picture characterized by both normochromic and hypochromic RBCs in Sideroblastic Anemias.
Dimorphic.
58
Identify the RBC inclusion composed of remnants of nuclear chromatin (DNA).
Howell-Jolly bodies.
59
True or False: Howell-Jolly bodies are Feulgen reaction positive.
True.
60
Identify the organ responsible for removing Howell-Jolly bodies via macrophages.
Spleen.
61
Identify the RBC inclusion described as purple-blue loops or rings which are remnants of the mitotic spindle.
Cabot rings.
62
Identify the inclusion composed of denatured and precipitated hemoglobin visualized only with supravital stains.
Heinz bodies.
63
Identify the inherited condition resulting from sensitivity to fava beans that presents with Heinz bodies.
Favism.
64
Identify the abnormal hemoglobin composed of four beta globin chains.
Hb H.
65
Identify the characteristic appearance of RBCs containing Hb H bodies when stained with supravital stain.
Pitted golf ball.
66
Identify the inclusion associated with Malaria that may present with Schuffner's dots.
Protozoan parasites.
67
Identify the parasitic infection associated with the "Maltese Cross" appearance.
Babesia spp.
68
Enumerate four conditions associated with the presence of Spherocytes.
1-Hereditary spherocytosis, autoimmune hemolytic anemia, burns, and ABO HDN.
69
Fill in the blank: Stomatocytes are frequently associated with Alcoholism and ________ Deficiency Syndrome.
Rh.
70
Identify the condition, also known as Hereditary Xerocytosis, characterized by the presence of xerocytes.
Dehydrated hereditary stomatocytosis.
71
Identify the specific disease, also known as Bassen-Kornzweig Syndrome, associated with Acanthocytes.
Abetalipoproteinemia.
72
True or False: McLeod Syndrome and Pyruvate kinase deficiency are associated with the presence of Acanthocytes.
True.
73
Identify the condition characterized by renal insufficiency and waste product imbalance that presents with Burr cells.
Uremia.
74
Enumerate five conditions associated with the presence of Elliptocytes.
1-Hereditary Elliptocytosis, Hb C disease, Iron deficiency anemia, Pernicious anemia, and Thalassemia.
75
Identify the specific anemia also known as Mediterranean Anemia or Hereditary Leptocytosis.
Thalassemia.
76
Identify the form of cancer, previously called agnogenic myelofibrosis, associated with Teardrop cells.
Primary Myelofibrosis (PMF).
77
Enumerate four conditions classified as Microangiopathic Hemolytic Anemias (MAHAs) where Schistocytes are found.
1-TTP, HELLP, HUS, and DIC.
78
Identify the specific bacterial infection associated with HUS and RBC fragmentation.
Escherichia coli serotype 0157:H7.
79
Identify the two primary conditions associated with the presence of Drepanocytes.
1-Sickle cell anemia and Hemoglobin SC disease.
80
Fill in the blank: Target cells are commonly associated with Hemoglobinopathies, Thalassemia, and ________ disease.
Liver.
81
Identify the enzyme deficiency associated with the formation of Bite cells or Degmacytes.
Glucose-6-phosphate dehydrogenase (G-6-PD) deficiency.
82
Identify the specific disease associated with the presence of Biscuit cells.
Hemoglobin SC disease.
83
True or False: Bronze elliptocytes are associated with Sickle cell anemia.
True.
84
Identify the infection frequently associated with the presence of Semilunar bodies.
Malaria.
85
Identify the metal poisoning, also known as plumbism, associated with coarse Basophilic stippling.
Lead poisoning.
86
Fill in the blank: Basophilic stippling is seen in ________ deficiency and anemias with impaired hemoglobin synthesis.
Pyrimidine-5-nucleotidase.
87
Identify the anemia characterized by a dimorphic peripheral blood picture where Siderotic granules are found.
Sideroblastic Anemias.
88
Identify two conditions besides thalassemia where Siderotic granules may be observed.
1-Hemochromatosis and Hemosiderosis.
89
Enumerate three conditions associated with the presence of Howell-Jolly bodies.
1-Megaloblastic anemias, After splenectomy, and Thalassemia.
90
Identify the three conditions associated with the presence of Cabot rings.
1-Megaloblastic anemias, Refractory anemia, and Lead poisoning.
91
Identify the condition resulting from sensitivity to fava beans that causes the formation of Heinz bodies.
Favism.
92
Identify the hemoglobin variant disease, a subtype of alpha thalassemia, where Hb H inclusion bodies are seen.
Hb H Disease.
93
Identify the parasitic infection associated with the presence of Schuffner's dots.
Malaria.
94
Identify the parasitic infection associated with the "Maltese Cross" formation in RBCs.
Babesia spp..
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