Beruflich Dokumente
Kultur Dokumente
Which of the following blood smears these illustrations would be best suited for
performing a differential count:
Top Photo
Bottom
Photo
Feedback
2. Choose the term that describes the most prominent finding in this peripheral
smear:
Rouleaux
Normal
RBCs
Anisocytosi
s
Feedback
Anisocytosis is a variation in the size of the red blood cells. This slide shows
poikilocytosis, but anisocytosis is more prominent here.
Dohle bodies
Heinz bodies
May-Hegglin
anomaly
Reticulocytes
Feedback
Heinz bodies occur as the result of denaturation and precipitation of hemoglobin, and
are often attached to the red cell membrane. They require staining with crystal violet
or methyl violet to be visible. They may be seen in thalassemia, with unstable
hemoglobins, or during a hemolytic episode in G6PD deficiency.
4. The growth seen here on PPLO agar is most likely caused by:
Streptococcus
pneumoniae
Klebsiella pneumoniae
Mycobacterium
Mycoplasma
Feedback
PPLO agar is used for the isolation and cultivation of Mycoplasma species.
Serological testing
Culture techniques
Demonstration of the organisms in peripheral
blood
Biochemical reactions
Feedback
Diagnosis of malaria may require thick smears as well as conventional thin blood
smears.
Myelocyte
Monocyte
Metamyelocyte
Lymphocyte
K, L
C,
D
F, G
A, B
Feedback
The scolex of Taenia solium may be distinguished from the other cestode scolices by
its four distinct suckers and the presence of a rostellum armed with hooklets.
9. Based on the phenotype of the RBC screening cells, and patient results given
below, which of the following antibodies cannot be ruled out:
Anti-C
Anti-Jka
Anti-M
Anti-
Fya
Feedback
10. Identify the urine sediment elements indicated by the arrow in the illustration:
Cholesterol crystals
Triple phosphate crystals
Amorphous urate crystals
Ammonium biurate
crystals
Feedback
Triple phosphate crystals appear as colorless prisms with 3 to 6 sides and oblique
ends, or as "feathery sleeves". The have been described as "coffin lid shaped", and
can occur normally in alkaline urine. They may indicate the presence of an infection.
Feedback
Mucus thread appear as long, thin ribbon like threads that are generally transparent.
They are normal in small numbers in the urine.
Feedback
B, E
G,
D
A, K
J, F
14. The elements indicated by the arrows are more likely to be seen in patients with
which condition:
Bacterial infection
Nephrotic
syndrome
Diabetes
Renal failure
Feedback
Yeast cells as a cause of infection are more commonly found in patients with diabetes
mellitus, but can also represent contaminants with no clinical significance. They
should not be confused with erythrocytes. The presence of budding helps with the
identification.
Eosinophi
l
Monocyte
Basophil
Neutrophi
l
Feedback
WBC casts
RBC casts
Waxy casts
Granular
casts
Feedback
RBC casts may appear as brown to almost colorless. Red cells can clearly be seen
within the cast. This type of cast is diagnostic of glomerular disease or intrarenal
bleeding.
Pseudoparasite
Hookworm rhabditiform larva
Strongyloides rhabditiform
larva
Strongyloides filariform larva
Feedback
Although this suspicious form resembles an intestinal nematode larva, internal
structures necessary for it to function as well as to identify it as a parasite are
lacking. Numerous such pseudoparasites may be present in stool samples.
Pseudoparasite
Hookworm rhabditiform larva
Strongyloides rhabditiform
larva
Strongyloides filariform larva
Feedback
19. The most likely organism to be cultured on the Lowenstein-Jensen agar slant
illustrated here would be:
Crytococcus
Chlamydia
Mycobacteria
Listeria
20. This suspicious form, shown below at both low (10X) and high dry (40X) power,
measures 90 micro meters by 42 micro meters. It was seen in a stool sample.
Hookworm egg
Pseudoparasite
Ascaris lumbricoides egg
Diphyllobothrium latum
egg
Feedback
The mature eggs of Ascaris lumbricoides are readily visible at both 10X and 40X dry.
The organism size as well as the presence of an outer albuminous coating help to
identify the egg.
21. Which of the following conditions is frequently associated with these cells?
Hemolytic anemia
Chronic blood loss
Megaloblastic anemia
Sickle cell anemia
Feedback
Hair cell
Smudge cell
Megakaryocyte
Blast
Feedback
Smudge Cells (bare nuclei) are commonly seen in blood smears from patients with
chronic lymphocytic leukemia.
Cholesterol crystals
Uric acid crystals
Amorphous urate
crystals
Cystine crystals
Feedback
Feedback
Starch crystals often contaminate normal urine. They appear round to oval, are
highly refractile, with an irregular indentation in the center. They may exhibit the
"Maltese cross" appearance under polarized light.
Normal cells
Microcytic cells
Macrocytic cells
Hypochromic
cells
Feedback
Normal red cells are uniformly shaped and sized with 2-3mm of central pallor.
26. The McFarland Comparison Card shown in the illustration is used to:
Dohle bodies
Hypersegmentation
Degranulation
Pelger-Huet
anomaly
Feedback
Image courtesy and copyright of the Clinical Chemistry and Hematology Laboratory, Wadsworth
Center, NY State Department of Health (http://www.wadsworth.org)
Sickle cell
Thorn cell
Fragmented
cell
Crenated cell
Feedback
Crenated red cells usually occur as an artifact during the preparation of blood
smears.
Acknowledgement
And also I thank full my friend Mr. Sami Khan he help me in down load, Thanks,
Muhammad Younis
Lab. Technician
NNP, Rabigh, KSA
00966-591-342865
Unis_memon85@yahoo.com