Exam 2

Question 1

Dogs MUST be crossmatched:

a. Prior to the 1st transfusion
b. Prior to the 2nd transfusion
c. Only if they are DEA 1.1 or 1.2 positive
d. Only if they are DEA 4 positive

Answer 1

b. Prior to the 2nd transfusion

Question 2

A normal cause of microcytic anemia could be

A. Acute blood loss
B. Heavy parasite infection
C. Normal regenerative anemia
D. Leukemia

Answer 2

B. Heavy parasite infection

Note: Normal regenerative anemia = (macrocytic)

Question 3

On a BM aspirate a M:E 5:1 what is this ?

1. Erythroid hypoplasia
2. Erythroid hyperplasi
3. Granulocytic hyperplasia
4. Granulocytic hypoplasia

Answer 3

1 and 3

Question 4

Upon taking a LNA you see the cells consist of increased plasma cells, this is likely due to

Lymphoma
Normal reactive LN
Metastasis
Mixed lymphadenitis

A. Lymphoma

Answer 4

Normal reactive LN

Not really alarming, you expect the LN to do this

Question 5

A dog comes into your clinic with multiple swollen LN. LNA > 50% Lymphoblasts

Reactive LN
LYmphoma
Lymphadinits
Metastitis

Answer 5

LYmphoma

Question 6

What numbers represent liver function?

TP, Alb, Glob
AST, CK
ALT, AST, ALP, GGT, TBILI
BUN, crea

Answer 6

ALT, AST, ALP, GGT, TBILI

Question 7

What numbers represent muscle function?

TP, Alb, Glob
AST, CK
ALT, AST, ALP, GGT, TBILI
BUN, crea

Answer 7

AST, CK

CK is muscle specific; high = muscle damage

(creatine kinase (CK) and aspartate aminotransferase (AST))

Question 8

What numbers represent kidney function?

TP, Alb, Glob
AST, CK
ALT, AST, ALP, GGT, TBILI
BUN, crea

Answer 8

BUN, crea

Question 9

What numbers represent plasma proteins function?

TP, Alb, Glob
AST, CK
ALT, AST, ALP, GGT, TBILI

Answer 9

TP, Alb, Glob

Question 10

The liver will over produce albumin when

there is inflmamation
deydration
during bone marrow neoplasia
false, the liver will never do this

Answer 10

false, the liver will never do this

Question 11

Fibrinogen is a protein used as a marker for what in equids

inflammation
hypoprotenemia
hypoglycemia
hyperglycemia

Answer 11

inflammation

Question 12

Plasma has more proteins than serum

True or False

Answer 12

True

Question 13

When using a refractometer, what will not falsely adjust TP

Glucose
Urea
Hemolysis
Icterus
Cholesterol

Answer 13

Icterus

Question 14

A smaller particle will move further on electrophoresis

True or False

Answer 14

True

Question 15

Find a cat with inflammatory leukogram. Albumin is low, why?

The bacteria are destroying the albumin
The alb is beings sequestered in the spleen
the liver is slowing production of alb
inflammation does not lower alb

Answer 15

the liver is slowing production of alb

this is a normal process; expect this to happen.

Question 16

Why do we see monoclonial gammopathy

response to an infection
there is a neoplastic plasma cell colony
liver is producing too many globulins
the immune system is responding to sterioids

Answer 16

a neoplastic plasma cell colony

Question 17

On a blood typing card, agglutination means

A. That is the patients blood type
B. That is not the patients blood type

Answer 17

A. That is the patients blood type

Note: it is a positive reaction

Question 18

The major cross match is ______ to _______:

A. Patient serum to donor RBCs
B. Donor serum to patient RBCs

Answer 18

A. Patient serum to donor RBCs

Question 19

Dogs must be cross matched:

A. Prior to the first transfusion
B. Prior to the second transfusion
C. Only if they are DEA 1.1 or 1.2 positive
D. Only if they are DEA 4 positive

Answer 19

B. Prior to the second transfusion

Note: Prior to the first - you are usually ok; they should be cross matched prior to first transfusion but generally ok