PERIPHERAL BLOOD & DIFF COUNT Flashcards

(52 cards)

1
Q

PERIPHERAL BLOOD FILM IS USED IN (2)

A

WHITE BLOOD CELL

PLATELET COUNT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

ALL SPECIMENS HAVE BEEN COLLECTED IN WHAT TUBE

A

ETHYLENEDIAMINE TETRAACETIC ACID (EDTA TUBE)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

PREFERRED TO THE POWDERED FORM BECAUSE IT MIXES MORE EASILY WITH BLOOD

A

LIQUID TRIPOTASSIUM EDTA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

HIGH QUALITY BLOOD FILMS CAN BE MADE FROM THE BLOOD IN EDTA WITHIN WHAT TIME

A

2-3 HOURS OF DRAWING SPECIMEN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

BLOOD FILMS THAT REMAIN AT ROOM TEMPERATURE FOR MORE THAN _____ have _______ blood cell artifacts.

A

5 HOURS

UNACCEPTABLE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

MAIN ADVANTAGES OF MAKING FILMS FROM BLOOD IN THE EDTA TUBE

A

MULTIPLE SLIDES CAN BE MADE AND THEY DO NOT HAVE TO BE PREPARED IMMEDIATELY AFTER BLOOD IS DRAWN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

IT PREVENTS PLATELETS FROM CLUMPING ON THE GLASS SLIDE

A

ETHYLENEDIAMINE TETRAACETIC ACID (EDTA TUBE)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

USE OF DIFFERENT ________ or no _______ may be useful

A

ANTICOAGULANT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

SOME PATIENT’s UNDERGOES AN IN VITRO PHENOMENON WHEN ANTICOAGULATED IN EDTA CALLED

A

PLATELET SATELLITOSIS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

LOW _________ AND FALSELY INCREASED ________ RESULT FROM EDTA INDUCED ________

A

PLATELET COUNT

WBC COUNT

PLATELET COUNTING

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

ANOTHER SOURCE OF BLOOD FOR FILMS (2)

A

FINGER PUNCTURE

HEEL PUNCTURE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

TECHNIQUE USED IN PERIPHERAL FILM PREPARATION

A

MANUAL EDGE TECHNIQUE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

HOW MANY SLIDES YOU NEED TO MAKE A BLOOD FILM

A

1 slide for film slide

1 slide for spreader slide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

SIZE OF DROP OF BLOOD FROM A FINGER/HEEL/MICROHEMATOCRIT TUBE

A

2-3mm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

SIZE OF THE DROP OF BLOOD (2)

A

LONG AND THICK BLOOD FILM

SHORT AND THIN BLOOD FILM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

ANGLE OF PUSHER SLIDE/SPREADER SLIDE

A

30-45 DEGREES ANGLE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

MOVING PUSHER SLIDE FORWARD TOO SLOWLY ACCENTUATES POOR ______ BY PUSHING LARGE CELLS SUCH AS _______

A

LEUKOCYTES

MONOCYTES & GRANULOCYTES

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

WHEN HEMATOCRIT IS HIGHER THAN NORMAL ANGLE SHOULD BE

A

LOWERED 25 DEGREES ANGLE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

WHEN HEMATOCRIT IS EXTREMELY LOW ANGLE NEEDS TO BE

A

RAISED

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

WELL/MADE WEDGE PERIPHERAL BLOOD FILM

Film is ___ to ___ length of slide.
Film is ______,______,______
It provides ___ for examination.

A

2/3 to 3/4

Finger shaped, slightly rounded & feather edge.
Widest area

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

LATERAL EDGES OF FILM ARE ____

22
Q

WHEN SLIDE IS HELD UP TO THE LIGHT THE THIN PORTION HAS (2)

A

FEATHER EDGE & RAINBOW APPEARANCE

23
Q

ALL BLOOD FILMS SHOULD BE DRY QUICKLY TO AVOID_______

A

DRYING ARTIFACTS

24
Q

STAIN USED IN STAINING OF PERIPHERAL BLOOD FILMS

A

WRIGHT’S STAIN OR WRIGHT’S GIEMSA STAIN

25
WRIGHT’S STAIN IS CONSIDERED AS POLYCHROME STAINS THEY CONTAIN (2)
METHYLENE BLUE EOSIN
26
GIEMSA STAIN ALSO CONTAINS
METHYLENE BLUE AZURE
27
FIXES THE CELL TO THE SLIDE
METHANOL
28
OXIDIZED METHYLENE BLUE + EOSIN =
THIAZINE -EOSINATE COMPLEX
29
STAINING REACTIONS ARE pH ________
DEPENDENT
30
THE BUFFER THAT IS ADDED TO THE STAIN
0.05 M SODIUM PHOSPHATE pH 6.4 or AGED DISTILED WATER (placed in 24 hours) pH 6.4-6.8
31
FREE METHYLENE IS ____ and STAINS ________ COMPONENTS SUCH AS
BASIC ACIDIC CELLULAR RIBONUCLEIC ACID
32
FREE EOSIN IS _____ AND STAINS _____ COMPONENTS SUCH AS
ACIDIC BASIC HEMOGLOBIN & EOSINOPHILIC GRANULES
33
ARE SO NAMED BECAUSE THEY HAVE CYTOPLASMIC GRANULES THAT HAVE NEUTRAL pH
NEUTROPHILS
34
WRIGHT’S STAINING METHODS (3)
MANUAL STAIN AUTOMATED SLIDE STRAINS QUICK STAINS
35
MACROSCOPICALLY STAINED BLOOD FILM: MICROSCOPICALLY BLOOD FILM:
PINK TO PURPLE RBCs APPEAR ORANGE TO SALMON PINK AND WBCs PURPLE TO BLUE
36
STAINED CYTOPLASM OF NEUTROPHILS
PINK TO TAN WITH VIOLET GRANULES
37
STAINED CYTOPLASM OF EOSINOPHILS
BRIGHT ORANGE REFRACTILE GRANULES
38
THE BEST STAINING RESULT IS OBTAINED ON _____ BECAUSE THE BLOOD IT SELF ACTS AS A ____
FRESH SLIDE BUFFER
39
SLIDES STAINED AFTER 1 WEEL OR LONGER TURN OUT TO
TOO BLUE
40
OVERALL FILM QUALITY, COMOR, DISTRIBUTION OF CELS AND CHECK FOR FIBRIN STRANDS
10X LPO
41
WBC ESTIMATE IS MADE HERE AND COINT WBCs IN 10 FIELDS AND FIND THR AVE. NO OF WBC/FIELD
40X HIGH DRY OBJECTIVE
42
FORMULA FOR WBC ESTIMATE
AVE OF WBC / 10 FIELDS X 2000
43
WBC DIFF COUNT IS MADE HERE. ALSO RBC AND PLATELET ESTIMATE
100X OIO
44
USE OF BACK AND FORTH SERPENTINE OR BATTLEMENT PATTERN IS PREFERRED TO MINIMIZE DISTRIBUTION ERRORS AND ENSURE EACH CELL IS COUNTED
WHITE BLOOD CELL DIFFERENTIAL
45
100 WBCs ARE COUNTED THROUGH THE USE OF THE
PUSHDOWN BUTTON COUNTERS
46
IF COUNT IS HIGHER THAN 40X10^9/L
COUNT 200 cells
47
IF COUNT IS HIGHER THAN 100 X 10^9/L
COUNT 300 or 400 CELLS
48
RESULTS IN WBC DIFF COUNT REPORTED AS
PERCENTAGE (%)
49
ALWAYS CHECK THE SUM OF PERCENTAGE IS ALWAYS ____
100
50
IS AM IMPORTANT PART OF BLOOD FILM EXAMINATION INCLUDING CELL SIZE, SHAPE , COLOR, AND CELLULAR INCLUSION
RED BLOOD CELL MORPHOLOGY
51
FORMULA PF PLATELET ESTIMATE
AVE. PLATELET COUNT / 10 X 20,000
52
FORMULA IF RBC AND PLATELET IS ALTERED
AVE PLATELET COUNT/ 10 x RBC /200