Medical Technology Board Exam Reviewer 3: HEMATOLOGY

1. Length of needle usually used in routine 10.How many platelets per oil immersion field
phlebotomy: should be observed in order to evaluate normal
a. 0.5-1.0 inch platelet number in an appropriate area of a
b. 1.0-1.5 inches blood smear?
c. 1.5-2.0 inches a. 4-10
d. 2.0-2.5 inches b. 6-15
c. 8-20
2. In preparing a blood smear, the distance of the d. 10-30
drop of blood from the label or end of the slide
should be: 11.Hematopoietic stem cell marker:
a. 1.0 cm a. CD10
b. 2.0 cm b. CD34
c. 3.0 cm c. CD35
d. 4.0 cm d. CD56

3. After staining a blood smear, the RBCs appeared 12.Capillary tube:

bluish when viewed under the microscope. The a. Length: 11.5 cm Bore: 3.0 mm
following are possible causes, except: b. Length: 30.0 cm Bore: 2.6 mm
a. Stain of buffer is too basic c. Length: 7.0 cm Bore: 1.0 mm
b. Inadequate rinsing
c. Inadequate buffering 13.Third layer in the examination of spun
d. Heparinized blood was used hematocrit;
a. Plasma
4. Macrocytes: 25-50% b. Buffy coat
a. 1+ c. 3+ c. Fatty layer
b. 2+ d. 4+ d. Packed red cells

5. Codocytes: 41 per oil immersion field 14.If the RBC count of a patient is 5.0 x 1012/L,
a. 1+ c. 3+ what is the approximate hemoglobin value?
b. 2+ d. 4+ a. 12 g/dL
b. 14 g/dL
6. Stomatocytes: 15 per oil immersion firld c. 15 g/dL
a. 1+ c. 3+ d. 20 g/dL
b. 2+ d. 4+
15.MCHC: 28 g/dL
7. 12 RBCs with basophilic stippling were seen on a. Outside reference range and considered normal
a blood smear. How do report this finding? b. Within reference range and considered normal
a. Positive c. Outside reference range and considered
b. Rare, few, moderate, many abnormal
c. 1+, 2+, 3+, 4+ d. Within reference range and considered abnormal
d. average number / OIO 16.Which of the erythrocyte indices is not used in
the classification of anemia?
8. Hypochromia grading: “Area of pallor is two- a. MCV
thirds of cell diameter” b. MCHC
a. 1+ c. 3+ c. MCH
b. 2+ d. 4+
17.Normocytic and normochronic anemia is usually
9. Polychromasia grading: 1+ seen in patients with ___.
a. 1% a. Iron deficiency anemia
b. 3% b. Aplastic anemia
c. 5% c. Thalassemia
d. 10% d. Anemia of chronic disease
 Medical Technology Board Exam Reviewer 3: HEMATOLOGY

18.What is the primary cause of death in patients 25.Fresh blood smears made from capillary blood
with sickle cell media anemia? are used for this cytochemical stain:
a. Aplastic crises a. Sudan Black B
b. Infectious crises b. Chloroacetate esterase
c. Vaso-occlusive crises c. Periodic Acid Schiff
d. Bleeding d. Peroxidase

19.Effect of multiple myeloma on ESR: 26.Color of blood in sulfhemoglobinemia:

a. Markedly increased a. Mauve lavender
b. Moderately increased b. Chocolate brown
c. Normal decreased c. Cherry red
d. Bright red
20.A manual WBC count was performed on a
hemacytometer and 15,000 WBC/mL were 27.In hemoglobin C, glutamic acid on the
counted. When the differential count was 6th position of beta chain is replaced by which
performed, the medical technologist counter 20 amino acid?
NRBC per 100 total WBC. Calculate the a. Lysine
corrected WBC count. b. Valine
a. 10,000 WBC/mL c. Arginine
b. 11,500 WBC/mL d. Glutamine
c. 12,000 WBC/mL
d. 12,500 WBC/mL 28.Five-part differential:
a. Granulocytes, lymphocytes, monocytes,
21.If the white count is markedly elevated, in which platelets, erythrocytes
it may be as high as 100 to 300 x 109/L, a ___ b. Immature cells, inclusions, erythrocytes.
dilution is used. Leukocytes, platelets
a. 1:10 c. Platelets, band cells, granulocytes, lymphocytes,
b. 1:100 monocytes
c. 1:200 d. Neutrophils, lymphocytes, monocytes,
d. 1:250 eosinophils, basophils

22.How many WBCs can be counted in a 29.Negative instrumental error:

differential when the WBC count is below 1.0 x a. Bubbles in the sample
109/L? b. Extraneous electrical pulses
a. 50 c. Aperture plugs
b. 100 d. Excessive RBC lysis
c. 150
d. 200 30.In an automated instrument, this parameter is
calculated rather than directly measured:
23.A 200-cell count may be performed when the a. RBC count
differential shows the following abnormal b. WBC count
distribution, except: c. Hemoglobin
a. Over 10% eosinophils d. Hematocrit
b. Below 2% basophils
c. Over 11% monocytes 31.Side angel scatter in a laser-based cell counting
d. More lymphocytes than neutrophils except in system is used to measure:
children a. Cell size
b. Cell number
24.Which of the following cells could be seen in c. Cytoplasmic granularity
lesions of mycosis fungoides? d. Antigenic identification
a. T lymphocytes c. Monocytes
b. B lymphocytes d. Neutrophils
 Medical Technology Board Exam Reviewer 3: HEMATOLOGY

32.Number of platelet stages: 40.Visual detection of fibrin clot formation:

a. Six a. Fibrometer
b. Seven b. Electra 750
c. Eight c. Coag-A-Mate X2
d. Nine d. Tilt tube

33.Stage in the megakaryocytic series where 41.Concentration of fibrinogen (mg/dL) that will
thrombocytes are visible: affect PT and PTT tests? (Per)
a. Metamegakaryocyte a. 75
b. Megakaryocyte b. 100
c. Promegakaryocyte c. 200
d. Megakaryoblast d. 400

34.Platelet estimate: 100,000-149,000 42.First factor affected by Coumarin is:

a. Low normal a. VII
b. Slight normal b. X
c. Normal c. VIII
d. Moderate decrease d. HMWK

35.Normal value for template bleeding time:

a. 3-6 minutes
b. 6-10 minutes
c. 2-4 minutes
d. 7-15 minutes

36.Condition in which blood escaped into large

areas of skin and mucous membranes, but not
into deep tissues:
a. Petachiae
b. Purpura
c. Ecchymosis
d. Hematoma

37.This is one of the coagulation factors which is

activated in cold temperatures:
a. III
b. V
c. VII
d. IX

38.Similarity of factors V and VIII:

a. Vitamin-K dependent factors
b. Present in serum
c. Included in contact family of coagulation
proteins
d. Labile factors

39.Euglobulin clot lysis time:

a. Screening test
b. Confirmatory test
c. Other test
d. None of these