PathMD Quizes, Clinical, Hematopathology Peripheral Blood – 04 October 29, 2017 peferguson Make sure to subscribe to PathMD to stay up to date with new content and features!! 1. The blood smear in this patient comes from a 21 year old male with a mother who has hereditary elliptocytosis. What is the most likely diagnosis? Peripheral Blood - Part 4, Question #5 Peripheral Blood - Part 4, Question #5Microangiopathic hemolytic anemiaHereditary pyropoikilocytosisThermal injuryDisseminated intravascular coagulation None of the answers are correct 2. Abnormal lymphoid cells are identified in the blood of a 65 year old male. Flow cytometry is performed. Based on the findings, what is the best diagnosis? Peripheral Blood - Part 4, Question #2 Peripheral Blood - Part 4, Question #2 Peripheral Blood - Part 4, Question #2 Peripheral Blood - Part 4, Question #2 Peripheral Blood - Part 4, Question #2 Peripheral Blood - Part 4, Question #2CLL/SLLMantle Cell Lymphoma Marginal zone lymphomaFollicular Lymphoma – PeripheralizedPrecursor B Cell ALL 3. Tests for hemoglobin solubility are most useful in which of the following situations?None of the answers are correctDifferentiating a thalassemia from a hemoglobinopathy Diagnosing sickle cell trait Distinguishing HbD from HbS Distinguishing HbC(Harlem) from HbS 4. A 3 year old male is found to have “immature” cells in the peripheral blood that are myeloperoxidase negative. Flow cytometry is performed. Based on the findings, what is the best diagnosis? Peripheral Blood - Part 4, Question #1 Peripheral Blood - Part 4, Question #1 Peripheral Blood - Part 4, Question #1 Peripheral Blood - Part 4, Question #1 Peripheral Blood - Part 4, Question #1 Peripheral Blood - Part 4, Question #1 Peripheral Blood - Part 4, Question #1 Peripheral Blood - Part 4, Question #1 Peripheral Blood - Part 4, Question #1 Peripheral Blood - Part 4, Question #1 Peripheral Blood - Part 4, Question #1Acute myelogenous leukemia with monocytic differentiation Anaplastic Large Cell Lymphoma Precursor B cell ALLNone of the answers are correctPrecursor T cell ALL 5. A 60 year old Japanese male presents with abnormal clover-leaf appearing lymphoid cells in the peripheral blood. Flow cytometry is performed. Based on the findings, what is the best diagnosis? Peripheral Blood - Part 4, Question #3 Peripheral Blood - Part 4, Question #3 Peripheral Blood - Part 4, Question #3 Peripheral Blood - Part 4, Question #3 Peripheral Blood - Part 4, Question #3 Peripheral Blood - Part 4, Question #3 Peripheral Blood - Part 4, Question #3 Peripheral Blood - Part 4, Question #3 Peripheral Blood - Part 4, Question #3 Peripheral Blood - Part 4, Question #3Anaplastic large cell lymphomaDiffuse large B-cell lymphomaAngioimmunoblastic T cell lymphomaPrecursor T cell ALLAdult T cell leukemia/lymphoma 6. A 45 year old woman presents to the ED with shortness of breath. A CBC was performed and the peripheral blood smear is shown. Based on the findings, what will the patient most likely be found to have? Peripheral Blood - Part 4, Question #4 Peripheral Blood - Part 4, Question #4Positive DAT with IgG and complement Positive monospot test Anti-i antibody M-spike on SPEPAnti-I antibody 7. When considering hemoglobin electrophoresis on cellulose acetate at pH 8.4, which of the following is the correct order of Hb migration from the cathode towards the anode?S C A F A F S C C S A F C S F AS C F A 8. The image shown is from a 40 year old female who had a routine CBC, which showed thrombocytopenia (60K). Which of the following best explains her abnormalities? Peripheral Blood - Part 4, Question #6 Peripheral Blood - Part 4, Question #6 Peripheral Blood - Part 4, Question #6May Hegglin Anomaly Bernard Soulier DiseaseAcute infection Chediak-Higashi Erhlichia infection Loading...