Case Studies to be submitted

individually
 Case 1&2
 Case 1: A phlebotomist asks an outpatient, “Are you Susan Jones?” After the
patient answers yes, the phlebotomist proceeds by labeling the tubes and
drawing the blood
 Questions
a) What is wrong with this scenario?

 Case 2: A patient must have blood drawn for CBC, potassium level,
prothrombin time (PT), and Creatinine. The phlebotomist draws blood into the
following tubes in this order:
1. Serum separation tube
2. Light blue stopper tube for PT
3. Lavender stopper tube for CBC
4. Green stopper tube for the potassium
 Questions
a) The order of blood draw is correct?
b) If no, which of the results will be affected by the incorrect order of draw? Explain.

2 04/10/2024
 Case 3&4
3. A blood film for a patient with a normal RBC count has an average of 10
platelets per oil immersion field. Which of the following values best correlates
with the estimate per microliter?
A. 20,000
B. 100,000
C. 200,000
D. 400,000

4. A blood film for a very anemic patient with an RBC count of 1.25 x1012/L
shows an average of seven platelets per oil immersion field. Which of the
following values most closely correlates with the estimate per microliter?
A. 14,000
B. 44,000
C. 140,000
D. 280,000
 Case 5&6
5) When a blood film is viewed through the microscope, the RBCs appear
redder than normal, the neutrophils are barely visible, and the eosinophils
are bright orange. What is the most likely cause?
A. The slide was overstained
B. The stain was too alkaline
C. The buffer was too acidic
D. The slide was not rinsed adequately
6) A stained blood film is held up to the light and observed to be bluer than
normal. What microscopic abnormality might be expected on this film?
A. Rouleaux
B. Spherocytosis
C. Reactive lymphocytosis
D. Toxic granulation
 Case 7&8
7. A laboratory science student consistently makes wedge
technique blood films that are too long and thin. What change in
technique would improve the films?
A. Increasing the downward pressure on the pusher slide
B. Decreasing the acute angle of the pusher slide
C. Placing the drop of blood closer to the center of the slide
D. Increasing the acute angle of the pusher slide
8. A laboratory science student observed the following numbers of
WBCs in 10 fields under using 40x objective: 8, 4, 7, 5, 4, 7, 8,
6, 4, 6. Which of the following WBC counts most closely
correlates with the estimate?
A. 1.5 x109/L
B. 5.9 x109/L
C. 11.8 x109/L
D. 24 x109/L
 Case 9 &10
9. Which of the following is the best area to review or perform a
differential count on a stained blood film?
A. Red blood cells are all overlapped in groups of three or more
B. Red blood cells are mostly separated, with a few overlapping
C. Red blood cells look flattened, with none touching
D. Red blood cells are separated and holes appear among the cells
10. Which of the following blood film findings indicates EDTA-
induced pseudo thrombocytopenia?
A. The platelets are pushed to the feathered end
B. The platelets are adhering to WBCs
C. No platelets at all are seen on the film
D. The slide has a bluish discoloration when examined macroscopically
 Case 11&12
11. What is the absolute count for the lymphocytes if the total WBC count is 9.5

x109/L and there are 37% lymphocytes?

A. 3.5 x109/L B. 6.5 x109/L C. 13 x109/L D. 37 x109/L

12. Use the reference intervals provided inside the front cover of this text. Given

the following data, summarize the following results: WBC: 86.3 x109/L, Hgb:
9.7 g/dL, HCT: 24.2%, MCV: 87.8 fL, MCHC: 33.5% and PLT: 106 x109/L
A. Leukocytosis, normocytic-normochromic anemia, thrombocytopenia

B. Microcytic-hypochromic anemia, thrombocytopenia

C. Neutrophilia, macrocytic anemia, thrombocytosis

D. Leukocytosis, thrombocytopenia