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Review: Hematology

Review: Hematology

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Review: Hematology

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  1. Review: Hematology Krystal Pearce, MHS, MT(ASCP), CLS (NCA)

  2. Reward Yourself! MT(ASCP) CLS(NCA)

  3. ASCP BOR 70% Pass Mean: 459 Exam Statistics

  4. ASCP BOR 70% Pass Mean: 459 NCA CLS 83% Pass Exam Statistics

  5. Before the test • Study plan • What • When (best time of day) • Where • How

  6. Preparation • Learn material • Exercise • Rest • Cofidence • REWARD!

  7. BOR Practice Exams NCA Self-Assessment Practice

  8. Test Day • Dress comfortably • Arrive early • Come prepared

  9. Test Day • Come prepared • Schedule letter(ASCP) • Photo ID (may need two forms, current name and photo!) • Avoid other students • NO last minute review

  10. NCA • Enter SSN on computer • Picture taken • On screen thru-out test/score report • clock starts

  11. During the test • Relaxed & confident • Positive self-talk • Comfortable but alert • Maintain an upright posture

  12. Math problems • Write down formula first • Before you calculate, estimate • After you calculate, evaluate (sense) • At end of question, REDO all math

  13. Math problems • Write down formula first • Before you calculate, estimate • After you calculate, evaluate (sense) • At end of test, REDO all math

  14. During the test • Answer before looking • Memory lapses normal-don’t panic • Deep breathing

  15. During the test • Budget your time • Make yourself go back over the test question • Check ALL math

  16. Selecting the correct answer • Use qualifiers as clues • no, never, always, every, . . . • Restrictive • sometimes, often, frequently, generally . . . • More likely reflect reality

  17. Selecting the correct answer • NEVER heard of choice? • Probably NOT true

  18. Guessing • Eliminate those you KNOW are wrong • Reread the stem and remaining choices

  19. Computer Adaptive Testing • Correct response Wrong response • Harder item Easier item

  20. Computer Adaptive Testing • “Tailored” test • ability level = fair test • Test security maximized • Variety of items • less pass-along

  21. Computer Adaptive Testing • Random order of content • MUST answer when presented

  22. BOR Skill levels • Recall • Interpretative skills • Problem solving

  23. BOR Skill levels • Recall • memory • specific facts • complete theories • Interpretative skills • Problem solving

  24. BOR Skill levels • Interpretative skills • Use recalls knowledege to : • interpret • apply • verbal • numeric • visual data • Problem solving

  25. BOR Skill levels • Problem solving • Use above to • resolve a problem • make an appropriate decision

  26. NCA • Content outline On-line • www.nca-info.org/outlines.asp • www.ascp.org

  27. Check lists • Manageable chunks • Short review sessions • Longer study sessions

  28. RBC Morphology & Inclusions

  29. H I G K L J O M N

  30. P Q R S T U X V W

  31. Helpful Hints • Visualize- names often descriptive • Sickle cells • Auer rods • Cabot ring

  32. What hemoglobin abnormality is suggested by this peripheral blood smear? • A. CC • B. AS • C. SS • D. AC • E. SC

  33. What hemoglobin abnormality is suggested by this peripheral blood smear? • A. CC • B. AS • *C. SS • D. AC • E. SC

  34. RBC Disorders

  35. All of the following are associated with this disorder EXCEPT: • A. Normal RBC concentration • B. Normal retic count • C. Normal or small spleen • D. Abnormally susceptible to hypoxia

  36. All of the following are associated with this disorder EXCEPT: • A. Normal RBC concentration • *B. Normal retic count (response to hemolysis!) • C. Normal or small spleen • D. Abnormally susceptible to hypoxia

  37. If this cell morphology was observed, the next step would be to perform: • A. Hemoglobin electrophoresis. • B. A bone marrow iron stain. • C. Kleihauer-Betke stain. • D. An erythrocyte sedimentation rate.

  38. If this cell morphology was observed, the next step would be to perform: • *A. Hemoglobin electrophoresis. • B. A bone marrow iron stain. • C. Kleihauer-Betke stain. • D. An erythrocyte sedimentation rate.

  39. What disorder could this morphology indicate? • A. Iron deficiency anemia • B. Folate deficiency • C. Acute leukemia • D. Infectious mononucleosis

  40. What disorder could this morphology indicate? • *A. Iron deficiency anemia • B. Folate deficiency • C. Acute leukemia • D. Infectious mononucleosis

  41. What disorder could this morphology indicate? • A. Iron deficiency anemia • B. Hereditary elliptocytosis • C. DIC • D. Infectious mononucleosis

  42. What disorder could this morphology indicate? • A. Iron deficiency anemia • B. Hereditary elliptocytosis • *C. DIC • D. Infectious mononucleosis

  43. What further lab tests are suggested by this morphology? • A. Serum iron and ferritin • B. Genetics carrier screening • C. Coag panel • D. EBV titers • E. Hgb electrophoresis

  44. What further lab tests are suggested by this morphology? • A. Serum iron and ferritin • B. Genetics carrier screening • *C. Coag panel (PT, PTT, fibr., FDP, D-Dimer) • D. EBV titers • E. Hgb electrophoresis

  45. Schistocytes • Can cause spurious incr. Plt counts

  46. WBC Morphology (& Inclusions)