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Review: Hematology. Krystal Pearce, MHS, MT(ASCP), CLS (NCA). Reward Yourself! MT(ASCP) CLS(NCA). ASCP BOR 70% Pass Mean: 459. Exam Statistics . ASCP BOR 70% Pass Mean: 459. NCA CLS 83% Pass. Exam Statistics. Before the test. Study plan What When (best time of day)
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Review: Hematology Krystal Pearce, MHS, MT(ASCP), CLS (NCA)
ASCP BOR 70% Pass Mean: 459 Exam Statistics
ASCP BOR 70% Pass Mean: 459 NCA CLS 83% Pass Exam Statistics
Before the test • Study plan • What • When (best time of day) • Where • How
Preparation • Learn material • Exercise • Rest • Cofidence • REWARD!
BOR Practice Exams NCA Self-Assessment Practice
Test Day • Dress comfortably • Arrive early • Come prepared
Test Day • Come prepared • Schedule letter(ASCP) • Photo ID (may need two forms, current name and photo!) • Avoid other students • NO last minute review
NCA • Enter SSN on computer • Picture taken • On screen thru-out test/score report • clock starts
During the test • Relaxed & confident • Positive self-talk • Comfortable but alert • Maintain an upright posture
Math problems • Write down formula first • Before you calculate, estimate • After you calculate, evaluate (sense) • At end of question, REDO all math
Math problems • Write down formula first • Before you calculate, estimate • After you calculate, evaluate (sense) • At end of test, REDO all math
During the test • Answer before looking • Memory lapses normal-don’t panic • Deep breathing
During the test • Budget your time • Make yourself go back over the test question • Check ALL math
Selecting the correct answer • Use qualifiers as clues • no, never, always, every, . . . • Restrictive • sometimes, often, frequently, generally . . . • More likely reflect reality
Selecting the correct answer • NEVER heard of choice? • Probably NOT true
Guessing • Eliminate those you KNOW are wrong • Reread the stem and remaining choices
Computer Adaptive Testing • Correct response Wrong response • Harder item Easier item
Computer Adaptive Testing • “Tailored” test • ability level = fair test • Test security maximized • Variety of items • less pass-along
Computer Adaptive Testing • Random order of content • MUST answer when presented
BOR Skill levels • Recall • Interpretative skills • Problem solving
BOR Skill levels • Recall • memory • specific facts • complete theories • Interpretative skills • Problem solving
BOR Skill levels • Interpretative skills • Use recalls knowledege to : • interpret • apply • verbal • numeric • visual data • Problem solving
BOR Skill levels • Problem solving • Use above to • resolve a problem • make an appropriate decision
NCA • Content outline On-line • www.nca-info.org/outlines.asp • www.ascp.org
Check lists • Manageable chunks • Short review sessions • Longer study sessions
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Helpful Hints • Visualize- names often descriptive • Sickle cells • Auer rods • Cabot ring
What hemoglobin abnormality is suggested by this peripheral blood smear? • A. CC • B. AS • C. SS • D. AC • E. SC
What hemoglobin abnormality is suggested by this peripheral blood smear? • A. CC • B. AS • *C. SS • D. AC • E. SC
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
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
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.
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.
What disorder could this morphology indicate? • A. Iron deficiency anemia • B. Folate deficiency • C. Acute leukemia • D. Infectious mononucleosis
What disorder could this morphology indicate? • *A. Iron deficiency anemia • B. Folate deficiency • C. Acute leukemia • D. Infectious mononucleosis
What disorder could this morphology indicate? • A. Iron deficiency anemia • B. Hereditary elliptocytosis • C. DIC • D. Infectious mononucleosis
What disorder could this morphology indicate? • A. Iron deficiency anemia • B. Hereditary elliptocytosis • *C. DIC • D. Infectious mononucleosis
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
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
Schistocytes • Can cause spurious incr. Plt counts