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Hematology MCQs

1. The most common type of anemia worldwide is:

(A) Aplastic anemia


(B) Sickle cell anemia


(C) Iron deficiency anemia


(D) Pernicious anemia



2. The normal lifespan of a red blood cell is:

(A) 60 days


(B) 90 days


(C) 120 days


(D) 150 days



3. Which vitamin is essential for red blood cell production?

(A) Vitamin C


(B) Vitamin B12


(C) Vitamin D


(D) Vitamin K



4. Howell–Jolly bodies are seen in:

(A) Sickle cell anemia


(B) Post-splenectomy


(C) Iron deficiency anemia


(D) Aplastic anemia



5. Which test is most useful for iron deficiency anemia?

(A) Serum iron


(B) Ferritin


(C) Hemoglobin electrophoresis


(D) Reticulocyte count



6. Pancytopenia is defined as:

(A) Low WBC only


(B) Low RBC and WBC only


(C) Low RBC, WBC, and platelets


(D) Low hemoglobin only



7. Which disease is associated with BCR-ABL mutation?

(A) AML


(B) ALL


(C) CML


(D) CLL



8. Philadelphia chromosome is seen in:

(A) AML


(B) CML


(C) ALL


(D) Lymphoma



9. Reed–Sternberg cells are seen in:

(A) Non-Hodgkin lymphoma


(B) Hodgkin lymphoma


(C) Multiple myeloma


(D) CLL



10. Rouleaux formation of RBCs is seen in:

(A) Iron deficiency anemia


(B) Thalassemia


(C) Multiple myeloma


(D) Sickle cell anemia



11. Hemophilia A is due to deficiency of:

(A) Factor VIII


(B) Factor IX


(C) Factor XI


(D) Factor XII



12. Hemophilia B is also known as:

(A) Classic hemophilia


(B) Christmas disease


(C) Von Willebrand disease


(D) Platelet dysfunction



13. Which test is prolonged in hemophilia A and B?

(A) PT


(B) aPTT


(C) Bleeding time


(D) Platelet count



14. Which blood group is universal donor?

(A) A+


(B) AB+


(C) O–


(D) O+



15. Which blood group is universal recipient?

(A) A+


(B) AB+


(C) O–


(D) B+



16. Target cells are seen in:

(A) Thalassemia


(B) Iron deficiency anemia


(C) Aplastic anemia


(D) Megaloblastic anemia



17. Sickle cell anemia is caused by mutation in:

(A) Beta-globin chain


(B) Alpha-globin chain


(C) Hemoglobin A2


(D) Fetal hemoglobin



18. Heinz bodies are seen in:

(A) G6PD deficiency


(B) Sickle cell anemia


(C) Thalassemia


(D) Iron deficiency anemia



19. Most common inherited bleeding disorder is:

(A) Hemophilia A


(B) Hemophilia B


(C) Von Willebrand disease


(D) Factor VII deficiency



20. Vitamin K is essential for synthesis of:

(A) Factors II, VII, IX, X


(B) Factors I, II, V


(C) Platelets


(D) Hemoglobin



21. Bone marrow in aplastic anemia is:

(A) Hypocellular


(B) Hypercellular


(C) Normal cellular


(D) Fibrotic



22. MCV is high in:

(A) Iron deficiency anemia


(B) Thalassemia


(C) Megaloblastic anemia


(D) Anemia of chronic disease



23. Schistocytes are seen in:

(A) Aplastic anemia


(B) Microangiopathic hemolytic anemia


(C) Iron deficiency anemia


(D) Sickle cell anemia



24. The normal hemoglobin level in adult females is:

(A) 8–10 g/dL


(B) 10–12 g/dL


(C) 12–16 g/dL


(D) 16–18 g/dL



25. Reticulocyte count is increased in:

(A) Hemolytic anemia


(B) Aplastic anemia


(C) Iron deficiency anemia


(D) Megaloblastic anemia



26. Which antibody is associated with autoimmune hemolytic anemia?

(A) IgA


(B) IgM


(C) IgG


(D) IgE



27. Coombs test is used for:

(A) Hemolytic anemia


(B) Iron deficiency anemia


(C) Aplastic anemia


(D) Thalassemia



28. Which hemoglobin is predominant in adults?

(A) HbA1 (α2β2)


(B) HbF (α2γ2)


(C) HbA2 (α2δ2)


(D) HbS



29. Which hemoglobin is predominant in fetus?

(A) HbA1


(B) HbA2


(C) HbF


(D) HbS



30. Basophilic stippling is seen in:

(A) Lead poisoning


(B) Iron deficiency anemia


(C) Aplastic anemia


(D) Sickle cell anemia



31. Hypersegmented neutrophils are seen in:

(A) Megaloblastic anemia


(B) Iron deficiency anemia


(C) Thalassemia


(D) Aplastic anemia



32. The most common leukemia in adults is:

(A) ALL


(B) AML


(C) CML


(D) CLL



33. The most common leukemia in children is:

(A) ALL


(B) AML


(C) CML


(D) CLL



34. Myeloblasts with Auer rods are seen in:

(A) ALL


(B) AML


(C) CML


(D) CLL



35. Smudge cells are characteristic of:

(A) AML


(B) ALL


(C) CML


(D) CLL



36. Which leukemia is associated with Down syndrome?

(A) ALL


(B) AML (M7)


(C) CLL


(D) CML



37. Which lymphoma is most common?

(A) Hodgkin lymphoma


(B) Burkitt’s lymphoma


(C) Diffuse large B-cell lymphoma


(D) Follicular lymphoma



38. Burkitt’s lymphoma is associated with:

(A) EBV


(B) CMV


(C) HPV


(D) HIV



39. Multiple myeloma is diagnosed by:

(A) M protein spike


10%” onclick=”checkAnswer(‘q39’, ‘All of the above’)”> (B) Bone marrow plasma cells >10%


(C) Lytic bone lesions


(D) All of the above



40. Bence–Jones protein is seen in:

(A) Thalassemia


(B) Multiple myeloma


(C) Hodgkin lymphoma


(D) Aplastic anemia



41. Which test is used to measure intrinsic pathway?

(A) PT


(B) aPTT


(C) INR


(D) Platelet count



42. Which test is used to measure extrinsic pathway?

(A) PT


(B) aPTT


(C) Thrombin time


(D) Platelet function test



43. Which is the most common cause of thrombocytopenia in hospitalized patients?

(A) ITP


(B) HIT (Heparin-induced thrombocytopenia)


(C) Aplastic anemia


(D) DIC



44. Which disease shows prolonged PT and aPTT, low platelets, and raised D-dimer?

(A) Hemophilia


(B) ITP


(C) DIC


(D) TTP



45. Which disease shows microangiopathic hemolytic anemia, thrombocytopenia, and renal failure?

(A) ITP


(B) HUS


(C) DIC


(D) Aplastic anemia



46. Which test is used to confirm thalassemia?

(A) Ferritin


(B) Hemoglobin electrophoresis


(C) Peripheral smear


(D) Reticulocyte count



47. Which blood component is given for hemophilia?

(A) Platelets


(B) FFP (fresh frozen plasma)


(C) Packed RBCs


(D) Cryoprecipitate



48. Which is the most common inherited hypercoagulable state?

(A) Protein C deficiency


(B) Factor V Leiden mutation


(C) Antithrombin III deficiency


(D) Protein S deficiency



49. Which anticoagulant is safe in pregnancy?

(A) Warfarin


(B) Heparin


(C) Dabigatran


(D) Rivaroxaban



50. Which vitamin deficiency causes megaloblastic anemia?

(A) Vitamin C


(B) Vitamin D


(C) Vitamin B12 and folate


(D) Vitamin K



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