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Under which of the following conditions may a hematology analyzer report false low WBC count?

a) When the WBC density is low in the monolayer region

b) When the WBC density is high in the monolayer region

c) When there is clumping of WBC in the monolayer region.

d) When the WBC density is high in the feathered edge region

User Tlm
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Final answer:

A false low WBC count may be reported when there is clumping of WBCs in the monolayer region, making it look like fewer cells are present than there actually are.

Step-by-step explanation:

A hematology analyzer may report a false low WBC count under a condition where there is clumping of WBC in the monolayer region. In a blood smear, the monolayer region is the area where the density and distribution of white blood cells (WBCs) are optimal for counting and differentiating the various types of leukocytes. Clumps of WBCs might be counted as a single cell, which would result in an inaccurately low count. Other factors not mentioned in the options, like the presence of nucleated red blood cells (which might be mistakenly included as WBCs) or technical issues with the analyzer, could also affect the accuracy of WBC counts.

It's important to note that other options given, such as WBC density being low or high in respective regions of the blood slide, don't inherently cause a false low count. The buffy coat, which constitutes most of the WBCs and platelets, is distinct from the liquid plasma and heavier erythrocytes when a blood sample is centrifuged, as mentioned in hematocrit testing.

User SanBez
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