ASCP Specialist in Hematology (SH) Practice Exam 2025 - Free Hematology Specialist Practice Questions and Study Guide

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What does the term "hypochromic" refer to in red blood cell morphology?

Cells with normal hemoglobin content

Cells that are larger than normal

Cells that appear paler than normal

The term "hypochromic" specifically refers to red blood cells that appear paler than normal due to having a reduced hemoglobin content. In hematology, the color of red blood cells is an important indicator of their hemoglobin levels. When the hemoglobin concentration is low, the cells take on a lighter coloration, leading to the term "hypochromic." This is often observed in conditions such as iron deficiency anemia, where there is inadequate hemoglobin synthesis. The paler appearance can be identified microscopically, helping clinicians assess the overall health and functionality of the red blood cells.

In contrast, the other terms relate to different morphological characteristics. Normal hemoglobin content would denote normochromic cells, larger than normal cells would be termed macrocytic, and cells with abnormal shapes are referred to as poikilocytes. Each of these conditions indicates different underlying pathologies, but "hypochromic" unequivocally describes the pale appearance indicative of reduced hemoglobin.

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Cells that contain abnormal shapes

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