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← Pathology / 2nd Year / MBBS

OBSERVE / REASON / EXPLAIN

CBC interpretation station

Present a structured interpretation of a blood count without jumping to a diagnosis.

Original teaching scenario / OSCE

Your practical station

A teaching CBC has reduced haemoglobin and a low MCV. Describe the pattern and a focused approach to further assessment; no treatment dose is requested.

Recognise and interpret

Counts, indices, reference intervals and trends answer different questions and should be interpreted together.

  • Check identity and units
  • Review haemoglobin, white cells and platelets
  • Relate indices to the clinical question
1

Validate

Check sample flags, units and age-appropriate laboratory ranges.

2

Describe

Identify which cell lines and indices are abnormal.

3

Plan

Correlate with the film and history; suggest a focused next investigation.

At the viva table

Try answering aloud, then open the suggested answer. Examiner questions vary.

01 / Is a laboratory flag a diagnosis?

No. It is a prompt for review.

02 / What does MCV describe?

The mean red-cell volume.

03 / Why review more than haemoglobin?

Indices, other cell lines and trends help characterise the pattern.

04 / Do reference intervals apply identically to everyone?

No. Age, pregnancy, population and laboratory methods can matter.

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