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FINAL COACHING 1
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  • 問題数 100 • 12/12/2024

    問題一覧

  • 1

    1. Prolonged coagulation results of a patient with hematocrit value of >55%. What to do?

    Recollect specimen and decrease the amount of anticoagulant

  • 2

    2. The steam autoclave method of sterilization requires:

    15 1b of pressure for 15 minutes

  • 3

    3. Which of the following can cause hyponatremia?

    Hyperglycemia

  • 4

    ⭐️4. WHICH OF THE FOLLOWING CAN RESULT TO DECREASED ESR?

    Delayed testing of specimen

  • 5

    6. The H antigen is found in lowest concentration on what phenotype of red blood cell?

    Group A1B

  • 6

    7. Based on the results below, what is the next step in determination of the patient’s ABO/Rh type?

    Repeat ABO red cell typing and include a control

  • 7

    8. What is the purpose of potassium permanganate when staining acid-fast bacilli with Truan auramine-rhodamine stain?

    Quenching agent

  • 8

    9. Only 2ml of blood is collected in a vacuum tube containing EDTA that is designed for 7ml draw. Which of the following result can be expected of this sample is used?

    Erroneously decreased microhematocrit

  • 9

    10. CSF for culture arrived late in the laboratory, the MLS only managed to perform Gram stain in his shif what should the technologist do with the specimen?

    Incubate at 37c

  • 10

    11. During sweat collection, a consideration that can result in a falsely high result is:

    Evaporation

  • 11

    12. Which of the following is an anti-asthmatic drug?

    Theophylline

  • 12

    13. Laboratory characteristics of malabsorption syndrome due to pancreatic insufficiency include:

    Increased fecal fat

  • 13

    14. The drug procainamide is prescribed to treat cardiac arrhythmia. What biologically active liver metabolite of procainamide is often measured simultaneously?

    N-acetyl procainamide

  • 14

    15. Furazolidone susceptibility is a test used to differentiate?

    Staphylococcus from Micrococcus

  • 15

    16. Presence of cold agglutinins will have what effect in most automated hematology analyzers?

    dec RBC count, inc MCV, inc MCHC

  • 16

    17. Based on the CBC result shown, what could most possibly be the cause of the error?

    Lipemic sample

  • 17

    19.Which of the following is most helpful to confirm a weak ABO subgroup?

    Adsorption-elution techniques

  • 18

    21.Quantitative fecal fat testing involves:

    Extraction and weighing

  • 19

    22. Consider the followin ABO typing result:

    B3

  • 20

    ⭐️23. JAUNDICED PATIENT WITH PANCREATIC ENLARGEMENT WILL HAVE INCREASED LEVELS OF WHICH OF THE FOLLOWING?

    CA19-9

  • 21

    25. Pilocarpine iontophoresis refers to the specific process of:

    Inducing sweat

  • 22

    ⭐️27.Platelet satellitosis is usually due to what?

    Abnormal proteins

  • 23

    ⭐️28. WHICH OF THE FOLLOWING VALUES IS TRUE OF ADRENAL CUSHING'S SYNDROME?

    ACTH decreased, cortisol increased

  • 24

    ⭐️30. A patient has high cold agglutinin titer. Automated hematology analyzer results reveal an elevated MCV, MCH and MCHC as well as a decreased RBC. Individual erythrocytes appear normal on a stained smear, but agglutinates are noted. Identify the appropriate course of action.

    Repeat the determinations using a prewarmed microsample of diluted blood

  • 25

    32.Blood culture collected from a patient with subacute bacterial endocarditis. Plated on BAP. After period of incubation, no growth was noted. What should the MLS do?

    Subculture into a pyridoxal-enhanced medium

  • 26

    33. Vhich of the following types of molecules is most likely to be antigenic/immunogenic?

    Proteins

  • 27

    34.Which of the following can cause hypermagnesemia?

    Renal failure

  • 28

    35.Rare congenital anemia of unknown etiology evident in the first 3 months of life characterized by severe anemia and erythropoietin resistance; the reticulocyte count does not rise. Platelet and white blood cell counts are normal.?

    Diamond-blackfan anemia

  • 29

    ⭐️37. PARATHYROID HORMONE= NORMAL CALCIUM= ELEVATED. WHICH OF THE FOLLOWING CONDITIONS IS MOST LIKELY?

    Metastatic carcinoma

  • 30

    ⭐️38. WHICH OF THE FOLLOWING REACTIONS IS MOST LIKELT CAUSED BY ACQUIRED B PHENOMENON?

    Anti-A 4+, Anti-B 2+, A cells O, B Cells 4+

  • 31

    39.Glycophorin A and glycophorin B possess antigen sites for which blood group system?

    MNS

  • 32

    ⭐️40. A PATIENT HAD A SORE THROAT, AFTER 2 WEEKS HE HAD A KIDNEY BIOPSY. WHAT ORGANISM CAN BE ISOLATED FROM THE KIDNEY TISSUE?

    None of the above

  • 33

    ⭐️41. CBC RESULT, MCHC IS VERY HIGH WHEN YOU SOLVE FOR IT. WHAT TO DO? AUTOMATED HEMATOCRIT = 27%; MANUAL HEMATOCRIT = 28%

    Examine plasma appearance

  • 34

    43. These are substances responsible for enhancement of phagocytosis?

    Opsonins

  • 35

    44. In this blood film, there is an impairment in the cell's synthesis of:

    DNA

  • 36

    45. The highest elevation of lactate dehydrogenase is expected in which of the following?

    Megaloblastic anemia

  • 37

    46. Presumptive tests used for identification of Pseudomonas species and to differentiate them from Enterobacteriaceae family?

    Oxidase, OF test and pigment production

  • 38

    ⭐️47. RESULTS FOR ELECTROLYTES, SODIUM IS LOW. ALL OTHER ELECTROLYTES ARE NORMAL. WHAT TO DO?

    Check for specimen glucose

  • 39

    48. Increased presence of fetal fibronectin in cervicovaginal secretions from a 24-year-old female at 35 weeks’ gestation indicates what?

    Increased risk of preterm delivery

  • 40

    49. Which immunologic mechanism is usually involved in bronchial asthma?

    Immediate hypersensitivity

  • 41

    50.in the Kirby-Bauer disc diffusion susceptibility test, which variable is critical when testing Pseudomonas spp. Against aminoglycosides?

    Cation content of the media

  • 42

    51. SsU antibodies appear in the presence of which of the following deletion sequence?

    GYPB

  • 43

    52. All of the following exhibit dosage effect, except:

    Lewis

  • 44

    53.What could possibly cause this PBS finding?

    Mycoplasma pneumoniae infection

  • 45

    54.Which of the following blood groups deteriorates on storage?

    P

  • 46

    55.Pink colonies on Mac Conkey agar, citrate positive, LOA: -++, gram-negative bacillus?

    Enterobacter cloacae

  • 47

    56. An increased calcium and phosphate can be seen in which of the following conditions?

    All of these

  • 48

    57.PPD skin test, after 48 hours, 15mm zone is due to?

    T-cell

  • 49

    58. Serum bilirubin testing. Which of the following is correct regarding the bilirubin levels of this patient? Patient sample + diazo reagent = 2.2 mg/dl Patient sample + diazo reagent + caffeine sodium benzoate = 5.4 mg/dl

    B1 = 3.2 mg/dl, B2 = 2.2mg/dl

  • 50

    59. Amniotic fluid is evaluated using a Liley graph and change in absorbance at 450nm. What is being evaluated and why?

    Bilirubin, which increases in HDN

  • 51

    60.Which of the following is true about transudates

    Non-inflammatory origin

  • 52

    63.Most closely associated with granulocyte hyposegmentation?

    Pelger-Huet anomaly

  • 53

    64.Pink, mucoid colonies on Mac Conkey agar, TSI: A/A with gas, spot indole positive gram-negative bacilli?

    Klebsiella oxytoca

  • 54

    ⭐️65. WHICH OF THE FOLLOWING SET OF RESULTS IS EXPECTED IN A PATIENT WITH HEMOLYTIC ANEMIA?

    Inc Total bilirubin, inc unconjugated B1, inc serum urobilinogen, - urine bilirubin

  • 55

    66. Primary hyperparathyroidism:

    Increased calcium and decreased phosphate

  • 56

    ⭐️69. WHICH DISEASE MIGHT BE INDICATED BY ANTIBODY TO SMOOTH MUSCLE?

    Chronic active hepatitis

  • 57

    70. Which of the ff characteristics can differentiate Y. Enterocolitica from Y. Testis?

    Motility at 25c

  • 58

    ⭐️71. Which of the ff can be found in the saliva of an Le(a+b-) individual?

    Le a

  • 59

    ⭐️72. PATIENT IS SUSPECTED OF HAVING PRIMIDONE OVERDOSE BUT THE SERUM CONCENTRATION OF WHICH IS NORMAL. WHAT MUST BE DONE NEXT?

    Test for phenobarbital concentration

  • 60

    74.Rapid test for Legionella pneumophilia?

    Urine ag detection

  • 61

    75. Which of the ff is not a step in platelet component prodn?

    Resting phase at 1C to 6C

  • 62

    ⭐️76. SERUM ENZYME DETERMINATION USING P-NITROPHENYLPHOSPHATE AT PH OF 9.5. THIS ANALYSIS WILL MOST LIKELY BE HIGHLY INCREASED IN WHICH OF THE FOLLOWING?

    Paget’s dse / ALP

  • 63

    77. Platelets must be prepared within how many hrs after collection of WB?

    6 hrs

  • 64

    ⭐️78. IDENTIFICATION OF A GRAM NEGATIVE ISOLATE USING MALDI-TOF IS BASED ON DETECTION OF:

    Ribosomal proteins

  • 65

    79. Characteristics of the genus Capnocytophaga include:

    Colonies are large & spreading after 2-4 days

  • 66

    80. To prepare the rgt used for mucin clot determination of synovial fluid, water is mixed with what?

    Glacial acetic acid

  • 67

    81. With this blood picture, an additional testing indicated is:

    Hemoglobin electrophoresis

  • 68

    82. Hereditary angioedema is characterized by:

    Dec activity of C1 inhibitor

  • 69

    83. Most rapid method for detection Francisella tularensis?

    PCR

  • 70

    84. During pregnancy, the form of estrogen that predominantly and may be useful in prenatal screening:

    Estriol

  • 71

    85. Which of the ff tests may be ordered to assess the toxic effects of acetaminophen?

    AST & ALT

  • 72

    86 First step in agglutination that is rapid & reversible:

    Sensitization

  • 73

    ⭐️87. LEAST LIKELY TO DEVELOP HETEROPHILE ANTIBODIES TO EBV:

    Children

  • 74

    88. The only G(+), catalase(-), lactose fermenter, aerobic bacilli, that is H2S(+) and shows characteristic bottle-brush or pipe cleaner growth in gelatin media?

    Erysipelothrix rhusiopathiae

  • 75

    90.

    Normal, Hgb SC dse

  • 76

    91. Identify the condition

    Sickle cell dse, Hgb SC dse, Hgb C dse

  • 77

    92. Which of the ff compounds can interfere with the coulometric chloride assay?

    Bromide

  • 78

    93. Confirmatory test for Lyme Disease:

    Western Blot

  • 79

    94. Multidrug resistant, nonmotile, nonhemolytic, G(+) bacilli, Penicillin(R) but Vancomycin(S)

    Corynebacterium jeikium

  • 80

    95. A synovial fluid specimen is too viscous and difficult to aspirate. What must be done?

    Add hyaluronidase

  • 81

    ⭐️96. Which of the ff disease states, would you see an elevation in total bilirubin and conjugated bilirubin only?

    Biliary obstruction

  • 82

    97. Patient with walking pneumonia, not responding to penicillin. This is due to?

    Organism has no cell wall

  • 83

    98. Which of the following is not correct regarding specimen collection for determination of lactic acid levels?

    NOTA

  • 84

    99. Which of the following patterns is consistent with homozygous beta thalassemia?

    B

  • 85

    ⭐️100. ORDER OF OCCURENCE OF SEROLOGICAL MARKERS IN HEPATITIS A

    Stool Ag, IgM Ab, IgG Ab

  • 86

    102.G(+), aerobic, catalase(+), non-motile sporeforming bacilli. Demonstrates string of pearls colonies on penicillin medium?

    Bacillus anthracis

  • 87

    ⭐️103. A NEWBORN TESTED POSITIVE FOR TOXOPLASMA IGG. WHICH OF THE FOLLOWING CAN BE DONE TO CONFIRM IF THE NEWBORN IS REALLY INFECTED?

    Perform IgM from current newborn sample

  • 88

    104. A blood supplier ships 3 units of pooled cryoprecipitate. Each pool consists of 5 units of cryoprecipitate. If one unit is thawed at 5:00 pm, when must it be dispensed from the blood bank?

    Before 11pm

  • 89

    105. Anorexia is defined as an increased in?

    BUN

  • 90

    107c. Which of the ff ANA patterns would be asso with high titers of ab to SM antigen?

    Homogenous

  • 91

    107a. Which of the ff ANA patterns would be asso with high titers of ab to SM antigen?

    Peripheral

  • 92

    107d. Which of the ff ANA patterns would be asso with high titers of ab to SM antigen?

    Speckled

  • 93

    107b. Which of the ff ANA patterns would be asso with high titers of ab to SM antigen?

    Centromere

  • 94

    ⭐️108. Initial WBC count of the patient is 12 x 109/L. Using another diluent, his WBC count went down to 9 x 109/L. This could be due to:

    Lyse-resistant Hb C

  • 95

    109. SG = 1.010, RTE cells

    Acute tubular necrosis

  • 96

    114. Common error in PCR:

    Nucleic acid contamination

  • 97

    115. The reverse CAMP test, Lecithinase prodn, double zone hemolysis and Gram stain morphology are all useful criteria in the identification of:

    Clostridium perfringens

  • 98

    ⭐️116. Correct steps in processing sputum spx to isolate Mycobacteria

    Digestion > Decontamination > Neutralization > Centrifugation

  • 99

    117. Fatty cast picture:

    Nephrotic syndrome

  • 100

    118.PCR amplification is evident at what phase?

    Log