問題一覧
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1. Prolonged coagulation results of a patient with hematocrit value of >55%. What to do?
Recollect specimen and decrease the amount of anticoagulant
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2. The steam autoclave method of sterilization requires:
15 1b of pressure for 15 minutes
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3. Which of the following can cause hyponatremia?
Hyperglycemia
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⭐️4. WHICH OF THE FOLLOWING CAN RESULT TO DECREASED ESR?
Delayed testing of specimen
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6. The H antigen is found in lowest concentration on what phenotype of red blood cell?
Group A1B
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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
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8. What is the purpose of potassium permanganate when staining acid-fast bacilli with Truan auramine-rhodamine stain?
Quenching agent
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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
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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
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11. During sweat collection, a consideration that can result in a falsely high result is:
Evaporation
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12. Which of the following is an anti-asthmatic drug?
Theophylline
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13. Laboratory characteristics of malabsorption syndrome due to pancreatic insufficiency include:
Increased fecal fat
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14. The drug procainamide is prescribed to treat cardiac arrhythmia. What biologically active liver metabolite of procainamide is often measured simultaneously?
N-acetyl procainamide
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15. Furazolidone susceptibility is a test used to differentiate?
Staphylococcus from Micrococcus
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16. Presence of cold agglutinins will have what effect in most automated hematology analyzers?
dec RBC count, inc MCV, inc MCHC
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17. Based on the CBC result shown, what could most possibly be the cause of the error?
Lipemic sample
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19.Which of the following is most helpful to confirm a weak ABO subgroup?
Adsorption-elution techniques
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21.Quantitative fecal fat testing involves:
Extraction and weighing
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22. Consider the followin ABO typing result:
B3
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⭐️23. JAUNDICED PATIENT WITH PANCREATIC ENLARGEMENT WILL HAVE INCREASED LEVELS OF WHICH OF THE FOLLOWING?
CA19-9
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25. Pilocarpine iontophoresis refers to the specific process of:
Inducing sweat
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⭐️27.Platelet satellitosis is usually due to what?
Abnormal proteins
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⭐️28. WHICH OF THE FOLLOWING VALUES IS TRUE OF ADRENAL CUSHING'S SYNDROME?
ACTH decreased, cortisol increased
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⭐️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
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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
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33. Vhich of the following types of molecules is most likely to be antigenic/immunogenic?
Proteins
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34.Which of the following can cause hypermagnesemia?
Renal failure
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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
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⭐️37. PARATHYROID HORMONE= NORMAL CALCIUM= ELEVATED. WHICH OF THE FOLLOWING CONDITIONS IS MOST LIKELY?
Metastatic carcinoma
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⭐️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+
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39.Glycophorin A and glycophorin B possess antigen sites for which blood group system?
MNS
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⭐️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
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⭐️41. CBC RESULT, MCHC IS VERY HIGH WHEN YOU SOLVE FOR IT. WHAT TO DO? AUTOMATED HEMATOCRIT = 27%; MANUAL HEMATOCRIT = 28%
Examine plasma appearance
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43. These are substances responsible for enhancement of phagocytosis?
Opsonins
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44. In this blood film, there is an impairment in the cell's synthesis of:
DNA
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45. The highest elevation of lactate dehydrogenase is expected in which of the following?
Megaloblastic anemia
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46. Presumptive tests used for identification of Pseudomonas species and to differentiate them from Enterobacteriaceae family?
Oxidase, OF test and pigment production
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⭐️47. RESULTS FOR ELECTROLYTES, SODIUM IS LOW. ALL OTHER ELECTROLYTES ARE NORMAL. WHAT TO DO?
Check for specimen glucose
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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
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49. Which immunologic mechanism is usually involved in bronchial asthma?
Immediate hypersensitivity
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50.in the Kirby-Bauer disc diffusion susceptibility test, which variable is critical when testing Pseudomonas spp. Against aminoglycosides?
Cation content of the media
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51. SsU antibodies appear in the presence of which of the following deletion sequence?
GYPB
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52. All of the following exhibit dosage effect, except:
Lewis
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53.What could possibly cause this PBS finding?
Mycoplasma pneumoniae infection
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54.Which of the following blood groups deteriorates on storage?
P
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55.Pink colonies on Mac Conkey agar, citrate positive, LOA: -++, gram-negative bacillus?
Enterobacter cloacae
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56. An increased calcium and phosphate can be seen in which of the following conditions?
All of these
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57.PPD skin test, after 48 hours, 15mm zone is due to?
T-cell
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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
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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
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60.Which of the following is true about transudates
Non-inflammatory origin
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63.Most closely associated with granulocyte hyposegmentation?
Pelger-Huet anomaly
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64.Pink, mucoid colonies on Mac Conkey agar, TSI: A/A with gas, spot indole positive gram-negative bacilli?
Klebsiella oxytoca
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⭐️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
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66. Primary hyperparathyroidism:
Increased calcium and decreased phosphate
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⭐️69. WHICH DISEASE MIGHT BE INDICATED BY ANTIBODY TO SMOOTH MUSCLE?
Chronic active hepatitis
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70. Which of the ff characteristics can differentiate Y. Enterocolitica from Y. Testis?
Motility at 25c
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⭐️71. Which of the ff can be found in the saliva of an Le(a+b-) individual?
Le a
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⭐️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
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74.Rapid test for Legionella pneumophilia?
Urine ag detection
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75. Which of the ff is not a step in platelet component prodn?
Resting phase at 1C to 6C
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⭐️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
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77. Platelets must be prepared within how many hrs after collection of WB?
6 hrs
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⭐️78. IDENTIFICATION OF A GRAM NEGATIVE ISOLATE USING MALDI-TOF IS BASED ON DETECTION OF:
Ribosomal proteins
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79. Characteristics of the genus Capnocytophaga include:
Colonies are large & spreading after 2-4 days
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80. To prepare the rgt used for mucin clot determination of synovial fluid, water is mixed with what?
Glacial acetic acid
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81. With this blood picture, an additional testing indicated is:
Hemoglobin electrophoresis
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82. Hereditary angioedema is characterized by:
Dec activity of C1 inhibitor
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83. Most rapid method for detection Francisella tularensis?
PCR
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84. During pregnancy, the form of estrogen that predominantly and may be useful in prenatal screening:
Estriol
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85. Which of the ff tests may be ordered to assess the toxic effects of acetaminophen?
AST & ALT
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86 First step in agglutination that is rapid & reversible:
Sensitization
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⭐️87. LEAST LIKELY TO DEVELOP HETEROPHILE ANTIBODIES TO EBV:
Children
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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
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90.
Normal, Hgb SC dse
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91. Identify the condition
Sickle cell dse, Hgb SC dse, Hgb C dse
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92. Which of the ff compounds can interfere with the coulometric chloride assay?
Bromide
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93. Confirmatory test for Lyme Disease:
Western Blot
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94. Multidrug resistant, nonmotile, nonhemolytic, G(+) bacilli, Penicillin(R) but Vancomycin(S)
Corynebacterium jeikium
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95. A synovial fluid specimen is too viscous and difficult to aspirate. What must be done?
Add hyaluronidase
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⭐️96. Which of the ff disease states, would you see an elevation in total bilirubin and conjugated bilirubin only?
Biliary obstruction
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97. Patient with walking pneumonia, not responding to penicillin. This is due to?
Organism has no cell wall
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98. Which of the following is not correct regarding specimen collection for determination of lactic acid levels?
NOTA
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99. Which of the following patterns is consistent with homozygous beta thalassemia?
B
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⭐️100. ORDER OF OCCURENCE OF SEROLOGICAL MARKERS IN HEPATITIS A
Stool Ag, IgM Ab, IgG Ab
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102.G(+), aerobic, catalase(+), non-motile sporeforming bacilli. Demonstrates string of pearls colonies on penicillin medium?
Bacillus anthracis
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⭐️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
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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
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105. Anorexia is defined as an increased in?
BUN
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107c. Which of the ff ANA patterns would be asso with high titers of ab to SM antigen?
Homogenous
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107a. Which of the ff ANA patterns would be asso with high titers of ab to SM antigen?
Peripheral
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107d. Which of the ff ANA patterns would be asso with high titers of ab to SM antigen?
Speckled
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107b. Which of the ff ANA patterns would be asso with high titers of ab to SM antigen?
Centromere
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⭐️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
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109. SG = 1.010, RTE cells
Acute tubular necrosis
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114. Common error in PCR:
Nucleic acid contamination
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115. The reverse CAMP test, Lecithinase prodn, double zone hemolysis and Gram stain morphology are all useful criteria in the identification of:
Clostridium perfringens
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⭐️116. Correct steps in processing sputum spx to isolate Mycobacteria
Digestion > Decontamination > Neutralization > Centrifugation
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117. Fatty cast picture:
Nephrotic syndrome
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118.PCR amplification is evident at what phase?
Log