52. The respiratory culture of a patient with cystic fibrosis yielded gram(-) bacilli with the ff reactions: Oxidase: + MacConkey agar: + Glucose OF open: + Gelatin hydrolysis: + Pigment: Metallic green Arginine dihydrolase: + Growth at 42⁰C: + W/c of the ff is the most likely identification of this org?

12. The laboratory manager's most appropriate approach to performing employee evaluations could best described as?

5. The diagnosis of multiple sclerosis is often based upon which finding?

79. The agency that is responsible for protecting workers' health and well-being is:

4. The ab associated with type IV hypersensitivity is:

45. In px with developing subclinical hypothyroidism, TSH levels will likely be ___, & fT4 will likely be____.

3. Which of the following analytes is helpful in distinguishing a condition affecting the liver from bone disease in the presence of an elevation of ALP?

36. What gene must be amplified in PCR to diff methicillin-resistant StaphylOcoccus aureus from methicillin resistant coagulase(-) StaphylOcoccus?

49. What is the titer in tube No. 8 if tube No.1 is undiluted and dilutions are doubled?

26. Neutrophil phagocytosis and particle ingestion are associated with an increase in oxygen utilization referred to as respiratory burst. What are the two most important products of this biochemical reactions

⭐️56. Which red cell inclusion is often found in lead poisoning cases?

91. Immunoglobulins function by all of the following except:

18. The presence of waxy casts in a microscopic examination of urine is consistent with a diagnosis of:

59. W/c of the ff group of organisms is most correct for use in performing quality ctrl on a TSI agar slant?

57. Pernicious anemia can be distinguished from folate deficiency by which of the following findings?

83. A unit of packed RBCs is split using the open system. One of the half units is used. What may be done with the second half unit?

35. What ab are represented by the nucleolar pattern in the immunofluorescence test for antinuclear ab?

17. Which of the following is used in rapid slide tests for detection of rheumatoid factors?

11. The most critical step in obtaining accurate Gram stain results is the application of which of the following?

1. Before release of a unit of red blood cells for transfusion, which records must be checked?

73. Urine w/ an SG consistently between 1.002 & 1.003 indicates:

8. Which MHC class of molecule is necessary for antigen recognition by CD4-positive T cells?

95. Alkaline phosphatase values are expected to be increased in all of the following situations, except:

30. Which of the ff px would be a candidate for RhIg?

37. DIC is most often associated with which of the following types of acute leukemia?

69. A px comes to the ER w/ report of an upset stomach. He has a rash covering his body,& he is becoming increasingly hypotensive. The blood samples that you drew for culture were (+) w/in 24hrs for gram(+) cocci in clusters. The most likely causative agent is w/c of the ff?

13. The most probable explanation for a patient who presents with an elevated osmolal gap, metabolic acidosis, and calcium oxalate crystals in the urine is:

29. This type of resistance mechanism modifies the antibiotic targets and results in reduced affinity of antibiotics for their microbial target sites.

32. A positive result was obtained when a VDRL test was performed on a patient's serum. The MLS should:

72. How would you prepare a 1/5 dilution of a urine sample?

67. Which of the following would result in a permanent deferral for a whole blood donation?

16. Which of the ff pairing of crystals and causes is not correct?

38. According to AABB Standards, what is the minimum information required to be on a sample label for transfusion testing purposes?

85. In familial β dyslipoproteinemia (formerly Type III hyperlipoproteinemia), which lipoprotein accumulates?

21. Which ratio of anticoagulant to blood is correct for coagulation procedures?

48. A thermally dimorphic fungus shows a filamentous mold form with tuberculate macroconidia at room temperature, and a yeast form above 35°C. Which organism best fits this description?

68. A person genotype R1R1 could potentially produce antibodies to which of the following Rh ag?

70. Cysts of Iodamoeba butschlii typically have:

39. The decreased release of TSH would result in which of the following actions from the hypothalamic-pituitary-thyroid axis?

47. Based on the following results, what is the most likely diagnosis? ALP and GGT moderately increase ALT, LD and Total bilirubin minimally increase

86. Which of the following lipid measurements is estimated using a formula, and not measured?

62. Which of the following ketones is (are) not detected using the reagent strip?

82. Which cell is capable of both phagocytosis and antigen processing?

28. What is the most likely cause of ABO discrepancy below?

44. Irradiated red blood cell transfusion would not be indicated for which of the following patient diagnoses?

2. Which of the following cells can be described as neoplastic lymphocytes with noncleaved clumped nuclei and very basophilic cytoplasm with prominent vacuoles?

88. What is the preferred specimen for molecular techniques for diagnosis of inherited mutations?

40. You received a blood gas sample from a px who is in the ER for assessment of unexplained vomiting for the past 4 days & abnormal respirations. Which of the ff interpretations best describes the px blood gas results? pH: 7.50 pCO2: 55 mmHg pO2: 85 mmHg HCO3-: 35 mmol/L

96. In salicylate overdose, what is the first acid-base disturbance present?

87. People who have anti-A and anti-B blood group antibodies detected in their serum are said to be of which blood group?

58. A px transfused with several units of RBC developed a febrile transfusion rxn. What component is most appropriate to prevent this rxn in the future?

92. A manual white blood cell (WBC) count was performed. A total of 36 cells were counted in all 9-mm2 squares of a Neubauer-ruled hemacytometer. A 1:10 dilution was used. What is the WBC count?

22. Hemoglobin electrophoresis is performed on a patient with known homozygous Hb S who has received red cell transfusions in the past week. Which hemoglobins would be expected on the gel?

19. Which of the following is true about enzyme and their effect on red cell antigens and antibodies?

97. A PT and PTT on a patient fails to correct when mixed with normal pooled plasma. Which of the following is a possible explanation?

33. Which of the following tests is used to monitor patients for early signs of renal disease?

23. What is the purpose of adding 0.025%-0.050% sodium polyanethol sulfonate (SPS) to nutrient broth media for the collection of blood cultures?

84. HIV virus belongs to w/c of the ff grps of viruses?

66. In the Oliver-Rosalki method, the reverse rxn is used to measure creatine kinase activity. The enzyme(s) used in the coupling reactions are:

31. A latex agglutination test for cardiolipin is performed on a px suspected of having which disease?

34. Which of the following conditions is cause for rejecting an analytical run?

94. A patient sample tested positive for anti-dsDNA antibodies. The patient most likely has which of the ff?

43. Which is most likely a positive Western blot result for infection with HIV?

51. A patient's sample shows a large spike on serum protein electrophoresis in the gamma region. On further testing, the spike is shown to be mostly IgM. Which of the following is true regarding this patient's diagnosis?

24. The underlying cause for anemia of chronic inflammation is that:

65. All of the following characteristics are consistent with the appearance of normal cerebrospinal except:

7. Which of the following would be an acceptable alternative for a red cell transfusion if ABO group-specific blood was not available?

78. Two units of blood are ordered for a patient. Previous blood bank records indicate the patient had an anti-K 3 years ago. What is the next course of action for completing this order?

93. How do sickle cells or spherocytes interfere with the ESR?

55. A decrease in serum haptoglobin accompanies which of the following?

74. Which of the following is the correct location of enteric "H" antigens?

53. Which of the following conditions is usually associated with thrombosis?

76. Which of the following is most likely to cause a false-positive dry reagent strip test for protein?

64. The PYR hydrolysis test is a presumptive test for which of the following streptococci?

80. Which of the following red blood cell precursors has a nucleus that can be described as pyknotic?

9. The biochemical test performed on a gram-positive bacillus were consistent with those of Corynebacterium diphtheria. The MLS should now:

54. Which of the ff can occur days to weeks after transfusion?

75. Which anemia has red cell morphology similar to that seen in iron deficiency anemia?

14. Which of the ff is asso with a ↓ CSF glucose?

15.The most recent CBC results for a px who has been treated for CML for several years show a blast count 38% in the differential. The CML is now in w/c phase?

10. The ff OGTT results are indicative of what state? Fasting serum glucose: 124 mg/dl 2-hour post load serum glucose: 227 mg/dl

25. Which of the following could result in a fatal negative result for a DAT?

61. What may be found in the serum of a person who is exhibiting signs of TRALI?

63. Which of the following conditions is commonly associated with an exudative effusion?

6. The growth factor erythropoietin is produced by which organ?

50. When preparing fresh frozen plasma for transfusion, what compatibility testing is performed?

77. What immunoglobulin is typically found in secretions?

42. If the cytoplasm of a cell is very basophilic or blue when stained w/ Wright stain, w/c of the ff does it contain?

100. Which hepatitis B marker is the best indicator of early acute infection?

27. Which of the following serial dilutions contains an incorrect factor?

41. A Prussian blue stain of a bone marrow shows blue granules present inside macrophages. Which of the following disorders can be ruled out by this result?

89. Laboratory diagnosis of hookworm is usually made by:

46. Which of the following factors binds to platelets via the glycoprotein Ib/IX receptor?

81. An Entamoeba histolytica trophozoite has the following characteristics:

90. Which of the following conditions is caused by an impairment of an enzyme needed to conjugate bilirubin?

20. In gas chromatography, the elution order of volatiles is usually based upon the:

71. Which of the following results are discrepant?

99. What is the transport temperature of packed red blood cells?

98.Which of the ff is true regarding indirect bilirubin?

60. An anaerobic, box-shaped gram(+) bacillus is + for the reverse CAMP test. This org would also be: