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FINAL COACHING ASCPI 2
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  • 問題数 100 • 12/15/2024

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    問題一覧

  • 1

    ⭐️232. 4 UNITS OF CRYOPRECIPITATE WITH THE FOLLOWING VALUES, WHAT TO DO?

    Put all units on inventory

  • 2

    196. A dematiaceous mold grew in 4 days on SDA, isolated from a foot wound. The isolated organism shown on the image, identify:

    Alternaria

  • 3

    225. Hepatitis B marker that is predominantly seen in acute phase of infection but rarely seen in chronic infection?

    Anti-HBc IgM

  • 4

    122. Oxidase(+), A/A in TSI, G(-) straight rods asso w/ gastroenteritis

    Aeromonas

  • 5

    189. Cultivation of this organism, such as from a positive blood culture, requires an agar medium overlaid with long-chain fatty acids.

    Malassezia furfur

  • 6

    240. A urine pH of 4.5 is most likely due to:

    High protein diet

  • 7

    176. Which of the ff measurements uses the principle of amperometry?

    pO2 determination

  • 8

    217. Which of the ff will highly likely cause a urine ph of 9.0?

    Improperly preserved specimen

  • 9

    130. Mycobacteria species that can be acquired from tap water?

    M. Gordonae

  • 10

    154. Inappropriate ADH secretion will manifest what?

    Dec serum sodium

  • 11

    ⭐️194. The yeast from of which dimorphic fungi appears as oval or elongated cigar shapes?

    Sporothrix schenckii

  • 12

    139. Specimen for rotations detection?

    Stool

  • 13

    141. Oligoclonal bands present on electrophoresis of concentrated CSF & also concurrently tested in the serum of the same px may indicate what?

    HIV infxn

  • 14

    191. Serum sodium = decreased, serum osmolality = normal, other electrolytes = normal

    Measure sodium using direct ISE

  • 15

    ⭐️198. Which of the ff zygomycetes doesn’t have rhizoids?

    Mucor

  • 16

    135.when grown in the dark, yellow to orange pigmentation of the colonies is usually demonstrated by:

    M. Scrofulaceum

  • 17

    149. An organism isolated from an eye wash of a patient with a cornea infxn who had been wearing contact lenses for the past 2 years. What is most likely the agent isolated?

    Acanthamoeba spp.

  • 18

    227. The creatine kinase of the patient is normal whereas his troponin I is increased. What is the patient’s condition?

    Acute myocardial infarction

  • 19

    181. Detected using the D test?

    Inducible clindamycin resistance

  • 20

    120. Which of the ff conditions is asso w/ this poikilocyte?

    Myelofibrosis

  • 21

    195. CSF sample intended for VDRL is delivered to the laboratory. However, there was no available VDRL, so the medtech perform RPR instead. The result was negative. What should be the next course of action?

    Freeze the CSF sample & wait for the VDRL to be available

  • 22

    170. Intraoperative autologous blood stored at 1 to 6C should be administered within:

    24 hrs

  • 23

    157. Which of the ff parasites is known for autoinfection?

    Strongyloides stercoralis

  • 24

    151. Expected in hyperaldosteronism:

    Inc sodium

  • 25

    235. A refrigerated urine specimen gave a specific gravity reading of 1.020 using the refractometer. It also contains 1000 mg of glucose. What must be done?

    Perform correction for glucose

  • 26

    132. Susceptibility testing performed on quality control org. Using a new media lot no. Yielded zone sizes that were too large for all antibiotics tested. The testing was repeated using media from a previously used lot number, and all zone sizes were acceptable. The unacceptable zone sizes are best explained by the:

    Depth of media was too thin

  • 27

    165. Type of meningitis where CSF glucose is normal with reference range of 50 to 80 mg/dL & lymphocytes are predominantly?

    Viral meningitis

  • 28

    142. Fresh frozen plasma stored at -65C will have a shelf life of:

    7 yrs

  • 29

    237. The antigen marker most closely associated with transmissibility of HBV infection is:

    HBeAg

  • 30

    147. Patient with meningococcemia was given with penicillin. Blood sample was collected 5 days after the start of penicillin therapy. No growth on blood subculture. Why?

    Antibiotic inhibited bacterial growth

  • 31

    236. Levels of this analyte rises rapidly after MYOcardial infarction, but this finding is relatively nonspecific:

    Myoglobin

  • 32

    171. Patient was diagnosed with malaria, however no schizoid & merozoites were seen in. Thr peripheral blood smear. The causative agent is:

    P. Falciparum

  • 33

    ⭐️220. WHICH OF THE FOLLOWING TECHNIQUES MAKES USE OF ANTIGENS ARTIFICIALLY COATED ON PARTICLES FOR THE DETECTION OF ANTIBODIES?

    Passive aggln

  • 34

    214. Measures the amount of light intensity present over a zero background where the analyte absorbs light of a particular wavelength then emit light of a longer wavelength?

    Fluorometer

  • 35

    133. In abnormal creatinine clearance, aside from creatinine what else is affected:

    BUN

  • 36

    145. A catalase(+), oxidase(+) G(-) bacilli & 2nd most common cause of respiratory infxn among cystic fibrosis px?

    B. Cepacia

  • 37

    197. The ff urine results were obtained on a 25 yo female.

    Pyelonephritis

  • 38

    229. Mutation of what gene is detected in 90% to 97% of patients with Polycythemia vera & 50% to 60% of essential thrombocytosis patients?

    JAK2 V617F

  • 39

    124. Which of the ff analyzes is the best indicator of heparobillary damage?

    ALP

  • 40

    180. Which one the ff features of T.saginata helps distinguish it from T. Solium?

    Scolex with unarmed rostellum

  • 41

    152. A G(-) bacillus with bipolar staining was isolated from a wound infxn caused by a bite from a pet cat. The following characteristics rxn were seen: Oxidase(+), OF test (O+/F+), nonmotile, no growth on MAC.

    P. multocida

  • 42

    163. Gold-standard for detection of Cryptosporidium parvum?

    Direct fluorescent ab assays

  • 43

    187. Which of the ff will most likely cause CSF xanthochromia?

    Bilirubin

  • 44

    190. Consider the ff ABO typing results: What should be done?

    Perform serum type at 37C

  • 45

    ⭐️209. SPUTUM CULTURE PLANTED ON EGG-BASED MEDIUM. AFTER 3 WEEKS, SMOOTH BROWN COLONIES. WHAT IS THE ORGANISM?

    Mycobacterium gordonae

  • 46

    140. Reactive monocytosis can be seen in w/c of the ff?

    Tuberculosis

  • 47

    134. HTLV testing: initial ELISA is reactive, what to do?

    Repeat ELISA

  • 48

    143. Considering the ff DAT panel result, what to do?

    Elution

  • 49

    179.The ff are the results of D typing on a px using a high-protein anti-D reagent: Which of the ff is the correct interpretation of these results?

    Invalid Rh typing

  • 50

    127. A college student attended a beach party where raw oysters and other shellfish were consumed. The next day, he had symptoms of septicemia. The blood cultures grew G(-) bacilli with the following characteristics: Oxidase(+), MacConkey agar: Pink colonies, O/129 (150ug) susceptible. The most likely organism is:

    Vibrio vulnificus

  • 51

    121. Which of the ff is expected in pheochromocytoma?

    Hyperglycemia

  • 52

    224. Interpret

    Bx

  • 53

    162. Which of the ff isn’t a description that fits the donath landsteiner antibody?

    A biphasic, complement binding IgM hemolysin

  • 54

    211. A patient with lupus erythematosus has the ff urinalysis results. These would be most associated with:

    Glomerulonephritis

  • 55

    177. Which one of the ff org does not require susceptibility testing to the antimicrobial indicated when isolated from a clinically significant source?

    S. Pyogenes : penicillin

  • 56

    ⭐️174. BEST INTERPRETATION OF THE FOLLOWING RESULTS? • CMV IgG titer 1:128 • CMV IgM >1:IgM • Toxoplasma IgG Titer 1:128 • Toxoplasma IgM titer <1:10

    Primary infxn to CMV.

  • 57

    125. An antimicrobial that is inappropriate to report on an Escherichia coli isolated from a wound culture:

    Nitrofurantoin

  • 58

    192.A technologist on respiratory bench notices an increased number of px on the ICU growing the same, drug-resistant G(-) rod from sputum spx. Which department in the hospital will the microbiology laboratory work with to collect data on positive patients?

    Infxn control

  • 59

    129. Most critical step in determining the specificity of a PCR rxn:

    Annealing

  • 60

    136. The ff results are most consistent with which of the ff conditions? ALP = inc, Bilirubin = inc, urobilinogen = dec, urine bilirubin = positive

    Obstructive jaundice

  • 61

    168.which of the ff is an EBV marker that appears at onset of symptoms and persists for life?

    Anti-VCA IgG

  • 62

    119. Patient experiencing Hyperglycemia with a blood glucose level of 450 mg/dL and potassium level of 4.4 mmol/L. After giving insulin, the glucose level went down to 120 mg/dL. Which of the following is expected of the potassium level?

    4.2 mmol/L

  • 63

    ⭐️158. FOCUSED ON LPO, SHIFTED TO HPO BUT THE OBJECTIVE IS TOUCHING THE SLIDE. WHAT TO DO?

    Change the high power objective

  • 64

    156. If blood smear is dried too slowly, the red blood cells are often:

    Crenated

  • 65

    164. Long, thin G(-) rods that are tapered (pointed) at the ends?

    Fusobacterium

  • 66

    160. Anaerobic, G(-), tiny diplococci im clusters, pairs and short chains isolated from jaw injury?

    Veilonella

  • 67

    223. Rouleaux is undetectable at what phase?

    Polyagglutination

  • 68

    212. Most sensitive single test for phenotypic detection of hereditary hemochromatosis. It reflects the percentage of sites available for carrying iron.

    TIBC

  • 69

    131. An undiluted CSF spx is loaded onto a Neubauer hemocytometer and the ff results are recorded after counting all nine 1.0 mm2 quadrant on both sides. Side 1 = 100 WBCs; Side 2 = 55 WBCs. What should the MLS do?

    Clean & reload the hemocytometer

  • 70

    226. A patient’s coagulation blood sample was drawn from an IV line because this is the only option for obtaining the sample. Based on the results, how should testing proceed?

    A heparin Neutralization should be done

  • 71

    175. The procedure that assures the most accurate detection of mec-A mediated oxacillin resistance in routine broth microdilution susceptibility testing against S. Aureus is:

    Testing w/ cefoxitin

  • 72

    184. Which pairs of cells would make the best screening cells?

    Cell 1: Grp O, D+, C+, c-, E-, e+, K+, Fy(a-b+), Jk(a-b+), M-, N+, S-, s+ Cell 2: Grp O, D+, C-, c+, E+, e-, K-, Fy(a+b-), Jk(a+b-), M+, N-, S+, s-

  • 73

    186 Organism causing pneumonia gave a positive result for modified Hodge test, what antibiotic must not be given?

    Imipenem

  • 74

    200. Patient is AHG(-), in the control cells, three out of eight tubes are negative when Check cells are added. What is the error?

    Insufficient saline from automated cell washer

  • 75

    238. The primary indication for granulocyte transfusion is:

    Severe Neutropenia with an infection nonresponsive to antibiotic therapy

  • 76

    201. The hair baiting test is useful in differentiating which two species of Trichophyton that produces red colonies on Saboraud agar plates?

    T. mentagrophytes & T. Rubrum

  • 77

    213. All of the following could result to pseudohyponatremia, except?

    Hyperglycemia

  • 78

    161. Valinomycin enhances the selectivity of the electrode used to quantitate:

    Potassium

  • 79

    155. Supplementation with Hemingway & vitamin K will enhance the recovery of which of the ff?

    Anaerobic bacteria

  • 80

    ⭐️199. WHAT LEVEL OF GENTAMICIN IS USED FOR TESTING HIGH-LEVEL RESISTANCE SOMETHING?

    500 ug/mL

  • 81

    205. The parameter that is expected to decrease in early stages in iron deficiency anemia & considered as it’s the most sensitive indicator?

    Serum ferritin

  • 82

    242. A previously Type O, Rh(-) individual is nownpositive on DAT. Which of the ff results is expected of his current sample?

    B

  • 83

    210.A patient received two units of pRBCs & had a delayed transfusion rxn. Pretransfusion ab screening records indicated no aggln except after the addition of IgG sensitized cells. Repeat testing of the pretransfusion specimen detected an ab at the antiglobulin phase. What is the most likely explanation of the original results?

    Patient’s serum was omitted from the original testing

  • 84

    202. MLS performed susceptibility testing for E. Coli using a 100mm plate & placed 12 antibiotic disks on it. Which of the ff is expected?

    Overlapping zone of inhibition

  • 85

    173. Cause of false(-) ABO typing?

    Imcubation at 37C

  • 86

    ⭐️183. A PERSON WITH ADDISON'S DISEASE WILL HAVE WHICH OF THE FOLLOWING RESULTS?

    Decreased sodium, increased POTASSIUM

  • 87

    203. A cause of false(+) result in RPR test?

    Infectious mononucleosis

  • 88

    ⭐️182. THE HYBRID CAPTURE 1 TEST DETECTS:

    High risk & low risk groups for cervical cancer

  • 89

    ⭐️243. Based on the Ff results what must be given for exchange transfusion?

    Group A, Rh(-), negative for C & Lea

  • 90

    ⭐️138. THE ABSORBANCE CUTOFF VALUE IS 1.000 AND THE PATIENT RESULT ABSORBANCE VALUE IS 1.099. THE PATIENT IS:

    Reactive

  • 91

    244. A red urine specimen had a positive rxn for blood but no RBCs were seen on microscopic examination. Ammonium sulfate was added to the specimen & then centrifuged. After centrifugation the supernatant remained red. The abnormal urine color is caused by:

    Myoglobin

  • 92

    193. What is the cytogenetic anomaly in AML3?

    T (15;17) (q24;q21)

  • 93

    228. The osmolality of urine or serum specimen is measured by a change in what?

    Freezing point

  • 94

    150. Rheumatoid factors are immumoglobulins with specificity for allotypic determinants located on the:

    Fc fragment of IgG

  • 95

    185. The electrode for pCO2 determination is sensitive to which of the ff?

    pH change

  • 96

    144. Oxalic acid crystals in the urine can be seen after ingestion of?

    Ethylene glycol

  • 97

    208.A 26 yo female is admitted with anemia of undetermined origin. Blood samples are received with a xm request for 6 units of rbc. The px is grp A, Rh(-) & has no history of transfusion or pregnancy. The ff results were obtained in pretransfusion testing. The best way to find compatible blood is to

    Perform the warm autoadsorption

  • 98

    123. How many primers are there in PCR?

    2

  • 99

    159.alpha-fetoprotein, an oncofetal antigen, is least likely to be found in:

    Breast carcinoma

  • 100

    172. Most sensitive substrate for detection of beta-lactamases?

    Nitrocefin