FINAL COACHING ASCPI 2

100問 • 1年前

問題一覧

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

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

Myelofibrosis

121. Which of the ff is expected in pheochromocytoma?

Hyperglycemia

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

Aeromonas

123. How many primers are there in PCR?

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

ALP

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

Nitrofurantoin

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

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

Annealing

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

M. Gordonae

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

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

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

BUN

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

Repeat ELISA

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

M. Scrofulaceum

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

Obstructive jaundice

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

Reactive

139. Specimen for rotations detection?

Stool

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

Tuberculosis

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

HIV infxn

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

7 yrs

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

Elution

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

Ethylene glycol

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

B. Cepacia

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

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.

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

Fc fragment of IgG

151. Expected in hyperaldosteronism:

Inc sodium

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

154. Inappropriate ADH secretion will manifest what?

Dec serum sodium

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

Anaerobic bacteria

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

Crenated

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

Strongyloides stercoralis

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

Change the high power objective

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

Breast carcinoma

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

Veilonella

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

Potassium

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

A biphasic, complement binding IgM hemolysin

163. Gold-standard for detection of Cryptosporidium parvum?

Direct fluorescent ab assays

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

Fusobacterium

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

Viral meningitis

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

Anti-VCA IgG

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

24 hrs

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

P. Falciparum

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

Nitrocefin

173. Cause of false(-) ABO typing?

Imcubation at 37C

⭐️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.

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

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

pO2 determination

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

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

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

Scolex with unarmed rostellum

181. Detected using the D test?

Inducible clindamycin resistance

⭐️182. THE HYBRID CAPTURE 1 TEST DETECTS:

High risk & low risk groups for cervical cancer

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

Decreased sodium, increased POTASSIUM

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-

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

pH change

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

Imipenem

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

Bilirubin

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

Malassezia furfur

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

Perform serum type at 37C

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

Measure sodium using direct ISE

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

193. What is the cytogenetic anomaly in AML3?

T (15;17) (q24;q21)

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

Sporothrix schenckii

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

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

Alternaria

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

Pyelonephritis

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

Mucor

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

500 ug/mL

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

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

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

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

Infectious mononucleosis

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

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

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

Mycobacterium gordonae

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

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

Glomerulonephritis

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

TIBC

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

Hyperglycemia

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

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

Improperly preserved specimen

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

Passive aggln

223. Rouleaux is undetectable at what phase?

Polyagglutination

224. Interpret

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

Anti-HBc IgM

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

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

Acute myocardial infarction

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

Freezing point

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

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

Put all units on inventory

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

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

Myoglobin

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

HBeAg

238. The primary indication for granulocyte transfusion is:

Severe Neutropenia with an infection nonresponsive to antibiotic therapy

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

High protein diet

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

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

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

100

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

clinical microscopy

clinical microscopy

clinical chemistry

clinical chemistry

immunology & serology

ユーザ名非公開 · 99問 · 1年前

immunology & serology

hematology

hematology

Bloodbank 1

Bloodbank 1

microbiology

microbiology

molecular biology

molecular biology

ASCPi SIMULATED EXAM1

ユーザ名非公開 · 99問 · 1年前

ASCPi SIMULATED EXAM1

99問 • 1年前

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ASCPi STIMULATED EXAM 2

ユーザ名非公開 · 98問 · 1年前

ASCPi STIMULATED EXAM 2

98問 • 1年前

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ASCPi Diagnostic Exam

ユーザ名非公開 · 100問 · 1年前

ASCPi Diagnostic Exam

FINAL COACHING 1

FINAL COACHING 1

ASCPi FINAL COACHING 3

ユーザ名非公開 · 3回閲覧 · 100問 · 1年前

ASCPi FINAL COACHING 3

3回閲覧 • 100問 • 1年前

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cerebro students recalls

ユーザ名非公開 · 100問 · 11ヶ月前

cerebro students recalls

100問 • 11ヶ月前

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cerebro students recalls 2

ユーザ名非公開 · 100問 · 11ヶ月前

cerebro students recalls 2

100問 • 11ヶ月前

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問題一覧

4.2 mmol/L

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

Myelofibrosis

121. Which of the ff is expected in pheochromocytoma?

Hyperglycemia

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

Aeromonas

123. How many primers are there in PCR?

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

ALP

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

Nitrofurantoin

Vibrio vulnificus

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

Annealing

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

M. Gordonae

Clean & reload the hemocytometer

Depth of media was too thin

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

BUN

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

Repeat ELISA

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

M. Scrofulaceum

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

Obstructive jaundice

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

Reactive

139. Specimen for rotations detection?

Stool

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

Tuberculosis

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

HIV infxn

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

7 yrs

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

Elution

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

Ethylene glycol

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

B. Cepacia

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

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.

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

Fc fragment of IgG

151. Expected in hyperaldosteronism:

Inc sodium

P. multocida

154. Inappropriate ADH secretion will manifest what?

Dec serum sodium

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

Anaerobic bacteria

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

Crenated

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

Strongyloides stercoralis

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

Change the high power objective

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

Breast carcinoma

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

Veilonella

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

Potassium

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

A biphasic, complement binding IgM hemolysin

163. Gold-standard for detection of Cryptosporidium parvum?

Direct fluorescent ab assays

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

Fusobacterium

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

Viral meningitis

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

Anti-VCA IgG

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

24 hrs

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

P. Falciparum

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

Nitrocefin

173. Cause of false(-) ABO typing?

Imcubation at 37C

⭐️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.

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

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

pO2 determination

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

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

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

Scolex with unarmed rostellum

181. Detected using the D test?

Inducible clindamycin resistance

⭐️182. THE HYBRID CAPTURE 1 TEST DETECTS:

High risk & low risk groups for cervical cancer

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

Decreased sodium, increased POTASSIUM

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-

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

pH change

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

Imipenem

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

Bilirubin

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

Malassezia furfur

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

Perform serum type at 37C

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

Measure sodium using direct ISE

Infxn control

193. What is the cytogenetic anomaly in AML3?

T (15;17) (q24;q21)

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

Sporothrix schenckii

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

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

Alternaria

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

Pyelonephritis

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

Mucor

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

500 ug/mL

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

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

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

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

Infectious mononucleosis

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

Perform the warm autoadsorption

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

Mycobacterium gordonae

Patient’s serum was omitted from the original testing

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

Glomerulonephritis

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

TIBC

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

Hyperglycemia

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

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

Improperly preserved specimen

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

Passive aggln

223. Rouleaux is undetectable at what phase?

Polyagglutination

224. Interpret

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

Anti-HBc IgM

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

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

Acute myocardial infarction

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

Freezing point

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

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

Put all units on inventory

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

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

Myoglobin

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

HBeAg

238. The primary indication for granulocyte transfusion is:

Severe Neutropenia with an infection nonresponsive to antibiotic therapy

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

High protein diet

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

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

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

100

Myoglobin