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PASS ASCP
#2 QUESTIONS
Question | Answer |
---|---|
Which solution is used for the measurement of HDL? | Heparin-Manganese |
Which protein is closest to Cathode in Serum Electrophoresis? | Gamma ANODE+ albumin-alpha1-alpha2-beta-gamma CATHODE- |
What plasma level is decreased in hyperglycemia? | Sodium |
What nutrient is in anaerobic agar to help growth of anaerobes? | Cysteine -Anaerobic bacteria a reducing agent is needed such as Thioglycolate and Cysteine |
A 3 year olds urine specimen shows 25 renal tubular epithelial cells under high objective, granular casts, 3-5 WBC and nitrite is negative. | Acute tubular necrosis -Higher # of renal tubular epithelial cells and granular casts point to acute tubular necrosis |
How do you differentiate between Yersinia Pestis and Y.Enterocolitica? | Motility -Y.Pestis non motile and urease neg -Y.Enterocolitica is motile and urease pos |
The extrinsic system of coagulation is monitored by which test? | Prothrombin Time(PT) |
17-Ketosteroids is produced in the | Adrenal Glands |
Fusobacterium | Tapered ends are characteristic Found in dental plaque of humans and is spindle shaped |
In testing a blood bank specimen, Anti Ig and Anti C3d: What should the MLS do: | Elution |
Anti Smith AB is associated with which disease | Systemic Lupus Erythromatosis(SLE) |
What urine test can help diagnose Pheochromocytoma? | Methanephrines |
What test is used to identify Hairy Cell Leukemia? | TRAP Tartrate-resistant acid phosphatase |
2 Consecutive values in which they are in the +2SD of the same mean or in the -2SD of the same mean: | 2,2S (JAMES WESTGARD RULE) |
A critically ill patient becomes comatose. The physician believes the coma is due to hepatic failure. The assay most helpful in this diagnosis? | Ammonia -Hepatic encephalopathy=confusion, altered level of consciousness, and coma as a result of liver failure |
A patient has hyperglycemia, what to order next? | PTH -Excess PTH leads to hyperglycemia |
In Hashimotos thyroiditis, how do the levels of T4 and TSH change? | TSH is high and T4 is low -Hashimotos thyroiditis is an autoimmune condition in which the body attacks and destroys its own thyroid gland. -T4 levels decrease while TSH increases trying to elevate T4 levels |
In chronic active hepatitis, high titers of which of the following antibodies are seen? | Anti-smooth muscle and Positive ANA test |
What statement is true regarding Conns Syndrome? | Primary Aldosteronism |
In megablastic anemias, red cells are: | Macrocytic,normochromic |
Calculate the anion gap if: Na=138 Cl=102 HCO3=27 | =9 Anion gap:[Na} - ([Cl] + [HCO3]) |
If Hgb=12g/dL and Hct=36% Calculate MCHC | =33 MCHC= Hgb x 100\Hct |
Which compound has the same physiological effect as Procainamide? | NAPA |
Large,circular,gray and smooth colonies are observed on a blood agar plate with swarming motility. What test to do next? | Indole -Proteus vulgaris= indole positive -Proteus mirabilis= indole negative |
What does PCO3 electrode measure? | pH |
Which of the following anemia exhibits pancytopenia? | Aplastic Anemia -Pancytopenia= low counts of red and white cells, platelets |
Which bacteria is more of a concern when it comes to water contamination? | -Legionella Pneumphpilia*** -Cryptosporidium -Campylobacter Jejuni -EColi*** -Salmonella -Vibrio Cholerae |
Which option best describes Blastconidia? | One large mother cell that produces multiple daughter cells |
What is another name for Echinocytes and when are they observed? | Burr cells, slow drying smear |
A gram stain performed on a sputum specimen revealed gram-neg diplococci within PMNs. Oxidase testing is positive and carbohydrate degradation test is inert. The organism is? | Moraxella Catarrhalis -As soon as you see INERT or ASACCHAROLYTIC when it comes to carbohydrates and bacteria, remember Moraxella Catarrhalis |
A blue top specimen was drawn from a catheter and tested for PTandPTT. The results are significantly higher than yesterdays result. What is the most likely explanation? | Heparin Contamination |
An alkaline urine refrigerated becomes turbid because of ? | Amorphous Phosphates |
In Rhabdomyolysis, breakdown of what component causes kidney damage? | Myoglobin |
If total cholesterol is 220mg/dL HDL 45mg/dL and triglycerides is 250mg/dL. What is the concentration of LDL? | Friedewald: LDL=TC-HDL-TG/5.0 |
Whats the best blood type of choice for blood transfusion for new born babies? | O Neg crossmatch with maternal blood |
If RBC life span is shortened, what will happen to HA1c level? | Lowers the level |
What is used to monitor unfractionated heparin therapy? | APTT -APTT is used to monitor unfractionated heparin therapy but NOT used for low molecular weight heparin(monitored by Anti Xa assay) |
Gram stain from a blood agar show gram positive cocci in chains, non-hemolytic. The bacteria will grow on 6.5% NaCl and is bile eculin positive. What is the most likely identification? | Enterococcus -Only Enterococcus can grow on both 6.5% NaCl and bile esculin |
A blue top was drawn on a walk-in patient. PT>14s and PTT>36s 1:1 mix study does not correct the results and there is no evidence of heparin contamination. What test to do next? | dRVVT |
Glass membrane electrode is used to measure what? | pH |
In SIADH(Syndrome of Inappropriate Antidiuretic Hormone Secretion) which condition is seen and why? | Hyponatremia due to dilution |
Which one is the carrier of endogenous triglycerides? | VLDL -Carries endogenous triglycerides -Chylomicrons carries exogenous triglycerides |
What is the specimen of choice for Rotavirus? | Stool -Real time PCR is used |
Which method is used to differentiate between Pseudomonas Aeruginosa and P.putida? | Growth at 42 degrees -P.aeruginosa=grows at 42 degrees -P.putida=no growth to little |
In which condition insufficient amount of hormone cortisol is produced? | Addison's disease -Addisons's disease results when your adrenal glands are damaged, producing insufficient amounts of the hormone cortisol and often aldosertone |
Wha is Azotomia(nitrogen blood condition) | Increased BUN |
PEA and Columbia CNA agar are used to culture? | Gram Positive Bacteria |
What type of cells in Sezary Syndrome become cancerous? | Tcells |
Beta-hCG is a marker for what disease? | Testicular cancer |