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ASCP RECALLS Compiled Alice 2017
ASCP RECALLS Compiled Alice 2017
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PICTURE
Blood Smear Pic of stomatocytes
Ans: Liver Disease
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Blood smear pic of retics and heinz bodies (focus on heins bodies) Retics count= 18% What to do
next? Note: Bite cells are also seen in the picture
Ans: Heinz body staining
Also in the choice: Report retics count Do Prussian blue staining
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Blood smear pic of echinocytes:
Ans: Uremia
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Blood smear pic of (orange red spiky cells)
Ans: faulty drying
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Blood smear pic of Target Cells: WBC count: High WBC count using another diluent: Normalized
What can be the possible explanation?
Ans: Lyse resistant RBC
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Blood smear pic of agglutination, whats causing it?
Ans: cold agglutinins
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Same Blood Smear picture of agglutination:caused by what org?
Ans: Mycoplasma Pneumoniae
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Picture of T. trichuira
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Picture of Penicillium
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Picture of crithidialuciliae
Ans: dsDna
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Patient with lesions in his arms, given description what is seen in culture?
Ans: SporothrixSchenkii
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About 4 items of Automated Coagulation Studies: please read on PT and APTT reagents and
corresponding effect of the values on the test sample
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Around 7 to 10 Blood bank prob and discrepancies all situational
Ex: O neg Rh pos patient Dat positive
Screen cell - all neg 37 deg control - pos Rh control - neg
(Remember rh control is BSA - serve as neg control)
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Given: mother of blood type AB neg and baby type O pos. what should u do?
Ans: Get a new heel stick from baby ( for me getting new sample is the best answer) it might be
sample switching or px misidentification since its impossible for an AB mom to have a O baby
Other Choices: Administer Rh Ig Get sample from father (blood bank staff dont go look for the father
of the baby to counter check result)lol
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Titer of EBV, IM, Toxoplasmosis
Choices: primary infection EBV -( my answer) Coinfection with Toxo Secondary infection IM
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Values of the following blood chem were re-run (2 values have significant difference) BILI, CREA,
GLUCOSE, TROP I Which should you prioritize for validation?
Ans: Trop I
Note: normal values are not indicated
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Sample taken from indwelling catheter. Not on anticoagulant but PT and APTT is elevated:
Ans: heparin contamination
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Mannitol Positive
Ans: Staph Aureus
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Potassium Permanganate in auraminerhodamine stain for myco
Ans: Quenching agent
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After CSF gram stain, how would you store the CsF for culture the next day?
Ans: Incubate @ 35 deg C
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Patient with Rheumatic Disease develop AGN. What org do u expect to see in Renal biopsy?
Ans: S. Pyogenes
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Group D strep BE positive, NaCl negative
Ans: S. Bovis
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Parathyroid hor level: Normal Ionized calcium: increased
Ans : metastatic Carcinoma (not sure) or hypoalbuminemia
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Primidone monitoring: Suspected to have primidone overdose but the serum concentration is within
the normal range, what should you do next?
Ans: Measure phenobarbital concentration
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Suspected deficiency when a patient exhibits prolonged apnea and paralysis after injection of
anesthesia
Ans:Pseudocholinesterase deficiency
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Specimen for diagnosis of rotavirus
Ans: Stool
After being diagnosed with walking pneumonia, a patient is given penicillin. After a few days, the
penicillin did nothing to treat the disease because:
Ans: The bacterial agent has no cell wall
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Hair perforation test is used to differentiate
Ans: Trichophytonrubrum and Trichophytonmentagrophytes
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Mature trophozoites and schizonts are not seen in the blood smear:
Ans: Falciparum
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Initial ELISA for HIV testing: reactive Repeat ELISA (In duplicate): Non-reactive
Ans:Report as nonreactive
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Blood group that deteriorates on storage
Ans: P (thats the only P in the choices)
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Urine pH of less than 4.5 is possible in the case of:
Ans:Renal Tubular Acidosis
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Reagent strip test for glucose: Positive Clinitest: Negative
Ans:Glucose is positive
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A patient is suspected to have DM FBS: 130 mg/dL 2 hour glucose: 242 mg/dLWhat to do next?
Ans:Diagnostic for DM
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FBS: 120 mg/dL
Ans: Impaired plasma glucose
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Reactive monocytosis
Ans: Tuberculosis
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Marker for pancreatic carcinoma
Ans: CA 19-9
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Different Fecal fat tests are affected similarly by:
Ans:Weight and extraction
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HBa1C are not to be done in
Ans:patients with condition that shortens the RBC lifespan
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Post prandial turbidity of the serum is due to the presence of
Ans: Lipoproteins
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Comparison of two means
t-test (theres a word before ttest in the choices still itsttest)
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Urine bilirubin : None Urine Urobilinogen: High Unconjugated bilirubin: High
Ans: hemolytic Anemia
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Treated Prostate cancer patient....after 9 months, PSA level is above normal
Ans: Recurrence
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Antibody detection for HTLV I/II : positive What should you do next?
Ans: Repeat test
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Lifetime marker of MBV infection
Ans: Anti-HBc
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What blood type should be transfused to the baby? Mother: Type “O”, Rh Negative, with anti-D, anti-
C, anti-I, anti-Lea Child: Type “A”, Rh Positive, DAT +
Ans: Type “O”, Rh negative without C, I, and Lea antigen
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Only 390mL were collected after bleeding, what component can still be used?
Ans: Only Packed RBC
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38. Which one should be deferred:
Ans: Donor who received HBsAg immunization 6 months ago
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Le (a+b-)
Ans: Lea
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PT: Prolonged APTT Prolonged TT: Prolonged Fibrinogen: 150 mg (Normal valued not given)
Acute DIC
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Normal WBC Normal Platelets Reticulocyte count 0.1% (age of patient not indicated in the problem)
Pure red cell aplasia
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Falsely decreased ESR can be due to:
Ans: Eight hours standing before testing
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Enzyme test controls: within 3 SD Non-Enzym test contro: within 2 SD What is the possible
explanation?
Ans: Instrument temperature too cold
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PT: Normal APTT: Prolonged Mixing studies: APTT + Normal plasma : Prolonged
Ans: Factor IX (encountered this prob in harr, kindly verify)
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Blood collected into sodium citrate tube for coagulations studies, after centrifugation, packed red
blood cells comprise 80% of the whole blood. What should you do next?
Ans: Recollect blood in a tube with less amount of citrate
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53. TSI: Acid slant, Acid butt Oxidase positive
Ans:Aeromonas
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Indole negative MR negative LDC negative ODC positive ADH positive
Ans:Enterobacter cloacae
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How can you differentiate P. aeruginosa from other Pseudomonas species?
Ans:Growth at 42degC
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Rapid test or Legionella
Ans:Urine antigen test
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Cat-scratch disease
Ans:Bartonellahenselae (Be careful P multocida is in the choice, disease is caused by cat BITE)
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Major problem in PCR caused by:
Ans: Contamination with nucleic acid
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Computation on CSF rbc
Formula =( cells counted ) (dil) / 2 (0.9) x (0.1)
Ans: 222 (Forgot the given)
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Adrenal Cushing
Ans: increased cortisol, decreased ACTH
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2 Urine analysis (choose the disease that correlates with the UA result)
Ans: Acute tubular necrosis
Ans: renal calculi
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Lupus Anticoagulant
Ans: increase thrombosis
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Pheochromocytoma
Ans: test for metanephrines
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TB testing for PPD
Ans: t cell mediated type 4 hypersensitivity
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Decreased in Sodium but all other electrolyte and serum osmolality were normal.
Ans: Perform Sodium ISE
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Carbon Dioxide in ISE measures?
Ans: CO2 content
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Cushing Syndrome
Ans: Hyperglycemia
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Iron studies ( tibc , ferritin , s iron)
Ans: Anemia of Chronic Disease
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Enzyme with 9.8 ph. What disease associated with ALP?
Ans: Pagets disease
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Cofactor to 300 enzyme
Ans: magnesium
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Description of Tap water bacillus
M. Gordonae
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DISCLAMER:
the items above might come out on your exam and It would be better to verify if the answers are
correct or if you have the best answer ===> (means higher points)
ASCP RECALLS: 8-08-2016
ASCP RECALLS: 08-12-2016
ASCP STUDY GUIDE:
*ACTS NOTES & RECALLS
(IS/BB RECAP, HEMA, CM, INTENSIVE RECAP, MICRO-ASCP POINTERS, CBT)
*POLANSKY:Quick Review Cards
*QUICK COMPENDIUM of Clinical Pathology by Daniel D. Mais,MD 2nd edition
*A CONCISE REVIEW OF CLINICAL LABORATORY SCIENCEby JOEL HUBBA*RD
*CLS: A Bottomline Approach by Patsy Jarreau
*BOC –ASCP
*BAILEY & SCOTTS-MICRO-PARA-MYCOLOGY PICTURES ONLY
CLINICAL CHEMISTRY
1. Electrolytes serve as cofactor to more than 300 enzymes?
A: MAGNESIUM
11. TP / TP+ FN
A: Sensitivity TN/ TN+FP A: Specificity
14.RESULT of patient in numerical form: (Reference range given in Conventional & SI Units)
16: Test for glucose collected using a heparin anticoagulant, specimen not tested within 3hrs? what
should the technologist do?
Choices:
A: Wrong anticoagulant use
B: Separate plasma within 1 hr after the collection
C: Hemolysis occurs within 3hrs
D: Do nothing run the test
18: SD/mean x100 = Coefficient of Variance Data are given in tabulated form I-II-III-IV.
What is the best precision?
A: IV- 2. 3 (other choices: 2. 5, 2.8, 3.9) lowest CV good precision.
21. Female pale patient with chronic menstrual bleeding for the past months…
What result is consistent?
Choices:
Study Increase and Decrease ofFERRITIN, TIBC, TRANSFERRIN
MICRO-PARA-MYCOLOGY
3. Standardization of MH agar?
A: adjust PH to 7.2
8. Staph. Aureusfrements?
A: Mannitol
CLINICAL MICROSCOPY
4. Urinalysis results
A: Nephrotic Syndrome
HEMATOLOGY
1. PICTURE of Spherocytes
Condition associated: Hemolytic anemia, WAIHA, HTR HDN (Not included in the choice)
2. PICTURE
A: Heinz bodies (please focus on Heinz bodies smear is consistent with rbc, wbc)
4. PICTURE from Bone Marrow stain with PRUSSIAN Blue, what condition?
A: Sideroblastic Anemia
5. CBC results of patient 4 results are given Hemoglobin: inconsistently decreasing from
14-12-9.5-9, what cause?
A: Lipemic sample? Other choices: wrong patient was exctracted.
6. Hookworm infection?
A: Microcytic, hyopochromic
11. Patient MALE 63 y/o with a CBC result: WBC: 44 Segmenters: 20+ Lymphocyte: 60-70+
Condition associated?
A: Chronic Lymphocytic Leukemia?
(other choices: ALL,etc., Leukemia associated in children)
14. CBC results INCREASE WBC, Neutrophils, almost results are consistent with
A: Leukomoid Reaction
(other choices ALL, CLL, CML)
15. PLATELET Aggregation curve for Aspirin effect 2 photo optic graphs indicated:
Choices:
A. NORMAL ADP,Collagen, Epinephrine, etc.
B. ABNORMAL ADP, Collagen, Epinephrine etc.
2. CLL are?
A: T CELLS
4. CD 8 are?
A: Cyctotoxic cells
5. Anti-Smith pattern?
A: SLE
BLOOD BANK:
1. D mosaic individuals?
A: persons whose rbc lack components of D-antigen
7. Autologous Donor collection at JANUARY 1 9AM WB was stored at 4 degreeC –At 1PM,
then on JANUARY 5technologist added40% glycerol.
What is the expiration of the blood?
Choices:
A. January 1, for 1 year C. January 5, 1 year
B. January 1, 10years D. January 5, 10years
12. Mother has High anti-D, Baby was jaundice, HDN? What cause?
CHOICES:
A. False + DAT,
B. False – DAT,
C. False: + antibody result etc.
D.
13. Administration ofRhogam given to mother who is?
A: no anti-D, baby is rh +
DISCLAMER:
The items above might come out on your exam and It would be better to verify if the answers are
correct or if you have the best answer ===> (means higher points).