ASCP recalls, exam taken on January 3, 2019

Overview:

Basic situational questions,

1. Cryoprecipitate from a group B is thawed at 10 am and left at RT, it will be used at 12 noon, for a
Group O patient
A. Issue the specimen, okay for transfusion
B. Discard, because specimen should be stored at 1-6 Degrees celsius
C. Discard, ABO incompatible
D. Do crossmatching and then issue the specimen

2. Chronic Hepatitis - anti smooth muscle

3. Anti-mitochondrial antibody seen in what condition- Primary biliary cirrhosis
4. Px, with cystic fibrosis, aside from P. aeruginosa what other organism can b detected- B.cepacia
5. Protein pad in UA neg, SSA 2+ what would be the reason (forgot the choices)
6. Pseudomonas that can grow at 42 degrees celsius- P. aeruginosa
7. McFarlands standard yields?---
8. Use of potassium permanganate in auramine rhodamine staining --quenching agent
9. Differentiate K.ocytoca and K.pneumoniae---
10. Hep B marker that is predominantly seen in acute phase but rarely seen in chronic cases--anti-HBc
IgM
11. Purpose of lectin?
12. BUN urease method actually measures--NAD
13. How to confirm active viral infection
A. 4-fold rise in titer (some extra details I forgot :)
B. 2-fold rise in titer
C. 1:60 titer
14. Components of a picture (cast)
A. Wax c.?
B. Protein d.Mucus
15. Clinitest became brown after 5 minutes, interpret
16. ESR is decreased when….
The specimen is lipemic which of these would be affected
A. MCV C.RBC cnt
B. MCHC
17. Px has been transfused 3 times, and is brought back to the hospital……..etc
A. Alloantibodies
18. Stool sx. Has 3 morphologically different growths, Has a lot of lactose fermenters in MAC, No
growth in SSA what should you do next
A. Isolate the specimen and report result
B. Report as no shigella and salmonella detected
C. Isolate all different growths and report
D. Perform susceptibility testing

19. Pseudomonas isolate was treated to an antibiotic, has a sufficient clearance as well as another
faint halo surrounding the antibiotic disk
A. Report as susceptible
B. Use a higher concentration of the antibiotic
C. Dilute the specimen and do the test again
D. Report as intermediate

20. Azotemia is increased in? BUN

21. What can cause a false increase in automated WBC count? A. Platelet clumps B.Immature RBC
22. Group A Le (a- b+) hwat can be found in the px?
23. Order of occurence of sero markers in Hep B?-- Stool Ag, IgM antibody, IgG antibody
24. Specimen best suited for both routine urinalysis and Culture
25. What is increased in MUMPS?
A. CK C. Amylase
B. LDH D. Lipase
26. Homogenous FANA- anti dsDNA(SLE)
27. What would be the first to decrease in iron deficiency?
28. How to process viral specimens for send out within 96 hours ---Lyophilize the sample
29. Rheumatiod factor--IgM detected against IgG
30. Bilirubin results:
Before addition of caffeine sodium benzoate: 3.2
After addition of caffeine sodium benzoate: 5.4
What is true about the results of the patient?
C. 2.2 unconjugated, 3.2 conjugated
31. Enzyme using PNPP as substrate and active at pH 9.6 is highly increased in what condition? --
Pagets dse.
32. Blood culture specimen from a baby was very turbid, what to do next?
A. Repeat collection C. Inc for 24 hours in the machine and wait for the results
B. Perform grams stain
33. Principle for Specific gravity?--pKa change of polyelectrolytes
34. What is isoelectric point?-- pH at which a particular molecule carries no net electrical charge
35. Cardiac marker pattern of CK? 6-8 hours
36. Specimen of choice for a px with whooping cough?
37. Picture of alternaria
38. Cigar shaped?--sporothrix
39. Multiple Sclerosis - pre albumin with oligoclonal bands
40. Fragile X Syndrome-- Southern Blot
41. What is measured in RAST?
42. Test used to monitor Px. For early renal dse.--Microalbumin
43. Person with R1R1 genotype whould produce antibodies ti which of the ff. Rh antigen--
44. Description of morphology if actinomyces mycetoma?
45. An abnormality of this analyte can cause muscle spasms A. Na B. K C. Calcium D. phosphorus
46. Px. Blood sample revelas a band in the A-S region in Hb electrophoresis. But the Px isnegative for
sickling, The px has what?--hemoglobin D trait