iPad = 9:41PM < Back ASCPI-RECALLS.pdf Undo Compiled ASCPi Recalls 14, A kid has Rays syncome, wat addtional test as Osc should be performed? - Ammonia 1. About Micrococcus - Eurazolidone resistant 1 2. Graph about Hepa B ’. IgM Ab, IgG Ab, Stool Ag . IgG Ab IgM Ab, Stool Ag ©. Stool Ag. IgM Ab, IgG Ab 4. IgG Ab, Stool Ag, Ig Ab 3. Butcher's cut- Erysipelothrix rhusiopathiae 4. Description of Zygomycotes a. Septate hyphae chuva 16 b._Septate hyphae something al 7 ©. Asoptate hyphae with sporangiospores x ee | canm: [camo | seosen | poor | ‘sane 4. Aseplate Hyphae with basidiospores A {6 {cots [ows | som | 6 5. Olive oll loving fungi - Malassezia futur Werte do? ‘8. Donathin ‘Hongo ot pdr: pean tn munis Needing rhodamine - quenching agent c. Report as D positive 7. Favors growth of anaerobic gram negative bacil Se Sina Asay a. Vitamin « and hem 7 . Vitamin A and bile at A [Re [ Reals | Beets ©. Phenylethy cn ° * ze 8. A posive culture of sputum was stained, Carbo! Ren es caso; wn Sean and 2 Hesatnt sam wh eur of malachite blue was used as counter stain. Two entire - " field was scanned and no acié fast bacli were found 1. ‘hve most probably reason is: ————Ee a. Wrong primary stain was used = 2 a 3 b. Wrong countorstain was used ©. Inadequate scanning of slide probibiocause @. Inadequate decolorization a Petentieton bb. Immunodeficiont 9. A ptionthas ‘whooping cough’ what specimen? ~ Nasopharyngeal swab 19. Sputum sample has 25 PMN cells, 10 epthail eels (on HPO (or LPO - not sur). nol immersion bacteria 10. Jaw surgery anaerobic gram negative cocci: ret hes Ware paar, Wat ee? a Vellonella ‘2, Culture bacteria only b. Pepiostreptococcus — gram positive fh Gafture fung only © Neisseria ©. Culture both bacteria and fungi Reject specimen 11. Picture of many tear crop-shaped red blood cells What deficiency? 20. Drug toxicity screening of 2 6 year-old gir has a DNA increased presence of acetaminophen. What test b. RNA should be done nest? cc. G6PD a. BUN & Creatinine 4. Myeloperoxidase b. aLreast ©. Ck and LDH 12. Homemade saline solution for contact lenses - a. Soleyiates Acanthamooba ia 21. Transudates are usually 13. _Urease method detects ~ NAD a. Purulent b._ Has bacteria 00 Q 2 aiPad = 22. 23. 24 25. 28, 21, 28. 29. 30. 9:41PM 79% aa < Back ASCPI-RECALLS.pdf Undo Non inflammatory 31. Table showing ne increased ung ALP at total bilirubin In delayed hemolytic anemia, hemoglobinuria occurs (Study: Birubin and Disease Association) when ‘2. Haptoglobins increased SERUM [ALP increased b. Haptogiobin is doploted “otal Bilrubin increased Urabiinogen 7a Broad base burklng ic - Blastomyces dermatitidis TRINE [Biri postive ‘Urobilinogen increased 5 PS photo: full of stomatecyts. cause of * isease Which results inconsistent? b._ Urine bilubin High value of 95 gid, MCV:102 AL has target cells c. Serum otal iran and stomatocytes 2. Macrocytic anenvia in sprue 32. A woman having menstrual cycle would have the ff. b._ Megaloblasic anemia in pregnancy aati ©. Liver disease with folic acid deicioncy ‘a. Increased erin b._Noeal anserrin Bilirubin results increased % saturation Belore addtion of clfeine 3.2 4d. increased TIBC er addtionof caffeine 54 33, React wih phenol at pH 9.6 ~ Paget's disease (ALP) Unconjugated and conjugated resus are: UNCONJUGATED CONIUGATED Si beh ew a 54 32 ‘a. Spectrin b 32 54 b. Cobaiemin s c. CD3 632 22 a ceo Whole blood collected at 9 am, stored at 4°C, At 1 Bre coreaenee ieee pm, platelet was prepared, According to AABE, which tasegt 'scomect regarding about platelets? Unsaturated TIC T@0mgi a. "Hard spin" frst ‘Transferrin 245 mgid b. Centrifuge shoud be at 46°C ¢. Platelet cannot be prepared '% Iron Saturation = (Serum Iron / TIBC) x 100% When introducing a new manual technique, which is 36. ROC ReagonStip + the best approach? RBC (microscopy) noel seen 8. Case presentation Dilute alkaline urine b. Workshop ¢ Lecture 37. Common error in PCR a. Nucleic acid contamination ‘A woman has soft goiter and a decreased TSH, what kd Lom terpenes Inrchine nest test to perform oe 38. 3 tubes negative to AHG. When check cell is added, b, 13 negative pa rin. Error? €. Antimicrosomal Ab ‘3. Insufficient saline from automated col .Anisthyrogobalin Ab ener b. Serum was omitted from the reaction [ANA shows speckled pater ‘Anti-SM: Negative 39. AHG 3+ 3+ ‘Ant-RNP: Negative ‘Ant-ds-DNA: Negative Anti SS-a, SS-b: Positive SLE Sjogren's sy 2 Polymyosiis| Scleroderma oo ‘Afier auto adsorption, the result become 2+ AHG. What to do next?” ‘a. Do another auto adsorption b. Cell panet ‘¢. Ab identification with enzyme 2 fniPad = 40. a 42, 43. 44, 45. 48, 41. 48. 49. 50. st. 52, 53, 54, 55. 56, 9:41PM 79% aa < Back ASCPI-RECALLS.pdf Undo Patient with respiratory disease gave a specimen. When cultured in sheep blood agar, beta-hemolytic 57. Metabolite of Cocaine - benzoylecgonine «gram positive coe’ was seen. What toda next 2. Testwith bacitracin ‘58. Primidone - Phenobarbital b. Test with novobiocin 59. Image of Crihiaialciiae- SLE RBC: 39 Het 33% 60. Picture of Trichinela spiralis Hb: 125 61. Picture of Heinz bodies Whats the problem? . Lipemic 62. Also, remember if there is an ingestion of math b. Clotted (/aphthalene) bals you wil find HEIN BODIES c. Release resut 63, Picture of Mycobacterium tuberculosis "Check with the rule of 3 3 (Hb x3 = Het must be + or -3) 64, Cot scratch disease: Bartonella henselae Inui 65. Cat bite fever: Pasteurella multocida 2. Increased CDa b. Decreased D4 65. Gram positive bacll; non-mote; nonhemolytc: Increased total mphocyte catalase postive; spore-forming- Bacillus anthracis FBS = 120, RBS, OGTT = 140 67. PBS photo: RAC clumping - cold reactive antibody ‘2. ‘hyperglycemia b. normal 68, Rapid test for Legionella urine antigen ©. impaired glucose 69. (+); Clinitest () cystic Rerosis Prosonce of glu ~" Burkholderia cepacia, Staphyloccus aureus, Pseudomonas aeruginosa 70, Ani igG () ; C34 (+) ~ Preswarm Otiguia 1. Blastoconidia ~ mother and baby budding Components of PCR 72, Steptokinase therapy — D-dimer Rhogam computation 73. Plasmodium falejporum: ‘no trophozoite and merozoite Frequency of blood group computation 74, Senstviy Formula ~[TP/CTP + END] x 109 Definition of deta check 75, CA-19.9- Pancreatic mass Which blood should be given to babies for exchange transfusion? (Polansky question) 76. Cocciin chains, bile esculin + ; Catalase -; no growth in. 6.5% NaCl - Streptococcus bovis Why is freshly collected blood/pRBC preferred by doctor to be transfused to babies? (Polansky TT. Lysine decarboxylase: question) Salmonella) from Citrobacter () ‘Surface markers of plasma ces 7, Diagram given with fat cells, waxy casts, RBC casts Nephrotic syndrome Other name for CDS - inducer 79. Renal tubular epithelial cols ‘Antbody panel 1 - answer JKa ¢ E = acute tubular necrosis Wash RBC with saline solution 80, Majoriory of CLL - B lymphocytes ‘Anti-A | Anti: | Acell | Bcell ~ >» [= | & a Ant-Mitochonctal- primary biliary cihosis 00 Q kKidney-shaped gram negative cocci — ‘Neisseria gonorrhea 2 fniPad = 82, 83. as, 85. 86, 87, 88. 89, 90. a 92. 93, 9 95, 96, 97 9a, 99. 100. 101. 102. 103, 104, 108, 108, 107. 108. 109, 79% ac a1 PM < Back ASCPI-RECALLS.pdf Eye conjunctivitis - Chlamydia trachomatis 110. Anti-smooth muscle antibody chronic active hepatitis ‘SSA (4); Rgt strip () - Other protein than albumin 1111. Hepaits present in in acute infection -lgM Ant-Hbe Differentiate Pseudomonas aeruginosa from other Pseudomonas - Growth at 42°C 112. Dacrocytlteardrop - myelofibrosis metaplasia ALP- biliary obstruction 1113. Biirubin crystals photo - liver di Picture of giant patlets 114, Howl Jolly bodies - Wright stain Bernard Soulier Syndrome 115. Ouchterlony photoldescription: partial identity /non- Hele Baiting Test idontical identical ~ L.cubrum and T. mentagrophytes 116, Ant-Microsomal Hashimoto's thyroitis PO below normal - Polyeythemia vera 117. Picture na maraming echinocytes Normal PTH: increased Ca**- metastatic carcinoma 3. Severe anemia improper pH of buffer Feavic chandelier». schoonloint c. Overly dried smear 4. Hemoglobinopathy ata Normal WBC, platelet etics 0.1% - Puro red cell aplasia 118. Treatment fora pationt with warfarin toxicity 2. Cryoprecptate False positive for protein UA test stip b. Factor X concentrate ~ Radiographic dye . Factor Vill concentrate 4. Vitemin Neisseria lactamica - (+) lactose 119, Picture of target cols, dacryooytes,echinacytes. Ccryopreciptate pooled 6am: exptes: Zan same day a. Severe anemia b. Strongly oxidative drugs TIBC measures - iron bound transferin . Allergic response toa drug Platclet apheresis contains - 6:8 units 120. Picture of ANA staining pater, Centromere a. SLE RAST - Specific IgE b. Sjogren's Chronic ver disease RIST - Total IgE 4. Sclorodorma with CREST Her 2Ineu measured by ~FISHNC 121, TIBC indirectly represents? a. ron evel Xanthochromia caused by - bilirubin b. Transferrin evel ©. Ferrin Levey Jennings showing tend - Open new kit 4. ton Saturation Troponin | (4) CKMB normal - AM 122. Tapos may antibody panel, °C, 37°C and AHG Then may reactions sa polyspecic antisera, ‘Sperm count - do it after iquefaction 20 minutes) rmonospecite anirlgG and ani-c3d. What should the MLS ¢o nex? Tap water - Mycobacterium gordonae 2. Elution on the cells b. Tost clotted ces Mucor - No rhizoids ©. Allreactions are vale Most potent activetr enzyme = Magnesium or 123, Graph ng reaction ng platelet aggregation expressed Eosinophil in LAP score - Not counted gor wong nan: scat Suto org nang pa ht ghee 00 2 in % ‘transmittance for ADP, collagen and epinephrine. May reaction to 0% transmitance yung tatlo pero wala sa 60% and 100%. (Not sure) a. Normal ADP and collagen, abnormal epinephrine 2 fn Undo,iPad = 9:42 PM 79% ac < Back ASCPI-RECALLS.pdf Undo b. Normal ADP, abnormal collagen and 2% sample: collected after several hours of normal epinephrine savy ¢. Abnormal to ADP, collagen and epinephrine Specimen 7 Specimen 2 Normal to colagen ADP and epineptrine a 3 Negative ®. 1 traces 124. Please review creatinine clearance computation, Two 7m Ta I problems. Yung first. plain computation. Yung second @ reg neg question: Aside rom creatinine, ano pa affectes? — ea 130. Principle of reagent strip for pH: double indicator b. Calcium <. AST 131, Which ofthe folowing would show dosage? 4. Glucose Anti b Antic 125. A CSF specimen was received in the lab with a e AneK previous history of 1:4 positive iter to RPR. Repeat ation PR on the specimen is NEGATIVE. There are no available VORL kits in the Lab, What should the 132, Least dosage: Ant ‘medical technologist do? a. Report RPR as negative 133. SsU antibodies appear in the presence of following Wait for VORL kits to ative deletion sequence. ¢. Call physician and request cancelation 2. RHIRNCE Repeat RPR but inactivate CSF fst b. Gyee c. GYPA 126. A vial specimen was received in the lab. What would a. GYPARNEH the tech do wien sending it to a reference lab within 96 hours? 134, Latex agglutination for Staphylococcus aureus Place_in_Loefier’s serum_slant_and detects: Protein A and clumping factor refrigerate Lyophilze the sample 195. Given a sodium mean value of 142 mmol. with an c. Store at ambient temperature ‘SD of 2.5. Assuming that 95% of the population is 4 Packinice considered for this value, what would be the reference range for this analyie? 137 = 147 mmol 127. 10% reticulocytes were observed on Wrightstained ‘smear. What should you do next? 136. Sugar fermented by Neisseria gonorrhoa? ‘3. Repot rtic count a. Mannitot Heinz body stain b. Lactose €. Sideroeye sain ©. Maltose 4. Glucose 128. 2 methods were compared. 100 persons were tested. 1137. Positive control for ant-c and negative control for anti- Positive (100) | Negative (100) Fya (Polansky: Heterozygous Ce for enti-c) Wathod 7 50 700 Method 2 60 8 1138, Lupus anticoagulant causes: Thrombosis 28, Method 1 is specie than 2 1139, Result of uniled EDTA? 'b. Mothod 1 is sensitive than 2 ‘a. Decreased platelets Method 1 is sensitive and specific than 2 b. Decreased RBC count 4. Method 2s sensitive ond specifi than 2 €. Decreased hemoglobin 4d. Decreased microhematocrit Review formula ng: ‘Sensitivity = (TPITP+EN) 100% 140. Cause of false negative ABO? Speciiciy = (TNITNAFP) 100% a. Rouleaux b. Red calls positive to DAT Method 1 sensitivity » (50/5040) 100 = 100% ©. 3c Method 1 specificity » (100/100+50) 100 = 66.6% ‘Mettiod 2 sensitivity = (60/60+12) = 83.33 % 141, AntiA:0 ‘Mettiod 2 specificity = (88/88+40) = 68.75% AB: + (mi) Acells: + 129. A patient is being evaluated for orthostatic proteinuria: Bells: 0 1 sample: mornina upon waking up 00 Q 2 aiPad = 9:42 PM 79% ac < Back ASCPI-RECALLS.pdf Undo 4152. Type and crossmatch result: 2. Polyaggltnation Amira 4s AntB:0 AntiD:0 b. Begroup Acols:t+ Bell: A 142. Merong picture ng cell pinakta seken parang iso AG Iymphocytoo hary call yun, Ano” raw Scrocningcellt: 0 0 0 immunophenotype nung cell? Screeringcell: 0 0 0 . 019, CD20, CD35 b co2, 603, c7 Donor 1 1% 0 0 Donor 2: rr 143. PT:50 PTT: 100 2. Do antibody in patient's serum TT: Prolonged rin b. Do antibody donors serum Fibrinogen: 150 mg/dl (Norma) 200. Description: fusiform, septate macroconidia with ‘a, Congenital hypofiorinogenemia ‘microconidia: Microsporum audonii(microconidia) b. Acute DIC c. Forgot 201. Lab Results: Sodium: Low; all other analytes are within normal range. What to do? 144, PT: 12 (norma) patient is for gall bladder surgery ‘@. Measure indirect Na using ISE PTT: 50 b. Hemolyzed spx ‘Mixing studies (normal plasma): 47.9 ©. Lipemic a 202. In multichannel analyzer, controls of enzymatic b. Factor Vill assay assays are lower than expected values while non- c. Fibrinogen level enzymatic assays controls are within normal limit, da. DWT What is the probable cause? ‘, Outdated contol reagent 148. HBAtc - RBC life span b. Instrumont temperature may be low. 146. PBS: Burr cells 203, False decrease ESR in? a, Tube at an angle 147. eversible phase in platelet aggregation? b. Vibration ‘2. Release of PF3 ¢. Bh delayin set up b. Release of ADP €. Platelet shape change 204, Specimen for rotavirus - STOOL +48. Antibody panel 205, Prolonged apnea, anesthesized by suecinychaline, Lewis Antibody (adsorbed by plasma) the enzyme responsible forthe reaction is? a. Pseudocholinesterase 149, ANG-A: 4s Accel: 26 b. Acetylcholnesterase AnG-B: 4+ Bells: 2+ ©. Aldolase ‘Ant-D: 0 d. 5-nucleotidase 12. Wash red colls and retype 206, PBS: Clumping or RBC with two WECS Incubate serum at room temperature PCH | Cold-reactive antibod) c. Uso additional test sa sorum 207. Results consistent with Cushing's syndrome: 180. 2, Hyperalyeemia SISS—AntigG b. Hypoglyeemia Screening el oe . Hypercalcomia Screening ces 0 a. Hypocalcemia a. Use polyspecific ANG 208, Pink colonies in MAC b. Report as negate LOA ++ Indole Negative 151. Rheumatoid factor Crate Postive 1M that binds to the Fe portion of abnormal ig 2. Klebsiella pneumoniae (LOA + . Klebsiella oxytoca (Indole +) . Enterobacter cloacae 00 Q 2 aiPad = 209. 210. 211. 212. 213, 214, 2s 216. 27 218. 219, 220 221 9:42 PM. 79% a < Back ASCPI-RECALLS.pdf Undo, 4. Enterobacter aerogenes (LOA + + -) 222, A patient with procainamide should be tested in (CSF should be stored for subsequent culture at? perallel with what drug? a. Incubate at 35°C a. Digoxin b. Room temperature: b. NAPA c. Frozen 223, Carbon dioxide ion selective electrode measure? ‘Monocytosis is seen in: a. pCoz a. Allergic reaction b. total Coz b. Mononucleosis c. pH c. Tuberculosis 224, pH-7.22 pCOr-35 HeCOs-10 Antbody panel, Lewis antibody is the offending antibody tis characteistealy? ‘8. Present at bint (6 years to fully develop) b. Destroyed by enzymes (enhanced) ©. Adsorbed by plasma What test should be run in @ patient with obstructive Jaundice with pancreatic masses? cA19.9 Patient has the ff, results after collecting blood in an. indwelling catheter. Patient is not in heparin / anticoagulant therapy. APTT: abnormal; PT: normal; Fibrinogen: 150 mg/dl What test should be ordered? a. Factor Xilassay b. Fator Vill assay «TT 4 Dilute russel viper venom ‘Speckled pattern — anti SBB, anti RNP, anti Sm ‘Antibody panel. Use polyspecific. May reaction lang ‘sa C3d wala sa IgG. Prewarm and retest Waking pneumonia - have no cell wall What is urobilinogen? . Results in increase bile ‘Synovial too viscous and difficult to aspirate, What to bbe added in the specimen? Hyaluronidase Alter several weeks of pharyngitis what can be found in kidney biopsy? Streptococcus pyogenes TSI WA oxidase positive isolated in wound? ‘Aeromonas Decrease ratio of —plasmacanticoagulant in sodim Citrate with hematocrit of 0.7 ~ what should be done? Decrease anticoagulant . Increase anticoagulant Collect in heparin 4. Report the result oo 228, 226, 221, 228, 229, 230, 231 232, @. Metabolic acidosi Metabolic alkalosis Respiratory acidosis Respiratory alkalosis pH measurement needs? ‘pH with known buffer at constant temp b. 2pH buffer Polyeythemia vera mutation? 2. ADAMS b. BelBcr © Jak a. pp Heparin manganese is used in HDL determination to? To precipitate non HDL. Hepatitis B marker that is predominantly seen in acute phase of infection but rarely seen in chronic infection? a. AnticHBs b. Anti-HBe IgM Anti HBe ig dd. AntiHBe ‘Advantage of | MALO! ‘microbiology system? a, No need to isolated org b. Can amply DNA something e LOF MS in automated {CBC resus: Instrument fs repeated wth he use of Fatunen 6, Nolsuse af whos Thetdecrenenaytt <7 duet? a. Lyse resistant target cells D,_Lyoe senstive target cols .Fragity of Hab ¢ ai Lyse resistant ab Deteriorates upon storage? Bp lw ly d. MNS May values ng glucose, osmolarity, lactate, at pH ng arterial blood, alin daw ang specimen for lactic ‘acidosis? Puro values ang choices. 2 fniPad = 233. 234, 236. 236, 237 238, 239. 240. an 242, 243, 9:42 PM 79% aa < Back ASCPI-RECALLS.pdf Undo 245, Intraoperative autologous blood stored in 1-58C, how Patient is in coma, alin daw ang possible na results ‘many hours it should administered? ng sample riya? Values ng glucose, ketones, a 6 osmolarity at lactate ang choices. b. 12 © 24 A pationt is suspected of OM, fasting glucose ay 137 tapos 2 hrs post prandial ay 225. Wht to do next? 246, About Rubella, what to test to determine acute ocr infection? 1gG 2 weeks apart . No Turher testing need 247, Antibody panel C's (5) ‘Sample of "adrenal cushing syndrome? TSH decrease, cortisol increase 248, Screening cells Q's(3) Sezary syndrome? 249 ‘2. T-cell deficoney ‘ria | Anti | Weak | RR] Reais | 8 b. Toll lymphoproliferative a) came &>* |e fe peo [patient is from West fice. He is positive in the test of HIV 1 and HIV 2 combination. HIV 1 Wester bot is 2. ABO grouping is wrong performed — indeterminate, what to do next? b. Rh grouping is wrong Repest western blot Rh contiolis wrong b EAmnnIvi 4, Donothing interpret the resus ElAinniv2 250, Postpartum AC) mother gave birth to her fist bom [A donor is in asprin medication, She is defered in (+) baby. Mother has no anti-D in her serum. What plateletpheresis of how many hours? ‘should the technologist do next? 26 ‘a, Testthe baby for HON b 2 b. Give the mother Rhogam © 24 «Do noth do 36 ad 251. Picture: rouleaux formation (2) causes and other one Who is defered donor? is condition ‘2. Hepa B vaccine several days ago b. RH immunoglobulin six months ago 252. Picture: ANA staining (Nuorescence) @. AntidsDNA ‘Whats the test for AIDS? €D4 count b.ant-SSA c.antismooh muscle Reference ranges is performed in 8 new methodology @._antisntochondsial we? 2. Totest instrument accuracy 253, EBV ters b. Totest instrument precision An-VCA igh <1:10 ©. Toassess control ranges AAnt-VCA IgG 21:10 Ant-EBNA 31:10 ‘Rzotemia i increased in? (presence indicates past infection) BUN CMV titer: 12128 Creatinine Toxoplasma titer: <1:10 Ammonia Uric acid mary CMY infection Primary EBY infection Leukocyte esterase is 1+ but in microscopic exam m0 @. CMV and EBV coinfection WAC seen, What i the cause? Toxoplasma infection ‘A. Present of reducing agent 8 B. Lysed WBC 254, Description: Sporotrix (cigar-shaped) CC. Bacteria acted in reagent stip D. Present of ascorbic acid 255. Bile Esculin + ; 6.5% NaCl +; PYR-; LAP- 244, Group A Le (arb). Ano ang meron sa saliva ng patient? Let 00 2 a. Group D Strep b. Group B Strep ©. Leuconostoc d Enterococcus 2 fniPad = < Back 256, 257, 258. 259, 260. 261 262, 263, 264, 265. 266. 9:42 PM Picture: Pneumocystis jiroveci Picture with Schuffner’s dots trophozoite ‘2. P. fakiparum and P. vivax b. P.vivax and P. ovale ©. P. malariae and P. vivax d._P. fakiparum and P. malariae Cold agglutinins: warm to resolve the problem Out of 6 donor units there is 1 unit that is Incompatible, What is the possible reason? ‘Ans: Donor unit may have positive DAT. ‘Quantitative fecal fattest a. He0r b. NADH c. Sudan black ‘d. Weighing and extraction ‘Sugar fermented by S. aureus a. Lactose: b. Sucrose Glucose Mannitol Low incidence antigen, usually not present on Ab ‘screening or panel cells? a ke bt co lw a We Cells produce immunoglobulins in response to antigenic stimulation are designated as: ‘a. Thymocytes: b. Sezary cells c. Plasma cells, 6. Vitocytes ‘Tropical sprue has the peripheral blood picture of: a. Malaria b. Thalassemia c. Megaloblastic anemia dA ‘Technique use to separate red cell membrane protein a. PAGE b. IEP ©. RID HPLC Exotic pets are often associated with the transmission of 2. Holicobactr spp. b. Canpylobacer spp. ©. Vibrio spp. d. Salmonella spp. 00 Q ASCPI-RECALLS.pdf 287. A leukemoid reaction is an increase in peripheral blood cells associated with? ‘An extreme infectious response b. Presence of Leukemia 258, In storage pool disease, platelets are_primanly deficient in ADP b. PFS €. Thrombasthenin 269, Mother is group A positive, Father is group O negative, the baby experienced HON, what caused the hemolytic disease of the newborn? a. Anti-D be Antid Antica d. Antic 270. Biochemical reaction, picture of tube reactions. ‘Q: Whats the correct reaction of Salmonella spp? 271._LAP score disease association 272. Whotis @ HAPTEN? 273, Michaelis-Menten curve, picture of graph was given, : To formulate a new methodology, so that enzyme activiy will be assessed using zero-order kinetics Which concentration of substrate and needs to be frst determined. Pointers: MOST QUESTIONS ARE ABOUT BLOOD BANKING, AND ‘QUESTIONS ARE TRICKY. Serology (Titers - EBV, CMV) Immunohematology and Blood Banking (Antibody Screening ‘and Identification, ABO/Rh Typing Discropancies, DAT and lan) Homatology (APTTIPT instrument errors) 79% ac Undo,——— ee omrulela_sepferpiaa aise ve ose Sc TR Plo onl hak te cae Blows Coachion Spe. & rps Bleee s TRATS © [furvet ea Tiomude Re Speettpei’ ear _ = IF «Aggie cs SY et TE as _ae ao 09 TT pK - Ol eee ae en Sie LHC Yond Ne on eaicrnicagpe So — collect ie doesn psn bags - ag Dll pcchind Ee kan tend is (Se apa te ata EERE lec. RS Ott Hepakisis panier Wee Saw CREWE. Ngo) rekuc QjfeaGed Whos Eév Taq - Vite 8 Zoe | ci gy = ewe |Meanwils\d QS aureus wii ameck _ @. Bolavicus Speewnatinae Ssokd on Ol foo ef nse psies Leal 830. Reyer Meter i ao ©. Rindencanc cuiopinova Si Sipwiihe Gas @ 42s A ll Achiseh witno Cobsesetcla shiveae— CARMEN el usa ts Biatscensctien 2 "pike SISNET = GL Ta Med mnsiock te scfssds pa LS Fie PARK OG __.. ee c | ter enfin Wsesaan bisa - GN syec ie ee baleseh gene ses Astrea sate Sivek iC yi satus 4 le (anto=) gain Le} ON peed omnes poshpronchioh Nigeman — _— > (Syodinene Reet Nock GS ere f vellesesshinky fue cuttanng a lessee. — S| Crshine Sppbonnldisense OR —@. || whet auses be ESR Wee —__— ©. | Wrek Causes i Wol,< - ESR pa 2 Laval leat avai inlosbemce Covich we rcasoieh + Biers i] RI ae Suites: pranaacheas | Ora. preawnic. vers (erie nce te genissian @ Cabs 4 c wleiy es 1. vic 2 ee _ 1 a | does (oy tacoeds arcsec | a bo Q| reese rele ia 40. rbe in reagent strip +:no seen in microscope-Diluted alkaline urine 4\ blastoconidia-mother and daughter cells 42. CSF storage in subsequent culture at-incubate at 35 degree temp. 43.TSIA/A,oxidase positive-aeromonas 44,pink colony Me Conkey LOA -++~enterobacteraiea cloacae 45,ph drift in abg analyzer-I choose performed calibration im not sure,other replace ph electrode 46.blood collection drawn stopped 369 mL.-whole blood 47.CA19-9-Pancreatic masses 49. increase hemolytic anemia-increase unconjugated bilirubin increase urobilinogen 50. EIA HTLA ¥% reactive .what do next?-western blot 51 false negative ABO-ree cells positive DAT 52.anti-A-0: anti-B-mf-bx group ‘S3anti-IgG(-):anti-c3d(+)-prewarm saline soln. 54.acute infection-anti-HBe 55 Echinocytes picture:fauity to dry the slide 56. rbe clumping with 2 wbe picture: mycoplasma S7rbc clumping with 2 whe picture: cold reactive antibodies 58.walking pneumonia-does not have cell wall 59.donor deferred:hgb 11.0 g/dl 60. anti A.B:4+:reverse typing 2+:anti-D-negative-test serum use as additional 61-gram+ bacilli non-motile,non hemolytic-B.anthracis 62. glucose reagent strip+:clinitest - :presence glucose 63 no growth 6.5 NaCl-strep.bovis 64. specific gravity 1.010 at 4 dogree coleius temp. result glucose 1000 mg/dl-correct the temp due high glucose. 65.what is the saliva Le (A+.B-) person-Lea 66.ph 4.5 in urine-high protein dieta saa Eee 1. bile esculin.6.5 NaCl,CAMP test.-strep. Pyogenes strep agalactiae enterococeus. 2. latex agglutination staphy. Aureus-clumping and protein A 3. false decrease ESR-delay 8 hrs in set up 4, prolonged apnea-pseudocholinesterase 5. specimen rotavirus-stool 6. specimen legionella-antigen urine 7. cushing syndrome-hyperglycemia 8. cushing syndrome-increase or decrease in acth?pls.check,but I think increase.increase cortisol 9. increase Ca and normal PTH-metastatic carcinoma 10. primedone-phenobarbital 11. low sodium-hyperglycemia 12 low sodium-repeat ion selective electrode, 13. low erythropoietin-polycythemia vera 14, PT prolonged PTT prolonged- acute DIC TT-prolonged- 15. PT-normal -patient for gall bladder surgery PTT-prolonged TT-normal Answer: factor XII assay 16. they give antibody panel and you identify(lewis ab)-adsorbed from plasma 17. screening cell III: IS,37 degree celcius,AHG are negative:donor | and donor 2: IS positive,37 degree, AHG-negative Answer:do antibody in patient serum 18. cbe result:about method I method 2- lyse resistant in hgb C. 19. quantitative fecal fat test-weigh and extraction 20. absent trophozoite or merozoite-P. faleiparum 21. lupus anticoagulant-thrombosis 22. UA result:25-30 renal tubular epithelial cells-acute tubular necrosis 23. corrected we. 24,SIADH(sydrome inapropriate anti diuretic hormone)-low sodium(hyponatremia) 25. resistant to vancomycin-leuconostoc 26. carbon dioxide ion selective electrode measure-CO2-pressure 27. ANA patterned picture(speckled or nuclear-anti-SSA 28. monocytosis seen-tuberculosis 29. cat scratch disease-B.henselea 30. values of fbs,OGTT-impaired glucose 31. fbs,post prandial result.what do next?-OGTT 32.hair perforation test-trichophyton mentagropytes and T.rubrum 33.18.5 % reticulocytes-prussian blue stain 34.18 % reticulocytes-heinz bodies stain 35.0.1 % reticulocytes-pure red cell aplasia 36. streptokinase therapy does not work in myocardial infarction- D-Dimer positive 37.lesion of the arm-sporothrix schoenkii 38. het-33%:het-33.5% in manual-lipemic 39. its about lipemic-fatty acid or trig.chylomicronse000 Globe > 4:35 PM @ u%—> < Notes 4 Highly Birefringent: Gout urine ph 4.5- high protein intake Rbc Rgt. strip +, but no rbc seen: diluted alkaline urine SSA +, rgt strip neg: presence of protein other than albumin Fusobacterium (picture): TAPERED ENDS TSI: A/A oxidase +: Aeromonas Mutation of Polycythemia vera: JAK Lupus anticoagulant: Causes thrombosis Picture of Alternaria Picture of Blastomyces dermititidis: Broad base budding Veilonella: Gram negative (Jaw surgery) Latex Agglutination for S. aureus: protein A and clumping factor Decrease sodium but all other electrolytes are normal: Perform sodium in ISE Cushing syndrome: Hyperglycemia Antibody panel with enzyme column: Lewis phenotype Pharyngitis, seen in renal biopsy: S. pyogenes ti © o y [AeeecoGlobe 4:37 PM @ 41% => < Notes h Computations on my exam: CSF Rbc count (dont know how to compute but saw the question in some recalls same given, answer: 222, HAHA) Rhogam Sensitivity % saturation: (values are not directly given, i was first ask to compute for UIBC) Know pre hepatic, hepatic and post hepatic anemia Blood discrepancies (got 3-5 qxns) Blood panel (got 2)e0eecoGlobe F 4:37 PM © 41%) < Notes h Inappropriate antibiotic for lower RTI cause by K. pneumoniae, positive for Modified Hodge Test (forgot the choices) Prolonged apnea: Pseudocholinesterase Meaning of delta check Weak D: all Ag are present but under expressed Acute promyelocytic leukemia M3: (t15,17) Urease method detects: NAD Anti IgG (-), C3d (+): Prewarm Favic chandelier: T. schoenleinii Heinz bodies picture Most potent activator enzyme: Magnesium Eosinophil in LAP score: not counted Tap water: M. gordonae Standardization of MH Agar: adjust to pH 7.2 Consistent with px with AIDS: decrease CcD4 Qxn about lactic acidosis: table form, values of osmalality, glucose, ph etc are given ot © @ Ss FeeecoGlobe 4:36 PM @ 1%=> n < Notes cy Minimum platelet count before apheresis: 150 Differentiate P. aeurigonosa from P. putida: growth at 42c Normal PTH, Inc. calcium: Metastatic carcinoma Normal plts and wbc, retic 0.1: Pure red cell aplasia Pancreatic mass: Ca 19-9 No growth at 6.5 NaCl: S. bovis Rapid test for legionella: Urine antigen test Acetycholine receptor: Myasthenia gravis Valinomycin: Potassium Primidone: Phenobarbital Procainamide: NAPA Image of Chrithidia lucilae: Double stranded, SLE About HIV detection: p24 Picture of Penicillium: remember it looks like "Hands of skeleton" Coefficient of Variation computation Inappropriate antibiotic for lower RTI cause by K. pneumoniae, positive for TTeeeco Globe F 4:36 PM e 4% > n < Notes Cy Ph measurement needs?: known buffer at constant temp Reactive monocytosis: Tuberculosis Cat scratch dse: Bartonella henselae Catbite: Pasteurella multocida Urine C/S: Onpg +, citrate +, indole +, urea + (4 antibiotics were all resistant): A. check the culture for purity B. repeat biochem C. report P. mirabilis D. check rgt control Olive oil loving fungi: M. furfur Butchers cut: E. rhusiopathiae Many tear drop cells (PBS), what deficiency?: DNA Homemade saline solution for contact lenses: Acanthamoeba FBS: 120, OGTT: 140: impaired glucose Routine rotavirus detection: EIA Favors growth of anaerobic gram neg bacilli: Vitamin K and hemin W © y 4 \e000 Globe * 6:59 PM 14% T_} a < Notes cy Lesion in the arm cigar shaped: Sporothrix Ssu: GypB Glycine: addition to measure both acetone and acetoacetic acid Effect of dextran as an anticoagulant: destroy D antigen Least Dosage: Anti-E Potassium permanganate: quenching agent Specimen for blood gas analysis Common error in PCR: nucleic acid contamination A qxn about CFU-G, choices are about stem cell transplantation Release of ADP: irreversible phase in platelet aggregation Resistant to vancomycin: Leuconostoc Low incidence antigen present in a blood panel: Wra