Ascpi Recall Questions Gio 1
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ASCPi Recall questions Exam date: 02.27.15 By: Gian Carlo D. Madarang 1.) A Newborn umbilical cord sample was collected and sent to the laboratory for testing. The results are as follows: PT, APTT and TT: All Increased a.) Hypofibrogenemia b.) Factor V deficiency c.) Factor VIII deficiency d.) Circulating Lupus Anticoagulant 2.) An old man is about to have gall bladder surgery. His lab results are as follows: PT: 12 (normal value: 11-14) APTT: 58 (normal value: 25-40) Mixing Studies 1:1 normal plasma: 47 What should the MT do next? a.) Factor XII assay b.) Factor VIII assay c.) Fibrinogen assay d.) ??? (Note: I chose the Factor VIII assay, because since the APTT result was not completely corrected by mixing studies and Factor VIII is a labile factor that can easily diminish from a specimen that isn’t freshly collected. – so I’m not sure if I’m right or wrong.) 3.) ID the organism: Gram Negative Bacilli A/A gas Indole: (-) Methyl Red: (-) VP: (+) Citrate: (+) LDC: (+) ODC: (-) ADC: (-) a.) b.) c.) d.)
K. oxytoca K. pneumoniae E. alcaligenes E. cloacae
4.) A gram stained smear shows gram (+) cocci in chains, on culture media it is alpha hemolytic, cannot grow on 6.5% NaCl, Optochin Resistant, PYR negative and Bile Esculin hydrolysis positive. What could be the possible organism? a.) b.) c.) d.)
S. bovis E. faecalis S. viridans E. faecium
5.) The organism C. diptheriae will show brown halo colonies on which culture media? a.) b.) c.) d.)
CCFA Tinsdale Agar BCYE Loeffler’s Agar
6.) A gram stain sample from a patient who was scratched by a cat shows gram negative coccobacillus’. What organism could be possibly isolated? a.) b.) c.) d.)
Actinobacillus species P. multocida P.shigelloides B. Quintana
7.) a.) b.) c.) d.)
What is the anticoagulant normally used for blood cultures? ARD SPS Heparin Ammonium Oxalate
8.) Identify the dimorphic organism that is cigar shaped in it’s yeast form:
a.) b.) c.) d.)
H. capsulatum P. brasiliensis S. schenckii B. dermatitidis
9.) Which of the following fungi can be distinguished using the hair perforation test: a.) M. canis & M. gypseum b.) T. rubrum & M. furfur c.) T. mentagrophytes & T. rubrum d.) Tricophyton species & Epidermophyton species 10.) The parameters from a patient’s CBC is as follows: Automated result: RBC count: 3.67 Hemoglobin: 14 Hematocrit: 33 Manual Hematocrit: 33.5 a.) b.) c.) d.)
Report automated result as normal Repeat automated hematocrit Check for Lipemia Collect a new sample
11.)
What is the cause of this smear picture? (This came out twice)
a.) b.) c.) d.)
Warm autoimmune hemolytic anemia Rouleaux formation Hemolytic anemia Paroxsymal Cold Hemoglobinuria
12.) Which of the following parameters would be indicative of a hemolytic transfusion reaction?
a.) b.) c.) d.)
decreased urobilinogen, increased conjugated bilirubin increased urobilinogen, increased unconjugated bilirubin increased urobilinogen, increased conjugated bilirubin decreased urobilinogen, increased conjugated and unconjugated bilirubin
13.) What is the possible cause of this smear result? a.) Excessive drying b.) Buffer too acidic c.) Hemolytic anemia d.) Old specimen was used 14.) An elderly man experiencing fever, body malaise, head aches had an EBV, CMV and Toxoplasma antibody titer test. The results are as follows: EBV IgM: Less than 1:10 EBV IgG: Less than 1:10 EBV nuclear capsid antibody: 1:127 CMV IgM: Greater than 1:10 CMV IgG: Less than 1:10 Toxoplasma IgM: Less than 1:10 Toxoplasma IgG: 1:127 That patient has a/an: a.) b.) c.) d.) 15.) a.) b.) c.) d.) 16.) a.) b.) c.) d.)
CMV and EBV infection CMV infection EBV infection Toxoplasmosis with an EBV co-infection What could be possible cause if a urine sample’s pH is less than 4.5? Vomitting High Protein diet Renal Tubular Acidosis High Vegetable diet What is the main factor noted in testing for steatorrhoea? Proper collection and quantification Staining ability with Oil Red O Diet prior to testing ???
17.) A patient’s CBC result shows normocytic, normochromic anemia, a normal platelet and WBC count and a reticulocyte count of 0.1%. What is the possible cause? a.) b.) c.) d.) 18.) a.) b.) c.) d.)
Fanconi’s Anemia Pure Red Cell Aplasia Aplastic Anemia Heriditary Spherocytosis What is the usual cause of increased Erythropoietin levels? Polycythemia Vera Aplastic Anemia Polycythemia Vera secondary to plasma volume Polycythemia Vera secondary to (????
19.) A cord blood sample was obtained and the forward and reverse result is as follows: Anti-A: +4 Anti-B: 0 Anti-D: +4 A cells: +2 B: cells +3 What is the patient’s blood type? a.) b.) c.) d.)
Report as A+ and disregard the reverse result Wash and retype the cells, blood type should be O+ Collect a new sample Perform Antibody screen
20.) A blood unit was released from the laboratory at 9:00 AM it was then returned back to the laboratory at 9:35 AM with a temperature of 11C. What should the medical technologist do? a.) b.) c.) d.)
Return the blood unit to the station/floor Quarantine The unit for observation Discard the unit Save unit for later transfusion
21.) A patient’s urine sample was tested for glucose with the strip method and the benedict’s test and the sample was positive for the glucose strip, but negative for the benedicts test. What should the MT do? a.) b.) c.) d.)
Report the result as is Repeat both tests A different sample was used for each test Use new reagents
22.) a.) b.) c.) d.) 23.) a.) b.) c.) d.) 24.) a.) b.) c.) d.) 25.)
a. b. c. d.
Retic count was too high on a patient. What should be done next? Perform a Heinz body stain Recount using phase contrast microscope Change the stain with a fresh preparation Verify using Prussian Blue staining A CSF sample for microbiology testing is stored at what temp? Incubated at 35C Refrigerate specimen -10C -70C A patient experiencing Cushing’s syndrome would have a result of: increased cortisol, increased ACTH decreased cortisol, decreased ACTH increased cortisol, decreased ACTH decreased cortisol, increased ACTH What is the cause of this blood smear?
DIC Uremia Hemoglobinopathies IDA
26.) The absence of a mature troph and schizont is observed amongst which Plasmodium specie? a.) P. falciparum b.) P. ovale
c.) P. malariae d.) P. vivax 27.) 28.) 29.) 30.) 31.) 32.) 33.)
Problem solving question involving %Iron Saturation ABO discrepancies Transfusion related discrepancies What is a blastoconidia? Differentiate the different Pseudomonas organisms Antibody Panel AFB Smear grading
K. oxytoca K. pneumoniae E. alcaligenes E. cloacae
4.) A gram stained smear shows gram (+) cocci in chains, on culture media it is alpha hemolytic, cannot grow on 6.5% NaCl, Optochin Resistant, PYR negative and Bile Esculin hydrolysis positive. What could be the possible organism? a.) b.) c.) d.)
S. bovis E. faecalis S. viridans E. faecium
5.) The organism C. diptheriae will show brown halo colonies on which culture media? a.) b.) c.) d.)
CCFA Tinsdale Agar BCYE Loeffler’s Agar
6.) A gram stain sample from a patient who was scratched by a cat shows gram negative coccobacillus’. What organism could be possibly isolated? a.) b.) c.) d.)
Actinobacillus species P. multocida P.shigelloides B. Quintana
7.) a.) b.) c.) d.)
What is the anticoagulant normally used for blood cultures? ARD SPS Heparin Ammonium Oxalate
8.) Identify the dimorphic organism that is cigar shaped in it’s yeast form:
a.) b.) c.) d.)
H. capsulatum P. brasiliensis S. schenckii B. dermatitidis
9.) Which of the following fungi can be distinguished using the hair perforation test: a.) M. canis & M. gypseum b.) T. rubrum & M. furfur c.) T. mentagrophytes & T. rubrum d.) Tricophyton species & Epidermophyton species 10.) The parameters from a patient’s CBC is as follows: Automated result: RBC count: 3.67 Hemoglobin: 14 Hematocrit: 33 Manual Hematocrit: 33.5 a.) b.) c.) d.)
Report automated result as normal Repeat automated hematocrit Check for Lipemia Collect a new sample
11.)
What is the cause of this smear picture? (This came out twice)
a.) b.) c.) d.)
Warm autoimmune hemolytic anemia Rouleaux formation Hemolytic anemia Paroxsymal Cold Hemoglobinuria
12.) Which of the following parameters would be indicative of a hemolytic transfusion reaction?
a.) b.) c.) d.)
decreased urobilinogen, increased conjugated bilirubin increased urobilinogen, increased unconjugated bilirubin increased urobilinogen, increased conjugated bilirubin decreased urobilinogen, increased conjugated and unconjugated bilirubin
13.) What is the possible cause of this smear result? a.) Excessive drying b.) Buffer too acidic c.) Hemolytic anemia d.) Old specimen was used 14.) An elderly man experiencing fever, body malaise, head aches had an EBV, CMV and Toxoplasma antibody titer test. The results are as follows: EBV IgM: Less than 1:10 EBV IgG: Less than 1:10 EBV nuclear capsid antibody: 1:127 CMV IgM: Greater than 1:10 CMV IgG: Less than 1:10 Toxoplasma IgM: Less than 1:10 Toxoplasma IgG: 1:127 That patient has a/an: a.) b.) c.) d.) 15.) a.) b.) c.) d.) 16.) a.) b.) c.) d.)
CMV and EBV infection CMV infection EBV infection Toxoplasmosis with an EBV co-infection What could be possible cause if a urine sample’s pH is less than 4.5? Vomitting High Protein diet Renal Tubular Acidosis High Vegetable diet What is the main factor noted in testing for steatorrhoea? Proper collection and quantification Staining ability with Oil Red O Diet prior to testing ???
17.) A patient’s CBC result shows normocytic, normochromic anemia, a normal platelet and WBC count and a reticulocyte count of 0.1%. What is the possible cause? a.) b.) c.) d.) 18.) a.) b.) c.) d.)
Fanconi’s Anemia Pure Red Cell Aplasia Aplastic Anemia Heriditary Spherocytosis What is the usual cause of increased Erythropoietin levels? Polycythemia Vera Aplastic Anemia Polycythemia Vera secondary to plasma volume Polycythemia Vera secondary to (????
19.) A cord blood sample was obtained and the forward and reverse result is as follows: Anti-A: +4 Anti-B: 0 Anti-D: +4 A cells: +2 B: cells +3 What is the patient’s blood type? a.) b.) c.) d.)
Report as A+ and disregard the reverse result Wash and retype the cells, blood type should be O+ Collect a new sample Perform Antibody screen
20.) A blood unit was released from the laboratory at 9:00 AM it was then returned back to the laboratory at 9:35 AM with a temperature of 11C. What should the medical technologist do? a.) b.) c.) d.)
Return the blood unit to the station/floor Quarantine The unit for observation Discard the unit Save unit for later transfusion
21.) A patient’s urine sample was tested for glucose with the strip method and the benedict’s test and the sample was positive for the glucose strip, but negative for the benedicts test. What should the MT do? a.) b.) c.) d.)
Report the result as is Repeat both tests A different sample was used for each test Use new reagents
22.) a.) b.) c.) d.) 23.) a.) b.) c.) d.) 24.) a.) b.) c.) d.) 25.)
a. b. c. d.
Retic count was too high on a patient. What should be done next? Perform a Heinz body stain Recount using phase contrast microscope Change the stain with a fresh preparation Verify using Prussian Blue staining A CSF sample for microbiology testing is stored at what temp? Incubated at 35C Refrigerate specimen -10C -70C A patient experiencing Cushing’s syndrome would have a result of: increased cortisol, increased ACTH decreased cortisol, decreased ACTH increased cortisol, decreased ACTH decreased cortisol, increased ACTH What is the cause of this blood smear?
DIC Uremia Hemoglobinopathies IDA
26.) The absence of a mature troph and schizont is observed amongst which Plasmodium specie? a.) P. falciparum b.) P. ovale
c.) P. malariae d.) P. vivax 27.) 28.) 29.) 30.) 31.) 32.) 33.)
Problem solving question involving %Iron Saturation ABO discrepancies Transfusion related discrepancies What is a blastoconidia? Differentiate the different Pseudomonas organisms Antibody Panel AFB Smear grading
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