Ascp high yield questions practice
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1. After collecting a blood sample in an EDTA tube for C 9. If excess PTH is released, what would you find in A
CBC, you find that the Hematocrit is very high (67%). elevated amounts in serum?
What should you do next? a. Calcium
a. collect blood again, but use less sodium citrate in the b. Potassium
tube
10. I was shown a picture of what I believe were Cant
b. collect blood in heparin
several immature granulocytes in a peripheral answer
c. report these results
blood smear. What stain should you use next to
2. Blood was collected on Nov 1. Blood was then frozen in C figure out this persons problem?
glycerol on Nov 5. What should the expiration date a. specific esterase
read? b. non specific esterase
a. Nov 1; 1 year from now c. LAP
b. Nov 5; 1 year from now
11. Mucoid, pink colonies on plate; produces gas; D
c. Nov 1; 10 years from now
indole (+). On TSI tube you see yellow on the
d. Nov 5, 10 years from now
slant and yellow in the deep. What organism is
3. Cortisol excess will result in _____ C this?
a. hypernatremia a. Salmonella
b. hypokalemia b. E. coli
c. elevated glucose levels in blood c. Klebsiella pneumonia
d. decreased glucose levels in blood d. Klebsiella oxytoca
4. Disease associated with the following results? Elevated C 12. Organism that gives off a bleach-like odor in B
TSH; Elevated T3; Elevated free T4 culture?
a. hypothyroidism a. Actinobacillus
b. hyperthyroidism b. Eikenella
c. pituitary tumor
13. PAD (+); indole (+); Organism stains gram negative. A
5. Enzyme controls run on a machine give results around B What is it?
-3 standard deviations. Samples run on the same a. P. vulgaris
machine give results of less than 1 standard deviation. b. P. mirabilis
What could be the problem?
14. A patient demonstrates a positive antibody D
a. controls are recently expired
screen. You suspect either Jka, K or c antibodies.
b. controls were left at room temp for several days
You know from a previous history that this patient
6. Fiber strands in urine resemble what under the B has Jka antigen on their red cells. You then react
microscope? the patients serum with cells positive for certain
a. waxy cast antigens and see the following:
b. hyaline cast Patient serum vs: reagent K cells reagent c cells
c. WBC cast Reaction strength: 0 4+
d. fine granular cas What can you conclude about the antigenic
makeup of this patients red cells?
7. HBa1c levels cannot always be used to monitor glucose A
a. confirm patient as having K and c antigens on
levels in conditions such as:
their red cells
a. sickle cell disease
b. rule out c antigen on the patients cells and
b. HIV
confirm K antigen on their cells
c. Tuberculosis
c. rule out c and K antigens on patients red cells
8. HIV-1 & HIV-2 combination ELISA test is positive in a D d. rule out c antigen but cannot confirm the
patient with symptoms of immune deficiency. Western presence or absence of K antigen on the patients
blot was inconclusive for HIV-1. What do you do next? red cells
a. rerun western blot for HIV-1
b. do a CD4 cell count
c. do HIV-2 ELISA
d. do HIV-2 western blot
15. A person was successfully treated for syphilis 12 years B 24. What is the reason for the following discrepancy? C
ago. However, he has just come in again, worried about Front Type
having been re-infected. What would you look for in Patient cells vs anti-A demonstrate a reaction strength
his blood? of 3+
a. TP-A Patient cells vs anti-B demonstrate a reaction strength
b. VDRL of 3+
16. Presence of rheumatoid factor in blood may result in A
Back Type
false positives for what test?
Patient serum vs reagent A cells demonstrate a
a. VDRL
reaction strength of 3+
b. FT-ABS
Patient serum vs reagent B cells demonstrate a
17. Procedure #1 detected 50/100 true positives and B reaction strength of 0
100/100 true negatives
Procedure #2 detected 80/100 true positives and a. This patient demonstrates depressed anti-B
70/100 true negatives production due to old age
b. This patient has multiple myeloma
a. procedure 1 is more sensitive c. This patient may be type A2B
b. procedure 2 is more sensitive d. The 3+ reaction against reagent A cells is due to
c. procedure 1 is more sensitive and specific dirty glassware
d. procedure 2 is more sensitive and specific
25. What might the following indicate? A
18. RAST test detects what? A urine: RBCs, WBCs, nitrite, bacteria
a. IgE to particular antigens a. pyelonephritis
b. IgM b. glomerulonephritis
c. IgG c. nephrotic syndrome
19. Syndrome of inappropriate antidiuretic hormone E d. renal calculi
secretion (SIADH) would result in what in blood? 26. When you conduct a procedure using fluorescence, it's C
a. excess potassium important to protect yourself from the:
b. excess sodium a. cover light
c. excess non-serum water (?something like that?) b. emitted light
d. deficient potassium c. exciting light
e. deficient sodium
27. Which of the following regulates myocyte contraction? B
20. This spiral-form organism is seen in urine and cultured B a. myoglobin
on Fletcher's media b. cardiac troponins
a. Borrelia c. CK-MB
b. Leptospira
28. Why is albumin the first protein to be detected in tests B
21. TP/TP+FN = ? A for renal failure?
a. sensitivity a. its molecular size is largest
b. specificity b. its molecular size is smallest
c. precision c. it is very negatively charged
d. variance
29. You see a curved gram negative bacilli. It was cultured A
22. Urine protein chemistry dipstick (Reagent strip) B from the GI tract of a person with ulcers. What test
detected no proteins but sulfosalicylic acid (SSA) test would you do next to confirm its identity?
did detect proteins. Why? a. test for Urease
a. reagent strip was expired b. culture the organism in agar
b. Bence-Jones proteins in urine c. H2S test
23. What are the steps of PCR? C
a. transduction, transcription, annealing
b. annealing, denaturation, transcription
c. denaturation, annealing, transcription
