ASCP Practice Test Review Qs Flashcards

(36 cards)

1
Q

Massive transfusion event complications?

A

Hypocalcemia due to binding of calcium (citrate chelates calcium)

hypothermia

tingling feeling

citrate toxicity

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2
Q

method for determining accurate phenotypes in transfused patients?

A

density separations

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3
Q

Hypotonic wash

A

for separating Hgb SS from Hgb A

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4
Q

Thiol reagents

A

differentiate IgM from IgG antibodies

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5
Q

at room temperature, why does urine pH increase with bacteria?

A

production of urease

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6
Q

what kind of urine is calcium oxalate found in?

A

neutral or acidic

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7
Q

why would a urine sample look cloudy after someone recently ate? (reagent strip results are all normal)

A

alkaline tide effect, amorphous phosphates increase turbidity and alkaline urine

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8
Q

Bessey-Lowry-Brock method for alkaline phosphatase activty uses what substrate?

A

para-nitrophenylphosphate

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9
Q

why does blood for digoxin assays need to be collected between 8 or more hours after drug administration?

A

tissue and serum levels need to reach an equilibrium

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10
Q

post exercise samples would have what results in the blood?

A

elevated lactic acid and elevated pyruvate due to increased carb metabolism

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11
Q

biologically active precursor of a fat soluble vitamin?

A

retinol is one of the three biologically active forms of fat soluble vitamin A

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12
Q

total granulocyte count greater than 7.5 x 10^3?

A

absolute neutrophilic leukocytosis

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13
Q

what % minimum is required to be diagnostic for PLL? (Prolymph leukemia?)

A

> 55%

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14
Q

high wbc
low rbc
low hgb
increased mvc
increased mchc

A

warm the specimen and recount

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15
Q

one of the coagulation tests that correlates with pt mortality with Sars Cov 2 was?

A

D-dimer

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16
Q

VwF mediates plt adhesion by binding to the platelet receptor?

A

GpIb/GP IX/GP V

17
Q

most common cause of anemia in hospitalized patients?

A

anemia of chronic inflammation
assocaited with infections and malignant conditions

18
Q

most common humoral immune deficiency disease?

A

selective IgA deficiency

19
Q

when a nk cell comes in contact with a cell expressing MCH I, what happens?

A

inhibition of killing since that would be a healthy cell

20
Q

anti-nuclear antibody test with a titer of 1:320 with a peripheral pattern?

A

anti-dsDNA 1:80 high titer antibodies to Sm

21
Q

Live attenuated vaccine used for human immunization?

22
Q

what component of compliment is associated with chemotactic activity?

A

C5a is chemotaxin for neuts, basos, mast and monos

23
Q

anaerobic bacteria acceptable specimen?

A

suprapubic bladder aspiration

24
Q

Enterobacteriaceales share what characteristics?

A

reduce nitrate to nitrite

25
what may indicate a blood culture bottle is a contaminant?
1 bottle of 1 set is positive no positive results until day 5 of incubation
26
what organism can you use for positive control for lecithinase on egg yolk agar?
C perfringens
27
antibiotic used to kill or supress fungi in media
cycloheximide
28
plasmodium sporoziote proliferation site?
liver
29
definitive ID of neisseria gonorrhoeae ?
utilization of carbs
30
what species produces cladosporium, phialophora and fonsecasea? crust like cauliflower lesion and slow growing black mold
fonsecaea pedrosoi
31
POCT benefits?
faster turn around time
32
potential carcinogen chemical?
formaldehyde
33
flow cytometer method?
immunofluorescence
34
pulse field gel electrophoresis
epidemiological typing of bacterial strains
35
specificity
true negative results, negativity in absence of a disease
36
unexpected reactivity in the reverse reaction should include?
antibody screen at IS to determine if alloab are present