2/8/22, 2:15 PM MLS ASCP exam recall questions Flashcards | Quizlet

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MLS ASCP exam recall questions

Terms in this set (172)

Procainamide NAPA

loose clusters of small spherical microconidia, positive Trichophyton mentagrophytes

urease

BHCG tumor marker chorocarcinoma

5HIAA carcinoid tumors

Proteus vulgaris vs P. mirabilis indole test P. vulgaris is indole pos. P. mirabilis is indole neg

Hydatid cyst fluid used to neutralize Anti-P1 antibody

Antacid overdose Check pH

Prolonged PT, PTT, and thrombin after collecting from heparin contamination
catheter

mixing study that was performed with a prolonged PTT DRVVT (Dilute Russell Viper Venom Test)
that couldn't be corrected

two pt's ran in duplicate (PT and PTT). The PTT seemed to check the CaCl/phospholipid reagent delivery
always be prolonged but PT looked ok

Patient is on coumadin therapy, what will be affected Decreased protein C

Lot's of stomatocytes Liver disease

Burr cells Uremia

Picture of target cells with hemoglobin C crystals. The anti-lysing target cells are what increased the white count? Erythrocytes containing
white count was high on instrument 1, so a second hemoglobin C do not lyse normally (sickle cell diseases)
instrument was used with a stronger lysing agent, and
the white count was corrected

A sodium citrate tube was drawn for a HCT on a pt but recollect with decreased anticoagulant. high hct (>55%) causes low plasma so you need
the hematocrit was abnormal less anticoagulant

Question that gives a red blood cells count, HGB, and check for lipemia (elevates HGB)
HCT. I did the rule of 3 and found that the HGB didn't
meet the rule of 3 because it was too high

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PBS with an elevated reticulocyte count and howell jolly Prussian blue for howell jolly bodies made of iron. Prussian blue stain, which is not taken

bodies in the RBC's up by reticulocytes, is helpful in differentiating the two.

what is composed of DNA? howell jolly bodies

vibration, tilting of tube, higher temps, >1 hr test time, improper mixing of blood, improper
what falsely increases ESR
dilution

Polycythemia, Microcytosis (Hb C), Sickle cells, spherocytes, Anti-inflammatory

factors decreasing ESR medications, Hypogammaglobulinemia, Hypofibrinogenemia (DIC), High WBC count,
Hyperviscosity

Anemia, Macrocytosis, Female gender, Age >50 years, Obesity, Pregnancy,

Factors increasing ESR
Hypercholesterolemia, cancer, multiple myeloma, rouleaux, infections, inflammation

low blood/ room temps, air bubbles, tests <1 hr, improper mixing of blood, improper
what falsely decreases ESR
dilution

lactic acid collection separate from serum and put on ice

coefficient of variation (standard deviation/ mean) X 100

Used to measure free carbon dioxide ions by detecting pH. The change in pH is
Carbon dioxide electrode measures what
measured by an internal pH sensor, which is proportional to the carbon dioxide level.

diagnosis with diabetes mellitus.

patient that had a random glucose >200 and an FPG

(need secondary confirmation from 4 criteria. FRG >126, Random glucose >200, ogtt >200,
>126. What do you do next?
or Hb A1c >6.5)

Man tested positive for syphilis 2 years ago but may RPR
have again, how would you test him?

Person tested positive for HIV-1 and HIV-2 but western repeat western blot in a month.
blot was indeterminate. What do you do?

There was a positive DAT on cord blood; mother is Rh K (kell)

pos, baby is Rh neg. What is most likely coating the
baby's red cells?

Paroxysmal cold hemoglobinuria? (Aggregation of the RBCs can occur, but this is
Picture of what looks like cold agglutinins considered mild compared with cold hemagglutinin disease. )

Mycoplasma infections more likely?

What phase can rouleux not be detected in? AHG

Picture of ABO type with mixed field reaction in the patient was transfused with O blood
forward type

Picture of AB in forward reaction, and weak reactions in I picked incubate at room temp because probably cold agglutinins. Need to warm
MLS ASCP exam recall questions
back type

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adsorption that had been done twice, and antibody perform antibody ID panel
screen is positive

patient is type A with Lewis a+b- what substance will be (H, A, Lea)
on their red cells

Bile esculin +, NaCl-, alpha hemolytic, looked like a strep Group D (strep gallolyticus/bovis)

TSI slant K/A H2S+, PD- Salmonella

lactose fermenter, ODC+, lysine - Enterobacter cloaca ?

Rotavirus stool

CSF storage incubate at 35C

Hair perforation test Trichophyton metagrophyte and T. rubrum

Good way to detect Legionella infection Antigen detection in urine

lesion on arm, the organism presents delicate hyphae Sporothrix schenkii

with microconidias

Mycoplasma can't be treated with penicillin No cell wall

eosinophils in urine sediments indicates what acute interstitial nephritis, which is caused by an allergic reaction, typically to drugs.

(Urine creatinine X urine Volume/Plasma creatinine x time in minutes)x (1.73/body surface

calculate creatinine clearance
area)

Need to pipette .5ml of specimen, what do you use Serologic

When to give Rhogam—Gave various types with moms Mother Neg with baby pos mother has Anti-C
Anti-X found

Cold antibody Anti-I

Rouleaux seen microscopically gives ABO discrepancy use Saline replacement technique

ABO discovery Landsteiner

directly proportional to the amount of light absorbed, or inversely proportional to

According to Beers law
transmitted light.

Dce/dce R0/r

QC +/- of bacteria question. Which should you use for Picked oxidase- E.Coli (neg ox) and pseudomonas (pos ox)
pos and neg QC?

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Cell line question with multiple listed, anisocytosis and anemias and myelofibrosis
ovalcytes stuck out to me

Bile Eschulin and 6.5% NaCL pos distinguishes Enterococcus species from the group D strep

Strep pneumo hemolysis alpha

Strep pneumo in sputum

ALP seen in liver and bone

Someone comes in after 4hours of MI symptoms gave troponin it was most elevated.
results of CK CKMB and troponin

PT elevated in Gave various factors I choose VII

Intrinsic has which factor I picked Von Wilebrand(VIII)

they can't remember the question but they chose Ferments Lactose-

Enterobacteria broad question Actual characteristics are: GNR, ox neg, cat pos, nitrate to nitrite, ferm glucose, facultative
anaerobes.

Someone who expresses immunity and acquired Hep B Anti-Hbs and Anti-Hbc
will have

Blood EDTA given to the lab 6hrs after draw will most I chose platelets
effect

What tube quantitates the determination of Calcium Sodium heparin

When using a blutterfly for coag study Discard a blue top then use 2nd blue

Description of Football shaped egg with hyaline plugs Trich trich

at each end

4 nuclei may have chromatoidal bars large, round E. Histolytica

glycogen vacuole

Hypersegmented neutrophils seen in vitamin B12 or folate deficiencies

Triple Phosphate

ALP elevation seen in Hepatic Carcinoma?

Colon tumor marker CEA

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trough level is the lowest concentration in the patient's just prior to administration of the drug.
bloodstream, therefore, the specimen should be
collected:

Peak Levels drawn 2-3hrs after drug is given

bacitracin test can also be used to differentiate: bacitracin-resistant Staphylococcus from the bacitracin-susceptible Micrococcus.

Increased bili in urine will appear Dark yellow color

WBC casts seen in pyelonephritis (kidney infection)

Waxy Cast a higher refractive index

Metabolic acidosis Vomiting

Glomerulonephritis is found linked to which Strep pyogenes

microorganism

basophilic stippling high lead results

what happens to CO2, PCO2, and pH when blood is left low, low, and high
around for an extended period of time?

which analyte is measured in case of eclampsia Mg

a alcoholic person who went to the emergency ethanol , Mg, K something like that
arrhythmia, what should be measured

some person showing overdose to propanamide (i phenobarbital

think)but no drug in his blood

VDRL question importance for CSF testing

German Measles (Rubella), MMR (Measles, Mumps and Rubella), Chicken Pox and
Donation time...Wait 4 weeks after immunizations for
Shingles.

Wait 21 days after immunization for hepatitis B as long as you are not given the immunization for exposure to hepatitis B.

influenza, tetanus or meningitis, providing you are symptom-free and fever-free. Includes
Can donate if you just had these vaccines: the Tdap vaccine.

HPV Vaccine (example, Gardasil).

Arixtra (fondaparinux), Coumadin, Warfilone, Jantoven 7 days

(warfarin) and Heparin (prescription blood thinners);
must wait how many days after stopping to donate?

Wait how long to donate after exposure to Hep B and 12 months

received Hepatitis B Immune Globulin ?

how long between whole blood donations? 8 weeks

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Bacteria isolated from a wound TSI A/A, oxidase (+), The Aeromonas
most likely organism is

Plate cocci in chains. Patient with endocarditis, alpha Strep. Galloliticus (bovis) (group D)
hemolysis, bile esculin (+), NaCl (no growth). The most
likely organism is:

Patient with pharyngitis complicates to Strep. Pyogenes

glomerulonephritis

Preferred rapid test for Legionella pneumophilia Ag Ag in urine

Bacteria LAP(-), Bile esculin (+), NaCl (growth), PYR(-) Leuconostoc

Organism isolated in Hecktoen: TSI K/A, H2S (+), PAD (-), Report as normal flora
Lysine decarboxylase (-), Urea (+), citrate (+). What
should the technologist do?

Child with walking pneumonia due to Mycoplasma and is The microorganism doesn't have cellular wall
prescribed penicillin. 2 weeks later, still sick. What
happened?

Latex agglutination for S. aureus Protein A and coagulase

Child with cat scratch, BGN, catalase (-), oxidase (-), Bartonella henselae
motile. The most likely organism is

Difference between P. aeruginosa and P. putida? Growth on 42C

Bacteria grows pink on McConkey, Indol(-), citrate (+), Enterobacter cloacae

Lysine decarboxylase (-), ONPG (+)

Parasite that doesn't present schizont and trophozoite P. falciparum

What are blastoconidias? Something about budding between mother and daughter

Urine with pH 4.5 diet high in proteins

Urine at 10C measured in a refractometer SG 1.024, 1000 Correction of the refractometer due to glucose
mg of glucose. What should the technologist do?

Patient that physically appears to be pregnant but the Trace proteins?

HCG is negative. U/A decreased SG and proteins: trace,
why the test result in negative?

Strip RBC (+), microscope (-), this is due to what? Dilute alkaline urine

CSF for culture, MLS only manages to perform Gram Incubate at 35C
stain in his shift, what should the technologist do?

Urinalysis result for a child had tubular renal cells 25-30, tubular necrosis
granular casts

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Fecal fat methods extraction and process

ANA pattern with fluorescing speckled or nucleolar (check every pattern)

Pancreas cancer marker CA 19-9

Long term marker of hepatitis that is also in acute Anti-HBc

infection

Screening test for HTLV-I (+), HTLV-II (-) Report HTLV-I by Western Blot

Patient titers EBV>IgG 1:128, IgM1:10, CMV IgG>1:128, Acute infection with Toxoplasma
IgM1:38, IgG<1:10

HbeAg Abs cutoff 0.700, patient 0.300 indeterminate

IgE RIST measures Total IgE

CBC with RBC: 2.46 Hgb: 14 Hct: 36% Lipemic sample

Plate of peripheral slide, RBC's and WBC's looked Inadequate pH

pinkish

False decreased in ESR sample more than 8 hours to be tested

Plate RBC all agglutinated (not rouleaux), what's causing Mycoplasma

this?

The same plate of agglutinated RBC, with witch Cold autoantibody

condition is associated?

2-year old girl with anemia Normo-Normo, Retics 0.1%, Pure Red Cell Aplasia
WBC and Platelets normal

Table of CBC results. Two methods to measure Hgb HgbC cristals are Lyse resistant
(method 1: 14g/dL, method 2: 13g/dL), the second
method utilized Lyse. What happen?

Plate with RBC (hyperchromic, anisocitosis), inclusions Use Prussian Blue

(1-2/ RBC) in Wright. Patient has 18.5% of retics. What
should the technologist do?

Reactive Monocitosis Tuberculosis

MI patient who was treated with streptokinase. Which of PT 25

the results suggests that treatment wasn't successful?

What affects HgbA1C life span of RBC

Calculate % of Saturation- UIBC 185 Fe 125 TIBC= 185+125=310 %sat (125/310)*100=40%

A patient is tested for primidone, what other test can Phenobarbital

you perform?
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In what condition do you find abnormally low Polycythemia Vera

erythropoietin

Patient with autoimmune condition presents infection Neutrophils

with S. pyogenes, S. aureus and (__) what is the possible
deficiency?

Sample taken from indwelling catheter. Patient isn't on Heparin contamination (from catheter)
any anticoagulants yet PTT and TT are way elevated

In the second phase of platelet aggregation what is Fibrin formation

irreversible?

Lupus anticoagulant causes thrombocytosis

Controls and patient PTT elevated, control and patient thromboplastin was added by error
PT elevated

Anti-A Anti-B A B
Discrepancy due to Bx-subgroup
0 2mf+ 4+ 0

Whole blood donation stops at 390ml PRBC (low volume unit)

Patient A+, Le (a+b-) has Le(a)

Antibody that deteriorates in storage P1

Choose positive controls to test for anti-c and negative C+c+ for the positive control and Fy(a) for the negative control
control to test anti-Fy(a)

Pregnant woman O-, anti-D, anti-C, anti-I, previously she O- without C

had anti-Le(a), baby is A+ with DAT (+), anti-D and anti-C
are identified, which blood would you give?

Le(a) Le(b) IS 37 AHG

Glycolipid (Le(a)) absorbed from plasma
0 + 1+ 0 0

0 + 1+ 0 0

+ 0 0 +/-2w +/-2w

+ 0 0 +/-2w +/-2w

Detection of ab where 11 tubes resulted negative in Machine didn't dispense correctly the saline in the wash
AHG, but when added CC 4 of them didn't agglutinate

Baby A+, DAT-, Mother O- before birth Rosette test

Which donor should you defer ? donor received Hep B immunoglobulin 8 weeks ago

Patient with Hct 62%, the sodium citrate tube was take sample with less anticoagulant?(that would be for coag studies)
centrifuged and noticed that the blood plasma ratio was
low.

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