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ASCP RECALL REVISED Questions, Summaries of Medical Sciences

Hong Kong Shue Yan CollegeMedical Sciences

ASCP REVISED QUESTION AND ANSWER

Typology: Summaries

2016/2017

Uploaded on 06/26/2026

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bg1
MLS (ASCP i
)
Recalls : June 2017
NOTE: The following questions may not be similar to the one we had during the
exam, but the thought/construct of the question is the same.
Anti-
A
Anti-
B
A
cells
B
cells
D
Antigen
D
control
Screen
cells
4+ 4+ 0 0 0 0 0
What to do?
a. Do nothing
b. Perform D u
testing
c. Report as D positive
d. Perform Ab screen
Anti- A Anti-B A cells B cells
4+ 0 1+ 3+
a. Test patient serum with subgroup of A1
b. Test patient red cells with subgroup of A2
Transudates are usually
a. Purulent
b. Has bacteria
c. Non inflammatory
Description: Broad base budding “mother and son….” - Blastomyces dermatitidis
PBS photo: full of stomatocytes,cause of:
a. Liver disease
b. IDA
Common error in PCR
a. Nucleic acid contamination
b. Low temperature in machine
3 tubes negative to AHG. When check cell is added, negative parin. Error?
a. Insufficient saline from automated cell washer
b. Serum was omitted from the reaction
AHG3+ 3+
After auto adsorption, the result become 2+ AHG. What to do next?
a. Do another auto adsorption
b. Cell panel
c. Ab identification with enzyme
RECALLS: JUNE 2017 |
Rheona Jane L. Viray, RMT, MLS(ASCPi)
CM
Genesis Gamido Gamurot,
RMT, MLS(ASCP
i)
CM
1
pf3
pf4
pf5
pf8
pf9
pfa

Partial preview of the text

Download ASCP RECALL REVISED Questions and more Summaries Medical Sciences in PDF only on Docsity!

MLS (ASCP

i

) Recalls : June 2017

NOTE: The following questions may not be similar to the one we had during the

exam, but the thought/construct of the question is the same. 

Anti- A Anti- B

A

cells

B

cells

D

Antigen

D

control Screen cells 4+ 4+ 0 0 0 0 0 What to do? a. Do nothing b. Perform Du^ testing c. Report as D positive d. Perform Ab screen Anti- A Anti-B A cells B cells 4+ 0 1+ 3+ a. Test patient serum with subgroup of A b. Test patient red cells with subgroup of A Transudates are usually a. Purulent b. Has bacteria c. Non inflammatory Description: Broad base budding “mother and son….” - Blastomyces dermatitidis PBS photo: full of stomatocytes,cause of: a. Liver disease b. IDA Common error in PCR a. Nucleic acid contamination b. Low temperature in machine 3 tubes negative to AHG. When check cell is added, negative parin. Error? a. Insufficient saline from automated cell washer b. Serum was omitted from the reaction AHG3+ 3+ After auto adsorption, the result become 2+ AHG. What to do next? a. Do another auto adsorption b. Cell panel c. Ab identification with enzyme

RECALLS: JUNE 2017 | Rheona Jane L. Viray, RMT, MLS(ASCPi)CM

RBC: 3.

Hct: 33% Hb: 12. What is the problem? a. Lipemic b. Clotted c. Release result *Check with the rule of 3 (Hbx3=Hct must be + or -3) FBS = 120, RBS, OGTT = 140 a. hyperglycemia b. normal c. impaired glucose Test to diagnose DM RBS FBS OGTT Normal <200 mg/dL <100 mg/dL <140 mg/dL Impaired 100-126 mg/dL 140-199 mg/dL Diabetic >200 mg/dL >126 mg/dL >200 mg/dL Wash RBC with saline solution Anti-A Anti-B A cell B cell 4+ 4+ 2+ 2+ Cat scratch disease: Bartonella henselae Rapid test for Legionella - urine antigen Failed Streptokinase therapy– D-dimer(+) Anti IgG (-) ; C3d (+)– Pre-warm Polyspecific IgG (+); Anti-IgG (-), anti-c3d (+) – pre-warm Polyspecific IgG (+); Anti-IgG (+), anti-c3d (+) - Elution Plasmodium falciparum : no trophozoite and merozoite Sensitivity Formula – [TP/(TP + FN)] x 100 Specificity Formula - [TN/(TN + FP)] x 100

RECALLS: JUNE 2017 | Rheona Jane L. Viray, RMT, MLS(ASCPi)CM

a. Rouleaux b. Red cells positive to DAT c. 37°C Anti-A: 0 Anti-B: + (mf) Acells: + Bcells: 0 a. Polyagglutination b. Bx group (B3 dapat to kaso wala sa choices!) PT: 50 PTT: 100 TT: Prolonged rin Fibrinogen: 150 mg/dl (Normal) a. Congenital hypofibrinogenemia b. Acute DIC c. Forgot PT: 12 (normal) patient is for gall bladder surgery PTT: 50 Mixing studies (normal plasma): 47. a. Factor XII assay b. Factor VIII assay c. Fibrinogen level d. DVVT HBA1c- RBC life span dependent PBS: Burr cells/echinocytes – uremia Antibody panel Lewis Antibody (adsorbed by plasma) Lumabas sakin Leb^ and ang tanong is anong characteristic nung antibody so ang sinagot ko is glycoprotein adsorbed in the plasma Lab Results: Sodium: Low; all other analytes are within normal range. What to do? a. Measure indirect Na using ISE b. Hemolyzed spx c. Lipemic In multichannel analyzer, controls of enzymatic assays are lower than expected values while non-enzymatic assays controls are within normal limits. What is the probable cause?

RECALLS: JUNE 2017 | Rheona Jane L. Viray, RMT, MLS(ASCPi)CM

a. Outdated control reagent b. Instrument temperature may be low False decrease ESR in? a. Tube at an angle b. Vibration c. 8 hr delay in set up Specimen for rotavirus - STOOL Results consistent with Cushing’ssyndrome: a. Hyperglycemia b. Hypoglycemia c. Hypercalcemia d. Hypocalcemia Pink colonies in MAC LOA -++ Indole Negative Citrate Positive a. Klebsiella pneumoniae (LOA +--) b. Klebsiella oxytoca (Indole +) c. Enterobactercloacae d. Enterobacteraerogenes (LOA ++-) Monocytosis is seen in: a. Allergic reaction b. Mononucleosis c. Tuberculosis Walking pneumonia- have no cell wall kaya di tumatalab antiboiotic/penicillin sa pasyente After several weeks of pharyngitis what can be found in kidney biopsy? Streptococcus pyogenes TSI A/A oxidase positive isolated in wound? Aeromonas Decrease ratio of plasma:anticoagulant in sodim citrate with hematocrit of 0.7 - what should be done? a. Decrease anticoagulant b. Increase anticoagulant c. Collect in heparin d. Report the result A patient with procainamide should be tested in parallel with what drug?

RECALLS: JUNE 2017 | Rheona Jane L. Viray, RMT, MLS(ASCPi)CM

C. Bacteria acted in reagent strip D. Present of ascorbic acid Group A Le (a+b-). Ano ang meron sa saliva ng patient? - Lea Anti a Anti b Weak D Rh contro l A cells B cells 4+ 4+ 2+ 0 0 0 a. ABO grouping is wrong b. Rh grouping is wrong c. Rh control is wrong d. Do nothing, interpret the results EBV titers Anti-VCA IgM <1: Anti-VCA IgG >1: Anti-EBNA >1: (presence indicates past infection) CMV titer: 1:128 (eto ung talagang lumabas!) Toxoplasma titer: <1: a. Primary CMV infection b. Primary EBV infection c. CMV and EBV co-infection d. Toxoplasma infection Description: Sporothrix ( cigar-shaped – pls read about this fungi) Magnesium – monitored in eclampsia NOTE: Most of the questions are I encountered are HEMA, BB and MICRO. For HEMA and BB questions are in tabular form with normal values and patient result. For BB, pls read on DAT and IAT results and interpretation. For MICRO, most of them are biochemical reactions. And pictures were also given for hema and micro  ADVISE: MOST ARE RECALLS, but don’t settle for recalls only. TANDAAN MO LANG UNG KEY WORD for every question.  PRAY and CLAIM THE MLS(ASCPi) title.

 Chronic Hemolytic Anemia: Urine hemoglobinuria

 INCREASED Unconjugated Bilirubin, Negative Urine Bilirubin, Increased Urobilinogen

:Hemolytic Anemia Bilirubin Assay Result

 Glucose is present: Glucose reagent strip (+), Clinitest (-)

RECALLS: JUNE 2017 | Rheona Jane L. Viray, RMT, MLS(ASCPi)CM

 Dilute Alkaline Urine: Reagent Strip RBC (+), RBC absent on microscopic examination

 Acute Tubular Necrosis: Urinalysis result given. Take note the presence of RTE which is

increased.

 D-dimer (+): Streptokinase Therapy

 Aeromonas: TSI-A/A, Oxidase (+)

 Streptococcus pyogenes: Seen in Renal biopsy and Pharyngitis, Sequelae:

Glomerulonephritis

 Mycoplasma pneumoniae / Presence of Cold Agglutinins / PCH (???): Blood picture of

Agglutination

 A, H, Lea^ : Present in the secretions of a Blood type A patient with Le(a+b-)

 CA 19-9 : Marker of Pancreatic Carcinoma

 Do Heinz Staining: Retic is 18%

 Chronic Lymphocytic Leukemia: Blood Picture with many lymphocytes

 Pre-Warm the sample: Table showing Positive reaction in Anti-C3d and Negative reaction on

Anti-IgG

 Tyrosine Crystal: Needle-like

 Bx subgroup: Table of blood typing, forward & reverse, with a mixed field reaction on Anti-B

 A1 subgroup

 Wash with Saline : Rouleaux formation, what to do next? , Given in tabular form, result of

blood typing of reverse and forward reaction.

 A known buffer at a constant temperature: pH electrode

 SSA

 TP/ TP + FN : Sensitivity Formula

 Pure Red Cell Aplasia: Baby has Normal WBC and Platelet but reticulocytes is 0.1%

 Indirect ISE of Sodium: Sodium is low but other parameter including osmolality is within the

normal range

 Recollect using a lesser amount of Citrate: Patient hematocrit is very high about 68%

 Streptococcus bovis: PYR (-), Bile HOH (+), NaCl (+)

 Anti-P : Deteriorates rapidly on storage

 Stool: Specimen for Rotavirus, detected via EIA technique(screening) and IF or Molecular test

(Confirmatory)

 Cushing’s Disease: High Cortisol. Low ACTH

 Ecclampsia: where Magnesium is best measured

 RBC life-span: HbA1c result depends on

 Overly dried smear: picture of echinocytes

 Liver Disease: Picture of Stomatocyte

 Organism has no Cell Wall: Patient is diagnosed with walking pneumonia, no sign of

improvement (due to penicillin resistance).

 Recurrence of Prostate Cancer: Prostate was removed but PSA is still high

 350 C : CSF storage for subsequent culture

 Enterobacter cloacae: Pink colonies on MAC. LOA: -++, Indole and citrate negative

RECALLS: JUNE 2017 | Rheona Jane L. Viray, RMT, MLS(ASCPi)CM

OTHERS:

o Antimicrobial susceptibility test was done. Growth in tube with 0.1,0.2,0.4 antibiotics but

no growth on tube conating 0.8 antibiotics.

- MBC on 0.4mg/dl - MIC on 0.4mg/dl - Susceptible on 0.8mg/dl - resistant on 0.8mg/dl

*** IDK the answer

o Levey-Jennings Graph

o Antibiotics in Staph Aureus

RECALLS: JUNE 2017 | Rheona Jane L. Viray, RMT, MLS(ASCPi)CM