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.) K. oxytoca
b.) K. pneumoniae
c.) E. alcaligenes
d.) 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.) S. bovis
b.) E. faecalis
c.) S. viridans
d.) E. faecium
5.) The organism C. diptheriae will show brown halo colonies on which culture
media?
a.) CCFA
b.) Tinsdale Agar
c.) BCYE
d.) 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.) Actinobacillus species
b.) P. multocida
c.) P.shigelloides
d.) B. Quintana
7.) What is the anticoagulant normally used for blood cultures?
a.) ARD
b.) SPS
c.) Heparin
d.) Ammonium Oxalate
8.) Identify the dimorphic organism that is cigar shaped in it’s yeast form:
a.) H. capsulatum
b.) P. brasiliensis
c.) S. schenckii
d.) 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.) Report automated result as normal
b.) Repeat automated hematocrit
c.) Check for Lipemia
d.) Collect a new sample
11.) What is the cause of this smear picture? (This came out twice)
a.) Warm autoimmune hemolytic anemia
b.) Rouleaux formation
c.) Hemolytic anemia
d.) Paroxsymal Cold Hemoglobinuria
12.) Which of the following parameters would be indicative of a hemolytic
transfusion reaction?
a.) decreased urobilinogen, increased conjugated bilirubin
b.) increased urobilinogen, increased unconjugated bilirubin
c.) increased urobilinogen, increased conjugated bilirubin
d.) 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.) CMV and EBV infection
b.) CMV infection
c.) EBV infection
d.) Toxoplasmosis with an EBV co-infection
15.) What could be possible cause if a urine sample’s pH is less than 4.5?
a.) Vomitting
b.) High Protein diet
c.) Renal Tubular Acidosis
d.) High Vegetable diet
16.) What is the main factor noted in testing for steatorrhoea?
a.) Proper collection and quantification
b.) Staining ability with Oil Red O
c.) Diet prior to testing
d.) ???
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.) Fanconi’s Anemia
b.) Pure Red Cell Aplasia
c.) Aplastic Anemia
d.) Heriditary Spherocytosis
18.) What is the usual cause of increased Erythropoietin levels?
a.) Polycythemia Vera
b.) Aplastic Anemia
c.) Polycythemia Vera secondary to plasma volume
d.) 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.) Report as A+ and disregard the reverse result
b.) Wash and retype the cells, blood type should be O+
c.) Collect a new sample
d.) 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.) Return the blood unit to the station/floor
b.) Quarantine The unit for observation
c.) Discard the unit
d.) 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.) Report the result as is
b.) Repeat both tests
c.) A different sample was used for each test
d.) Use new reagents
22.) Retic count was too high on a patient. What should be done next?
a.) Perform a Heinz body stain
b.) Recount using phase contrast microscope
c.) Change the stain with a fresh preparation
d.) Verify using Prussian Blue staining
23.) A CSF sample for microbiology testing is stored at what temp?
a.) Incubated at 35C
b.) Refrigerate specimen
c.) -10C
d.) -70C
24.) A patient experiencing Cushing’s syndrome would have a result of:
a.) increased cortisol, increased ACTH
b.) decreased cortisol, decreased ACTH
c.) increased cortisol, decreased ACTH
d.) decreased cortisol, increased ACTH
25.) What is the cause of this blood smear?
a. DIC
b. Uremia
c. Hemoglobinopathies
d. 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.) Problem solving question involving %Iron Saturation
28.) ABO discrepancies
29.) Transfusion related discrepancies
30.) What is a blastoconidia?
31.) Differentiate the different Pseudomonas organisms
32.) Antibody Panel
33.) AFB Smear grading
