Exam Recalls

Front 1

TP/TP+FN= ?

TN/TN+FP=?

TP/TP+FP=?

Back 1

SENSITIVITY

SPECIFICITY

PRECISION

Front 2

What might the following indicate?urine: RBCs, WBCs, nitrite, bacteria

Back 2

PYELONEPHRITIS

Front 3

Why is albumin the first protein to be detected in tests for renal failure?

Back 3

ITS MOLECULAR SIZE IS SMALLEST

Front 4

Cortisol excess will result in _____

Back 4

EXCESS GLUCOSE IN THE BLOOD

Front 5

This spiral-form organism is seen in urine and cultured on Fletcher’s mediaa. Borreliab. Leptospira

Back 5

Leptospira

Front 6

Organism that gives off a bleach-like odor in culture?

Back 6

EIKENELLA

Front 7

Procedure #1 detected 50/100 true positives and 100/100 true negativesProcedure #2 detected 80/100 true positives and 70/100 true negatives

Back 7

PROCEDURE 2 IS MORE SENSITIVE

Front 8

What is the reason for the following discrepancy?Front TypePatient cells vs anti-A demonstrate a reaction strength of 3+Patient cells vs anti-B demonstrate a reaction strength of 3+Back TypePatient serum vs reagent A cells demonstrate a reaction strength of 3+Patient serum vs reagent B cells demonstrate a reaction strength of 0

Back 8

THE PATIENT MAY BE A2B.

Front 9

Presence of rheumatoid factor in blood may result in false positives for what test

Back 9

VDRL.

Front 10

Disease associated with the following results? Elevated TSH; Elevated T3; Elevated free T4

Back 10

PITUITARY TUMOR

Front 11

If excess PTH is released, what would you find in elevated amounts in serum

Back 11

Calcium

Front 12

Mucoid, pink colonies on plate; produces gas; indole (+). On TSI tube you see yellow on the slant and yellow in the deep. What organism is this?

Back 12

Klebsiella Pneumoniae

Front 13

PAD (+); indole (+); Organism stains gram negative. What is it?

Back 13

P.vulgaris

Front 14

You see a curved gram negative bacilli. It was cultured from the GI tract of a person with ulcers. What test would you do next to confirm its identity?

Back 14

TEST FOR UREASE

Front 15

Enzyme controls run on a machine give results around -3 standard deviations. Samples run on the same machine give results of less than 1 standard deviation. What could be the problem?

Back 15

CONTROLS WERE LEFT AT ROOM T FOR SEVERAL DAYS

Front 16

HIV-1 & HIV-2 combination ELISA test is positive in a patient with symptoms of immune deficiency. Western blot was inconclusive for HIV-1. What do you do next?

Back 16

DO HIV 2 WESTERN BLOT

Front 17

What are the steps of PCR?

Back 17

denaturation, annealing, transcription

Front 18

RAST test detects what?

Back 18

IgE

Front 19

After collecting a blood sample in an EDTA tube for CBC, you find that the Hematocrit is very high (67%). What should you do next?

Back 19

REPORT THE RESULTS

Front 20

When you conduct a procedure using fluorescence, it’s important to protect yourself from the

Back 20

EXCITING LIGHT

Front 21

Blood was collected on Nov 1. Blood was then frozen in glycerol on Nov 5. What should the expiration date read?

Back 21

c. Nov 1; 10 years from now

Front 22

22. A person was successfully treated for syphilis 12 years ago. However, he has just come in again, worried about having been re-infected. What would you look for in his blood?

Back 22

VDRL

Front 23

A patient demonstrates a positive antibody screen. You suspect either Jka, K or c antibodies. You know from a previous history that this patient has Jka antigen on their red cells. You then react the patients serum with cells positive for certain antigens and see the following:Patient serum vs: reagent K cells reagent c cellsReaction strength: 0 4+What can you conclude about the antigenic makeup of this patients red cells?

Back 23

d. rule out c antigen but cannot confirm the presence or absence of K antigen on the patients red cells

Front 24

Urine protein chemistry dipstick (Reagent strip) detected no proteins but sulfosalicylic acid (SSA) test did detect proteins. Why?

Back 24

Bence-Jones proteins in urine

Front 25

Syndrome of inappropriate antidiuretic hormone secretion (SIADH) would result in what in blood?

Back 25

deficient sodium

Front 26

Fiber strands in urine resemble what under the microscope?

Back 26

Hyaline Cast

Front 27

Which of the following regulates myocyte contraction?

Back 27

TROPONIN

Front 28

HBa1c levels cannot always be used to monitor glucose levels in conditions such as

Back 28

SICKLE CELL DISEASE

Front 29

What RBC inclusion can be seen on blood smear of a child who accidentally ingested moth balls?

Back 29

HEINZ BODIES

Front 30

Which of the following parasite cause autoinfection in immunocompromised px?

Back 30

S.stercoralis

Front 31

Which of the following causes antibody against TSH?

Back 31

Hashimotos Thyroiditis

Front 32

Which of the following Mycobacteria we can acquire from tap water?

Back 32

M. Gordonae

Front 33

Which of the following analytes is cofactor for most of 300 enzymes?

Back 33

Zinc

Front 34

Pigment found in the lungs of cystic fibrosis patients is called?

Back 34

Pyocyanin/Pyoverdin

Front 35

Specimen for Rotavirus?

Back 35

Stool

Front 36

Menstruation results in the decrease of what?

Back 36

Ferritin

Front 37

Most common cause of sperm agglutination is?

Back 37

Presence of sperm antibodies

Front 38

Which value is increased in mumps?

Back 38

Amylase

Front 39

What is a transudate and exudate?

Back 39

Transudate= Extravascular fluid with low protein content. Exudate= Exudate is fluid that leaks around the cells of the capillaries caused by inflammation. High protein content.

Front 40

Define Blastoconidia?

Back 40

Budding of a yeast cell.

Front 41

Malassezia Furfur?

Back 41

OLIVE OIL

Front 42

If a person undergoes salicylate overdose what would you test for?

Back 42

pH DECREASE. METABOLIC ACIDOSIS.

Front 43

ALP PH= 9.6 WHAT DISEASE IS PRESENT?

Back 43

PAGETS.

Front 44

Cocaine metabolite?

Back 44

Benzoylecgonine

Front 45

Which cells release heparin/histamine?

Back 45

Basophils and mast cells.

Front 46

Positive RPR negative FTA for syphillis

Back 46

FALSE POSITIVE

Front 47

Alpha Thalassemia is made up of?

Back 47

Hgb Bart and Hgb H

Front 48

Eosinophils in the Urine are seen in what condition?

Back 48

Interstitial Nephritis

Front 49

Isoagglutinin of Type O?

Back 49

ANTI A B AND AB

Front 50

HTLV confirmatory test is?

Back 50

Western Blot

Front 51

Latex agglutination for S. aureus factors seen?

Back 51

Protein A and clumping factor

Front 52

Potassium permanganate in auramine-rhodamine stain for Myco is what?

Back 52

Quenching Agent

Front 53

Iatrogenic anemia is caused by?

Back 53

Multiple blood draws

Front 54

RBC count very low and retic % is 0.1 what is this a hallmark of?

Back 54

Pure red cell aplasia

Front 55

HgbA1C values would be decreased in

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Hemolytic Anemia

Front 56

Lupus anticoagulant causes what?

Back 56

Increased risk of thrombosis

Front 57

Sample taken from indwelling catheter. Patient isn’t on any anticoagulants yet PTT and TT are way elevated. Cause?

Back 57

Heparin

Front 58

In which case is MG monitored?

Back 58

Eclampsia

Front 59

Patient taking primidone showing toxicity, but blood levels normal. What do you do next?

Back 59

Test phenobarbital level.

Front 60

Sperm count can be done on semen sample when?

Back 60

When liquefaction is complete

Front 61

Rouleaux is undetectable at what phase?

Back 61

AHG

Front 62

Sezary cells are associated with what cells?

Back 62

T-cells.

Front 63

Conns syndrome is characterized by an increase in?

Back 63

Aldosterone

Front 64

Virus transported for 92 hours or something = ?

Back 64

LYOPHILIZED

Front 65

Gram neg cocci present after jaw surgery

Back 65

Veillonella

Front 66

Micrcoccus is resistant to what?

Back 66

Furazolidone

Front 67

Procainamide metabolite is?

Back 67

NAPA

Front 68

Alpha thalassemia is made up of?

Back 68

HGB Bart/Major

Front 69

Blood product with highest capacity to transmit hepatitis?

Back 69

Packed cells OR PLASMA

Front 70

Heinz bodies are made up of?

Back 70

Denatured Hemoglobin (DNA)

Front 71

Beta Thalassemia Major is another name for?

Back 71

Cooleys Anemia

Front 72

Monosodium urate is highly?

Back 72

Birefringent

Front 73

Zygomycota? Geotrichum?

Back 73

Sporangium. Arthroconidia.

Front 74

Why is caffeine used in the diazo reaction?

Back 74

To measure unconjucated bilirubin

Front 75

How is measurement of iron carried out?

Back 75

Step 1: addition of acid

step 2: addition of reducing agent

step 3: add color reagent

Front 76

Fetal Lung maturity is assessed by examining what parameter?

Back 76

Phosphatidylglycerol

Front 77

Protein C what are you taking?

Back 77

Warfarin

Front 78

Case study about skin testing?

Back 78

T-cells

Front 79

Bilirubin reacts at what fluorescence?

Back 79

450nm?

Front 80

N.gonorrheae virulence factor?

Back 80

Pili

Front 81

A/A g+ what would you see on HE agar?

Back 81

Orange colonies

Front 82

Oral contraceptives are known for causing what?

Back 82

Increase in serum FE.

Front 83

What can cause turbidity in synovial fluid?

Back 83

Crystals

Front 84

A false positive urobilinogen is caused by?

Back 84

Porphobilinogen

Front 85

Caffeine benzoate in bilirubin assay is what?

Back 85

Accelerator

Front 86

Preferred specimen for Tacrolimus is?

Back 86

Whole Blood

Front 87

Preferred testing for legionella?

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Urine antigen testing

Front 88

Test for CMV?

Back 88

Viral culture

Front 89

Specimen for whooping cough?

Back 89

Nasopharyngeal swab

Front 90

Blood smear picture that looks like Howell bodies, the retic is 18%, the technologist should stain with?

Back 90

Howell Jolly stain

Front 91

Disease categorized by unconjugated bilirubin?

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Gilberts Syndrome

Front 92

Circulating anticoagulant?

Back 92

Heparin

Front 93

Fungal stain?

Back 93

Cotton blue

Front 94

Elevated levels of aminolevulinic acid in the urine is due to presence of?

Back 94

Lead

Front 95

What is added before doing cell count of synovial fluid?

Back 95

Don't know :(.

Front 96

What causes weak D?

Back 96

Missing epitope.

Front 97

Walking pneumonia has what effect on penicillin?

Back 97

No effect

Front 98

what nutrient is incorpriate in anaerobic ager to aid the growth of anaerobes

Back 98

Glycerol and Iron

Front 99

Difference between Yersinia pestis and entercolitica?

Back 99

Motility

Front 100

Why are first morning sputum needed to diagnose mycobacteria?

Back 100

Because if the specimen is NOT first morning it will be invaded.

Front 101

What instrument measures fluorescent light and transmits it at a large wavelength?

Back 101

Fluorometer

Front 102

Lewis antibodies in saliva of group A?

Back 102

Le(a-b+)

Front 103

5HIAA is what?

Back 103

Serotonin metabolite. Seen in CARCINOID TUMORS.

Front 104

Stain for cryptosporidium?

Back 104

Trichrome

Front 105

Give an example of a non fluorescing bacteria?

Back 105

Pseudomonas

Front 106

Clinitest result turns quickly from blue to orange and back to blue….is this test pos or neg

Back 106

Negative

Front 107

Electrophoresis SLE?

Back 107

CENTROMERE

Front 108

Using compensated polarized light, what is positive (blue) for birefringence?Uric Acid or Calcium pyrophosphate

Back 108

Calcium Pyrophosphate

Front 109

when a lab personnel is electrocuted. What to do when he/she is “stuck” to the electric source itself?

Back 109

Disconnect the power source. Elevate feet and lower head.

Front 110

Mother Le(a-b-), what would cause this? –

Back 110

mother loses lewis antigens while pregnant

Front 111

Bromide affects which electrolyte?

Back 111

Potassium

Front 112

Use of heparin manganese?

Back 112

HDL precipitation

Front 113

Patient with HA1C of 5%, glucose is 150.

Back 113

Patient was following diet for beginning of 3 months and stopped.

Front 114

Bacteria with tapered ends

Back 114

Fusobacterium

Front 115

Swarming bacteria, which test should you do next?

Back 115

Indole for PROTEUS

Front 116

11) A beta hemolytic gram positive cocci is growing on a blood plate. It is catalase positive, coag negative, oxidase negative, 6.5% NaCl positive.A) Report as normal floraB) Repeat the catalase and report out EnterococcusC) Repeat the coagulase and report out Staph aureusD) Repeat the oxidase and report out Micrococcus

Back 116

B Repeat the catalase and report out Enterococcus

Front 117

How long after whole blood donation should platelets be separated from RBCs?How long after whole blood donation should plasma be separated from RBCs?

Back 117

5-8 hours

Front 118

There was one question that asked what test hemolysis would effect the least!

Back 118

Sodium

Front 119

Indicator of nutrition?

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Prealbumin

Front 120

CSF should be stored at?

Back 120

Room Temp

Front 121

DOC SENDS A THROAT SWAB FOR ROTAVIRUS

Back 121

CALL FOR CLARIFICATION (SHOULD BE STOOL)