301-400 Flashcards
The most common form of vWD is:
A. Type I
B. Type II
C. Type III
D. All have about the same incidence
A. Type I
Platelet aggregation studies in cases of classic von
Willebrand’s disease should reveal:
A. Normal platelet aggregation when factors such as ristocetin are used for testing
B. Absence of aggregation when actors such as epinephrine are used for testing
C. Decrease aggregation when factors such as ristocetin are used for testing
D. Decreased ADP activity when tested
C. Decrease aggregation when factors such as ristocetin are used for testing
Which of the following parameters can be abnormal in classic von Willebrand’s disease type I?
A. Bleeding time
B. PT
C. Platelet count
D. All of the above
A. Bleeding time
When encountering a patient with a fistula, the phlebotomist should:
A. Apply the tourniquet below the fistula
B. Use the other arm
C. Collect the blood from the fistula
D. Attach a syringe to the T-tube connector
B. Use the other arm
If a child ingested rat poison, which of the following tests should be performed to test the effect of the poison on the child’s coagulation mechanism?
A. APTT
B. PT
C. Fibrinogen assay
D. Thrombin time
B. PT
A patient on therapeutic warfarin will most likely have a(n)
A. Normal PT/INR, increased APTT, prolonged bleeding time, low platelet count
B. Increased PT/INR, increased APTT, normal bleeding time, normal platelet count
C. Normal PT/INR, normal APTT, normal bleeding time, normal platelet count
D. Increased PT/INR, normal APTT, prolonged bleeding time, low platelet count
B. Increased PT/INR, increased APTT, normal bleeding time, normal platelet count
What coagulation plasma protein should be assayed when platelets fail to aggregate properly?
A. Factor VIII
B. Fibrinogen
C. Thrombin
D. Factor X
B. Fibrinogen
The only abnormal test result in CHRONIC DIC:
A. PT
B. APTT
C. Thrombin time
D. D-dimer
D. D-dimer
Disseminated intravascular coagulation (DIC) is most often associated with which of the following types of acute leukemia?
A. Acute myeloid leukemia without maturation
B. Acute promyelocytic leukemia
C. Acute myelomonocytic leukemia
D. Acute monocytic leukemia
B. Acute promyelocytic leukemia
Your patient is not wearing an ID band. You see that the ID band is taped to the nightstand. The information matches your requisition. What do you do?
A. Ask the patient to state her name; if it matches the requisition, continue.
B. Ask the patient’s nurse to attach an ID band and proceed when it is attached.
C. Go to the nurses’ station, get an ID bracelet, attach it, and then proceed.
D. Tell the nurse that you will not collect the specimen and return to the lab.
B. Ask the patient’s nurse to attach an ID band and proceed when it is attached.
The size threshold range used by electrical impedance methods to count particles as platelets is:
A. 0 to 10 fL
B. 2 to 20 fL
C. 15 to 40 fL
D. 35 to 90 fL
B. 2 to 20 fL
This term describes the balanced or “steady state” condition normally maintained by the body.
A. Anabolism
B. Catabolism
C. Hemostasis
D. Homeostasis
D. Homeostasis
A woman with breast cancer is treated with a monoclonal antibody to HER2. This is an example of:
A. Cancer vaccine
B. An immunotoxin
C. Passive immunotherapy
D. Active immunotherapy
C. Passive immunotherapy
Forward-angle light scatter is an indicator of cell:
A. Granularity.
B. Density.
C. Size.
D. Number.
C. Size.
Anti-CCP (cyclic citrullinated proteins) is specifically associated with which autoimmune disease?
A. RA
B. MG
C. Autoimmune hepatitis
D. Goodpasture’s syndrome
A. RA
Which of the following would be considered an organ-specific autoimmune disease?
A. SLE
B. RA
C. GPA
D. Hashimoto’s thyroiditis
D. Hashimoto’s thyroiditis
What is the immune phenomenon associated with the Arthus reaction?
A. Tissue destruction by cytotoxic T cells
B. Removal of antibody-coated RBCs
C. Deposition of immune complexes in blood vessels
D. Release of histamine from mast cells
C. Deposition of immune complexes in blood vessels
Reactions involving IgG may need to be enhanced for which reason?
A. It is only active at 25°C.
B. It may be too small to produce lattice formation.
C. It has only one antigen-binding site.
D. It is only able to produce visible precipitationreactions.
B. It may be too small to produce lattice formation.
Which technique represents a single-di usion reaction?
A. Radial immunodi usion
B. Ouchterlony di usion
C. Immunoelectrophoresis
D. Immunofixation electrophoresis
A. Radial immunodi usion
When combining acid and water:
A. Acid is added to water.
B. Water is added to acid.
C. Water is slowly added to acid.
D. Both solutions are combined simultaneously.
A. Acid is added to water.
The only biological waste that does not have to be discarded in a container with a biohazard symbol is:
A. Urine.
B. Serum.
C. Feces.
D. Serum tubes.
A. Urine.
The subclasses of IgG differ mainly in:
A. The type of L chain
B. The arrangement of disulfide bonds
C. The ability to act as opsonins
D. Molecular weight
B. The arrangement of disulfide bonds
The structure formed by the fusion of engulfed material and enzymatic granules within the phagocytic cell is called a:
A. Phagosome
B. Lysosome
C. Vacuole
D. Phagolysosome
D. Phagolysosome
HLA molecules A, B, and C belong to which MHC class?
A. Class I
B. Class II
C. Class III
D. Class IV
A. Class I
Which best describes an epitope?
A. A peptide that must be at least 10,000 MW
B. An area of an immunogen recognized only by T cells
C. A segment of sequential amino acids only
D. A key portion of the immunogen
D. A key portion of the immunogen
CSF TUBE 1
If glucose testing cannot be performed immediately, CSF should be stored:
A. At room temperature
B. In a refrigerator
C. In a freezer
D. In an incubator
C. In a freezer
Normal CSF contains all of the following proteins except:
A. Transferrin
B. Transthyretin
C. Albumin
D. Fibrinogen
D. Fibrinogen
A green-colored amniotic fluid is received in the laboratory for testing. The color of this specimen indicates the presence of:
A. Blood
B. Bilirubin
C. Meconium
D. Hemoglobin
C. Meconium
Which of the following contaminants has a dimpled center and can appear as a Maltese cross under polarized light?
A. Oil droplets
B. Air bubbles
C. Glass shards
D. Starch crystals
D. Starch crystals
A urine specimen with an elevated urobilinogen concentration but a negative bilirubin result may indicate the patient has:
A. Gallstones
B. Viral hepatitis
C. Hemolytic anemia
D. Liver cirrhosis
C. Hemolytic anemia
Which of the following substances would most likely be found in the urine of a patient with anorexia nervosa?
A. Protein
B. Ketones
C. Glucose
D. Bilirubin
B. Ketones
Patients that take high doses of vitamin C may have a false-negative result for which of the following urine reagent test strip analytes?
A. pH
B. Ketones
C. Bilirubin
D. Specific gravity
C. Bilirubin
After receiving a timed urine for quantitative analysis, the laboratorian must first:
A. Subculture the urine for bacteria
B. Add the appropriate preservative
C. Screen for albumin using a dipstick
D. Measure and record the total volume
D. Measure and record the total volume
A urine sample collected from a 5-day-old baby has a noticeably sweet odor reminiscent of caramel or burnt sugar.
This odor is most commonly associated with:
A. Cystinuria
B. Alkaptonuria
C. Phenylketonuria
D. Maple syrup urine disease
D. Maple syrup urine disease
Which of the following collection methods would account for diurnal variation when quantitatively measuring urinary analytes?
A. Random
B. First morning
C. 24-hour timed
D. Two-hour timed
C. 24-hour timed
AFTER A MEAL, WHAT IS THE URINE PH? Alkaline. A random urine specimen collected shortly after the patient ate lunch appeared cloudy. Results of the reagent test strip were normal. The most likely cause of the sample’s turbidity is the presence of:
A. Bacteria
B. White blood cells
C. Amorphous urates
D. Amorphous phosphates
D. Amorphous phosphates
Following a severe crush injury, a patient is transported to the emergency room where a blood sample and a urine sample are collected. The patient’s urine sample appears reddish-brown, which may be due to the presence of:
A. Stercobilin
B. Porphyrins
C. Myoglobin
D. Fresh blood
C. Myoglobin
The clarity of a urine sample should be determined after:
A. The sample has been centrifuged
B. Thorough mixing of the specimen
C. The addition of 3% sulfosalicylic acid
D. The specimen is heated to body temperature
B. Thorough mixing of the specimen
Which of the following collection methods would yield the most sterile urine sample?
A. Random
B. Catheterization
C. Suprapubic aspiration
D. Clean-catch midstream
C. Suprapubic aspiration
An ammonia-like odor is characteristically associated with urine from patients with:
A. Phenylketonuria
B. Viral hepatitis
C. Bacterial infection
D. Yeast infection
C. Bacterial infection