New Year Sale Special - Limited Time 70% Discount Offer - Ends in 0d 00h 00m 00s - Coupon code: sntaclus

The primary mechanism responsible for glomerular filtration is:

A.

Osmotic gradient

B.

Concentration of blood components

C.

Rate of blood flow through the kidneys

D.

Hydrostatic differential in glomerular tufts

Delayed hemolytic transfusion reactions (DHTR) usually occur within which time period?

A.

5 hours after transfusion

B.

24 hours after transfusion

C.

3-10 days after transfusion

D.

one year after transfusion Answer:

Match each of the descriptions with the appropriate magnification:

1. Color, Rouleau, Overall Slide Quality, Cell Distribution

2. Platelet estimates RBC-platelet-WBC morphology WBC differential RBC inclusions

3. Select area to examine, WBC estimate

A.

40X (Dry)

B.

10X

C.

100X (Oil)

As a general rule, CSF glucose is about two thirds of the serum glucose measured in a normal adult.

Chemistry

Which of the following would be considered a normal cerebrospinal fluid glucose if the serum glucose is 70 mg/dl?

A.

30 mg/dl

B.

45 mg/dl

C.

60 mg/dl

D.

70 mg/dl

E.

100 mg/dl

In the laboratory, surfaces must be disinfected for blood spills. What is the most common disinfectant used?

A.

A dilution of 5.2% sodium hypochlorite solutionCorrect

B.

2% saline

C.

25% ethanol

D.

Distilled water

A regional laboratory that performs high volume, highly complex or infrequently ordered testing is a:

A.

reference laboratory

B.

physician's office.

C.

wellness clinic.

D.

long-term care facility.

HLA-DR is a MHC class II(major histocompatibility complex) surface receptor on the cellular surface which is encoded by the human leukocyte antigen complex, or HLA.

DR antigens are found in which of the following systems:

A.

Kell system

B.

HLA system

C.

Duffy system

D.

ABO system

Gram positive organisms resist decolorization by ethyl alcohol. The large crystal violet-iodine complex is not able to penetrate the peptidoglycan layer, and is trapped within the cell in gram-positive organisms. Conversely, the outer membrane of gram-negative organisms is degraded and the thinner peptidoglycan layer of gram-negative cells is unable to retain the crystal violet-iodine complex and the color is lost.

What is the purpose of using ethyl alcohol or acetone in the gram stain procedure:

A.

Fix all gram positive organisms

B.

Decolorize all gram positive organisms

C.

Decolorize all gram negative organisms

D.

Fix all gram negative organisms

Beer's law is based on the fact that absorbance is directly proportional to the concentration of a solution. Therefore, stray light can alter the absorbance results in this type of assay.

Deviations from Beer's Law are caused by:

A.

very low concentration of absorbing material

B.

polychromatic light

C.

very high concentrations of substance being measured in a colorimetric reaction

D.

stray light

The cells indicated by the arrows in the image are spherocytes. Spherocytes have a decreased surface to volume ratio and are therefore smaller with an increased MCHC. Spherocytes have lost their bi-concave shape and are spherical in shape, hence the name.

What are the cells that are indicated by the arrows in this peripheral blood smear image?

A.

Echinocytes

B.

Elliptocytes

C.

Spherocytes

D.

Stomatocytes

AABB Standards do not require a DAT, autologous control, or a minor crossmatch for pretransfusion testing.

Essential components of compatibility testing include all of the following except :

A.

Antibody screen on recipients serum

B.

Major crossmatch or computer crossmatch

C.

ABO and Rh typing of recipient

D.

Direct Antiglobulin Test (DAT)

Estriol levels in conjunction with hCG and AFP can be obtained during pregnancy to:

A.

Assess the risk of Down's syndrome

B.

Assess fetomaternal function

C.

Assess for multiple gestations

D.

Assess for maternal diabetes mellitus

During primary hypothyroidism, where a defect in the thryoid gland is producing low levels of T3 and T4, the TSH level is increased. TSH is released in elevated quantities in an attempt to stimulate the thryoid to produce more T3 and T4 as part of a feedback mechanism.

Serum TSH levels five-times the upper limit of normal in the presence of a low T4 and low T3 uptake could mean which of the following:

A.

The thyroid has been established as the cause of hypothyroidism

B.

The thyroid is ruled-out as the cause of hypothyroidism

C.

The pituitary has been established as the cause of hypothyroidism

D.

The diagnosis is consistent with secondary hyperthyroidism

Antibodies are differentiated based on their heavy chains; different heavy chains create different isotypes. Humans have five different isotypes of immunoglobulins.

Immunology

The part of the molecule responsible for differences among immunoglobulin classes is:

A.

Fc

B.

Fab

C.

heavy chains

D.

light chains

E.

Hinge regions

Two CSF specimens were sent to the Lab with the following results:

Tube #1 = 11,200 rbc/µL

Tube #2 = 300 rbc/µL

The results on these CSF specimens are indicative of:

A.

an infection

B.

a recent subarachnoid hemorrhage

C.

a traumatic tap

D.

an old intracranial bleeding episode faulty lab equipment