Ace ASCP UPDATED ACTUAL Questions and CORRECT
Answers
1. Which of the following condi- B. Metabolic acidosis
tion is the most common cause
of increase anion gap? High anion gap metabolic acidosis is caused generally by
A.Metabolic alkalosis the body producing too much acid or not producing enough
B. Metabolic acidosis bicarbonate. This is often due to an increase in lactic acid
Respiratory acidosis or ketoacids, or it may be a sign of kidney failure. More
Respiratory alkalosis rarely, high anion gap metabolic acidosis may be caused by
ingesting methanol or overdosing on aspirin.
2. Which of the following en- C. Troponin
zymes has the longest eleva-
tion after Myocardial Infarction Troponin is elevated up to 10-14 days after Myocardial In-
(MI)? farction.
CK-MB
Myoglobin
Troponin
AOTA
3. Lactic acid specimen: A. Chilled and separated from cells
Chilled and separated from Feedback Special Handling: No tourniquet. Place on ice im-
cells mediately and deliver to lab or aliquot within 15 minutes. DO
NOT FREEZE WHOLE BLOOD SPECIMEN.
Heated
Room temperature
Request EDTA sample only
4.
, Ace ASCP UPDATED ACTUAL Questions and CORRECT
Answers
Specific gravity measured by A. Presence X-Ray medium
refractometer: 1.035. Protein
and glucose both trace in Feedback Xray medium/Radiographic dye can cause erro-
reagent strip: neous results in urine specific gravity measurement.
Presence X-ray medium
Albuminuria
Glucosuria
Normal
5. A patient with walking pneu- B. The organism has no cell wall.
monia is being treated with
penicillin. State one possible Feedback Pneumonia caused by Mycoplasma pneumoniae
condition why the patient is not is routinely treated with antibiotics, although the disease is
recovering: usually self-limiting. The disease is treated with macrolide,
tetracycline, or fluoroquinolone classes of antibiotics. All my-
The organism produces beta coplasmas lack a cell wall and, therefore, all are inherently
lactamase resistant to beta-lactam antibiotics (e.g., penicillin).
The organism has no cell wall
The organism has capsule
The organism produces an en-
zyme that neutralizes the an-
tibiotic
6. What is the coefficient of varia- B. 6.09
tion if the mean is 90 and the
standard deviation is 5.48? Feedback:
, Ace ASCP UPDATED ACTUAL Questions and CORRECT
Answers
2.75 CV= SD/meanX100,
(5.48/90)X100= 6.09.
6.09
5.68
30
7. Blood smear below denotes B. Tartrate-resistant acid phosphatase
Hairy Cell Leukemia (HCL),
which of the following test is Feedback:
used to identify this type of Hairy cells demonstrate strong positivity for tartrate-resistant
leukemia? acid phosphatase (TRAP) staining. The hairy cells are larger
Image. 1 than normal and positive for CD19, CD20, CD22, CD11c,
Myeloperoxidase CD25, CD103, and FMC7.
Tartrate-resistant acid phos-
phatase
Tartrate-resistant alkaline
phosphatase
Sudan Black
8. Use to differentiate Salmonella A. Lysine decarboxylase
from Citrobacter:
Feedback:
Lysine decarboxylase Salmonella (+); Citrobacter (-)
ONPG
Indole
Vogues Proskauerterm-9
, Ace ASCP UPDATED ACTUAL Questions and CORRECT
Answers
9. Arrange the common Rh anti- A. D>c>E>C>e
gens according to immuno-
genicity (greatest to least): Feedback Most immunogenic D > c > E > C > e least immuno-
genic.
D>c>E>C>e
D>C>E>c>e
D>c>E>e>C
C>D>c>E>e
10. Most common error in Poly- A. True
merase Chain Reaction (PCR)
is NUCLEIC ACID CONTAMINA-
TION.
A True (Correct Answer)
B False
11. What disease is associated with A. Ankylosing spondylitis
the possession of HLA-B27?
Feedback:
Ankylosing spondylitis Ankylosing spondylitis belongs to a group of arthritis con-
ditions that tend to cause chronic inflammation of the spine
Hashimoto's Disease (spondyloarthropathies). The HLA-B27 gene can be detected
in the blood of most patients with ankylosing spondylitis.
Goodpasture's syndrome
SLE
12. Burr cells are seen in the pe- A. Uremia (kidney Disease)
ripheral blood smear, this is in-
dicative of? (Fig. 2) Feedback:
Answers
1. Which of the following condi- B. Metabolic acidosis
tion is the most common cause
of increase anion gap? High anion gap metabolic acidosis is caused generally by
A.Metabolic alkalosis the body producing too much acid or not producing enough
B. Metabolic acidosis bicarbonate. This is often due to an increase in lactic acid
Respiratory acidosis or ketoacids, or it may be a sign of kidney failure. More
Respiratory alkalosis rarely, high anion gap metabolic acidosis may be caused by
ingesting methanol or overdosing on aspirin.
2. Which of the following en- C. Troponin
zymes has the longest eleva-
tion after Myocardial Infarction Troponin is elevated up to 10-14 days after Myocardial In-
(MI)? farction.
CK-MB
Myoglobin
Troponin
AOTA
3. Lactic acid specimen: A. Chilled and separated from cells
Chilled and separated from Feedback Special Handling: No tourniquet. Place on ice im-
cells mediately and deliver to lab or aliquot within 15 minutes. DO
NOT FREEZE WHOLE BLOOD SPECIMEN.
Heated
Room temperature
Request EDTA sample only
4.
, Ace ASCP UPDATED ACTUAL Questions and CORRECT
Answers
Specific gravity measured by A. Presence X-Ray medium
refractometer: 1.035. Protein
and glucose both trace in Feedback Xray medium/Radiographic dye can cause erro-
reagent strip: neous results in urine specific gravity measurement.
Presence X-ray medium
Albuminuria
Glucosuria
Normal
5. A patient with walking pneu- B. The organism has no cell wall.
monia is being treated with
penicillin. State one possible Feedback Pneumonia caused by Mycoplasma pneumoniae
condition why the patient is not is routinely treated with antibiotics, although the disease is
recovering: usually self-limiting. The disease is treated with macrolide,
tetracycline, or fluoroquinolone classes of antibiotics. All my-
The organism produces beta coplasmas lack a cell wall and, therefore, all are inherently
lactamase resistant to beta-lactam antibiotics (e.g., penicillin).
The organism has no cell wall
The organism has capsule
The organism produces an en-
zyme that neutralizes the an-
tibiotic
6. What is the coefficient of varia- B. 6.09
tion if the mean is 90 and the
standard deviation is 5.48? Feedback:
, Ace ASCP UPDATED ACTUAL Questions and CORRECT
Answers
2.75 CV= SD/meanX100,
(5.48/90)X100= 6.09.
6.09
5.68
30
7. Blood smear below denotes B. Tartrate-resistant acid phosphatase
Hairy Cell Leukemia (HCL),
which of the following test is Feedback:
used to identify this type of Hairy cells demonstrate strong positivity for tartrate-resistant
leukemia? acid phosphatase (TRAP) staining. The hairy cells are larger
Image. 1 than normal and positive for CD19, CD20, CD22, CD11c,
Myeloperoxidase CD25, CD103, and FMC7.
Tartrate-resistant acid phos-
phatase
Tartrate-resistant alkaline
phosphatase
Sudan Black
8. Use to differentiate Salmonella A. Lysine decarboxylase
from Citrobacter:
Feedback:
Lysine decarboxylase Salmonella (+); Citrobacter (-)
ONPG
Indole
Vogues Proskauerterm-9
, Ace ASCP UPDATED ACTUAL Questions and CORRECT
Answers
9. Arrange the common Rh anti- A. D>c>E>C>e
gens according to immuno-
genicity (greatest to least): Feedback Most immunogenic D > c > E > C > e least immuno-
genic.
D>c>E>C>e
D>C>E>c>e
D>c>E>e>C
C>D>c>E>e
10. Most common error in Poly- A. True
merase Chain Reaction (PCR)
is NUCLEIC ACID CONTAMINA-
TION.
A True (Correct Answer)
B False
11. What disease is associated with A. Ankylosing spondylitis
the possession of HLA-B27?
Feedback:
Ankylosing spondylitis Ankylosing spondylitis belongs to a group of arthritis con-
ditions that tend to cause chronic inflammation of the spine
Hashimoto's Disease (spondyloarthropathies). The HLA-B27 gene can be detected
in the blood of most patients with ankylosing spondylitis.
Goodpasture's syndrome
SLE
12. Burr cells are seen in the pe- A. Uremia (kidney Disease)
ripheral blood smear, this is in-
dicative of? (Fig. 2) Feedback:
