MLS ASCP Exam with 100% Correct Answers 2023

Procainamide - Correct -Answer: NAPA -p. 86-Ant antiarrhythmic drug that has a metabolite with the same drug action -Procainamide is metabolized to N-Acetylprocainamide (NAPA) - Must quantify both. Although they have the same drug affect, difference in half- life may cause NAPA to accumulate in the blood and produce toxic affects even at therapeutic levels of procainamide. loose clusters of small spherical microconidia, positive urease - Correct -Answer: Trichophyton mentagrophytes -Trichophyton is the only Dermatophyte with two colony types : macroconidia and microconidia. - T. mentagrophytes characteristically produce "grapelike clusters" of microconidia. - Positive in the hair perforation test. Beta -HCG tumor marker - Correct Answer: chorocarcinoma -The are are 2 forms of hCG Alpha (common form) and Beta (unique form) 5HIAA 5-hydroxyindoleacetic acid - Correct -Answer: carcinoid tumors -5HIAA: primary metabolite of serotonin, a chemical substance (neurotransmitter) that transmits messages between nerve cells. -Large quantities of serotonin and 5-HIAA may be produced by some carcinoid tumors.- Carcinoid tumors are slow-growing noncancerous or cancerous neuroendocrine masses that can form in the GI tract, especially in the appendix, and in the lungs. Proteus vulgaris vs P. mirabilis indole test - Correct P. vulgaris is indole pos. P. mirabilis is indole neg Hydatid cyst fluid - Correct used to neutralize Anti-P1 antibody Antacid overdose - Correct Check pH Prolonged PT, PTT, and thrombin after collecting from catheter - Correct heparin contamination mixing study that was performed with a prolonged PTT that couldn't be corrected - Correct DRVVT (Dilute Russell Viper Venom Test) two pt's ran in duplicate (PT and PTT). The PTT seemed to always be prolonged but PT looked ok - Correct check the CaCl/phospholipid reagent delivery Patient is on coumadin therapy, what will be affected - Correct Decreased protein CLot's of stomatocytes - Correct Liver disease Burr cells - Correct Uremia Picture of target cells with hemoglobin C crystals. The white count was high on instrument 1, so a second instrument was used with a stronger lysing agent, and the white count was corrected - Correct anti-lysing target cells are what increased the white count? Erythrocytes containing hemoglobin C do not lyse normally (sickle cell diseases) A sodium citrate tube was drawn for a HCT on a pt but the hematocrit was abnormal - Correct recollect with decreased anticoagulant. high hct (55%) causes low plasma so you need less anticoagulant Question that gives a red blood cells count, HGB, and HCT. I did the rule of 3 and found that the HGB didn't meet the rule of 3 because it was too high - Correct check for lipemia (elevates HGB) PBS with an elevated reticulocyte count and howell jolly bodies in the RBC's - Correct - Answer: howell jolly bodies= DNA= Wright Stain -Peppenheimer- Prussian blue stain -which is not taken up by reticulocytes -helpful in differentiating the two. -Reticulocytes=Supravital/ new methylene blue stain