recalls ASCP Exam Study Guide Graded A 2024

check for lipemia - on an auto instrument hgb=45 and hct=33. The tech performs man and hct is 33.5. What should be done next? lupus anticoagulant - micro emboli (clots) formation in blood vessels of SLE patients pure red cell aplasia - only red cell production affected and WBC and plt are norm 3 y/o, rbc=1.7x10^6 biliary obstruction - urine bili + urobilin decreased or neg acute tubular necrosis - 3 y/o urine spec 25 rte hpo gran casts wbc 3-5 nitrite + change CaCl2 and repeat - on analyzer PT qc in range< PTT qc out. rpt out, what is the next step hypotonic and alk urine can lyse cells if myoglobin is present it can produce false pos - ua test bld + rbc- none seen Le a - nonsectretor sese phenotype Le(a+b-) what ag will be detected in his/her fluids MNS - bld group rgt deteriorates faster while in use legionella - detection of ag in urine spec release adp from dense granules - at what stage the 2nd phase and the irreversable plt aggregation occurs bartonella - cat scratch infection gnr pleomorphic rods slow growing Cushing's disease - acth increased cortisol increased Cushing's syndrome - ACTH Norm Cortisol Increased ADH - increases water adsorption iron increased - hemolytic anemia, hepatitis and iron overload iron decreased - anemia, pregnancy prehepatic jaundice - hemolytic anemia serum conjugated bili -norm serum unconj bili- increased urine urobilin- very elevated bili-norm stool bili - very elevated conn's syndrome - alodosterone increased ca decreased k decreased cushing syndrome - k decreased=metabolic alkalosis acth increased (exposure to cortisol) ca decreased glucose increased A1C - 2-3 months glucose intake Type I diabetes - juvenile onset insulin dependent ketoacidosis Type 2 diabetes - adult onset non insulin common hepatobiliary enzymes - alp,ggt,5'NT hepatocellular enzymes - alt, ast ph,amon,creatinine, bun - od on salicylate/aspirin what test to run myoglobin - rises in 2-3 hrs returns 24-36 ckmb - rises 4-8 hrs falls 48-72 hrs TNI - rises 4-6 hrs falls 10-14 days nephrosis - alb decreased glob norm tp decreased infectious hepatitis - alb decreased glob increased tp decreased multiple myeloma - alb norm glob increased tp increased cirrhosis of liver - alb decreased glob norm tp decreased non ketoacidosis coma - complications of diabetes melitus type 2 glucose increase osmolarity and severe dehydreation accelerator - caffeine benzoate bili assay lactic acidosis - mk low pH nausea, rapid breathing,weakness and vomiting subtype of metabolic acidosis SIRS, severe infection,hrt/lung disease,sepsis,hemorrhage melformin, cyanide poisioning chloride - ion affected by bromide measurement afp - substance found in down syndrome Hodgkin's dse,testicle,ovary, stomach pancreas and liver cancer