Ace ASCP UPDATED ACTUAL Questions and CORRECT
Answers
1. B. Metabolic acidosis Which of the following condition is
the most common cause of increase
High anion gap metabolic acidosis is caused anion gap?
generally by the body producing too much acid A.Metabolic alkalosis
or not producing enough bicarbonate. This is B. Metabolic acidosis
often due to an increase in lactic acid or ke- Respiratory acidosis
toacids, or it may be a sign of kidney failure. Respiratory alkalosis
More rarely, high anion gap metabolic acidosis
may be caused by ingesting methanol or over-
dosing on aspirin.
2. C. Troponin Which of the following enzymes has
the longest elevation after Myocardial
Troponin is elevated up to 10-14 days after Infarction (MI)?
Myocardial Infarction.
CK-MB
Myoglobin
Troponin
AOTA
3. A. Chilled and separated from cells Lactic acid specimen:
Feedback Special Handling: No tourniquet. Chilled and separated from cells
Place on ice immediately and deliver to lab
or aliquot within 15 minutes. DO NOT FREEZE Heated
WHOLE BLOOD SPECIMEN.
Room temperature
Request EDTA sample only
4.
, Ace ASCP UPDATED ACTUAL Questions and CORRECT
Answers
A. Presence X-Ray medium Specific gravity measured by refrac-
tometer: 1.035. Protein and glucose
Feedback Xray medium/Radiographic dye can both trace in reagent strip:
cause erroneous results in urine specific grav-
ity measurement. Presence X-ray medium
Albuminuria
Glucosuria
Normal
5. B. The organism has no cell wall. A patient with walking pneumonia is
being treated with penicillin. State
Feedback Pneumonia caused by Mycoplasma one possible condition why the pa-
pneumoniae is routinely treated with antibi- tient is not recovering:
otics, although the disease is usually self-lim-
iting. The disease is treated with macrolide, The organism produces beta lacta-
tetracycline, or fluoroquinolone classes of an- mase
tibiotics. All mycoplasmas lack a cell wall
and, therefore, all are inherently resistant to The organism has no cell wall
beta-lactam antibiotics (e.g., penicillin).
The organism has capsule
The organism produces an enzyme
that neutralizes the antibiotic
6. B. 6.09 What is the coeflcient of variation if
the mean is 90 and the standard de-
Feedback: viation is 5.48?
CV= SD/meanX100,
(5.48/90)X100= 6.09. 2.75
6.09
, 5.68
30
7. B. Tartrate-resistant acid phosphatase Blood smear below denotes Hairy
Cell Leukemia (HCL), which of the fol-
Feedback: lowing test is used to identify this type
Hairy cells demonstrate strong positivity for of leukemia?
tartrate-resistant acid phosphatase (TRAP) Image. 1
staining. The hairy cells are larger than nor- Myeloperoxidase
mal and positive for CD19, CD20, CD22, CD11c,
CD25, CD103, and FMC7. Tartrate-resistant acid phosphatase
Tartrate-resistant alkaline phos-
phatase
Sudan Black
8. A. Lysine decarboxylase Use to differentiate Salmonella from
Citrobacter:
Feedback:
Salmonella (+); Citrobacter (-) Lysine decarboxylase
ONPG
Indole
, Vogues Proskauerterm-9
9. A. D>c>E>C>e Arrange the common Rh antigens ac-
cording to immunogenicity (greatest
Feedback Most immunogenic D > c > E > C > e to least):
least immunogenic.
D>c>E>C>e
D>C>E>c>e
D>c>E>e>C
C>D>c>E>e
10. A. True Most common error in Polymerase
Chain Reaction (PCR) is NUCLEIC
ACID CONTAMINATION.
A True (Correct Answer)
B False
11. A. Ankylosing spondylitis What disease is associated with the
possession of HLA-B27?
Feedback:
Ankylosing spondylitis belongs to a group Ankylosing spondylitis
of arthritis conditions that tend to cause
chronic inflammation of the spine (spondy- Hashimoto's Disease
loarthropathies). The HLA-B27 gene can be de-
Goodpasture's syndrome
tected in the blood of most patients with anky-
losing spondylitis.
SLE
12. A. Uremia (kidney Disease) Burr cells are seen in the peripheral
blood smear, this is indicative of? (Fig.
Feedback:
Answers
1. B. Metabolic acidosis Which of the following condition is
the most common cause of increase
High anion gap metabolic acidosis is caused anion gap?
generally by the body producing too much acid A.Metabolic alkalosis
or not producing enough bicarbonate. This is B. Metabolic acidosis
often due to an increase in lactic acid or ke- Respiratory acidosis
toacids, or it may be a sign of kidney failure. Respiratory alkalosis
More rarely, high anion gap metabolic acidosis
may be caused by ingesting methanol or over-
dosing on aspirin.
2. C. Troponin Which of the following enzymes has
the longest elevation after Myocardial
Troponin is elevated up to 10-14 days after Infarction (MI)?
Myocardial Infarction.
CK-MB
Myoglobin
Troponin
AOTA
3. A. Chilled and separated from cells Lactic acid specimen:
Feedback Special Handling: No tourniquet. Chilled and separated from cells
Place on ice immediately and deliver to lab
or aliquot within 15 minutes. DO NOT FREEZE Heated
WHOLE BLOOD SPECIMEN.
Room temperature
Request EDTA sample only
4.
, Ace ASCP UPDATED ACTUAL Questions and CORRECT
Answers
A. Presence X-Ray medium Specific gravity measured by refrac-
tometer: 1.035. Protein and glucose
Feedback Xray medium/Radiographic dye can both trace in reagent strip:
cause erroneous results in urine specific grav-
ity measurement. Presence X-ray medium
Albuminuria
Glucosuria
Normal
5. B. The organism has no cell wall. A patient with walking pneumonia is
being treated with penicillin. State
Feedback Pneumonia caused by Mycoplasma one possible condition why the pa-
pneumoniae is routinely treated with antibi- tient is not recovering:
otics, although the disease is usually self-lim-
iting. The disease is treated with macrolide, The organism produces beta lacta-
tetracycline, or fluoroquinolone classes of an- mase
tibiotics. All mycoplasmas lack a cell wall
and, therefore, all are inherently resistant to The organism has no cell wall
beta-lactam antibiotics (e.g., penicillin).
The organism has capsule
The organism produces an enzyme
that neutralizes the antibiotic
6. B. 6.09 What is the coeflcient of variation if
the mean is 90 and the standard de-
Feedback: viation is 5.48?
CV= SD/meanX100,
(5.48/90)X100= 6.09. 2.75
6.09
, 5.68
30
7. B. Tartrate-resistant acid phosphatase Blood smear below denotes Hairy
Cell Leukemia (HCL), which of the fol-
Feedback: lowing test is used to identify this type
Hairy cells demonstrate strong positivity for of leukemia?
tartrate-resistant acid phosphatase (TRAP) Image. 1
staining. The hairy cells are larger than nor- Myeloperoxidase
mal and positive for CD19, CD20, CD22, CD11c,
CD25, CD103, and FMC7. Tartrate-resistant acid phosphatase
Tartrate-resistant alkaline phos-
phatase
Sudan Black
8. A. Lysine decarboxylase Use to differentiate Salmonella from
Citrobacter:
Feedback:
Salmonella (+); Citrobacter (-) Lysine decarboxylase
ONPG
Indole
, Vogues Proskauerterm-9
9. A. D>c>E>C>e Arrange the common Rh antigens ac-
cording to immunogenicity (greatest
Feedback Most immunogenic D > c > E > C > e to least):
least immunogenic.
D>c>E>C>e
D>C>E>c>e
D>c>E>e>C
C>D>c>E>e
10. A. True Most common error in Polymerase
Chain Reaction (PCR) is NUCLEIC
ACID CONTAMINATION.
A True (Correct Answer)
B False
11. A. Ankylosing spondylitis What disease is associated with the
possession of HLA-B27?
Feedback:
Ankylosing spondylitis belongs to a group Ankylosing spondylitis
of arthritis conditions that tend to cause
chronic inflammation of the spine (spondy- Hashimoto's Disease
loarthropathies). The HLA-B27 gene can be de-
Goodpasture's syndrome
tected in the blood of most patients with anky-
losing spondylitis.
SLE
12. A. Uremia (kidney Disease) Burr cells are seen in the peripheral
blood smear, this is indicative of? (Fig.
Feedback:
