New Quiz 10 Dec Welcome to your MLT- Professional Name: Email: Phone Number: [Which of the following tubes can be used to collect a serum specimen?] Light-blue top Green top PST Red top None . [SITUATION: An EDTA sample for TnI assay gives a result of 0.04 ng/mL (reference range 0–0.03 ng/mL). The test is repeated 3 hours later on a new specimen and the result is 0.06 ng/mL. A third sample collected 6 hours later gives a result of 0.07 ng/mL. The EKG showed no evidence of ST segment elevation (STEMI). What is the most likely explanation?] A false-positive result occurred due to matrix interference Heparin should have been used instead of EDTA, which causes false positives The patient has suffered cardiac injury The patient has had an ischemic episode without cardiac injury None . [An outbreak of Staphylococcus aureus in the nursery department prompted the Infection Control Committee to proceed with an environmental screening procedure. The best screening media to use for this purpose would be:] CNA agar THIO broth Mannitol salt agar PEA agar None . [Which statement regarding normal salt and H2O handling by the nephron is correct?] The ascending limb of the tubule is highly permeable to salt but not H2O The stimulus for ADH release is low arterial pressure in the afferent arteriole The descending limb of the tubule is impermeable to urea but highly permeable to salt Renin is released in response to high plasma osmolality None . [Anaerobic gram-positive diphtheroids (nonspore formers) were cultured from two separate blood culture bottles (at 5 days) obtained from a 25-year-old patient admitted to the hospital with dehydration, diarrhea, and other flulike symptoms. Four other blood culture bottles did not grow any organisms at 7 days and were discarded. The following results were obtained from the recovered anaerobe: Indole = + Nitrate = + Catalase = + Kanamycin = Sensitive Vancomycin = Sensitive Colistin = Resistant Major acid from PYG broth by GLC = Propionic acid What is the correct identification?] Eubacterium lentum Propionibacterium acnes Actinomyces spp. Peptostreptococcus spp. None . [Which isoenzyme of ALP is most heat stable?] Bone Liver Intestinal Placental None . [The “e” is pronounced separately in:] diastole. syncope. systole. all of the above. None . [The urease test, niger seed agar test, and the germ tube test are all used for the presumptive identification of:] Rhodotorula rubra Cryptococcus neoformans Trichosporon cutaneum Candida albicans None . [Nonpathogenic Moraxella spp. capable of growing on selective media for Neisseria can be differentiated from Neisseria spp. by which test?] Catalase test 10-unit penicillin disk Oxidase test Superoxol test None . [Specimens for virus culture should be transported in media containing:] Antibiotics and 5% sheep blood Saline and 5% sheep blood 22% bovine albumin Antibiotics and nutrient None . [Storage iron is usually best determined by:] Serum transferrin levels Hgb values Myoglobin values Serum ferritin levels None . [Which of the following crystals is seen commonly in alkaline and neutral urine?] Calcium oxalate Uric acid Magnesium ammonium phosphate Cholesterol None . [At which pH are ammonium biurate crystals usually found in urine?] Acid urine only Acid or neutral urine Neutral or alkaline urine Alkaline urine only None . [A gram-negative coccobacillus was recovered on chocolate agar from the CSF of an immunosuppressed patient. The organism was nonmotile and positive for indophenol oxidase but failed to grow on MacConkey agar. The organism was highly susceptible to penicillin. The most probable identification is:] Acinetobacter spp. Pseudomonas aeruginosa Pseudomonas stutzeri Moraxella lacunata None . [What term describes the products produced when DNA is digested by restriction endonucleases?] Mosaicisms Chimeras Amplicons Restriction fragment length polymorphisms None . [Parasitic organisms that are most often transmitted sexually include:] Entamoeba gingivalis Dientamoeba fragilis Trichomonas vaginalis Diphyllobothrium latum None . [Cetrimide agar is used as a selective isolation agar for which organism?] Acinetobacter spp. Pseudomonas aeruginosa Moraxella spp. Stenotrophomonas maltophilia None . [Four units of blood are ordered for a patient. Blood bank records are checked and indicate that 5 years ago this patient had an anti-Jkb. What is the next course of action?] Antigen type units for the Jkb antigen and only crossmatch units positive for Jkb Antigen type units for the Jkb antigen and only crossmatch units negative for Jkb Randomly pull 4 units of blood that are ABO compatible and crossmatch Perform an immediate spin crossmatch on 4 Jkb-negative units None . [Results of a fetal lung maturity (FLM) study from a patient with diabetes mellitus are as follows: L/S ratio = 2.0; Phosphatidyl glycerol = Pos; Creatinine = 2.5 mg/dL Given these results, the technologist should:] Report the result and recommend repeating the L/S ratio in 24 hours Perform scanning spectrophotometry on the fluid to determine if blood is present Repeat the L/S ratio after 4 hours and report those results Report results as invalid None . [Calculate the mean cell hemoglobin concentration (MCHC) using the following values:Hgb: 15 g/dL (150 g/L) Hct: 47 mL/dL (0.47)RBC: 4.50 × 10ˆ6/μL (4.50 × 10¹²/L)] 9.5% (.095) 10.4% (.104) 31.9% (.319) 33.3% (.333) None Comment . [What is the approximate incidence of antiphospholipid antibodies in the general population?] <1% 2% 10% 20% None . [Which of these tests are most affected if the patient is not fasting?] CBC and protime Glucose and triglycerides RA and cardiac enzymes Blood culture and thyroid profile None . [Which crystal appears in urine as a long, thin hexagonal plate, and is linked to ingestion of large amounts of benzoic acid?] Cystine Hippuric acid Oxalic acid Uric acid None . [An AFP measured on a 30-year-old pregnant woman at approximately 12 weeks gestation is 2.5 multiples of the median (MOM). What course of action is most appropriate? (fig 18)] Repeat the serum AFP in 2 weeks Recommend AFP assay on amniotic fluid Repeat the AFP using the same sample by another method Repeat the AFP using the sample by the same method None . [Which of the following methods for HDL cholesterol is the reference method?] Manganese–heparin Magnesium–phosphotungstate Magnesium–dextran Ultracentrifugation None . [A patient had surgery for colorectal cancer, after which he received chemotherapy for 6 months. The test for carcinoembryonic antigen (CEA) was normal at this time. One year later, the bimonthly CEA was elevated (above 10 ng/mL). An examination and biopsy revealed the recurrence of a small tumor. What was the value of the results provided by the CEA test in this clinical situation?] Diagnostic information Information for further treatment Information on the immunologic response of the patient No useful clinical information in this case None . [What molecule on the surface of most T cells recognizes antigen?] IgT, a four-chain molecule that includes the tau heavy chain MHC protein, a two-chain molecule encoded by the HLA region CD3, consisting of six different chains TcR, consisting of two chains, alpha and beta None . [Which of the following is a necessary element of risk management?] Education Evaluation Identification All of the above None . [In most circumstances, when two controls within a run are both greater than ±2s from the mean, what action should be taken first?] Recalibrate, then repeat controls followed by selected patient samples if quality control is acceptable Repeat the controls before taking any corrective action Change the reagent lot, then recalibrate Prepare fresh standards and recalibrate None . [Four units of packed RBCs were brought to the nurses’ station at 10:20 a.m. Two units were transfused immediately, and 1 unit was transfused at 10:40 a.m. The remaining unit was returned to the blood bank at 11:00 a.m. The units were not refrigerated after leaving the blood bank. What problem(s) is (are) present in this situation?] The only problem is with the returned unit; the 30-minute limit has expired and the unit cannot be used The unit should not have been transfused at 10:40 a.m. because the time limit had expired; this unit and the remaining unit should have been returned to the blood bank The returned unit may be held for this patient for 48 hours but cannot be used for another patient No problems; all actions were performed within the allowable time limits None . Time's up