PICTURE Blood Smear Pic of stomatocytes Ans: Liver Disease == Blood smear pic of retics and heinz bodies (focus on heins bodies) Retics count= 18% What to do next? Note: Bite cells are also seen in the picture Ans: Heinz body staining Also in the choice: Report retics count Do Prussian blue staining == Blood smear pic of echinocytes: Ans: Uremia == Blood smear pic of (orange red spiky cells) Ans: faulty drying == Blood smear pic of Target Cells: WBC count: High WBC count using another diluent: Normalized What can be the possible explanation? Ans: Lyse resistant RBC == Blood smear pic of agglutination, whats causing it? Ans: cold agglutinins == Same Blood Smear picture of agglutination:caused by what org? Ans: Mycoplasma Pneumoniae == Picture of T. trichuira == Picture of Penicillium == Picture of crithidialuciliae Ans: dsDna ==== Patient with lesions in his arms, given description what is seen in culture? Ans: SporothrixSchenkii ==== About 4 items of Automated Coagulation Studies: please read on PT and APTT reagents and corresponding effect of the values on the test sample ==== Around 7 to 10 Blood bank prob and discrepancies all situational Ex: O neg Rh pos patient Dat positive Screen cell - all neg 37 deg control - pos Rh control - neg (Remember rh control is BSA - serve as neg control) ==== Given: mother of blood type AB neg and baby type O pos. what should u do? Ans: Get a new heel stick from baby ( for me getting new sample is the best answer) it might be sample switching or px misidentification since its impossible for an AB mom to have a O baby Other Choices: Administer Rh Ig Get sample from father (blood bank staff dont go look for the father of the baby to counter check result)lol ==== Titer of EBV, IM, Toxoplasmosis Choices: primary infection EBV -( my answer) Coinfection with Toxo Secondary infection IM ==== Values of the following blood chem were re-run (2 values have significant difference) BILI, CREA, GLUCOSE, TROP I Which should you prioritize for validation? Ans: Trop I Note: normal values are not indicated ==== Sample taken from indwelling catheter. Not on anticoagulant but PT and APTT is elevated: Ans: heparin contamination ==== Second Irreversible step in platelet aggregation studies? Ans: release of ADP ==== Mannitol Positive Ans: Staph Aureus ==== Potassium Permanganate in auraminerhodamine stain for myco Ans: Quenching agent ==== After CSF gram stain, how would you store the CsF for culture the next day? Ans: Incubate @ 35 deg C === Patient with Rheumatic Disease develop AGN. What org do u expect to see in Renal biopsy? Ans: S. Pyogenes ==== Group D strep BE positive, NaCl negative Ans: S. Bovis ==== Parathyroid hor level: Normal Ionized calcium: increased Ans : metastatic Carcinoma (not sure) or hypoalbuminemia === Primidone monitoring: Suspected to have primidone overdose but the serum concentration is within the normal range, what should you do next? Ans: Measure phenobarbital concentration === Suspected deficiency when a patient exhibits prolonged apnea and paralysis after injection of anesthesia Ans:Pseudocholinesterase deficiency ==== Specimen for diagnosis of rotavirus Ans: Stool After being diagnosed with walking pneumonia, a patient is given penicillin. After a few days, the penicillin did nothing to treat the disease because: Ans: The bacterial agent has no cell wall ==== Hair perforation test is used to differentiate Ans: Trichophytonrubrum and Trichophytonmentagrophytes ==== Mature trophozoites and schizonts are not seen in the blood smear: Ans: Falciparum ==== Initial ELISA for HIV testing: reactive Repeat ELISA (In duplicate): Non-reactive Ans:Report as nonreactive ==== Blood group that deteriorates on storage Ans: P (thats the only P in the choices) ==== Urine pH of less than 4.5 is possible in the case of: Ans:Renal Tubular Acidosis ==== Reagent strip test for glucose: Positive Clinitest: Negative Ans:Glucose is positive ==== A patient is suspected to have DM FBS: 130 mg/dL 2 hour glucose: 242 mg/dLWhat to do next? Ans:Diagnostic for DM ==== FBS: 120 mg/dL Ans: Impaired plasma glucose ===== Reactive monocytosis Ans: Tuberculosis ==== Marker for pancreatic carcinoma Ans: CA 19-9 ==== Different Fecal fat tests are affected similarly by: Ans:Weight and extraction ==== HBa1C are not to be done in Ans:patients with condition that shortens the RBC lifespan ==== Post prandial turbidity of the serum is due to the presence of Ans: Lipoproteins ==== Comparison of two means t-test (theres a word before ttest in the choices still itsttest) ==== Urine bilirubin : None Urine Urobilinogen: High Unconjugated bilirubin: High Ans: hemolytic Anemia ==== Treated Prostate cancer patient....after 9 months, PSA level is above normal Ans: Recurrence ==== Antibody detection for HTLV I/II : positive What should you do next? Ans: Repeat test ==== Lifetime marker of MBV infection Ans: Anti-HBc ==== 33. Interpret: Anti-A - Anti-B MF A cell - B cell - Ans: Bx subgroup