EXAM RECALLS Many folks have been asking for exam recalls to be emailed to them. Fortunately, your colleagues have previously posted – and continue to post – recall questions from recent exams. These are located throughout the discussion areas. I continue to compile them all in this area. If you have additional questions to contribute, please do so and you will be credited. Pay it forward and be a good human citizen! Thank you! Many thanks to: King Bego, SS, Zsa, Yohannes, Jord, CloFro, Adrienne Salazar, Kk, Adrienne, Choneng, Oliver A, Aleesha, Yeng, Christian, Caroline, may, Gab, Ipassed, RufioSD619, PassitForward, student in USA, LM, Ergo, Michi, JB, Veronica, Chellezy78, Sniper, CC, Nancy, ariel acaylar, Ginger, ge02015, anna, Nika, Danny Lyons, Kobe, Valen, Yoro, Dee, Jean, Ruby, DeeCee, FM, John, newmt, CG, Forlornd, Diana, Paralumann, K, Charles, Ryan, Nicole, Sekonie, Kbrown, asdfgaill, Itina, Nicole, Klynn, Liv, TB, Jan, Zinnia, Samsam, SueS, Saro, Violeta, Sukhi, Maricel, Jamaica, mllerena, Bernadette, DoraDExplorer, annu, Shiela, RJ Baclagan, Kuki, Kaneulchan, Mr IT, Maria, Violeta, Anonymous, tao tao, Alexis, Krabbypatty, lead, Jordan, miroslavafh, Roela GV, Tazeen5, Rondrae, Sal, Sarah, Sam, Jen, Charita, Daniel, liwa Here are my recalls: -Steno maltophilia- multi-drug resistant and maltose fermenter -Wilson’s Dse- confuse between increase CK and ceruplasmin (my answer) or increase ALT and ceruplasmin. I wordsology ASCP made EASY 1/29/2018 EXAM RECALLS | wordsology https://wordsology.org/exam-recalls/ 2/200 chose this because of CK-BB and mostly lead affects brain functioning. ALT is mainly for liver dse -Suspected bioterrorism agent: morphology- satellitism with Staph aureus Gram stain: GNCB. I answered, rule out Francisella and Bordetella because these ar e characteristics of Haemophilus which is a common pathogen -P antigen deteriorate over time -Mycoplasma pnuemoniae – pt did not respond to atb due to lack of cell wall -positive and negative controls of bile esculin, salt tolerance , CAMP and one more test I cannot remember -FFP thawed at 10.30 am ans stored at 5C. Transfusion is due at 3 pm. Not mentioned if pooled FFP ( expiry is 4 hrs) so I answered keep on the fridge and wait for doctor’s instructions since normal thawed ffp can last for 24 hrs -Difference between Pseudo putida and aeruginosa -Plasmodia spp. wherein schizonts and merozoites are hardly seen- P.falciparum -Picture of stomatocytes- liver dse -Tabular CBC result of method A and B. In method A, WNBC is increased. In method B, WBC is normal. Beside it is a peripheral smear of target cells and Hb C bar shaped. Error in method A is on the lysing reagent -Bilirubin metabolism -Baby is O+ using cord blood sample. Mother is AB neg. I answered repeat blood group from heel stick. -Ab ID: Ab identified is Lea and Leb, but choices are the description or characteristics of Ab’s so I chose glycolipids adsorb on plasma. I’m thinking it should be adsorb on red cells but since no other answer related to adsorption so I answered this one. -Many blood bank questions especially DAT but I can hardly remember. Review high yield notes and other questionnaires you have. I used this site for review. Other review materials include Polansky, harr, boc and labce. Try to answer all recall questions especially the latest ones, but don’t rely always on the answers. Better check it by yourself. If you are sure of your answer, don’t hesitate to follow your instincts. I never flagged any question since 2 hrs and 30 mins is quite enough. I finish my exam within an hour. Study hard and pray always for guidance. All the best for all takers. 1/29/2018 EXAM RECALLS | wordsology https://wordsology.org/exam-recalls/ 3/200 Thank you for this amazing website, I took Ascpi yesterday and I passed (my 1st attempt). Graduated in 2015 ( medicine and surgery) and 2008 ( Medical Laboratory Science). I passed really not because I graduated as a medical doctor few years back but because of God’s divine and unmerited grace and this amazing website. I was guided thoroughly by those recalls and comments from many people on this site. Over half of the questions on my exam were actually either related to the things already discussed here or directly same questions. To God I give all the praises and to all who contributed here I say thank you and may God bless you, and to Sohail I say may God bless you richly and immensely. RECALLS -something seen in primary biliary cirrhosis -unconjugated bilirubin seen in -2 year old baby with normocytic and normochromic blood picture -picture of burr cell and the cause -picture of stomatocytes and the cause -picture of acanthocytes and the cause -know and if possible memorize all the high yield notes and diagrams (microbiology). I got -over 15 to 20 questions related to those diagrams -how to differentiate strep using laboratory tests (eg. nacl, eschulin,bile, pyp, camp), hemolysis , drugs and grouping system -how to differentiate staphs using tests and drugs -how to differentiate mycobacteria -antibody panels and how to solve thme -know the phases eg AHG, IS, 37 1/29/2018 EXAM RECALLS | wordsology https://wordsology.org/exam-recalls/ 4/200 -characteristics of each especially kell, duffy, mns lewis, and kidd also anti i and anti I -urine reagent strip (principles, causes of false positives and false negatives) -tumor markers (acute pancreatitis, breast cancer, hepatic ca, etc) -PSA for prostate (I was given a scenario where one month after surgery PSA was high so what happened?) -so many blood serology questions -leukemia and markers -transfusion reactions and causes -casts, crystals and where they are found -hepatitis markers -PT AND PTT studies -warfarin and heparin -diabetes and how to diagnose it, Conn’s syndrome, Sushing syndrome and the lab values I had no textbook so I read polansky flash cards, harr’s review book tho i didn’t finish it b/c I had less than two months to prepare. Anyway I’m going to share some points. Try to study Harr questions and also BOC for BB. Some of the questions in the BB actual exam were taken from BOC. Try to focus on A bottomline approach by theriot and also the book of ciulla -reasons for falsely dec/inc PT and PTT. -how is Ca affted by PTH? -Relevance of sodium and glucose? -T.mentagrophytes/T.rubrum: Hair shaft 1/29/2018 EXAM RECALLS | wordsology https://wordsology.org/exam-recalls/ 5/200 -overdose of salicylate, what chem test is to be tested? -olive oil: M.furfur -Degradation of reagent in PT/PTT reason for the qc to fail -arrange by protein:lipid ratio (hdl, vldl, ldl, idl) i forgot my answer here -patient is A positive but no A positive is available only O negative what will you do? -Burr cells is an indicative of? -what urine cast will appear in patients with nephrotic syndrome? -Rbc cell seen in patient with mycoplasma pneumoniae? -BB: remember the abo discrepancies and also the antibody identification. -Memorize by heart the high yield notes of Sohail for Enterobacteriaceae and for gram positive cocci and bacilli it can definitely save your life from micro questions. They asked about Stenotrophomonas maltophilia which are = Rapid oxidizers of maltose The asked about the stain used for Cryptosporidium parvum= Modified trichrome stains Here are some questions I remember: 1. Markers absent in Acute promyelocytic leukemia: CD13, 34 (I picked) – Don’t know if its right 2. Group A, Le (a+b-) person: Lea only in saliva [Because no Leb = no secretor gene = no A & H antigens in saliva] 3. Burr: uremia, Stomatocytes: Liver disease, Acanthocytes: inadequate slide drying. [Picture shown for these so know what these look like under the microscope] 4. ANA pattern that looked smooth but had orange fluroscence along with green. and had mitotic cells that did not 1/29/2018 EXAM RECALLS | wordsology https://wordsology.org/exam-recalls/ 6/200 stain [“keyhole”]: picked Anti-mitochondrial – [Don’t know if its right] 5. PT, PTT, and Pt. samples all run together were abnormally high – Choices: CaCl2 added, thromboplastin added, controls deterioration, incubation temp. too low (I picked this one because the others didn’t make sense to me) 6. catheter tip – PT and PTT were high: Heparin contamination 7. %saturation = [Fe/(Fe+UIBC)] X 100 8. Antigen that deteriorates: P group 9. Procainmide toxicity, levels within range, what to do next: Repeat test on same sample, Recollect and repeat, Test NAPA levels (What I picked, don’t know if its right), Test phenobarbital levels 10. LF, ODC (+), Lysine (-): Enterobacter cloacae 11. Gram pos. bacilli: Cat (+), Nonmotile: B. antracis, corynebacterium jeikeium (probably right answer), Erysipelothrix 12. Lesions – Tissue: weird description -, microscope: Septate hyaline hyphae with microconidia: I put Sporothrix schenckii. Other options: Coccidiodes, Microsporum, Epidermophyton 13. RBCs on strip but none in microscope: Dilute alkaline urine {I think} 14. Autoabsorption done – ScI & ScII pos: Choices: Repeat autoabsorption, Selected panel cells, Antibody ID of enzyme treated cells (What I picked – I don’t know if its right) 15. PPT abnormal for normal and abnormal controls: I picked replace thromboplastin reagent 16. 18.5% retics, shows pic of pappenheimer bodies: Stain with Prussian blue 17. What happens in “Adrenal” Cushing disease: Increased Cortisol, Decreased ACTH [I picked this because it said adrenal cushing disease so I thought it meant “primary” – dont know if right] 18. Elevated Ca, Normal PTH: Metastasized carcinoma 19. pt. jaundiced with pancreatic mass: AFP, CA-19-9, [Picked AFP but not sure] 20. Deferral: Hospital workers received HB vaccine few days ago (I think) 21. Normo, Normo anemia, WBC & PLT normal, retic 0.1%: Pure red cell aplasia 22. Calibration of blood gad analyzer: 2 buffers and constant temperature 1/29/2018 EXAM RECALLS | wordsology https://wordsology.org/exam-recalls/ 7/200 23. Monocytosis: TB 24. 3 LF organisms growing and also staph and micrococcus(?) on MAC, HE, and something else from stool. I put: report No Salmonella & Shigella isolated {Not sure}, Other options: Work up all three gram negative bacilli, report staph and micro 25. What gene is deleted in the Mcleod syndrome: XK