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Ace ASCP Exam Study Guide 2022 with complete solution

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Ace ASCP Exam Study Guide 2022 with complete solution

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  • August 22, 2023
  • 218
  • 2023/2024
  • Exam (elaborations)
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Ace ASCP Exam QUESTIONS AND
ANSWERS/COMPLETE LATEST 2023
GRADED A

, Ace ASCP Questions and Answers
Rated A
Which of the following condition is the most common cause of increase anion gap?

A. Metabolic alkalosis

B. Metabolic acidosis

Respiratory acidosis

Respiratory alkalosis ✔✔B. Metabolic acidosis



High anion gap metabolic acidosis is caused generally by the body producing too much acid or

not producing enough bicarbonate. This is often due to an increase in lactic acid or ketoacids, or

it may be a sign of kidney failure. More rarely, high anion gap metabolic acidosis may be caused

by ingesting methanol or overdosing on aspirin.



Which of the following enzymes has the longest elevation after Myocardial Infarction (MI)?



CK-MB



Myoglobin



Troponin



AOTA ✔✔C. Troponin

,Troponin is elevated up to 10-14 days after Myocardial Infarction.



Lactic acid specimen:



Chilled and separated from cells



Heated



Room temperature



Request EDTA sample only ✔✔A. Chilled and separated from cells



Feedback Special Handling: No tourniquet. Place on ice immediately and deliver to lab or

aliquot within 15 minutes. DO NOT FREEZE WHOLE BLOOD SPECIMEN.



Specific gravity measured by refractometer: 1.035. Protein and glucose both trace in reagent

strip:



Presence X-ray medium



Albuminuria

, Glucosuria



Normal ✔✔A. Presence X-Ray medium



Feedback Xray medium/Radiographic dye can cause erroneous results in urine specific gravity

measurement.



A patient with walking pneumonia is being treated with penicillin. State one possible condition

why the patient is not recovering:



The organism produces beta lactamase



The organism has no cell wall



The organism has capsule



The organism produces an enzyme that neutralizes the antibiotic ✔✔B. The organism has no

cell wall.



Feedback Pneumonia caused by Mycoplasma pneumoniae is routinely treated with antibiotics,

although the disease is usually self-limiting. The disease is treated with macrolide, tetracycline,

or fluoroquinolone classes of antibiotics. All mycoplasmas lack a cell wall and, therefore, all are

inherently resistant to beta-lactam antibiotics (e.g., penicillin).

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