recalls ASCP Exam Study Guide Graded A 2024
check for lipemia - on an auto instrument hgb=45 and hct=33. The tech performs man and hct is 33.5. What should be done next? lupus anticoagulant - micro emboli (clots) formation in blood vessels of SLE patients pure red cell aplasia - only red cell production affected and WBC and plt are norm 3 y/o, rbc=1.7x10^6 biliary obstruction - urine bili + urobilin decreased or neg acute tubular necrosis - 3 y/o urine spec 25 rte hpo gran casts wbc 3-5 nitrite + change CaCl2 and repeat - on analyzer PT qc in range PTT qc out. rpt out, what is the next step hypotonic and alk urine can lyse cells if myoglobin is present it can produce false pos - ua test bld + rbc- none seen Le a - nonsectretor sese phenotype Le(a+b-) what ag will be detected in his/her fluids MNS - bld group rgt deteriorates faster while in use legionella - detection of ag in urine spec release adp from dense granules - at what stage the 2nd phase and the irreversable plt aggregation occurs bartonella - cat scratch infection gnr pleomorphic rods slow growing Cushing's disease - acth increased cortisol increased Cushing's syndrome - ACTH Norm Cortisol Increased ADH - increases water adsorption iron increased - hemolytic anemia, hepatitis and iron overload iron decreased - anemia, pregnancy prehepatic jaundice - hemolytic anemia serum conjugated bili -norm serum unconj bili- increased urine urobilin- very elevated bili-norm stool bili - very elevated conn's syndrome - alodosterone increased ca decreased k decreased cushing syndrome - k decreased=metabolic alkalosis acth increased (exposure to cortisol) ca decreased glucose increased A1C - 2-3 months glucose intake Type I diabetes - juvenile onset insulin dependent ketoacidosis Type 2 diabetes - adult onset non insulin common hepatobiliary enzymes - alp,ggt,5'NT hepatocellular enzymes - alt, ast ph,amon,creatinine, bun - od on salicylate/aspirin what test to run myoglobin - rises in 2-3 hrs returns 24-36 ckmb - rises 4-8 hrs falls 48-72 hrs TNI - rises 4-6 hrs falls 10-14 days nephrosis - alb decreased glob norm tp decreased infectious hepatitis - alb decreased glob increased tp decreased multiple myeloma - alb norm glob increased tp increased cirrhosis of liver - alb decreased glob norm tp decreased non ketoacidosis coma - complications of diabetes melitus type 2 glucose increase osmolarity and severe dehydreation accelerator - caffeine benzoate bili assay lactic acidosis - mk low pH nausea, rapid breathing,weakness and vomiting subtype of metabolic acidosis SIRS, severe infection,hrt/lung disease,sepsis,hemorrhage melformin, cyanide poisioning chloride - ion affected by bromide measurement afp - substance found in down syndrome Hodgkin's dse,testicle,ovary, stomach pancreas and liver cancer
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recalls ascp exam study guide graded a 2024
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