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Ascpi Recalls April112019

The document contains a series of medical recalls and notes related to various laboratory tests and results, including blood typing, urinalysis, and biochemical markers. It highlights specific findings such as renal tubular necrosis, hemolytic anemia, and the implications of various test results. Additionally, it provides insights into the interpretation of results and potential follow-up actions for patients based on their laboratory findings.

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0% found this document useful (0 votes)
56 views5 pages

Ascpi Recalls April112019

The document contains a series of medical recalls and notes related to various laboratory tests and results, including blood typing, urinalysis, and biochemical markers. It highlights specific findings such as renal tubular necrosis, hemolytic anemia, and the implications of various test results. Additionally, it provides insights into the interpretation of results and potential follow-up actions for patients based on their laboratory findings.

Uploaded by

vcmendoza0924qc
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as TXT, PDF, TXT or read online on Scribd

RECALLS - APRIL 11 2019 (THURS: 8AM )

1. RBC (+) rgt strip


RBC (-) microscopic exam in urine
= DIL. ALKALINE URINE

2. ANTI A = 4+ A CELL = 2+
ANTI B = 4+ B CELL = 2+
= WASH RBC WITH SALINE SOLUTION

3. Primadone = Phenobarbital

4. Glucose Strip (+)


Clinitest (-)
= PRESENCE OF GLUCOSE

5. Failed Streptokinase Therapy


= D DIMER

6. Urinalysis Result presented in tabular form, notice 20-35 RTE cells reported
= RENAL TUBULAR NECROSIS

7. EPO below Normal


= Polycythemia Vera

8. Normal PTH
Increased Calcium
= METASTATIC CARCINOMA

9. Normal WBC, Platelets, Retic = 0.1 %


= PURE RED CALL APLASIA

10. Positive control for anti- C


Negative control for anti- Fya
= C+C+ , FYa-FYb+

11. False Negative ABO


= RBC (+) DAT

12. Anti A = 0 A CELLS = +


Anti B =(+)MF B CELLS = 0
=Bx GROUP

[Link] for gallbladder surgery


PT 50 PTT 100
TT PROLONGED
FIBRINOGEN =NORMAL
= FACTOR XII ASSAY

14. Irreversible phase in platelet aggregation


=RELEASE OF ADP

15. Antibody Panel [ Lewis b ]


= ADSORBED BY PLASMA ? ( HAHA idk if same ksi sila ng lewis a. iF a sure eto
sagot)

16. Decreased Sodium, Other analytes NORMAL


= MEASURE INDIRECT Na USING ISE (check nyo guys ksi meron sa choices na
DIRECT ISE)

17. Multichannel analyzer : Control Enzymatic = LOW


Non- Enzymatic = NORMAL
= INSTRUMENT TEMPERATURE LOW

18. False Decrease in ESR ( twice asked )


= 8 Hour delay set up

19. Prolonged Apnea ( twice asked )


= Pseudocholinesterase

20. " ADRENAL " CUSHING SYNDROME


a) increase both acth and cortisol
b) increase acth decrease cortisol
c) DECREASE ACTH INCREASE CORTISOL
d) decrease acth decrease cotisol

21. Pink ( MAc ), Indole (-), Citrate (+ )


LOA ( -++ ) [CHECK LOA REMEMBER clOAcae :)]
=ENTEROBACTER CLOACAE

22. Wound infection ( TSI = A/A, Oxidase (+) )


= AEROMONAS

23. Detoriates upon storage


= P

24. about deferral


= HEPA B IMMUNOGLOBULIN 6 MOS AGO ( 1YR DPAT)

25. Rouleaux cannot be detected in?


= not sure if AHG or 37 deg ( pero i chose ahg haha xD )

26. Post Prandial Lipemia


= LIPOPROTEINS

27. what blood typoe should be transfused to the baby?


mother : type O rh- with anti-D, Anti C, Anti-I and anti-Lea
baby : type A rh + DAT +
=TYPE O RH NEG WITHOUT C I AND Lea ANTIGEN

28. Common Error in PCR


= CONTAMINATION OF NUCLEIC ACID

29. What to do after testing a px that is (+) in HTLV-1?


= CONFIRM WITH WESTERN BLOT

30. px has Hemolytic anemia:


a) increase urine urobilinogen , decrease unconjugated bili , increase bili
b) INCREASE URINE UROBILINOGEN, INCREASE UNCONJUGATED BILI, NORMAL OR DECRESE
BILI
c) decrease urine urobilinogen, increase unconjugated bili, increase bilirubin

31. Seen in Renal biopsy and pharygitis sequelae : glomerulonephritis


= S. PYOGENES

32. (+) Anti C3b , (-) Anti- IgG


=pre warm the sample

33-35 about ANA PATTERN


33. picture of crithidia lucilae tapos nkalagay don kinetoplast
=ano daw sya, nucleolar, speckled, homogenous
34. picture ulit ng crithida lucilae pero yellow background.
= ano daw un? anti-mitochondrial, anti- sm, anti rnp, anti ssdna
35. eto question lang no picture, forgot ung main question pero matic sagot anti
ssdna =))
malayo na ksi ibng sagot =))

36. use to compare 2 sets of MEAN


= PAIRED T-TEST

37. FBS 125 , 2HR ( forgot ung given pero abnormal pdn) ang tanong what to do next?
a) repeat fbs
b) PERFORM OGTT ( eto sagot ko dahil confirmatory to for DM? )

38. sample collected from indwelling catheter APTT and TT anre prolonged why?
= Heparin Contamination

39. during blood donation the blood stops at 390mL, what to do next?
a) discard blood
b) LABEL AS PACKED RBC ( LOW VOLUME UNIT )

40. calibration of blood gas analyzers


= 2 BUFFERS WITH KNOWN PH AT CONSTANT TEMPERATURE

[Link] 2nd phase of PLATELET AGGREGATION, what is irreversible


= FIBRIN FORMATION ( take note ung 2nd phase )

42. Coumarin Therapy


= DECREASE PROTEIN C? ( NOT SURE )

43. ORTHOSTATIC PROTEINURIA


= SPECIMEN 1 : NEGATIVE
SPECIMEN 2 : 1+

44. May question regards ALT and AST, pero hnd sya ung usual question na for
acetaminophen e.
sorry nakalimot ko.

45. AFB Smear (+) , growth after 35days smooth yellow colonies
= M. TUBERCULOSIS

46. regards sa CMV, forgot the exact question pero eto choices
a) use polarized light/ microscope
b) culture
yung 2 nakalimot ko.

47. 10 tubes with AHG then add check cells, 4 tubes negative, bakit daw gnun?:
= OMMITED SERUM

48. anti-mitochondria ab
= PRIMARY BILLARY CIRRHOSIS

49. LeA Leb IS 37/AHG


0 1+ 0 0
0 1+ 0 0
0 0 +/-2W +/-2W
0 0 +/2W +/-2W
= GLYCOLIPID ABSORBED FROM PLASMA ( not sure )

50. tabulated. IS 37/AHG CC


SCI 0 0 2+
SCII + +/- 2+
= ADD 4 DROPS OF SERUM? ( NOT SURE )

51. Sorry sa question na to. medjo vague na sya sa utak ko pero may ganto.

ANTI-A ANTI-B RH DUcontrol D


0 0 + + -
IS 37/AHG CC
SCI 0 0 2+
SCII 0 0 2+
PATIENT CELLS 0 0 2+ NOT TESTED
= PATIENT AUTO ALLO Ab?

52. picture of tyrosine crystal. san daw associated?


= liver dse.

53. may question don regards " maltese cross "


a) caox
b) triple phos
c) uric acid
d) cholestrol ( eto sagot ko )

54. defect in PNH


a) spectrin
b) cobalamin
c) cd3
d) cd59 ( eto sagot ko)

[Link] of the following show least dosage effect


= ANTI-E

56. SsU ab appears in the presence of the ff deletion sequence


a) RH/RHCE
b) GYPB ( eto answer ko. not sure if tama =). )
c) GYPA
d) GYPA/GYPB

57. monocytosis seen in?


= TUBERCULOSIS

58. what tests should be run in px with obstructive jaundice with pancreatic
masses?
= I answered CA 19-9

59. what is urobilinogen?


= Colorless product from bilirubin metabolism

60. advantage of MALDI TOF MS


= RAPID SENSITIVITY OF RESULTS
eto na po ung naalala ko. most ng tanong sakin from recalls.
computation? meron isa. regards sa rbc manual count.
acid-base balance? wala po ako non
pictures? ANA PATTERN tska ung sa liver dse lng po.
mga CM questions usually nka tabulated form lng tapos id lng ano dse.
PCR, meron isa question.
puro BB and Micro po ung sakin, hindi ko na po maalala ung iba
meron dn po questions sakin about antibiotics . resistant and suceptible ganon
wala dn pong graph sakin =)
hema? puro coagulation studies po ung sakin.

TO ACTS FAMILY THANKYOU SO MUCH! <3


to other ascp takers. do your best and GOD will do the rest! =) <3
pray lng guys. wag kayo rely sa recalls. ung iba po analyzation tlga need.
tapos ung CBT? super helpful sya as in. kaya may advatage tayo! para ka lng nag
ccbt sa testing center =)

AD ASTRA PER ASPERA!!


Junnel Anne Clare Dominguez, RMT, MLS(ASCPi) <3

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