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Viewing questions 136-150 out of questions
Questions # 136:

Provide the equivalent measurement for 1000 milligrams.

Question options:

Options:

A.

1 microgram

B.

5 grams

C.

100 microns

D.

1 gram

Expert Solution
Questions # 137:

he last choice in this question is false. Rocky mountain spotted fever is NOT geographically restricted to the Rocky mountain region. In fact, according to the CDC, this disease is widely distributed east of the Rocky Mountains and also occurs in limited areas on the Pacific Coast.

Which one of the following statements is false?

Options:

A.

Rickettsial infections are usually best diagnosed by specific serology, rather than the Weil-Felix test

B.

Ehrlichiosis is transmitted by the lonestar tick

C.

Rickettsia rickettsii causes Rocky mountain spotted fever

D.

Rocky mountain spotted fever is almost always geographically restricted to the Rocky mountain region

Expert Solution
Questions # 138:

Match terms with fragments resulting from papain digestion of an IgG molecule:

Question # 138

A = Fab fragment OR Fc fragment

B = Fab fragment OR Fc fragment

Options:

Expert Solution
Questions # 139:

In radioimmunassay, a fixed concentration of labeled antigen is incubated with a constant amount of antiserum such that the concentration of antigen binding sites on the antibody is limiting. If unlabeled antigen is added to this system, there is competition between labeled antigen and unlabeled antigen for the limited and constant number of binding sites on the antibody, and thus the amount of labeled antigen bound to antibody will decrease as the concentration of unlabeled antigen increases.

Which of the following choices is correct when describing the principles of competitive radioimmunoassay procedures?

Options:

A.

antibody will react preferentially with the labeled antigen

B.

antibody will react preferentially with the unlabeled antigen

C.

antibody will react with labeled antigen only

D.

antibody will react equally with labeled and unlabeled antigen

E.

antibody will react directly with radioactive labeled immunoglobulin

Expert Solution
Questions # 140:

Mrs. Jones, a diabetic, is admitted to the hospital on November 25th. It appears that she has had an AMI but did not feel the severe chest pain because of diabetic neuropathy. She has not felt well since November 20th and her physician believes she possibly had an AMI on November 20th.

Assuming that the infarct was uncomplicated, which of the following cardiac biomarkers would most likely still be elevated and would assist in an AMI diagnosis?

Options:

A.

Myoglobin

B.

Creatine kinase MB (CK-MB)

C.

Cardiac troponin I (cTnI) or cardiac troponin T (cTnT)

Expert Solution
Questions # 141:

Blood bank

Once the seal on a unit of packed red cells is broken, how long can the unit be stored refrigerated prior to administration:

Options:

A.

4 hours

B.

12 hours

C.

24 hours

D.

48 hours

Expert Solution
Questions # 142:

What is the best description of the purpose of the Commission on Office Laboratory Accreditation (COLA) pertaining to the clinical laboratory?

Options:

A.

Administers both CLIA '88 and Medicare programs

B.

Nonprofit educational group that establishes consensus standards for maintaining a high-quality laboratory organization

C.

CMS has given COLA deemed status to act on the government's behalf ot certify clinical laboratories

D.

Sets accreditation requirements for physician office laboratories (POLs)

Expert Solution
Questions # 143:

Which EBV markers would be MOST likely positive for an individual who had infectious mononucleosis 9 years ago?

Options:

A.

All would still be positive

B.

Anti-VCA (IgM) and heterophile

C.

Anti-VCA (IgG) and anti-EBNA

D.

None of the markers would be positive after 9 years

Expert Solution
Questions # 144:

Which of the following legislation was developed to protect the privacy of all patient information in the health care?

Options:

A.

Health Insurance Portability and Accountability Act (HIPPA)

B.

Occupational Safety and Health Administration (OSHA)

C.

Clinical Laboratory Standards Institute (CLSI)

D.

Clinical Laboratory Improvement Amendments (CLIA)

Expert Solution
Questions # 145:

Thyroid-stimulating immunoglobulins, or TSI's, are IgG antibodies that can bind to thyrotropin (TSH) receptors on the thyroid gland. TSIs mimic the action of TSH, causing excess secretion of thyroxine and triiodothyronine. The TSI level is abnormally high in persons with hyperthyroidism due to Graves' disease.

Which of the following is an autoantibody that binds to TSH receptor sites on thyroid cell membranes preventing thyroid-stimulating hormone binding?

Options:

A.

Antithyroglobulin

B.

Antimicrosomal antibodies

C.

Thyroid-stimulating immunoglobulins

D.

Thyroxin-binding globulins

E.

Lupus erythematosus

Expert Solution
Questions # 146:

Hives and rash usually indicate an allergic reaction. Hematuria is due to a variety of causes. Fever and chills usually indicate a febrile reaction. Positive DAT due to conditions other than sensitization to red cell alloantigens is not uncommon. Therefore a positive DAT in the posttransfusion specimen with a negative DAT in the pretransfusion specimen is more likely to indicate alloimmunization.

The most definite indication that a patient has been sensitized to a specific red cell antigen is:

Options:

A.

Hives and rash

B.

A positive posttransfusion DAT in a patient with a previously negative DAT

C.

A positive posttransfusion DAT in a patient with a previously positive DAT

D.

Hemoglobinuria

Expert Solution
Questions # 147:

A casual blood glucose >/= 200 mg/dL on a patient with symptoms and an A1C >/= 6.5% meet diagnostic criteria for diabetes.

Chemistry

A physician is evaluating a 45-year-old obese male for diabetes and orders a plasma glucose at time of evaluation and a HbA1C one week later. The patient has a family history of diabetes and currently exhibits symptoms of diabetes.

What would be the best course of action if these are the blood glucose results?

Casual Blood Glucose: 208 mg/dL

HbA1C one week later: 7.2%

Options:

A.

Order insulin levels; if decreased, diagnose diabetes

B.

Patient meets criteria for diagnosis of diabetes

C.

Order a C-peptide for diagnosis

D.

The patient is at risk for diabetes (pre-diabetic); monitor for diabetes with yearly FPG levels

Expert Solution
Questions # 148:

Considering the reactions given in this case study, Yersinia enterocolitica would be the best choice.

Most strains of Plesiomonas shigelloides, Escherichia coli, and Pasteurella multocida are urease negative. Also, Plesiomonas shigelloides demonstrates a K/A reaction on a TSI slant.

The stool specimen from a patient admitted to the hospital with symptoms of appendicitis has a culture with the following characteristics:

Gram-negative bacillus

Catalase positive

Urease positive

Weakly fermentative

TSI Slant is A/A

These reactions suggest that the organism is MOST likely:

Options:

A.

Yersinia enterocolitica

B.

Escherichia coli

C.

Plesiomonas shigelloides

D.

Pasteurella multocida

Expert Solution
Questions # 149:

What is the CORRECT blood-to-anticoagulant ratio for coagulations tests?

Options:

A.

4:1

B.

5:1

C.

9:1

D.

10:1

Expert Solution
Questions # 150:

White top tubes are used for blood cultures.

Question options:

Options:

A.

True

B.

False

Expert Solution
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