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| Section | Weight | Objectives |
|---|---|---|
| Laboratory Operations | 5–10% | - Instrumentation and laboratory mathematics - Quality assessment and safety |
| Urinalysis and Other Body Fluids | 5–10% | - Physical and chemical testing - Microscopic analysis and disease correlation |
| Microbiology | 15–20% | - Virology and parasitology testing - Bacteriology and mycology procedures |
| Hematology | 20–25% | - Physiology and disease states - Laboratory testing and hemostasis |
| Immunology | 5–10% | - Principles of immunology - Serologic procedures and immune diseases |
| Chemistry | 20–25% | - Electrolytes, acid-base, and toxicology - Carbohydrates, lipids, and enzymes |
| Blood Banking | 15–20% | - Blood group systems and immunology - Transfusion practice and testing - Blood products and components |
1. As magnification DECREASES, the opening of the iris diaphragm will...
A) stay the samel
B) decrease (get smaller)
C) increase (get bigger)
2. According to the Michaelis-Menton kinetics theory, when a reaction is performed in zero-order kinetics:
A) The substrate concentration is equal to Km and the reaction rate is dependent on the enzyme concentration
B) The substrate concentration is very low and the reaction rate is dependent on the substrate concentration
C) The enzyme concentration is in excess and the reaction rate is dependent on the substrate concentration
D) The substrate concentration is in excess and the reaction rate is dependent on the enzyme concentration
3. Nucleated RBCs may be seen in the peripheral blood in cases of beta thalassemia major. Nucleated RBCs are usually not found in peripheral blood in cases of beta thalassemia minor and beta thalassemia intermedia, and would not be a finding in beta thalassemia minima.
Nucleated RBCs are most likely to be seen in the peripheral blood of which of these beta thalassemias?
A) Beta thalassemia minor
B) Beta thalassemia minima
C) Beta thalassemia intermedia
D) Beta thalassemia major
4. A regional laboratory that performs high volume, highly complex or infrequently ordered testing is a:
A) wellness clinic.
B) physician's office.
C) long-term care facility.
D) reference laboratory
5. 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%
A) The patient is at risk for diabetes (pre-diabetic); monitor for diabetes with yearly FPG levels
B) Patient meets criteria for diagnosis of diabetes
C) Order insulin levels; if decreased, diagnose diabetes
D) Order a C-peptide for diagnosis
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: D | Question # 3 Answer: D | Question # 4 Answer: D | Question # 5 Answer: B |
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