ASCP

‫بسم هللا الرحمن الرحيم‬
ASCPi Exam
By: Sara Abdelrahman
Riyadh – 20.6.2016
1. Iatrogenic Anemia Due to: Frequent removal of blood samples.

2. Unconjugated bilirubin increased in: Hemolytic anemia.
3. Eclampsia related with: Mg+2
4. Scenario about infection to a butcher man: Erysthroplex.
5. Bacteria: Cocci,catalase -ve, bile esculin +ve, no growth in 6.5% NaCl:
Strept. Bovis
6. Image of Echinocytes,seen in : Uremic Patients.
7. Rotavirus sample: Stool.
8. Pancreatic tumor marker: CA 19-9.
9. Acanthocytes due to: Film Dryness.
10.Discrepancy with Bmf : Bx
11.Image of RBCs agglutination due to: Presence of cold Ab.
12.The sameimage of RBCs agglutination due to: infectious
mononucleosis.
13.Control +ve and Control -ve, for Rh E: DCE/DCE – dce/dce
14.Given patient CBC results, all within normal ranges, just the Hb rise
more than the Hct,ask about the problem : Lipemic sample.
15.Increase viscosity of synovial fluid dilute with: Acetic Acid.
16.Speckled ANA pattern...without image just given results, due to: SLE.
17.Cushing syndrome: Hyperglycaemia.
18.In Cushing syndrome: ↑Cortisol - ↓ACTH.
19.CSF preserved at: 35 ⁰C
20.↑T3 , ↑T4 , +ve thyroid Ab: Graves disease .
21.Platelets apheresis, count at least: 150 * 103
22.Patient has a toxicity signs of primidone when measured it’s within the
normal range, what u will do next: measure phenobarbital.
23.All electrolytes are normal, just Sodium with low level, Check: Blood
glucose level.
24.Rich diet food contains: - Phospholipids – Cholesterol- Fatty acids→
(Ans)
25.Fetal lung maturity: Phosphoglycerol
26.For quality control for enzymes: Controls first read normal, then all the
readings decline bcz: Left at room temp.
27.Comparing two instruments methods by: t. test.
28.↑HCt for coagulation profile, what to do first: ↓Na.Citrate level.
29.Mumps patient has increase what: LD – Lipase – Amylase →(Ans)
30.Woman with normal PTH bt ↑Ca: Hypoproteinemia.
31.Hemolytic anemia, will have wich results: (choose from table):
↑Unconjugated S. bilirubin - ↑Urine Urobilinogen.
32.FBS = 130, 2h pp= 220, next: Report as DM.
33.Co2 measured as: PCo2.
34.Best sample for Bordotella: Nasopharynx.
35.K.permenganate used in stain as : Quencher.
36.Staph aureus best method: Clumping factor A.
37.Child after pharyngitis may had a glomerulonephritis,mainly due to:
Strept. Pyogens.
38.Differ Pseudo.aeroginosa & Pseudo.Putida: grow in 42⁰C.
39.Purified Protein Derivatives detect: T cells.
40.Patient with walking pneumonia treated with Penicillin,bt does not
response bcz it’s: ᵦ lactamase .
41.Discrepancy:
Anti A Anti B A cells B cells
0 +3 +1 +3
There is alloantibody.
42.Mature trophozoites and schizonts can’t be seen in: Plasmodium
falciparum.
43.Hb C crystals image, what’s problem: Lyse RBCs.
44.↓ESR: Tube at the side.
45.62 yrs old man with 44.000 TWBCs, 1%
metamyelocytes,1%Myelocytes, no picture or LAP score given:
- CML →(Ans)- AML – ALL – CLL
46.↑PT, ↑PTT, ↑TT (he didn’t say they r increase just give results): DIC
47.Histamine released by: Basophil.
48.False +ve Antiglobulin test: Over centrifugation.
49.AHG -ve with monospecific reagent, what to do next: Test with
polyspecific reagent.
50.Mother group A -ve, with anti C,JKb,K (and anti FYa before bt not
now),Baby O+ve,will transfused what blood group:
O-ve with anti C,JKb,K and anti FYa .
51.Child 10 yrs image of urine deposit showing RBCs casts: Acute
glomerulonephritis.
52.Urine SG 1.036 bcz of: Radiographic dye.
53.Lewis blood group: Absorbed in plasma.
54.
55. Discrepancies with screen cells reactions.
56.
57. Panel with one Ab. Easy
58. Panel with 2 Abs.treated with enzymes column. Need to focus don’t
answer without thinking a lot.
59. Rotavirus Test: ELISA!!
60. Legionella Rapid Test: - Urine Ag – Culture – Serotyping
61.Picture show some spherocytes and RBCs with Heinz bodies inclusions,
and say that the Retics count r 18.5%, what to do next:
- Heinz bodies stain.
- Repeat Retics count. →(Ans)
62.14 yrs old girl with heavy bleeding in menstrual cycle, which
investigation will do for her: -5 Urea stability test – Fibrinogen … (Don’t
remember other choices)
63.Electrophoresis picture from HIV patient, there r 2 lines compared with
controls in 160 and in 120, bt no line in 41, what u will report this result
according to the guidelines: -Reactive. →(Ans) -Non reactive. -In
determine. -can’t interpret.
64.Q.C of HbA1C will affected by: -strenuous exercise. -decrease Hb.
65.How to assess a patient who have an MI, with low response for
streptokinase:
- ↑PTT
- D. Dimer +ve All of them given as results.
- Normal PT
- ↑ PT
66.Pipette 1.0 ml ± 0.006 measure: -Precision. -Accuracy→(Ans)

-Sensitivity.
67.Blood gas calibration: 2 Buffered with known pH &fixed temperature
(don’t remember other choices)
68.Patient after surgery: Acetylcholine esterase.
69.Many lesions on hand. (Fungi names)
70.2 fungi test by hair perforation test. (4 choices, each contain 2 fungi
names).
71.PCR disadvantage: Contamination with nucleic acids.
72.Rouleaux formation can’t seen in:
- ABO serum test.
- Auto control test at 37 ⁰C.
- Auto control -ve.
73.Normocytic Normochromic anaemia: - Pernicious anaemia. – Aplastic
anaemia.
74.Mycology: Mold and culture description (Choices fungi names)
Given result for PSA before month bt with very high result now, and the
patient has prostatectomy before 12 months, results show:
- Pt recurred.
- Sample from wrong pt.
75.Old man with HIV and Pneumonia will investigate: Sputum for
Histoplasma (Don’t remember other choices).
76.Donor selection question.
77.CLIA 88, proficiency testing for employee.
78.Pt with prolonged APTT that does not correct upon mixing, the next
performed should be: -Factor II. -Factor VIII. -DRVVT →(Ans)
79.Normal and abnormal control results for PT and APTT in a table, and
ask what we will do? (All r agree just the APTT normal controls given
high results): - Change the Thromboplastin and calcium regents.
80.Child swallow mothball: Heinz bodies.
81.Legionella rapid test (the same question repeated)
82. Differential count: TWBCs =27.000, Basophil=1, Eosino=2, Mono=4,
Neutro=58, Lymph=35:
- Relative lymphocytosis
- Relative lymphopenia
- Absolute lymphocytosis
- Absolute lymphopenia
83.Faecal fat stain: Oil red O
84.Albumin in urine: low molecular weight
85.Hyperosmolar ketotic hyperglycaemic syndrome, ask about pt age and
which type of diabetes: - 60 yrs old man with type2 DM.
86.Reagent strip test which ketone: - acetoacetic acid.
87.Motile bacilli, G-ve, beta haemolytic, oxidase +ve: Aeromonas
88.Organism isolated from the surface of a skin burn, produce green
pigment, most likely: - Pseudomonas aeruginosa.
89.Pt have syphilis, came for investigation for the CSF, No VDRL kit
available and the RPR give -ve result, what to do:
- Report as -ve.
- Put the sample in the refrigerator until bring VDRL Kit.
90.

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‫بسم هللا الرحمن الرحيم‬

1. Iatrogenic Anemia Due to: Frequent removal of blood samples.

66.Pipette 1.0 ml ± 0.006 measure: -Precision. -Accuracy→(Ans)

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