Blood Banking
Chemistry
Immunology
Hematology
Microbiology
100

Which of the following perspective donors would be accepted for blood donation?

a. a 60 year old female with a BP of 220/80

b. an 18 year old female who weighs 100 lbs 

c. a 40 year old male with a pulse of 115

d. an 82 year old male with a hgb of 13.5 g/dL

d. an 82 year old male with a hgb of 13.5 g/dL

page 1 question #3 7th edition 

100
The preparation of a patient for standard glucose tolerance testing should include:

a. a high carbohydrate diet for 3 days 

b. a low carbohydrate diet for 3 days 

c. fasting for 48 hours prior to testing 

d. bed rest for 3 days 

a. GTT diet preparation. Perform in the AM after 3 days of unrestricted diet containing at least 150g of carbohydrates/day 

7th edition page page 109 question 3 

100

Type I hypersensitivity is: 

A. Associated with complement-mediated cell lysis

B. Due to immune complex deposition

C. Mediated by activated macrophages

D. An immediate allergic reaction


D. An immediate allergic reaction 

q. 18 pg 471 Success in Clinical Chemistry


100

which of the following is the formula to calculate an absolute cell count?

a. number of cells counted/total count 

b. total count/number of cells counted

c. 10x total count 

d. % of cells counted x total count 

d. % of cells counted x total count 

question 198 page 310 7th edition 

100

Vibrio parahaemolyticus is best isolated from feces on:

A. Eosin methylene blue (EMB) agar

B. Hektoen enteric (HE) agar

C. Salmonella-Shigella (SS) agar

D. Thiosulfate citrate bile salts (TCBS) agar

D.  Thiosulfate citrate bile salts agar(TCBS)

Page 416 question 20 of 7th edition

200

Mixed field agg encountered in ABO grouping with no history of transfusion would most likely be due to?

A. Bombay

B. T activation 

C. A3 cells

D. Positive IAT

C. A3 cells 

Page 31 question 218 of the 5th edition

200

pregnant women with symptoms of thirst, frequent urination or unexplained weight loss should have which of the following tests performed?

a. tolbutamide test

b. lactose tolerance test 

c. epinephrine tolerance test 

d. glucose tolerance test 

d. glucose tolerance test. 

A 2-step method for determining gestational diabetes is recommended

page 110 question 11 7th edition 

200

After exposure to antigen, the first antibodies that can be detected belong to the class:

A. IgA

B. IgE

C. IgG

D. IgM 


D. IgM

q 27 pg 472 Success in Clinical Chemistry

200

 What is the MCHC if the HCT is 20%, the RBC is 2.4 x 10^6/uL (2.4 x 10^12/L) and the HGB is 5g/dL?

A. 21 pg

B. 23 pg

C. 25 pg

D. 84 pg


A. The MCHC is calculated using the formula (Hemoglobin x 10)/RBC count and is measured in picograms (pg)

Pg 329  Q 288 of 7th Ed


200

Relapsing fever in humans is caused by:

A. Borrelia recurrentis

B. Brucella abortus

C. Leptospira interrogans

D. Spirillum minus

A. Borrelia recurrentis 

Page 419 question 39 of 7th edition

300

What is the probable genotype of this patient?

A. rr

B. r’r’

C. Ror

D. R1R1

 D. R1R1

Page 17 question 118 of the 5th edition

300

High levels of which lipoprotein class are associated with decreased risk of accelerated atherosclerosis?

a. chylomicrons 

b. VLDL

c. LDL

d. HDL

d. HDL is the smallest and most dense lipoprotein. 

page 113 question 36 7th edition 

300

Which of the following is an example of a treponemal antigen test used for the diagnosis of syphilis?

A. CRP

B. RPR

C. VDRL

D. FTA-ABS


D. FTA-ABS

 q 77 pg. 477

300

When Iron is in the +3 state, it is termed:

A. Sulfhemoglobin

B. Methemoglobin 

C. Carboxyhemoglobin

D. Ferrihemoglobin

B. Abnormal hemoglobins include Carboxyhemoglobin, Methemoglobin, and Sulfhemoglobin. Methemoglobin has iron in the +3 state and cannot bind oxygen.

Pg 284 Q 29 of 7th Ed

300

Nonfermenting gram-negative bacilli are isolated from a wound. The nitrate and oxidase are strongly positive. The growth on Mueller-Hinton agar produces pyoverdin. The organism is:

A. Burkholderia cepacia

B. Moraxella lacunata

C. Elizabethkingia meningoseptica

D. Pseudomonas aeruginosa

D. pseudomonas aeruginosa 

Page 435 question 117 7th edition

400

Which of the following AG gives enhanced reactions with its corresponding AB following treatment of the red cells with proteolytic enzymes?

A. Fya

B. E

C. S

D. M


B. E 

Page 43 question 280 of the 5th addition

400

Which of the following diseases results from a familial absence of high density lipoprotein?

a. Krabbe disease 

b. Gaucher disease 

c. Tangier disease 

d. Tay-Sachs disease 

c. Tangier disease

page 114 question 43 7th edition 

400

One cause of a false-positive VDRL test is:

A. Brucellosis

B. Treponema pallidum infection

C. Rocky Mountain spotted fever

D. Systemic lupus erythematosus 


D. Systemic Lupis erythematosus 

q. 46


400

Peripheral blood smears from patients with untreated pernicious anemia are characterized by:

A. Pancytopenia and macrocytosis

B. Leukocytosis and elliptocytosis 

C. Leukocytosis and ovalocytosis

D. Pancytopenia and macrocytosis


A. The impaired DNA synthesis associated with pernicious anemia caused decreased production of all blood cells as well as abnormally larger, macrocytic RBCs.

Pg 287 Q 52 of 7th Ed

400

The Gram stain of drainage from a pulmonary sinus tract shows many WBCs and 3+ branching gram-positive bacilli. Colonies grow only on an anaerobic media after 3 days incubation. They are yellow-tan and have a molar tooth appearance. The most likely genus is:

A. Actinomyces

B. Bacteroides

C. Fusobacterium

D. Nocardia


A. acintomyces 

Page 427 question 78 of 7th edition

500

In allogeneic blood donation, which of the following infectious agents must also include a nucleic acid testing (NAT) assay?

A. HBV

B. HTLV I/II

C. Syphilis

D. Cytomegalovirus 

a. HBV

Page 3 question 17 of the 7th addition

500

Which of the following enzymes of heme biosynthesis is inhibited by lead?

a. aminolevulinate dehydratase 

b. porphobilinogen synthase 

c. uroporphyrinogen synthase 

d. bilirubin synthetase 

a. aminolevulinate dehydratase 


page 120 question 82 7th edition 

500

An 11-year-old female presents with fever, sore throat, lethargy, and tender cervical lymphadenopathy. Relevant findings include splenomegaly and lymphocytosis, with many large reactive (atypical) lymphocytes. A heterophile antibody test was negative. Further laboratory results were as follows: 





What conclusion can be made concerning the diagnosis?

A. Acute CMV infection

B. Acute EBV infection

C. Chronic CMV infection

D. Chronic EBV infection




B. Acute EBV infection 

 q. 97 pg 479

500

5)The Hemoglobin Variant that is seen in SouthEast Asian Populations, demonstrates a microcytic blood smear, and migrates with HbC at pH 8.6 is:

A. HbBarts

B. HbF

C. HbE

D. HbH


C. On alkaline electrophoresis, HbE migrates with HbA2, HbC, and HbO_Arab. HbE is commonly seen in Southeast Asia and presents with a microcytic, hypochromic anemia.

Pg 327 Q 279 of 7th Ed


500

Nonhemolytic streptococci that have been isolated from an ear culture grow up to the edge of a 0.04 unit bacitracin disk. Which of the following tests would help to determine if the organism is Enterococcus?

A. Hydrolysis of PYR

B. Growth in the presence of penicillin

C. Optochin susceptibility

D. Fermentation of mannitol


A. hydrolysis of PYR

Page 444 question 161 7th edition

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