ASCP ASCP-MLT

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ASCP ASCP-MLT 試験シラバストピック:

ASCP MEDICAL LABORATORY TECHNICIAN - MLT(ASCP) 認定 ASCP-MLT 試験問題：

1. Free T4 is affected the least by changes in plasma proteins during pregnancy.
Which of the following thyroid function assays is affected least by pregnancy:

A) Total T4
B) Total T3
C) Free T4

2. Troponin is potentially more specific for myocardial damage than CK-MB and stays elevated longer. It may eventually replace CK-MB as the standard marker of myocardial damage. In addition, troponin T has been known to be elevated in the setting of even mild degrees of renal failure. Troponin and CK-MB both tend to rise approximately 3 hours after a MI (hence why the correct answer is "A", since it is false); however, troponins can stay elevated up to 2 weeks as CK-MB tends to return to baseline around 36 hours.
Chemistry
Which of the following statements is FALSE regarding troponin?

A) It rises much sooner after an MI than CK-MB
B) It is potentially more specific than CK-MB
C) It stays positive much longer than CK-MB
D) Troponin T is often elevated in renal failure patients

3. The patient's BUN is within normal range (5-20 mg/dL) while the creatinine is about five times the upper normal range (0.6-1.2 mg/dL). Gross elevations in creatinine are almost always accompanied by elevations in BUN when there is kidney impairment. Either the BUN or creatinine value in this case is incorrect. Both tests should be repeated.
A patient's BUN value is 15 mg/dl and his creatinine is 5 mg/dl. If this patient is not undergoing dialysis, what conclusion would you draw from these results?

A) patient is normal
B) patient has suffered muscle deterioration
C) one of the values is in error
D) patient protein intake is quite low
E) patient is in early stage of renal disease

4. Increased concentrations of alpha-fetoprotein (AFP) in adults are MOST characteristically associated with:

A) multiple myeloma
B) chronic active hepatitis
C) alcoholic cirrhosis
D) hepatocellular carcinoma

5. The clue to the identification of the colony seen in the upper frame is the gram stain in the lower frame, in which are seen short, rounded, gram positive bacilli, many of which possess distinct spores. As the colonies grew aerobically, the presence of spores indicates Bacillus species. The colonies are spreading, smooth, yellow-white and non-hemolytic. The lack of hemolysis and the small size of the bacterial cells suggests a species other than Bacillus cereus, the species causing most human infections. The isolate was identified as Bacillus circulans, which is consistent with the gram stain morphology. Clostridium septicum also produces spores; however, this species is an anaerobe and would grow poorly if at all and not produce spores aerobically. Listeria monocytogenes and Lactobacillus species are gram positive bacilli; however, neither of these produce spores.
The colonies seen in the upper frame, grown after 48 hours incubation aerobically at 35°C, and the accompanying gram stain in the lower frame are uncommonly associated with human disease, but have been associated with septicemia, bronchopneumonia, osteomyelitis and other infections, particularly in intravenous drug users. The most likely identification is:

A) Listeria monocytogenes
B) Lactobacillus species
C) Bacillus circulans
D) Clostridium septicum

質問と回答：