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my_Test_Type_ID=818&available_Test_Type_ID=818
&orig_available_Test_Type_ID=819&Question 1

When a manager assigns responsibility and accountability for a task to an employee, the manager is:
directing
coaching
delegating
motivating

Incorrect. The answer is

delegating

Explanation:

Correct answer:
delegating

Delegating is defined as assigning responsibility and accountability for a task to an employee. Directing
is persuading employees to perform the tasks. Coaching is creating an atmosphere of trust and allowing
employees to take risks without fear of being reprimanded. Motivating is influencing a person to act in a
particular way.
Question 2

Which of the following external quality control measures is a graph used to assess precision and
accuracy of paired samples?
SDI
proficiency survey
proficiency samples
Youden plot

Correct. The answer is

Youden plot

Explanation:

Correct answer:
Youden plot

The Youden plot is a graph used to evaluate external quality control. It was developed to assess
precision and accuracy using paired samples.
Question 3

Which of the following statements about point-of-care (POC) testing is incorrect?

POC instruments have a lower cost per test than large laboratory instruments.
Only waived laboratory tests can be performed using point-of-care instruments.
All POC instrument operators must be trained, and it must be documented.
All effective quality control systems must be set up for each POC instrument.

Incorrect. The answer is

POC instruments have a lower cost per test than large laboratory instruments.

Explanation:
Correct answer:
POC instruments have a lower cost per test than large laboratory instruments.

This is incorrect. POC instruments have a higher cost per test than large laboratory instruments.
Overall cost of POC instruments should be taken into consideration before setting up a POC program.
Question 4

Which of the following stages of erythrocyte maturation is characterized by a 1:1 N/C ratio, size of up to
16 μm, and begins to produce hemoglobin?
pronormoblast
basophilic normoblast
polychromatophilic normoblast
orthochromic normoblast

Correct. The answer is

polychromatophilic normoblast

Explanation:

Correct answer:
polychromatophilic normoblast

A polychromatophilic normoblast is characterized by a 1:1 N/C ratio, size of up to 16 μm, and begins to
produce hemoglobin, resulting in grayish cytoplasm. The chromatin shows more clumping.
Question 5

Which of the following inherited intrinsic, extrinsic and common pathway disorders is from an autosomal
dominant trait?
VII deficiency
X (Stuart-Prower) deficiency
H (prothrombin) deficiency
von Willebrand’s disease

Incorrect. The answer is

von Willebrand’s disease

Explanation:

Correct answer:
von Willebrand’s disease

It is von Willebrand’s disease that is from an autosomal dominant trait. All of the others are from
autosomal recessive traits
Question 6

In which of the following organ-specific autoimmune diseases do the nerve muscles not function
normally?
Hashimoto’s disease
Graves’ disease
Myasthenia gravis
Primary biliary cirrhosis
 Correct. The answer is

Myasthenia gravis

Explanation:

Correct answer:
Myasthenia gravis

Myasthenia gravis is a neuromuscular disease where the nerve muscles do not function normally. Most
patients exhibit antibodies to acetylcholine receptors. Other symptoms include thymic hyperplasia,
thymoma and smooth-muscle antibodies.
Question 7

Which of the following “other” blood group systems is abbreviated “Jk”?

Kell blood group system
Duffy blood group system
Kidd blood group system
Lutheran blood group system

Correct. The answer is

Kidd blood group system

Explanation:

Correct answer:
Kidd blood group system

The Kidd blood group system is abbreviated Jk. The Kell blood group system is abbreviated K. The
Duffy blood group system is abbreviated Fy. The Lutheran blood group system is abbreviated Lu.
Question 8

The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requires the medical staff
to review blood usage quarterly for all but which of the following?
appropriateness of transfusions
evaluation of transfusion reactions
development and implementation of policies and procedures
employment records of staff

Correct. The answer is

employment records of staff

Explanation:

Correct answer:
employment records of staff

Reviewing the employment records of staff is not one of the requirements of JCAHO. All of the other
choices are requirements along with adequacy of transfusion services and blood product ordering
practices.
Question 9

Which of the following spirochetes causes venereal syphilis?

Treponema oralis
Treponema pertenue
 Borrelia burgdorferi
Treponema pallidum

Correct. The answer is

Treponema pallidum

Explanation:

Correct answer:
Treponema pallidum

Treponema pallidum causes venereal syphilis, which cannot be cultured in the laboratory. It uses tissue
culture to grow. It is transmitted by sexual contact, direct blood transmission or transplacentally.
Which of the following renal diseases or conditions can be described as tubular necrosis caused by
nephrotoxic agents and other disease processes that result in total inability to filter blood?
renal failure
chronic pyelonephritis
rapidly progressive glomerulonephritis
acute interstitial nephritis

Correct. The answer is

renal failure

Explanation:

Correct answer:
renal failure

Renal failure is described as tubular necrosis caused by nephrotoxic agents and other disease
processes that result in failure of the kidneys to filter blood. Chronic pyelonephritis is chronic
inflammation of the tubules and interstitial tissue. Rapidly progressive glomerulonephritis is a more
serious form of acute glomerulonephritis that can result in renal failure. Acute interstitial nephritis is an
infection of the nephrons.
Question 1

The professional competency domain that consist of progressive levels of sophistication in

characterization, organization, valuing, responding and receiving is which of the following?
psychomotor domain
cognitive domain
affective domain
awareness domain

Incorrect. The answer is

affective domain

Explanation:

Correct answer:
affective domain

The affective domain of professional competency consists of progressive levels of sophistication in

characterization, organization, valuing, responding and receiving. It is one of the three domains of
professional competency.
Question 2
 Which of the following would NOT be an indicator for capillary puncture?
many accessible veins
available veins are fragile
veins must be saved for other procedures such as chemotherapy
patient has clot-forming tendencies

Incorrect. The answer is

many accessible veins

Explanation:

Correct answer:
many accessible veins

If there are a number of accessible veins and they are not fragile then venipuncture is indicated not
capillary puncture. The other choices would be indicators for capillary puncture along with blood to be
obtained for POCT procedures such as glucose monitoring.
Question 3

In the bone marrow the precursor of all cells is which of the following?
hematopoietic stem cell
pluripotent stem cell
myeloid stem cell
basophils

Correct. The answer is

pluripotent stem cell

Explanation:

Correct answer:
pluripotent stem cell

The pluripotent stem cell (PPSC) is the origin of all blood cells. In the bone marrow, it is the precursor
of all cells and develops into hematopoietic stem cell
Question 4

Which of the following is a type of functional granule in platelets that contains von Willebrand’s factor?
dense core granule
alpha granule
cytoplasmic granule
submembrane granule

Correct. The answer is

alpha granule

Explanation:

Correct answer:
alpha granule

There are two kinds of functional granules. The alpha granules contain figrinogen, von Willebrand’s
factor, platelet-derived growth factor, PF4, and other proteins. Dense core granules contain ADP, ATP,
5-HT and calcium.
 Question 5

The agglutination reaction that is a naturally occurring process where a virus will agglutinate red blood
cells by binding to surface receptors is which of the following?
direct agglutination
column agglutination technology (CAT)
passive agglutination
viral hemagglutination

Incorrect. The answer is

viral hemagglutination

Explanation:

Correct answer:
viral hemagglutination

The agglutination reaction that is a naturally occurring process where a virus will agglutinate red blood
cells by binding to surface receptors is viral hemagglutination. All of the other choices are also valid
agglutination reactions.
Question 6

Agglutination reactions are graded. The 4+ RBC button is best described as which of the following?
solid with a clear supernatant
several large clumps, clear supernatant
many medium-sized clumps, clear supernatant
many medium and small-sized clumps, background has many free RBCs

Correct. The answer is

solid with a clear supernatant

Explanation:

Correct answer:
solid with a clear supernatant

Agglutination reactions are graded from 4+ down to zero. 4+ RBC buttons are solid with a clear
supernatant. Zero (0) has no agglutinated RBCs.
Question 7

Which of the following statements about fresh-frozen plasma is incorrect?

The frozen plasma is thawed at 30 – 45 degrees C for 20 minutes before transfusion.
Fresh-frozen plasma is indicated for patients on anticoagulants who are bleeding or require surgery.
The purpose of using fresh-frozen plasma is to replace coagulation factors in the patient.
Water baths with agitators are preferred for thawing because the unit thaws faster.

Correct. The answer is

The frozen plasma is thawed at 30 – 45 degrees C for 20 minutes before transfusion.

Explanation:

Correct answer:
The frozen plasma is thawed at 30 – 45 degrees C for 20 minutes before transfusion.
This is the incorrect statement. Frozen plasma is thawed at 30 – 37 degrees C for 30 to 45 minutes
before transfusion.
Question 8

Which of the following statements in regard to Salmonella is true?

Most Salmonella serotypes are non-pathogenic to humans and animals.
Serotype classification is based on the Kauffman-White system.
Salmonella will not cause gastroenteritis.
Suspect Salmonella infections from stool cultures show lactose positive colonies.

Incorrect. The answer is

Serotype classification is based on the Kauffman-White system.

Explanation:

Correct answer:
Serotype classification is based on the Kauffman-White system.

This is the true statement. Most Salmonella serotypes are pathogenic to humans and
animals. Salmonella will cause gastroenteritis (moderate to severe). Suspect Salmonella infections
from stool cultures show lactose negative colonies.
Question 9

Which of the following terms is used for the encysted form of an egg?
hydatid cyst
oocyst

entamoeba cyst
giradia lamblia cyst

Incorrect. The answer is

oocyst

Explanation:

Correct answer:
oocyst

An oocyst is the encysted form of an egg. It is a thick-walled structure in which sporozoan zygotes
develop and that serves to transfer them to new hosts.
Question 10

Which of the following tests is NOT a renal tubular reabsorption test?

creatinine clearance
osmolarity
specific gravity
renal blood flow test

Incorrect. The answer is

creatinine clearance

Explanation:

Correct answer:
creatinine clearance

Creatinine clearance is considered a glomerular test; it is not a renal tubular reabsorption test. Renal
tubular absorptions tests are used to detect early renal disease. Glomerular tests are used to assess
renal waste removal.