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AMT MT Study Guide with Complete Solutions
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AMT MT Study Guide with Complete Solutions_______________ are substances that can induce a specific immunologic response.
a. Antibodies
b. Antigens
c. Carbohydrates
d. T-cells - ANSWER-b. Antigens
_______________ are substances that can induce a specific immunologic response.
Select one:
a. Antibodies
b. Antigens
c. Carbohydrates
d. T-cells - ANSWER-b. Antigens
_______________ immunity is the defense system with which you were born.
Select one:
a. Innate, or nonspecific
b. Developed, specific
c. Acquired
d. Passive - ANSWER-a. Innate, or nonspecific
A 10 year old child presents to his primary care physician with a complaint of severe ear
pain. The child had been swimming in the lake several days earlier. The culture from the
ear grew a gram negative rod with a grapelike odor. The colonies were flat and
spreading with rough edge and a metallic sheen. It was indole negative and oxidase
positive. What is the likely organism?
Select one:
a. <i>Haemophilus influenzae</i>
b. <i>Pseudomonas aeruginosa</i>
c. <i>Escherichia coli</i>
d. <i>Moraxella catarrhalis</i> - ANSWER-b. <i>Pseudomonas aeruginosa</i>
A 3-year-old boy was playing in the dirt. His mother stopped him and immediately
cleaned his hands with an alcohol-based hand sanitizer. Which of the following
beneficial processes could the mother actually be hindering?
Select one:
a. Triggering of systemic inflammation in response to antibody production
b. Exposure to foreign antigens causing selection of thymocytes that are only capable of
recognizing non-self antigens
c. Development of thymocytes that only recognize self (non-foreign) antigens
d. Exposure to soil parasites resulting in systemic hydatid cyst formation - ANSWER-b.
Exposure to foreign antigens causing selection of thymocytes that are only capable of
recognizing non-self antigens
,A 42-year-old white female presents with a long history of on-again, off-again fevers,
painful joints, loss of appetite, confusion, proteinuria and a facial rash resembling a
butterfly across her nose and cheeks. The physician has performed testing previously
but now orders an indirect immunofluorescence ANA test. The results are seen below:
Pattern of Staining Seen: Speckled; Peripheral
Antibody Suspected in Patient'sSerum: Sm;ds DNA
Which of the following conclusions should the physician reach?
Select one:
a. This patient has ANA results consistent with systemic lupus erythematosus.
b. This patient has ANA results consistent with scleroderma.
c. This patient has ANA results consistent with Sjögren's syndrome.
d. This patient's ANA results are inconclusive. - ANSWER-a. This patient has ANA
results consistent with systemic lupus erythematosus.
A 56-year-old black male presents with symptoms of hepatitis. The physician orders
several tests to determine the exact diagnosis. The results are shown below:
Patient serum tested for:
Anti-HAV : NEG
HBsAg: POS
Anti-HBcAg IgM : NEG
Anti-HBcAg IgG: POS
HBeAg: POS
Anti-HBsAg: NEG
The best interpretation of these results is
Select one:
a. the patient has chronic Hepatitis B.
b. the patient has acute Hepatitis B.
c. the patient has immunity to Hepatitis B due to vaccination.
d. the patient has acute Hepatitis E. - ANSWER-a. the patient has chronic Hepatitis B.
A 70 year old female with a previous knee injury has joint replacement surgery. The
surgery goes well and she is discharged from the hospital to a rehabilitation facility to
receive post-operative care and physical therapy. One week later the incision becomes
inflamed and begins oozing a discharge. A gram stain of the discharge shows many
white blood cells and gram positive cocci in clusters. The isolate recovered is a cream-
yellow beta-hemolytic colony that is catalase and coagulase positive. What is the likely
organism?
Select one:
a. <i>Streptococcus pyogenes</i>
b. <i>Staphylococcus epidermidis</i>
c. <i>Enterococcus faecalis</i>
d. <i>Staphylococcus aureus</i> - ANSWER-d. <i>Staphylococcus aureus</i>
,A candle jar will provide what atmospheric condition?
Select one:
a. 3% CO<sub>2</sub>
b. Ambient air
c. 5-10% O<sub>2</sub>
d. 5-10% CO<sub>2</sub> - ANSWER-a. 3% CO<sub>2</sub>
A cefinase disk may be used to
Select one:
a. determine the isolate's sensitivity to cefinase.
b. determine if a staphylococcal isolate is methicillin resistant.
c. test for the presence of cefinase in a bacterial isolate.
d. test for the presence of beta-lactamase enzyme in a bacterial isolate. - ANSWER-d.
test for the presence of beta-lactamase enzyme in a bacterial isolate.
A CSF specimen appears clear. The technician
Select one:
a. needs to perform an electronic cell count on the CSF fluid.
b. needs to perform a manual cell count on the CSF fluid.
c. does not have to do a manual cell count on the CSF fluid.
d. should perform an electronic cell count unless the order specifies a manual count. -
ANSWER-b. needs to perform a manual cell count on the CSF fluid.
A d-zone test is used to determine
Select one:
a. <i>Staphylococcus</i> spp. resistance to erythromycin.
b. beta-hemolytic streptococci resistance to erythromycin.
c. <i>Staphylococcus</i> spp. resistance to clindamycin.
d. <i>Enterococcus</i> spp. resistance to clindamycin. - ANSWER-c.
<i>Staphylococcus</i> spp. resistance to clindamycin.
A doctor's office calls needing help ordering tests for fibrinolysis but can not recall which
test to order. You advise them of the tests for
a. plasmin and plasminogen.
b. fibrin.
c. thrombus.
d. procoagulant. - ANSWER-a. plasmin and plasminogen.
A doctor's office calls needing help ordering tests for fibrinolysis but can not recall which
test to order. You advise them of the tests for
Select one:
a. plasmin and plasminogen.
b. fibrin.
c. thrombus.
, d. procoagulant. - ANSWER-a. plasmin and plasminogen.
A drug that metabolizes in the liver to a large degree before it reaches the blood stream
has undergone which type of metabolism?
Select one:
a. By-pass
b. Zero-order
c. Phase I
d. First-pass - ANSWER-d. First-pass
A freshly voided urine was yellow and clear. It was placed in the refrigerator until it could
be brought to the lab. When it arrived in the lab, it had a white precipitate. Which of the
following is the most likely explanation for this urine's appearance upon arrival in the
lab?
Select one:
a. amorphous urates precipitated
b. amorphous phosphates precipitated
c. red blood cells precipitated
d. white blood cells precipitated - ANSWER-b. amorphous phosphates precipitated
A gastric biopsy sample from a patient complaining of abdominal pain is urease
positive. What organism is responsible?
a. Vibrio spp
b. Salmonella typhi
c. Helicobacter pylori
d. Yersina enterocolitica - ANSWER-c. Helicobacter pylori
A gastric biopsy sample from a patient complaining of abdominal pain is urease
positive. What organism is responsible?
Select one:
a. <i>Vibrio</i> spp
b. <i>Salmonella typhi</i>
c. <i>Helicobacter pylori</i>
d. <i>Yersinia enterocolitica</i> - ANSWER-c. <i>Helicobacter pylori</i>
A gel separator tube is received with orders for a direct antiglobulin test (DAT) and
serum Glucose test. How should this request be handled?
a. Centrifuge the specimen and aliquot some serum into another tube for chemistry.
Then send the tube to blood bank for the DAT.
b. Centrifuge the specimen once it has clotted and deliver it to chemistry for the serum
glucose test. The DAT will need to be recollected because this is not the appropriate
specimen.
c. Have both tests recollected since this is not an appropriate specimen for either test.
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