BOC Study Guide Sixth Edition [PDF]

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1::on tents Pre/ace



Tl1e Importance of Certification CMP. Licensure & Qualification' Preparing for & Taking the soc Certification Examinations Tips for Preparing for the !!:xaminations '?eading & References



1



1: Blood Banking



1



Questions



58



Answer Key



59



Answers with Explanations



85



2 : Urinalysis & Body Flulds



85



Questions



122



Answer Key



123



Answers with Explanations



141



3: Chemistry



141



Questions



196



Answer Key



197



Answers with Explanations



219 219



Questions



290



Answer Key



291



Answers with Explanations



31 3



313 342 343 355



355 422 423 451



451 460 461 465



465 500 501



0'2018ASCP ISBN978·089189-6609



4 : Hematology



5 : Immunology



Questions Answer Key



Answers with Explanations 6 : Microbiology



Questions Answer Key Answers with Explanations 7: Molecular Biology



Questions Answer Key Answers with Explanations 8 : Laboratory Operations



Questions Answer Key Answers with Explanations



Cllnlcal Laboratory Certification Exomlnatlons



iii



1: Blood Bank



Blood Products



Blood Bank The following items have been identified generally as appropriate for both entry /eve/ medical laboratory scientists and medical laboratory technicians. //ems that are appropriate for medical hiboretory scientists only are marked with an 'MLS ONLY." 1



Questions 1 Blood Products 8 Blood Group Sy stems ·t 7 Blood Group Immunology 22 Pliyslology & Pathophysiology 29 Sero/ogle & Molecular Testing 47 Transfusion Practice



58 Answers with Explanations 59 Blood Products 61 Blood Group Systems 65 Blood Group Immunology 67 Physiology & Pathophysiology 71 Serologic & Molecular Testing 78 Transfusion Practice



Blood Products 1.



The minimum hemoglobin concentration In a fingerstick from a male blood donor is: a b c d



2.



'"



12.0 gldl (120 g/L) 12.5 g/dl (125 gll) 13.0 g/dl (130 g/ L) 13.5 gldl (135 g/L)



A cause for indefinite deferral or blood donation is:



O~Y



a b c d



diabetes residence in an endemic malaria region positive test for Trypanosoma cruzi history of therapeutic rabies vaccine



3.



Which of the following prospective donors would be acoepted lor donation?



au



a 32-year-old woman who received a translusion in a complicated delivery 5 months previously b 19-year-old sailor who has been stateside tor 9 months and stopped taking his anti-malarial medication 9 months previously c 22•year-old college student who has a temperature of 99.2°F (37.3°C) and slates that he feels well. but is nervous about donating d 45-year-old woman who has just recovered from a bladder infection and is stilt taking antibiotics



4.



Which one of the following constitutes permanent deferral status of a donor?



""



a b c d



5. ....



ON,Y



tattoo 5 months previously recent close contact with a patient with viral hepatitis 2 units or blood transfused 4 months previously conlirmed positive test for HBsAg 10 years previously



According to AABB standards, which of the fo61owlng donors may be accepted as a blood donor? a b c d



traveled to an area endemic for malaria 9 months previously spontaneous abortion at 2 months of pregnancy, 3 months previously resides with a known hepatitis B patient received a blood translusion 22 weeks previously



02018 ASCP ISBN 978-089169-6609



Clinical Laboratory Certification Ex•mlnetlon•



1



j



1: B lood Bank 6_



Bloor1 Pro~ uUcf$



.



Wh ich of the following must be included on the label of a unit of Red BIOOd Cells Leukocytes Reduced?



~ '



-



I



a known leukocyte count for the unit b phlebotomist idenlification c unique collection facility iden tifier d date of blood collection In order to be a plateletpheresis donor, the platelet count must be at least:



7.



a 150,000/µL



8.



b 200,000/µL c 250,000/µL d 300,000/µL Prior to blood donation. the intended venipuncture site must be cleaned with a scrub solution containing:



a hypochlorile b green soap



c 10% acetone d povidone iodine



9.



All donor blood testing must include:



a complete Rh phenotyping b anti-CMV testing c d irect antiglobulin tes t d serological test for syphilis 10.



During the preparation of Platelets from Whole Blood, the blood should be:



a cooled towards 6 •c



b cooled towards 20- 24 •c c warmed to 37°C d heated to 57°C 11.



The transport temperature for Red Blood Cells Leukocytes ~educed is



a 1-6°C b 1-1o·c



c 18-20"C d 20-24•c 12.



The transport temperature for Apheresis Platelets is



1-s·c c:· 1s-2o·c



a



b 1-1o·c



d 20-24·c 13.



The test that is currently used to detect donors who are infected with the AIDS virus is:



a anti-HBc b anti-HIV· 1/2 c HBsAg d ALT 14.



A donor who has just donated 2 units of Apheresis Red Blood Cells will be deferred from further blood donation for a minimum of how many weeks? a 8 b 12 c 16 d 24



2 Tho Board of Certification Study Gulde 60



ISAN Q71\.JlA91B~609



C'2Ql8~S(P



I l



1: Blood Bank 15.



Red Blood Cells Leukocytes Reduced must be prepared by a melhod known lo reduce the leukocyte count to a