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| Section | Weight | Objectives |
|---|---|---|
| Blood Banking (Immunohematology) | 15-20% | - Blood components and storage - Blood group systems and antigens - Compatibility testing - Transfusion reactions and adverse events - Antibody detection and identification |
| Clinical Chemistry | 20-25% | - Electrolytes, acid-base balance, and blood gases - Carbohydrates, lipids, proteins, and enzymes - Endocrinology and therapeutic drug monitoring - Toxicology and liver/kidney function tests |
| Microbiology | 15-20% | - Specimen collection and culture techniques - Identification of pathogenic microorganisms - Bacteriology and antimicrobial susceptibility - Mycology, parasitology, and virology |
| Immunology and Serology | 5-10% | - Immune system principles and components - Autoimmune and immunodeficiency disorders - Infectious disease serology - Immunologic testing methodologies |
| Hematology | 20-25% | - Routine and automated hematology procedures - Red blood cell physiology and disorders - Hemostasis and coagulation testing - White blood cell morphology and diseases |
| Urinalysis and Other Body Fluids | 5-10% | - Cerebrospinal, serous, and synovial fluids - Urine formation and composition - Semen and amniotic fluid testing - Physical, chemical, and microscopic analysis |
| Laboratory Operations | 5-10% | - Laboratory mathematics and instrumentation - Quality control and quality assurance - Pre-analytical, analytical, and post-analytical processes - Laboratory safety and regulatory compliance |
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?
Correct Answer: A 🗳️
Fibers can be mistaken for casts on occasion, especially hyaline casts. Fibers, however, are usually thinner and appear less uniform in structure than casts do.
Urinalysis & Other Body Fluids
Which of the following artifacts may be mistaken for casts?
Correct Answer: A 🗳️
Which of the following testing options would be classified as waived testing by CLIA standards?
Correct Answer: D 🗳️
The tube to the left is a slant of esculin medium, the tube to the right contains heart infusion broth with 6.5% sodium chloride. The bacterial species characteristically producing the positive reactions seen in each of these tubes is most likely:
Correct Answer: C 🗳️
The division of Department of Health and Human Services (DHHS) responsible for protecting public health by ensuring the safety and efficacy of foods, drugs, biological products, medical devices, and cosmetics is:
Correct Answer: A 🗳️
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