Author: Anonymous

A College of American Pathologists (CAP) survey was analyzed for alkaline phosphatase in duplicate with the following results 324 mU/ml and 330 mU/ml respectively.  Both the normal and abnormal controls analyzed during the run were within the confidence range.  The CAP survey results were reported as obtained.  When the survey report came back, it was noted that the confidence range for the ALP was 295-310 mU/ml.  This information reveals that:

Which governmental legislation has had the greatest impact on the health care industry?

Assess the patient disease state if the patient has the following results:HBsAg:             positive            anti-HBe:            negativeHBeAg: positive                        anti-HBsAg: negativeAnti-HBc (IgM): positive

In a sputum culture from a patient with cystic fibrosis, you recover an aerobe that is oxidase positive and produces mucoid, brown, “gummy” colonies on MacConkey agar.  This organism is probably:

A 65-year-old male is admitted complaining of weakness, fatigue, and weight loss. Enlarged lymph nodes and bone tenderness are noted.  A CBC is ordered with the following results:            WBC = 100,000/cu mm            RBC = 5.2 x 106/cu mm            Hb = 15.1 g/dl            HCT = 47%            Differential = 15% segs            85% lymphocytes            Many smudge cells are present.  All lymphocytes are small, size variation minimal.  What hematological disorder could this involve?

(continued from previous question)  Which procedure will be necessary to provide the safest transfusion?

Pretransfusion compatibility testing must include:

Which is the most appropriate transfusion therapy for thrombocytopenia due to chemotherapy treatment?  

A patient just back from Sierra Leone is admitted with high fever and chills. His spleen is enlarged.  A giemsa stained blood smear shows intraerythrocytic  rings, some multiple with occasional “banana” shaped gametocytes.  This patient probably has:

A gram-negative rod isolated from a wound ferments lactose, produces an acid slant and butt on triple sugar iron (TSI) agar, and is oxidase-positive.  What might this organism be?