국제 임상병리사 문제집 응용 하 ASCPI

 

1.a 55-year-old male, presents to the emergency department with symptoms of abdominal pain, nausea, and vomiting. The physician orders a comprehensive metabolic panel (CMP) and a lipase test to aid in the diagnosis.

Which of the following test results would be most indicative of acute pancreatitis?

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A. Elevated alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels

B. Elevated alkaline phosphatase (ALP) and gamma-glutamyl transferase (GGT) levels

C. Elevated serum amylase and lipase levels

D. Elevated blood urea nitrogen (BUN) and creatinine levels

E. Decreased serum calcium levels

 

2.a 40-year-old female, visited her primary care physician with complaints of fever, chills, and joint pain. Her medical history includes hypertension and hyperlipidemia, and she takes medications for these conditions. The physical examination revealed an elevated temperature of 39°C, mild swelling in the joints, and tenderness in the lymph nodes. The physician ordered a complete blood count (CBC) and a blood culture to aid in the diagnosis.

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Which of the following test results would be most indicative of a bacterial infection?

A. Elevated total white blood cell count with a left shift

B. Elevated total white blood cell count with a right shift

C. Decreased total white blood cell count with a left shift

D. Decreased total white blood cell count with a right shift

E. Normal total white blood cell count with no shift

3.Which of the following bacteria is the most likely cause of a patient's urinary tract infection, given a urine sample that shows the presence of gram-negative, non-motile rods that produce hydrogen sulfide (H2S) on a TSI agar medium after 24 hours of incubation?

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A) Escherichia coli

B) Proteus mirabilis

C) Klebsiella pneumoniae

D) Pseudomonas aeruginosa

E) Citrobacter freundii

 

4.A 23-year-old male college student presents to the student health center with diarrhea and abdominal cramps. The patient reports recent consumption of undercooked ground beef at a local fast-food restaurant. On physical examination, mild abdominal tenderness is noted. Laboratory tests show an elevated white blood cell count, an increased level of serum lactate dehydrogenase (LDH), and the presence of fecal leukocytes. Stool culture on MacConkey agar reveals the growth of pink colonies, and subsequent testing on sorbitol-MacConkey agar demonstrates the absence of sorbitol fermentation. Which of the following microorganisms is the most likely cause of the patient's symptoms?

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A) Salmonella enterica

B) Escherichia coli O157:H7

C) Shigella sonnei

D) Yersinia enterocolitica

E) Proteus vulgaris

 

5.A 25-year-old female presents with fatigue, weakness, and shortness of breath. Her CBC results reveal a hemoglobin level of 7.0 g/dL, an MCV of 82 fL, and an RDW of 16.5%. A peripheral blood smear shows microcytic, hypochromic red blood cells with target cells and basophilic stippling. What is the most likely underlying condition?

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A) Iron-deficiency anemia

B) Vitamin B12 deficiency anemia

C) Folate deficiency anemia

D) Hemolytic anemia

E) Thalassemia

 

6.A 24-year-old female presents to the clinic with vaginal discharge, itching, and burning. On pelvic examination, the clinician notes erythema and discharge from the cervix. Gram stain of the vaginal discharge reveals gram-negative diplococci. Which of the following microorganisms is the most likely cause of the patient's symptoms?

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A) Escherichia coli

B) Treponema pallidum

C) Neisseria gonorrhoeae

D) Chlamydia trachomatis

E) Gardnerella vaginalis

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