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Last Updated: Aug 15, 2026
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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Immunology | 5–10% | - Principles of immunology - Serologic procedures and immune diseases |
| Topic 2: Microbiology | 15–20% | - Virology and parasitology testing - Bacteriology and mycology procedures |
| Topic 3: Laboratory Operations | 5–10% | - Quality assessment and safety - Instrumentation and laboratory mathematics |
| Topic 4: Urinalysis and Other Body Fluids | 5–10% | - Microscopic analysis and disease correlation - Physical and chemical testing |
| Topic 5: Hematology | 20–25% | - Laboratory testing and hemostasis - Physiology and disease states |
| Topic 6: Blood Banking | 15–20% | - Transfusion practice and testing - Blood products and components - Blood group systems and immunology |
| Topic 7: Chemistry | 20–25% | - Electrolytes, acid-base, and toxicology - Carbohydrates, lipids, and enzymes |
1. Which of the following organizations has developed standards to maintain the performance of the clinical laboratory at the highest standards for quality care?
A) Centers for Medicare and Medicaid
B) Joint Commission
C) Occupational Safety and Health Administration
D) Clinical Laboratory Standards Institute
2. What amount of absorbent material must be included between the primary receptacle and secondary packaging for either a category A or category B liquid specimen?
A) There is no requirement for absorbent material
B) At least enough to surround the primary receptacle
C) Enough to fill the space between the primary receptacle and the secondary container
D) Enough to completely absorb the specimen if the container leaked or broke
3. The red blood cell distribution width (RDW) increases as the severity of alpha thalassemia increases because of changing MCV as the bone marrow produces smaller cells. In addition, if Hemoglobin H bodies are present, they result in the formation of schiztocytes (RBC fragments) that can have an effect on the MCV and RDW.
The Red cell Distribution Width (RDW) in alpha thalassemia is
A) dependent upon severity
B) within normal limits
C) usually decreased
D) usually increased
4. Coumarin derivatives inhibit the vitamin K dependent Factors (II, VII, X) which can be measured with the PT and monitored frequently with the INR assay.
Hematology
Warfarin-based (coumarin derivative) oral anti-coagulant therapy is commonly monitored with :
A) Thrombin time
B) PT/INR
C) APTT
D) APTT and PT
5. Where can one find guidance on the minimum performance standards for clinical laboratories?
A) National Institutes of Health
B) Centers for Disease Control and Prevention (CDC)
C) Food and Drug Administration (FDA)
D) Clinical Laboratory Improvement Amendments of 1988 (CLIA '88)
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: B | Question # 3 Answer: A | Question # 4 Answer: A | Question # 5 Answer: D |
Benson
Chester
Edgar
Gustave
Jo
Marlon
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