Sample Questions Clinical Pathology 2021 Phase II Certifying Examination - These questions illustrate possible Phase II question styles for the ...
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Sample Questions Clinical Pathology 2021 Phase II Certifying Examination These questions illustrate possible Phase II question styles for the 2021 Certifying Examination
A few notes • Helpful information is found on the ACVP website, including the Candidate Handout • Also see the FAQ information sent to candidates and supervisors on May 14, 2021 • 300 equally weighted multiple choice questions (3, 4 or 5 choices) administered in 3 sections of 100 questions each • Questions can be text only or can have images and/or data tables • There can be multiple questions asked about the same image(s) and/or data table(s) • Unless otherwise informed, assume stain used in the microscopic images are Wright-Giemsa (cytology & hematology) or Hematoxylin & Eosin (histology)
Examples of single text based questions: hemostasis and cytology In cats, prolonged aPTT and normal PT without a bleeding tendency occurs with deficiency of which factor? A. Factor IX B. Factor XI C. Factor VII D. Factor XII Answer: D With what is the presence of extracellular myelin-like material in canine cerebrospinal fluid associated with? A. Necrosis B. Neoplasia C. Inflammation D. Sampling artifact Answer: D
Examples of question with a single data table: biochemistry
Data from an African Grey parrot.
A. Diabetes mellitus
Test Patient Flag Reference Patient Patient
(units) (Baseline) (Baseline) Interval (at 3 hours (post vasopressin B. Medullary washout
(Baseline) of water administration) C. Psychogenic polydipsia
deprivation) D. Central diabetes insipidus
Sodium 159 H 134 - 152 159 -
(mmol/L)
Glucose 13 H 6-9 - -
Answer: D
(mmol/L)
Urine SG 1.003 1.005 - .020 1.003 1.020
Plasma 327 H 299 - 313 340 312
osmolality
(mOsmol/kg)
Which condition is most likely?
Examples of single image based questions: hematology Blood smear from a horse. What is the genus
and species of the erythroparasite?
Cytograms from an Advia 120. What is indicated by the
circled regions?
A. Theileria equi
A. Lipemia B. Babesia gibsoni
B. Hemolysis C. Neorickettsia risticii
C. Lymphocytes D. Anaplasma phagocytophilum
D. Platelet clumps
Answer: A Answer: A
Examples of single image based questions: quality assurance and cytology
What is plotted on the x-axis and y-axis, Nasal flush (unstained wet mount) from a dog. What is the
respectively, in this Levey-Jennings plot? significance of the findings?
A. Time and sensitivity
B. Speed and assay range
C. Precision and accuracy
D. Time and concentration A. Pollen inhalation
B. Eucoleus infection
C. Rhinosporidium infection
Answer: D Answer: B
D. Oropharyngeal contamination
Example of single image based question: cytology
Cutaneous mass aspirate from a dog. Using Masson’s trichrome, what color does the structure indicated
by the arrow stain?
A. Red
B. Blue
C. Purple
Answer: B
Example of single question using multiple images: cytology and histology Aspirate and tissue sections from an 8 cm intra-abdominal mass in a dog. Which tumor is most likely? A. Seminoma B. Lymphoma C. Histiocytic sarcoma D. Metastatic carcinoma E. Transmissible venereal tumor Answer: A
Example of single question with multiple images or data tables: hematology
Hematologic data, blood smear
images and flow cytograms from a
9-year-old castrated male Golden
Retriever with lethargy and weight
loss.
What is the most likely diagnosis?
A. Chronic monocytic leukemia
B. Acute lymphoblastic leukemia
C. Chronic lymphocytic leukemia
D. Acute myelomonocytic leukemia
Answer: D
Example of question with multiple
images or data tables: cytology
Aspirate and immunohistochemical panel from a 2
cm cutaneous mass on the pinna of an adult dog.
Which tumor is most strongly supported?
A. Histiocytoma
B. T cell lymphoma
C. Plasma cell tumor
D. Amelanotic melanoma
Answer: CExample of question with multiple data tables: biochemistry Biochemical and urinalysis data from a 7-year-old castrated male mixed breed dog. Which is the most likely diagnosis?
Example of question with multiple images or data tables: hematology Hematologic data and bone marrow aspirate from an 8-year-old dog with mild lethargy. Images are representative of the granulocytic series throughout the marrow.
Example of multiple related questions: biochemistry Biochemical and urinalysis data from a 10-year-old spayed female Beagle dog. Aside from being thin and having mild periodontal disease, there are no physical examination abnormalities. The CBC is unremarkable.
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