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Which of the following is not acceptable disposal practice?
A. Discarding urine into a sink
B. Disposing of used, empty urine containers with non-hazardous waste
C. Discarding a used, broken specimen transfer pipette with noninfectious glass waste
D. Discarding blood specimens into a biohazard container
C. Discarding a used, broken specimen transfer pipette with noninfectious glass waste
An employee can learn the carcinogenic potential of potassium chloride by consulting the:
A. Chemical hygiene plan
B. Safety Data Sheet
C. OSHA standards
D. Urinalysis procedure manual
B. Safety Data Sheet
The NPFA classification symbol contains information on all of the following except:
A. Fire hazards
B. Biohazards
C. Reactivity
D. Health hazards
B. Biohazards

Identify this hazard label
A. Flammable
B. Oxidiser
C. Corrosive
D. Carcinogen
B. Oxidiser
The final phase of degeneration that granular casts undergo is represented by which of the following casts?
A. Fine
B. Coarse
C. Cellular
D. Waxy
D. Waxy
Proper sequence of donning PPE
A. Gown → Mask → Googles → Gloves
B. Mask → Gown → Gloves → Googles
C. Googles → Mask → Gown → Gloves
D. Mask → Gloves → Gown → Mask
A. Gown → Mask → Googles → Gloves
What type of fire is caused by combustible metal?
A. Class A
B. Class B
C. Class K
D. Class D
D. Class D
This is more representative measure of renal concentration ability?
A. Osmolality
B. SG
C. pH
D. Protein
A. Osmolality
Urine Clarity: Many particulates, print blurred through the urine
A. Hazy
B. Milky
C. Turbid
D. Cloudy
D. Cloudy
In Stamey-Meares test, which is tested for urethral infection or inflammation?
A. VB1
B. EPS
C. VB2
D. VB3
A. VB1
What is the normal urine odor?
A. Ammoniacal
B. Aromatic
C. Putrid
D. Odorless
B. Aromatic
Which urine preservative is bacteriostatic and can be used for culture transport?
A. Formalin
B. Phenol
C. Boric acid
D. Sodium fluoride
C. Boric acid
What is the reading of SG when 5% NaCl is used as calibrator for refractometer?
A. 1.000
B. 1.035
C. 1.034
D. 1.022
D. 1.022
As the specific gravity increases, the indicator changes from blue (1.000 - alkaline), through shades of ________ (1.030 - acid)
A. Green to red
B. Green to blue
C. Green to yellow
D. Blue to orange
C. Green to yellow
Which of the following colligative properties is not stated correctly?
A. The boiling point is raised by solute
B. The freezing point is raised by solute
C. The vapor pressure is lowered by solute
D. The osmotic pressure is raised by solute
B. The freezing point is raised by solute
The following are pathologic causes of urine turbidity except:
I). Bacteria
II). WBC
III). RBC
IV). Mucus
V). Amorphous urates
A. One of these
B. Two of these
C. Three of these
D. Four of these
E. NOTA
B. Two of these
The following are soluble in dilute acetic acid except:
I). RBC
II). Phosphate
III). Carbonates
IV). Chyle
V). Yeast
A. One of these
B. Two of these
C. Three of these
D. Four of these
E. NOTA
B. Two of these
Sensitivity of clinitest?
A. 200 mg/dL
B. 100 mg/dL
C. 400 mg/dL
D. 500 mg/dL
A. 200 mg/dL
A specimen containing 2 g/dL protein and 3 g/dL glucose has a specific gravity reading of 1.030 using refractometer. The laboratory temperature is around 26 C. Calculate the corrected reading
A. 1.012
B. 1.010
C. 1.013
D. 1.011
A. 1.012
What is the color of the reagent strip for pH when the urine has a pH of 6-9?
A. Yellow to green
B. Yellow to blue
C. Red to yellow
D. Red to green
B. Yellow to blue
In SSA test, what is the reporting when there is turbidity with granulation and flocculation?
A. 1+
B. 2+
C. 3+
D. 4+
C. 3+
Which of the following should be done when “pass through phenomenon” is observed when performing Clinitest?
A. Add more drops of urine
B. Heat the urine
C. Use two drops of urine instead of 5 drops
D. NOTA
C. Use two drops of urine instead of 5 drops
Transitional epithelial cells appear in several form
A. Sphericcal
B. Polyhedral
C. Caudate
D. Rectangular
D. Rectangular
What is the possible interpretation when the reagent strip for glucose is 4+ but clinitest is negative?
A. Only small amount of glucose is present
B. Non-glucose reducing substance present
C. Presence of ascorbic acid
D. Presence of oxidizing agent
D. Presence of oxidizing agent
Blondheim’s test is used to differentiate myoglobin and hemoglobin. Hemoglobin is precipitated by hemoglobin ammonium sulfate while myoglobin remains in the supernatant
A. Only the first statement is correct
B. Only the second statement is correct
C. Both true
D. Both false
C. Both true
The most common cause of nephrotic syndrome in children and also associated with HLA and B12 antigen is?
A. FSGS
B. Nil disease
C. IgA nephropathy
D. APSG
B. Nil disease
Which of the following statements regarding the dry reagent strip test for bilirubin is true?
A. A positive test is seen in prehepatic, hepatic, and post hepatic jaundice
B. The test detects only conjugated bilirubin
C. Standing urine may become falsely positive due to bacterial contamination
D. High levels of ascorbate will cause positive interference
B. The test detects only conjugated bilirubin
Which type of microscope enhances visualization of elements with low refractive indices, such as hyaline casts, mixed cellular casts, mucous threads, Trichomonas?
A. Brightfield
B. Darkfield
C. Polarizing
D. Phase-Contrast
Telescoped sediments are the simultaneous occurence of?
A. Casts
B. Crystals
C. Epithelial cells
D. artifacts
A. Casts
The following causes false positive reaction in blood reagent strip except?
A. Oxidising agents
B. Bacterial contamination
C. Menstration
D. Formalin
E. NOTA
D. Formalin
This is a test used to confirm in urine bilirubin reagent strip?
A. Ictotest
B. Acetest
C. SSA
D. Micral test
A. Ictotest
What condition is associated with mousy urine odor?
A. Phenylketonuria
B. Diabetes mellitus
C. Tyrosinemia
D. Methionine malabsorption
A. Phenylketonuria
The following causes acidic urine except:
A. Emphysema
B. High protein diet
C. Diarrhea
D. Renal tubular acidosis
D. Renal tubular acidosis
Which of the following specific gravities would be most likely to correlate with pale yellow urine?
A. 1.005
B. 1.010
C. 1.020
D. 1.030
A. 1.005
A urine specimen is tested by a reagent strip test and the sulfosalicyclic acid test to determine whether protein is present. The former yields a negative protein, whereas the latter results in a reading of 2+ protein. Which of the following statements best explains this difference
A. The urine contained an excessive amount of amorphous urates or phosphates that caused the turbidity seen with the SSA test
B. The urine pH was greater than 8, exceeding the buffering capacity of reagent strop, thus causing a false-negative reaction
C. A protein other than albumin must be present in the urine
D. The reading time of the reagent strip test was exceed (the reading being taken at 2 minutes) causing a false negative reaction to be detected
C. A protein other than albumin must be present in the urine
Which of the following is identified in Watson-Schwartz test:
Results: Extracted in butanol but not in chloroform
A. Urobilinogen
B. Bilirubin
C. Ehrlich reactive compound
D. Porphobilinogen
C. Ehrlich reactive compound
WBC casts are associated with:
A. Pyelonephritis
B. Cystitis
C. Glomerulonephritis
D. Viral infections
A. Pyelonephritis
A squamous epithelial cell that is clinically significant is the:
A. Cuboidal cell
B. Clue cell
C. Caudate cell
D. Columnar cell
B. Clue cell
A random urine specimen collected shortly after the patient ate lunch appeared cloudy. Results of the reagent test strip were normal. The most likely cause of the turbidity is?
A. Bacteria
B. Amorphous phosphate
C. Amorphous urate
D. WBC
B. Amorphous phosphate
Identify this crystal
A. Calcium oxalate
B. Calcium carbonate
C. Uric acid
D. Sodium urate
B. Calcium carbonate
ESRD is characterized by all of the following except:
A. Hypersthenuria
B. Isosthenuria
C. Azotemia
D. Electrolyte imbalance
A. Hypersthenuria
A patient with partially compensated respiratory alkalosis would have a urine pH of:
A. 4.5 - 5.5
B. 5.5 - 6.5
C. 6.5 - 7.5
D. 7.5 - 8.5
D. 7.5 - 8.5
Which crystal appears in urine as long, thin, hexagonal plate, and is linked to ingestion of large amounts of benzoic acid?
A. Cystine
B. Hippuric acid
C. Oxalic acid
D. Uric acid
B. Hippuric acid
Container capacity for routine urinalysis?
A. 50 mL
B. 60 mL
C. 10-15 mL
D. 30-45 mL
A. 50 mL
In 3 glass collection, the second specimen has significant bacteriurua and WBC. This indicates?
A. Prostatic infection
B. Cystitis
C. Normal
D. AIN
B. Cystitis
Hemoglobin in urine can be differentiated from myoglobin by using:
A. 80% ammonium sulfate to precipitate hemoglobin
B. Sodium dithionite to reduce hemoglobin
C. o-Diansidine instead of benzidine as the color indicator
D. The dry reagent strip blood test
A. 80% ammonium sulfate to precipitate hemoglobin
Chloride is actively transported in the ___
A. PCT
B. ALH
C. CD
D. DLG
B. ALH
Cabbage hops urine odor is associated in what condition
A. Methionine malabsorption
B. Hawkinsinuria
C. Tyrosinemia
D. ATN
A. Methionine malabsorption
Which of the following is the reagent used in reagent strip for protein determination?
A. tetrabromophenol blue
B.p-arsinilic acid
C. tetramethylbenzidine
D. sodium nitroprusside
A. tetrabromophenol blue
This urine sediment is the most common contaminant from gloves and is characterized by having a dimpled center
A. Fiber
B. Pollen
C. Starch
D. Air bubble
True of intracranial hemmorrhage
I). It is negative for D-dimer test
II). It has xanthochromic supernatant
III). It has no clot formation
IV). It has even distribution of blood on the tubes
A. One of these
B. Two of these
C. Three of these
D. All of these
C. Three of these
A patient with a blood glucose of 120 mg/dL would have a normal CSF glucose of:
A. 20 mg/dL
B. 60 mg/dL
C. 80 mg/dL
D. 120 mg/dL
C. 80 mg/dL
In WHO criteria, what is the grading of sperm motility when there is slow forward progression, noticeable lateral movement?
A. a
B. b
C. c
D. d
E. e
B. b
When using Kruger’s strict criteria when examining sperm morphology, atleast how many percent of normal forms is considered normal?
A. 10%
B. 30%
C. >14%
D. 5%
C. >14%
Which of the following is a possible abnormality when sperm analysis is normal but with continued infertility?
A. Lack of seminal vesicle support medium
B. Presence of male anti-sperm antibodies
C. Lack of fructose
D. Presence of female anti-sperm antibodies
D. Presence of female anti-sperm antibodies
Given the following information, calculate the sperm concentration: dilution, 1:20; sperm counted in five RBC squares on each side of the hemocytometer, 80 and 86; volume, 3 mL
A. 80 million/mL
B. 83 million/mL
C. 86 million/mL
D. 169 million/mL
B. 83 million/mL
The first 4 to 5 mL of the synovial fluid obtained should be placed into ____?
A. EDTA
B. Heparin
C. Sterile Heparin
D. Plain tube
D. Plain tube
Which of the following is used as a diluent when performing WBC count in a synovial fluid sample?
A. Acetic acid
B. Normal saline
C. Hypertonic solution
D. AOTA
B. Normal saline
Pleural fluid: serum LD ratio is 0.7. The fluid is most likely a _____
A. Transudate
B. Exudate
C. Either
D. Neither
B. Exudate
Amniotic fluid specimen for Fetal Lung Maturity test is stored at what temperature
A. Body temp
B. Ref temp
C. Room temp
D. 18 C
B. Ref temp
Which of the following best represents a hemothorax?
A. Blood HCT: 42 Fluid HCT: 15
B. Blood HCT: 42 Fluid HCT: 10
C. Blood HCT: 30 Fluid HCT: 10
D. Blood HCT: 30 Fluid HCT: 20
D. Blood HCT: 30 Fluid HCT: 20
What is the significance when the color of the amniotic fluid is dark green?
A. Meconium
B. Fetal death
C. HDN
D. Intraamniotic hemorrhage
A. Meconium
Which of the following test is used to confirm neural tube defect diagnosis after elevated levels AFP?
A. Acetylcholinesterase
B. Lecithin
C. Sphingomyelin
D. Lamellar body
A. Acetylcholinesterase
The following may cause black stool except?
A. Iron therapy
B. Upper GIT bleeding
C. Lower GIT bleeding
D. Bismuth
C. Lower GIT bleeding
Olive green color of sputum might indicate ______
A. Cancer
B. Klebsiella pneumoniae infection
C. Congestive heart failure
D. Anthracosis
A. Cancer
If only one tube of CSF is received from the laboratory, what section should the specimen go first?
A. Hematology
B. Chemistry
C. Microbiology
D. CM
C. Microbiology
What is the major contributor to the amniotic fluid after the first trimester of pregnancy?
A. Fetal urine
B. From maternal circulation
C. Either
D. Neither
A. Fetal urine
What is the most likely cause of the following CSF results?
CSF glucose 20 mg/dL; CSF protein 200 mg/dL
CSF lactate 50 mg/dL (reference range 5-25 mg/dL)
A. Viral meningitis
B. Viral encephalitis
C. Cryptococcal meningitis
D. Acute bacterial meningitis
D. Acute bacterial meningitis
What is the classification of the joint disorder that is being described?
CLEAR, yellow fluid - degenerative joint; GOOD viscosity
WBCs <1,000 uL
Neutrophils <30%
NORMAL glucose level
A. Non-inflammatory
B. Septic
C. Inflammatory
D. Hemorrhagic
A. Non-inflammatory
In bacterial meningitis, CSF glucose is elevated. Levels of CSF lactate in the other is decreased
A. Only the first statement is correct
B. Only the second statement is correct
C. Both true
D. Both false
D. Both false
In CSF collection, the 2nd tube is used for ____ testing and stored at ____ temperature
A. Chemistry testing; freezing temp
B. Cell count; ref temp
C. Microbiology; Room temp
D. Microbiology; ref temp
C. Microbiology; Room temp
A web-like pellicle in a refrigerated CSF specimen indicates:
A. Tubular meningitis
B. Multiple sclerosis
C. CNS malignancy
D. Viral meningitis
A. Tubular meningitis
What does CASA stands for?
A. Computer Assisted Semen Analysis
B. Computer Assisted Sperm Analysis
C. Computer Age of Sperm Analysis
D. Computer Analyzed Semen Analysis
A. Computer Assisted Semen Analysis
The finding of oligoclonal bands in the CSF and not in the serum is seen in:
A. Multiple myeloma
B. CNS malignancy
C. Multiple sclerosis
D. Viral infections
C. Multiple sclerosis
What is the required tube type for cell counts in synovial fluid testing
A. Sodium heparin
B. Liquid EDTA
C. Sodium fluoride
D. A and B
E. A and C
D. A and B
Before testing, very viscous synovial fluid should be treated with:
A. Normal saline
B. Hyaluronidase
C. Distilled water
D. Hypotonic saline
B. Hyaluronidase
CSF can be differentiated from serum by the presence of:
A. Albumin
B. Globulin
C. Transthyretin
D. Tau transferrin
D. Tau transferrin
Staining sperm cells can be performed using
A. Wrights stain
B. Giemsa, wrights’ stain
C. Wright’s, Giemsa, Shoor or Papanicolaou stain
D. Giemsa
C. Wright’s, Giemsa, Shoor or Papanicolaou stain
What is the reagent used in mucin clot test?
A. 2-5% acetic acid
B. Hyaluronidase
C. HCl
D. Acetone
A. 2-5% acetic acid
When severe HDFN is present, which of the following tests on the amniotic fluid would the physician not order to determine whether the fetal lungs are mature enough to withstand a premature delivery?
A. AFP levels
B. Foam stability index
C. Lecithin/sphingomyelin ratio
D. Phosphatidyl glycerol detection
Which of the following are reported as number lpf?
A. RBCs
B. WBCs
C. Crystals
D. Casts
D. Casts
WBC casts are associated primarily with
A. pyelonephritis
B. cystitis
C. glomerulonephritis
D. viral infections
A. pyelonephritis
In d-xylose test, low levels of d-xylose in the urine indicates?
A. Pancreatitis
B. Malabsorption
C. Maldigestion
B. Malabsorption
Which of the following can be used as a marker for hypoxia?
A. CSF lactate
B. CSF glucose
C. CSF glutamate
D. MBP
A. CSF lactate
Highest CSF lactate is seen in which of the following condition?
A. Bacterial meningitis
B. Viral meningitis
C. Tubercular meningitis
D. Fungal meningitis
A. Bacterial meningitis
Semen usually liquefy within:
A. 10-20 minutes
B. 10-30 minutes
C. 30-60 minutes
D. 60-120 minutes
C. 30-60 minutes
Crystals associated with pseudogout are:
A. Monosodium urate
B. Calcium pyrophosphate dihydrate
C. Apatite
D. Corticosteroid
B. Calcium pyrophosphate dihydrate
Detection of the CA 125 tumor marker in peritoneal fluid indicates:
A. Colon cancer
B. Ovarian cancer
C. Gastric malignancy
D. Prostate cancer
B. Ovarian cancer
What should be the value of SAAG to be considered transudate?
A. >1.1
B. <1.1
C. 1
D. 5
A. >1.1
In which condition is the highest level of serum gastrin usually seen?
A. Atrophic gastritis
B. Pernicious anemia
C. Z-E syndrome
D. Cancer of the stomach
C. Z-E syndrome
The first thing to do when a fire is discovered is to:
A. Rescue people in danger
B. Run outside the building
C. Pull the pin
D. Reflect
A. Rescue people in danger
The principle of the colorimetric reagent strip test for hemoglobin is based on the peroxidase activity of hemoglobin in catalyzing the oxidation of a dye with peroxide to form a colored compound. This method may yield false positive results for the presence of hemoglobin when the urine specimen contains
A. Ascorbic acid
B. Tetracycline
C. Myoglobin
D. Nitrite
A. Ascorbic acid
In the Bristol stool chart, what type of stool is like a sausage but with cracks?
A. Type 1
B. Type 2
C. Type 3
D. Type 4
C. Type 3
Which of the following is used to test for fetal age?
A. Lecithin
B. AFP
C. Creatinine
D. Lamellar body count
C. Creatinine
Which of the following is not detected in leukocyte esterase test?
A. Neutrophil
B. Basophil
C. Monocyte
D. Lymphocyte
D. Lymphocyte
Which of the following delineates structure and contrasting colors of the nucleus and cytoplasm
A. Sternheimer-Malbin
B. 2% acetic acid
C. Gram stain
D. Hansel stain
A. Sternheimer-Malbin
Most common fecal contamination seen in urine is ova from ________
A. E. vermicularis
B. T. vaginalis
C. S. haematobium
D. A. lumbricoides
A. E. vermicularis
A significant rise in the OD of amniotic fluid at 450 nm indicates the presence of which analyte?
A. Bilirubin
B. Lecithin
C. Oxyhemoglobin
D. Sphingomyelin
A. Bilirubin
Aka renal failure casts
A. Broad cast
B. Waxy cast
C. RBC cast
D. Mixed cellular cast
A. Broad cast