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B
What is the branch of biomedical science that studies the immune system, immune responses, immunity, and immune-related diseases?
A. Serology
B. Immunology
C. Hematology
D. Pathology
A
Which term refers to the branch of immunology concerned specifically with the detection and measurement of antibodies and antigens in serum or other body fluids?
A. Serology
B. Immunohematology
C. Cytology
D. Histology
C
In serologic interpretation, the presence of positive IgM antibodies typically indicates which of the following?
A. Past infection
B. Long-term immunity
C. Present or active infection
D. Vaccine failure
B
In serologic interpretation, the presence of positive IgG antibodies typically indicates which of the following?
A. Present or acute infection
B. Past infection or previous exposure
C. Allergic reaction in progress
D. False positive result
B
What technology revolutionized laboratory medicine by allowing the development of highly specific, reproducible immunoassays capable of binding to a single specific target?
A. Polyclonal antibody technology
B. Monoclonal antibody (MAb) technology
C. Electrophoresis technology
D. Western blotting technology
C
What type of blood collection tube is primarily required to obtain serum for most serologic tests?
A. EDTA tube
B. Sodium Heparin tube
C. Serum Separator Tube (SST)
D. Sodium Citrate tube
B
What group of plasma proteins assists antibodies in destroying microorganisms through cell lysis, opsonization, inflammation, and chemotaxis?
A. Immunoglobulins
B. Complement system
C. Fibrinogen
D. Cytokines
B
What is the name of the final structure formed by the complement system that lyse target cells?
A. Antigen-Antibody Complex
B. Membrane Attack Complex (MAC)
C. Major Histocompatibility Complex
D. Opsonization Complex
B
What is the standard temperature and duration used for heat inactivation of complement in serum?
A. 37°C for 60 minutes
B. 56°C for 30 minutes
C. 70°C for 15 minutes
D. 100°C for 5 minutes
A
Why is IgG unaffected during heat inactivation of complement at 56°C?
A. IgG is heat resistant
B. IgG is located inside red blood cells
C. IgG binds to complement instantly
D. IgG is destroyed at lower temperatures
B
What procedure should be performed if red blood cells (RBCs) are still visible in a serum sample prior to serologic testing?
A. Heat the sample to 56°C
B. Re-centrifuge the sample
C. Freeze the sample immediately
D. Add normal saline
C
What action must be taken if red blood cells remain present in a serum specimen even after re-centrifugation?
A. Test the sample anyway
B. Dilute the sample 1:10
C. Dispose of the sample
D. Filter the sample through gauze
C
Which laboratory instrument allows rapid, repetitive, and accurate quantitative delivery of small predetermined volumes of reagents or specimens?
A. Volumetric flask
B. Graduated cylinder
C. Micropipette
D. Transfer Pasteur pipette
A
What term describes an expression of relative concentration representing a ratio of sample volume to total volume?
A. Dilution
B. Titer
C. Specificity
D. Sensitivity
B
What is used mathematically to correct for having analyzed a diluted sample rather than an undiluted specimen in quantitative determinations?
A. Complement factor
B. Dilution factor
C. Specificity ratio
D. Standard deviation
B
Uninactivated complement in serum can cause which of the following interference issues in latex agglutination tests?
A. False negative results
B. False positive results
C. No reaction at all
D. Hemolysis of white blood cells
A
Uninactivated complement in hemagglutination assays primarily causes which diagnostic error by lysing indicator red blood cells?
A. False negative reactions
B. False positive reactions
C. High background signal
D. Hyper-coagulation
B
What early viral marker is detected in serologic testing for early Dengue infection before antibodies appear?
A. Dengue IgG
B. Dengue NS1 antigen
C. Dengue IgM
D. Dengue Core Protein
A
Which hormone is measured in serologic or rapid immunoassays to confirm pregnancy?
A. Human Chorionic Gonadotropin (hCG)
B. Luteinizing Hormone (LH)
C. Estrogen
D. Progesterone
B
Which immune process involves coating a pathogen with proteins (such as complement) to enhance phagocytosis by immune cells?
A. Cell lysis
B. Opsonization
C. Chemotaxis
D. Neutralization
B
Which term describes the movement of phagocytes toward the site of infection in response to chemical signals produced by the complement system?
A. Opsonization
B. Chemotaxis
C. Agglutination
D. Precipitation
B
Which condition occurs when the immune system mistakenly attacks the body's own tissues and can be diagnosed via serologic testing?
A. Immunodeficiency disorder
B. Autoimmune disease
C. Hypersensitivity Type IV
D. Opportunistic infection
B
Which non-serum body fluid collected via lumbar puncture can be used as a specimen in serologic testing?
A. Pleural fluid
B. Cerebrospinal fluid (CSF)
C. Synovial fluid
D. Peritoneal fluid
C
Which type of body fluid specimen is collected from joint cavities for diagnostic evaluation?
A. Pleural fluid
B. Peritoneal fluid
C. Synovial fluid
D. Ascitic fluid
B
What advantage does Monoclonal Antibody (MAb) technology provide over older traditional methods in immunoassays?
A. Cross-reacts with multiple unrelated antigens
B. Prevents false positive and false negative results
C. Requires manual non-automated execution
D. Decreases assay sensitivity
B
If testing of a serum specimen is delayed but will be performed within a short timeframe, how should the specimen be stored?
A. At room temperature
B. In the refrigerator
C. At 56°C in a water bath
D. In an incubator at 37°C
B
What is the primary purpose of determining blood group antibodies in a serology laboratory?
A. Detecting autoimmune diseases
B. Ensuring safe blood transfusion and transplant compatibility
C. Measuring total protein concentration
D. Inactivating complement
C
If 0.5 mL of blood is diluted to a total volume of 10 mL, what total solution volume ($x$) would be needed for 1.0 mL of blood to maintain the exact same dilution ratio?
A. 10 mL
B. 15 mL
C. 20 mL
D. 25 mL
B
What type of disease occurs when the immune system's ability to fight infectious disease is compromised or entirely absent?
A. Autoimmune disease
B. Immunodeficiency disorder
C. Allergy
D. Hypergammaglobulinemia
B
What term describes an overreaction of the immune system to typically harmless environmental substances?
A. Autoimmunity
B. Allergy
C. Immunodeficiency
D. Complement fixation