lOMoARcPSD|17224140 Medical Laboratory Science Comprehensive Exams Ultimate Compilation Medical Technology (Our Lady of Fatima University) StuDocu is not sponsored or endorsed by any college or university Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 CLINICAL CHEMISTRY Coupled enzymatic rgt except T4 in RID Lithium in blood serum Renal threshold CC – 2nd take GGT Metabolite increase in liver dse Starch to simple saccharide Enzyme catalyze from starch to glucose and maltose Cortisol diurnal characteristic Middle value Tungsten blue Most methods of tAG determination measure ____________: Reyes syndrome Colorimetric bilirubin method Uncompemsated acidosis Bilirubin bile canaliculi Protein not usually present in blood Tube for glycated Hb Conversion of urea nitrogen to urea VLDL SGOT Bitter almond Does not need fasting Glucose level of DM Chloride mercuric nitrite producing blue color Zero order Etched pipette Ascorbic acid inhibits w/c glucose pathway monochromator AAS No included enzymatic test in in determining glucose Radiolabeled T4 binding with Anti T4 AES/flame When there’s an excess the substance is no longer reabsorb so it goes out and appear in the urine Liver Ammonia Amylase Amylase 8-10 peak morning 11-3 evening low Median Uric acid in Caraway method. Also in measuring urinary proteins under the Folin-Ciocalteau method. Glycerol Ammonia Low pH increase Carbonic acid Dubin Johnson Alpha 1 anti-globulin EDTA – normally used for Hemoglobin measurements Multiply by 2.14 Major carrier of ENDOGENOUS triglycerides. Reitman Frankel Cyanide HbA1C >126ug/dl Schales schales Excess substrate / no excess enzyme Blow out pipette Oxidase-reduction Selects the band of the light that passes to the cuvette calcium Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 Interference in bilirubin test @ 640nm Dilution 1:5 Scattered light precision Icteric index Monitor quality control between labs (inter-lab) Bilirubin excretion deficiency Chelates calcium Cholesterol reference method % glucose in PB sa CSF Major fraction organic iodine in circulation drug monochromator Turbidity in serum Anything that is infecting the integrity of the serum. (Hemolysis ganyan – dapat clear yung serum na yellow color) 4ml H2O Nephelometry The lower the Standard Deviation the higher the precision Bilirubin since Icterus is increase in Bilirubin Youden plot Dubin Johnson EDTA Abell-kendall (mataba si Abell) 60% Thyroxine T4? (Confirm Clin. Chem module) GC/MS Disposes polychromatic light into its separate wavelengths chylomicrons CLINICAL CHEMISTRY Creatine Kinase(CK) for Acute Myocardial CK-MB and CK MM – Reference is Infarction Bishop’s p 272. Confirm with CC2 module Blue color (urea, nitrogen, ammonia, uric Uric Acid – (Tungsten blue) acid) Cleaning glassware EXCEPT: Cr2H2O/H2SO4 Cytoplasmic protein transport?? Ligandin and Z protein Hexokinase NADPH Specific for liver ALT Inversely related to CHD Apo A & HDL Incorrect use of pipette Random error Gibson Cooke test? Which is true? Refer to pg 105 CC2 (Testing for Cystic Fibrosis, sweat test. Stimulate with pilocarpine.) Reproducibility Precision +2SD 95.5% Steps for cholesterol Saponification, extraction ,precipitation, coulorometric (SEPC) Benzoylecgonine Cocaine, 100% T = Optical density % 0.000 Primary minerals in bone Calcium & phosphate Respiratory acidosis Excess carbonic acid leading to Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 decreased pH. To compensate for this kidneys will increase amount of bicarbonate. Substrate of prostatic ACP Thymolphalein monophosphate… (something like that) Several test in CC required the px to for cholesterol fasting (Fasting blood sugar, Chole, Trigly, inorg.phosphate?) Conjugated bilirubin characteristics Water and alcohol soluble, renal excretion, direct conjugated, “Red man syndrome” Vancomycin YUNG SA CHARTS AOTA Do not move in pre-beta... Chylomicrons Split in albumin Bisalbuminemia Albumin Ref range 3.5-5.0 g/dl Heroin synthesis from morphine Quantitation of TAG glycerol Test for neuromuscular tetany Low calcium / hypocalcemia Ref. Range of plasma chole. 200 mg/dl Csf multiple sclerosis characteristics Polyclonal banding Test for decrease T4 TSH Sweat chloride is for Cystic fibrosis (Gibson Cooke Method) Random errors Dirty glasswares, wrong pipets, voltage, fluctation, sampling errors Hypophyseal structure receive signals Hypothylamoneurophyseal tract? Catalyzes the conjugation of bilirubin Glucoronly transferase ISE are associated EXCEPT: None of the above? Transport protein of bilirubin in blood albumin Ion increase in hemolysis K because it is major intracellular anion. Cellulose acetate principle Size of molecule Lipoprotein increased Enzyme that converts starch to glucose and Amylase maltose Serotonin source Tryptophan Protein fraction rarely increased in plasma Alpha 1 antiglobulin Kidney tubular reabsorption Osmolarity Hepatoma marker rarely increased in adult Alpha-1-fetoprotein serum Evelyn malloy Pink (Bilirubin) Ion selective electrode electrochemistry Potentiometry principle Diacetyl monoxime use Blood UREA nitrogen Most anodic lipoprotein HDL Major intracellular anion Phosphate Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 600mg/dl ; 1:300 final conc. Flame photometry is based on Reference Method of Cholesterol Analysis 2mg/dL Light emitted by excited atoms Abell-Kendall method October Batch 1st take CC compre 1. Specimen used for G6PD Red cell hemolysate deficiency 2. Method for titer Serial Dilution method 3. Molarity of 3.5 N is H2SO4 3.5/2 – 1.75 4. Relationship of SD with SD Precision Precision 5. Incorrect calibration of Systematic Error pipette causes: 6. 150 mg/dl, 1:20, 1part and 4 150 x 1/20 x 1/5 = 1.5 parts 7. State where enzyme is a. Free unbound b. Protein -bound metabolically active a. Testosterone 8. Principle androgen formed by b. Progesterone adrenal cortex and is the least c. Estrogen potent among major d. DHEA androgens e. androstenedione 9. Most in maternal urine Estriol* 10. 80% in children with HVA Neuroblastoma 11. Making 0.08mol/L of HCl 5000mL 1000mL of 0.4moL should be diluted to what 12. In fluorescence spectro, which is position at right Secondary Monochromator and Detector angle relative to the light 13. Best for protein Nephelometry determination Diazo reagent - Bilirubin pigments in serum or plasma are reacted with a diazo reagent (sulfanilic acid in hydrochloric acid and 14. Color rgt for Jendrassik Groff sodium nitrite), resulting in the production of the purple product azobilirubin. 15. 4th number in enzyme 1stcategory 2nd subclass 3rd subsubclass 4th classification serial number C-reactive protein during inflammation 16. Protein for RH and SLE (Reference is Bishops) ANA? 17. AST and ALT half l ife AST(cyto)17Hr AST(mito) 87Hr difference ALT(cyto)47Hr Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 18. Normal in uncompensated metabolic acidosis 19. Reduced florescence due to interaction of molecules 20. Waste product of muscle dystrophy 21. BUN is more sensitive that Creatinine 22. Jaffe reaction Rgt 23. What’s detected in Reye’s Syndrome 24. Caraway method color reaction 25. Generates energy except 26. Produced by cells in the Jejunum and locer duodenum in response to low pH 27. Insulation to vital organs 28. The size of lipoporteins correlate with its lipid content The larger the size the lighter in density 29. Most anodic form 30. Increased of this would decrease CHD risk 31. 2mL milky plasma-refigerate overnight: 32. +float –tubbidity 33. Yellow color in Hazard Symbol 34. Best way to break chain of infection 35. Glass, needle/lancets are disposed where? 36. 2 consecutive controls fall outside 2SD 37. Used to check accuracy and Precision 38. Coefficient of variation pH….pCO2….pO2…HCO3 quenching Creatine, creatinine True or false Picric acid in alkaline (Alkaline picrate) Ammonia Purple….Red-orange…BLUE…Yellow (based on the oxidation of uric acid in a protein-free filtrate, with subsequent reduction of phosphotungstic acid in alkaline solution to tungsten blue.) EMP…Hexokinase…GLYCOGENESIS…Pentose phosphate shunt Secretin TAG, Cholesterol Ester Both are TRUE HDL LDL vLDL Chylomicrons Apo A or HDL Chylomicrons only Y-reactivity B-Health R-Fire Handwashing Puncture proof container 22s Control? SD/Mean (100) Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 39. Measure of closeness of repeated analysis 40. 2SD=2.0-2.6 expected that one result will fall greater than 2.6 is 1 in 41. What to do after repeating the control after it has been out of control? 42. Variants except: 43. CSF total Protein concentration Precision 100, 10, 20, 40 Run new control from different lot Check for systemic error Run new control from same lot but new vial Nagao, kasahara, regan, osteoblastic 15-45 mg/dL Na+ major extra cation K+ major intra cation Bicarb major intra anion, (only 2nd) Cl+ major extra anion 44. Which is wrong 45. Primary compound of thyroid compound synthesis 46. Flipped LD 1 and LD2 indicates, increased CK 47. Increased in Liver disease except 48. Earliest to increase in AMI 49. Hydrolases except 50. In AST and ALT, which is not true 51. Role of PTH in urine water balance 52. Increased by 3-10% in serum when left standing at 25 or 4’C 53. Only hormones secreted by posterior pituitary 54. Besides insulin, Main control for blood glucose 55. Type of DM in cow’s milk 56. OGTT with the highest conc of Glucose 57. Renal Glucose Threshold 58. Major lipid found in VLDL 59. Proper PPE in routine chem Lab Iodine Myocardial infarction ALD…ALT…ALP…pCHE Troponin1…CK-MB…Troponin2…Myoglobin ACP, ALP, 5N, AChE, ALT, SChE, LPS, AMS, AST is intra and extra ALT only intra AST is more spec that ALT Both D. Neither Ca+ reabsorption Inhibits K+ for Na+ reabsorption Inhibits Cl+ ALD…ALT…ALP…AST Vasopressin(ADH) and oxytocin Glucagon CC! module p.76 DM1 1 Hr after meal peak reference: cc1 p.83 160-180 mg/dL TAG Lab gown, gloves, mask Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 60. In Primary hyperthyroidism TSH is… 61. Hormone asso with Amenorrhea and Galactorrhea 62. Inceased protein in HLA and occurs in RA and SLE 63. 20% of bilirubin is from 64. bilirubin mg/dL to mmol/L 65. protein in HLA- increased in inflammatory disease 66. urobilin is a color pigment for… 67. icterus index solution 68. Protein with the most important function if maintaining H2O distribution 69. ketogenic, except 70. reacts with histidine tryptophan and tyrosine 71. not contributing to serum protein as a result of pathogenic process 72. specific dye for albumin, used in immunodiffusion reference mtd 73. anticonvulsants except 74. 60-70% balances buffer system 75. categories of steroid hormones except 76. used to treat acidosis caused by methanol intoxication Decreased Prolactin B-2 Microglobulin a. destruction of hemoglobin b. heme- containing globulins c. both d. neither Multiply with 17.1 ? Stool a. b. c. d. 8.5% normal saline Sodium citrate 0.01% Potassium dichromate Alkaline ferrous hydroxide a. Insulin b.Albumin c. Keratin b. Transferrin a.Lysine b.leucine c.aspartate d.acetyl CoA Phenol method/folin ciocalteau, Kjehldal method, Folin-Lowry Increased globulin Increased serum albumin Infection Malignancy HABA…bromcresyl purple…methyl orange…bromvcresyl green Phenobarbital, valproic acid, phenytoin, carbamazepine,ethosuximide,procainamide, quinidine, digoxin, a. Hb/oxyHb 30% b. Bicarb/carbonic acid c. Protein buffer d. phosphate A. catecholamines B. Mineralocorticoids C. Glucocorticoids D. sex hormones sodium bicarbonate Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 77. best confirmatory test for drugs GC/MS 78. best position in venipucture Doggy style JOOOKE seating upright is the correct answer 79. analyte that doesn’t need prior fasting 80. most important factor in therapeutic drug monitoring 81. anion gap is used in what disorder 82. treatment for narcolepsy that increases mental alertness 83. what should RMT do if there’s excess heparin 84. precipitant of LDL & vLDL for HDL analysis 85. in glass type collection, increased heparin causes… 86. coomasie blue G50 is used for 87. slight hemolysis causes significant changes in… 88. Stress prior to veni, leading to hyperventilaltion causes… 89. What element is reduced at cathode in Clarke Polarography 90. Which does not match 91. Quantification of protein following electrophoresis 92. Method that has the secondary monochromator and the detector at the right angle 93. Lyophilized reagent to make standards and controls 94. BUN is synthesized in which organ CHOLESTEROL Timing of specimen collection Metabolic Acidosis Amphetamines Run the sample Recollect? Pipette excess heparin Discard specimen Dextran sulfate…heparin-magnesium Increased pHI,increased pCO2 Decreased pH Decreased pCO2 CSF Albumin a. K+ b. Ca+ c. Na+ Acid-base alteration a. b. c. d. e. f. g. h. i. Silver Oxygen Chloride Potassium Spectro-transmittance Nephelo- scattered light Aes-emitted Aas-absorbed NOTA Densitometry Fluorescence Type II Water Liver Downloaded by Mercy Ngila (mngila50@gmail.com) d. bicarb lOMoARcPSD|17224140 95. Oral contraceptives affect these tests except 96. End product of Caraway is colored 97. Proficiency testing programs for (Kind of QC) 98. Cofactor Enzymes except Pt, APTT, HBA1c, TSH, T3, T4 Blue Interlab, Intralab Zinc, maganese, calcium, chloride Clin Chem October Batch 2016 2nd take 1. Reagents of Liebermann-Burchard 2. End Color of Evelyn-Malloy 3. Most heat stable ALP 4. Most Tissue Specific Enzyme Sulfuric Acid, Acetic Acid, Acetic Anhydride Pink, Blue, Yellow, Colorless Placenta, Bone, Liver, Intestine Alcohol Dehydrogenase, LFH, ALP, CK (Alcohol dehydrogenase is LD-6 which can be tissue specific. If Alcohol Dehydrogenase is not the answer, considering that LFH is just a typo of LDH, then, among the three, CK is the most specific) 5. Hormone used to Monitor fetoplacental unit Estradiol, Estriol, Prolactin, HCG 6. Principle of Polarographic method The higher the glucose, the more oxygen depletion 7. Biuret total protein dependent to…? Peptide Bond *Protein biuret method measures through? 8. Contribution of NaCl and Bicarb to serum 92%,(based only upon my judgment) 15%, osmolality 45%, 9. Normally increase in males than in females Estrogen except: 10. Not increased in non-fasting specimen: Potassium 11. High Sensitivity, positive in px with High true positive, Low false neg; High True Disease positive, high false negative; False positive, Low false negative 12.Std:15, Unknown:30, Std Conc:200. 400 Unknown Conc:____ 13. Incorrect formula of Abs A=-log(%T) (should be 2-(log%T) 14. Flame photometry principle Emitted Light, Absorbed Light 15. ISE for Potassium Valinomycin derivative, Crown Ether, Both, Neither 16. Gluconeogenesis Glucose from non-carb sources 17. DM type that manifests lter in life due to Non-insulin dependent physical inactivity, obesity. Glucosuria 18. Glucose metabolism over 3 month period HBa1c Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 19. CSF Electrophoresis for demyelinating disorders pattern 20. Glucose lost in glycolysis 21. Can be used for washing lab glasswares except: 22. Acetyl-CoA is from which 2 compounds 23. NV of Serum TAG 24. CSF Turbidimetric Method uses 25. CSF Pattern in Electrophoresis 26. Increased levels of ALP are normal in: 27. Second largest fraction of anions 28. Deficiency of the enzyme, Sphingomyelinase 29. Increased in acute Pancreatitis 30. Condition where there is a split in the band in albumin 31. Normality of a 5 molar sulfuric acid Solution 32. Characteristic of Multiple Myeloma except: 33. Quantification of TAG is based on: 34. Conjugated Bilirubin 35. Formula of VLDL 36. Cushing’s Syndrome results in 37. Which test uses Benzoic acid for detoxification function of the Liver 38. Associated with ISE, except: 39. Analyte that has circadian cycle: 40. Analyzes Quality control data 41. What is utilized by spectro to generate a narrow band pass 42. Lung and Colon Carcinoma 43. Increased Heparin Monoclonal, Oligoclonal, Polyclonal 2mg/dL, 4mg/dL, 6mg/dL, 10mg/dL Detergent sol’n, Bichromate, K2Cr2O7 and conc. H2SO4?, Distilled H20, None? Glucose and TAG, Creatine and Purine, Glucose and Protein,(this answer is only based upon my judgment) TAG and Protein 60-150mg/dL X .0113 = around 0.61.5mmol/L Sulfosalicylic Acid Decreased globulin, Increased albumin, Oligoclonal gamma, monoclonal gamma Growing Children, Acute Liver disease, Cancer, Osteogenic Sarcoma(paki confirm?) Bicarbonate, Chloride, Organic Acid, Phosphate Gaucher’s, Fabgs, Niemann Pick, Tay-sach Amylase, Lipase, Aldolase, ALP Prealbuminemia, Bisalbuminemia, Albuminemia 5N, 10N, 8N Hyperalbuminemia, Hyperproteinemia, Hyperglobulinemia, monoclonal gammopathy Chylomicrons, Glycerol, Fatty Acids, Triglycerides measured directly) Water-soluble, Directly read in diazotized sulfanilic acid, Excreted in both urine and stool, AOTA Tag/5 Hypernatremia and Hypokalemia Hippuric Acid synthesis test Respond to aqueous solution, Responds to one type of ion, Sensing membrane, all of the above, NOTA TSH, Cortisol, Albumin Westgard, Levey-Jennings, Youden, AOTA Prism and Diffraction Grating, Filter CEA, A-2Macroglobulin, Decreased pH Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 Clinical Chemistry October Batch 2nd take Method of choice in quantitating protein? nephelometry (densi,fluoro,nephelo,turbid) In hyperlipidemia 260 --trygly 120- chole ----- High Tryglyceride (<150mg/dL) interpretation Cholesterol (<160mg/dL) Anticoag that prevents glycolysis (edta, fluoride fluoride,heparin, double oxalate) HDL ------TAG- 3% chole- 5% proteinCrea in m/min UC 120 SC 1.5 total urine 1800 ml Distance of 2 waves Wavelength Turbidity suggest (chole,total protein,albumin, Chylomicrons chylomicrins) Treatment for carbon monoxide poisoning (100, 75, 100 50,25% of O2) Normal of blood sugar 70-110 In serum electro 60% albumin , 5-10% other factors (cirrhosis, monoclonal gamma, if,....30% albumin,4-10%others and gamma 45% inflammation, CLL) Protien ref. value Total protein 6.5-8.3 g/dl if in CSF 1545 mg/L Quality cntrl of rgt strip Glucose renal threshold 160-180 mg/dl PRINCIPLE androgen formed by adrenal cortex and DHEA the least potent in the androgens Best for protein determination nephelometry Color for jendrasik groff Diazo reagent (purple azobilirubin) th 4 number in enzyme classification 1st-category 2nd-subclass 3rdthsubsubclass 4 serial number Nomal in uncompensated metabolic acidosis pcO2 Most anodic form HDL Glass and needle lancet are disposed where Puncture proof container Measure of closeness of repeated analysis precision Hydrolase except: ACP, ALt,5N, PCEH,ALT,SCHE, LPS, ALT AMS Only hormone secreted by posterior pituitary Vasopressin and oxytocin Icterus index solution 0.01% potassium dicromate Ion gap is used in what disorder Metabolic acidosis After electrophoresis in measurig protein, what’s next? Protein is measured based on ? Increase parathyroid, increase calcium Prostratic Acid Phosphatase Thymolpthalein monophosphate Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 MICROBIOLOGY 2nd Take Pontiac fever Legionella (Pontiac had a legion of demons) Elek test C. diptheriae Enterococcus except Lactose fermenter Misidentified as faliciparum Babesia Ixodes tick Babesia Lactose (+) Vibrio vulnificus Inhibitant of P. westermanii Lungs Tumbling motility and Gay Bowel Giardia lamblia Syndrome Campylobacter associated Gastroenteritis Ingestion of RBC P. falciparum No cyst stage Dientamoeba fragilis Entameoba gingivalis Summer diarrhea and Kanagawa V. parahymoliticus Niesseria selective medium Thayer Martin Clostridium defficle Exogenous anaeorobes Medusa head and inverted pine tree B. anthracis Zeimanns stippling P. malariae ;pleomorph Most common intestinal helminth Ascaris Ixodes tick Babesiosis Route of infection through cuts/scratches Erysipelothrix Rhysiopathiae of skin Resistant to salt,pickling,smoking Works involve in handling fish Non bloody diarrhea ETEC nd 2 most common after enterobacteriaciae Pseudomonas Addition of salt allows the growth of Selective specific organism Tight coil with hookends Leptospira Primarily infects large RBCs P. vivax (primarily interested in reticulocytes only. Retics are slightly larger than immature RBCs. Yun lang hahaha ) Malaria determination Through Thick and Thin. (Reference Bailey and Scott) MICROBIOLOGY 1st take Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 Black centered, green colonies on hektoen Agar Salmonella (Green salmon colonies with black toppings Kain tayo) Selective medium for Corynebacterium diphtheriae? Tinsdale ay selective & diferential; other mediums are cystine tellurite agar, leoffler and pai slant. Pero hindi sure kung ano yung nasa choices wala kasi nilagay Stage of Amoeba, non-motile, non-feeding, infective? Causative agent of undulant fever? Cyst Which of the following is not an arthropod-borne? Marburg (Sheperd’s hook morphology) Seagull appearance, darting motility in hanging drop? Campylobactereae (Let’s camp by the sea) Which of the following is a transport medium? Chagoma? AMIES. Other transport mediums are JEMBEC, Gono pack, Bio bag, and transgrow these are used in Neisseria Kissing bug (Trypanosoma cruzi) Entero test, parasite inhabiting in? Small intestine Typhoid fever 1st week sample Blood; 2nd week Stool Anticoagulant Blood Culture Sodium Polyanethol Sulfonate BACTEC First use was for culturing _____ Mycoplasma Flask shaped meningoencephalitis Naegleria Fowleri Green Cellophane Kato Thick Smear Background an for ova .. :)) hahaha :P E-coli strain most common in travelers ETEC (Traveler’s T. This is also the form for non-blood dysentery) Antibiotic no longer usable Clinical Resistance is antibiotic no longer usable. Biologic resistance is the normal features that an organism can have such as Brucellosis Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 increased rate of excretion of an antibiotic chuchu. Ocular; blinding worm Onchocerca volvulus. (Answer is not loa loa which also affects the eyes and is one of the options ) Nosocomial g(-) oxidase positive rod Pseudomonas aeroginusa M. Tuberculosis # of bacilli? Most sensitive (PCR) 1-10 bacilli; sputum smear 10,000 bacilli EHEC asso. With? Processed meat, Which schistocyte is found in urine? S. Haematobium Ground/ drew itch? Necator americanus (Hookworm) Bubonic plague? Yersinia pestis (Bipolar Gram stain: gram-negative rods exhibiting bipolar staining Catalase: positive Oxidase: negative Urease: negative Indole: negative ) Unfertilized egg. Male or female population? Male G (-) diplococcus? Neisseria Mansonella Unsheathed, nucleus extend to the tip Primary cause of epiglottitis Haemophilus influenzae Undergo exflagellation of mosquito host Microgametocyte? (Basta hindi yung macro) Mucolynic soln. For highly viscous respiratory If question just asks for mucolytic, specimen go with N-acetyl-L-cystine. If it mentions decontamination also, NaOH might be a viable option. Trypsin is most likely not the answer. Ff. True about agar Primary stain for G/S Crystal Violet Antibiotic associated pseudomembranous colitis Clostriduim difficle Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 Non pathogenic mycobacterium Mycobacterium gordonae Ingestion of embryonated ova, what infection? Trichuris trichiura or Cap. Philipinnensis; pili nalang kayo kung anong nasa choices Centrimide agar is selective for Gram (-) bacterium Pseudomnas aeroginosa Bipolar stain w/ methylene blue Yersinia pestis Travellers diarrhea ETEC Charac. Of strep. D PYR, bile solbility and 6.5 NaCl (-); bile esculin +; optochin resistant Semi quanti. Catalase agent for mycobacterium Lowenstein jensen Princ. of catalase Hydrogen Peroxide production chuchu 1st step in antimicrobial susceptibility testing Inoculum preparation Peanut shape, flattened bipolar drugs Capillaria philippinensis Spore forming, anaerobe, indole +, lecithinase -, lipase - Clostridium tetanii Progressing morphology of malarial para. Gram +, non-motile, catalase -, work involve handling of fish Erysipelothrix rhusipathiae 2nd interm. Host of D. latum Fish Check of incubator daily Dec. Killing of microorganism, EXCEPT: Long contact, Primary amoebic meningoencephalitis Naegleria fowleri EMB inhibit G+ 1st infection - 1st manifestation clinical G+ coc, catalase -, bile solubility (-)Alpha hemolysis Optochin Resistance first and then Bile Esculin Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 MICROBIOLOGY 1st take Burned choc. Proteus Reproductive of cestode proglotids Malarial detection thick 4 days delayed? Degree? -20 or -70 pg.15. Kanta nlng dw kayo. swarming proteus Blood detection, EXCEPT: Proteus 6 hooklets Hymenolepsis nana Larval stage trematode, interm. Host? Miracidium Major cause of Diarrheal in human infants and young animal Rotavirus (rotavirus makes their stomachs rotate? Whatever ) 5 days colony? Fast grower; less than7 days- fast Can replace India ink Nigrosin Crystal violet in cell wall? Peptidoglycan Swimming pool conjuctivitis & acute respiratory dse Adenovirus; rarely chlamydia (Aden the swimmer) Brucella undulant fever? specimen? Blood (Fever blood) Choc. Agar identification Nonselective, enriched and non differential Vietnamese farmer Burkholderia pseudomallei (Buko farmer) 1st intermediate host of trematode mollusk Dysentery in e coli EIEC (the bloody version since it is invasive) Campylobacter vs helicobcter Urease Isolation of N. gonorrhaea Thayer Martin Perianal swab Enterobius vermicularis Virus charac. Posses DNA or RNA but no both, do not possess ribossome, not Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 susceptible to antibiotic, intracellular Primary amoebic meningitidis Naegleria fowleri AFB decontamination EXCEPT: Autopsy IDA Hookworm; Ancylostoma duodenale or necator americanus Trematode infect. Stage in human? egg LOS of H. influenza Paralizing on the sweeping effect of Ciliated resp. Epithelium Food contaminated of cat feces toxoplasmosis P-nitroaniline Cutaneous larva migrans Ancylostoma duodenale Gene transfer, “donor cell” conjunction Inverted pine tree anthrasis Antigenic susceptibility chlamydia Favic chandeliers and chlamydospore Trycophyton schoenleinii Most sensitive AFS Rhodamine auramine Do we accept diapers in Parasitology? Confirm lang kay Sir to. MICROBIOLOGY OCTOBER 1ST TAKE 1. Agent of Katayama Fever 2. Reproductive Units of Cestodes 3. Operculated cestode eggs found in Human feces 4. H. Diminuta life cycle is similar to 5. D. latum is acquired from 6. For taenia solium, man is: 7. Indole (+) extensive swarming 8. Gram (+) cocci, bile solubility sensitive 9. Gram (+) Bacilli, precipitin arch in KL virulence agar 10. Gram (+) cocci, Catalase (-) PYR (-) S. Japonicum Proglottids D. Latum Raillietina Garrisoni (Demeaning rails) Ingestion of fishes Intermediate and Definitive host Proteus mirabilis Next test is 6.5% NaCl? Corynebacterium Diphtheriae S. agalactiae Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 11. Eosinophilia, Enlarged testicles, inflamed lymph nodes (eto ata ung from india) 12. Differentiate E.coli from E. histolytica (anung meron sa former na nagdidifferentiate) 13. Stages of Leishmania 14. Borrelia and Babesia ectoparasite vector 15. With plasmodium, What happens in definitive host 16. 24 hour urine specimen can be used to recover 17. Stool sample stained with iodine can be used to detect trophozoites. 18. Purpose of green cellophane in kato thick 19. Not acceptable specimen in para lab 20. A collection system that contains saponin to liberate intracellular organism 21. Due to fragile nature of Neisseria, transport system includes: 22. Hugh and Leif formulation, open tube yellow, closed tube green. What type? 23. To improve microbial yield from highly proteinaceous specimen, digestion and decontamination is required, Which specimen requires decontamination only? 24. Selective Media for Gonorrhoeae and Meningitidis 25. American had vacation. Non-bloody but watery stool 26. Camp (+) result 27. Gram (+) cocci, Catalase (-), Partial hemolysis, Bile solubility sensitive 28. Form branched hyphae 29. Gram (+) cocci, Catalase (-), PYR (-) 30. Vibrio Cholera Classic and El Tor 31. Beta-Lysin producer ng CAMP 32. Protozoan that does not contain cyst Microfilaria Eccentric karyosome Amastigote and Promastigote Ticks Gametogony (Di ko sure if pwede din sporogony or if sporogony lang) (basta definitive ung mosquito) S. Haematobium eggs True As background for ova Diaper? Confirm with Sir Isolator-Lysis centrifugation system (Saponin Isolator) JEMBEC, Cary Blair, butzler, gaspouch Oxidizer Autopsy tissue, Sputum, Lavage, Gastric washing Modified Thayer Martin, Choc ETEC (nag travel kase to) Increased hemolysis S. pneumonia (kung staph, strep, entero choices edi strep) Katulad rin ba to ng #34? Haha. Ayun ba ung complete? Di kumpleto huhu. Pwedeng group D strep kung hindi Beta hemolytic or S. agalactiae kung beta hemolytic O1, O129, O139, O157 S. Aureus T. Hominis and E. Gingivalis Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 33. Gram (+) Cocci, Catalase (-), Bile Solubility (-), PYR 34. Weakly acid fast transmitted through inhalation (soil and dust) with branched hyphae 35. Swarming, Anaerobic 36. Inhibit saprophobic fungi and bacteria, respectively 37. Urea agar, pink 38. Virus general characteristics 39. Cold Agglutinins/ Anti-I 40. Fungal storage temp 41. Tinsdale agar 42. Purplish in Mcconkey. G(-). Oxidase (-). Motility (-) 43. Does not grow in Mcconkey 44. Methylene blue in EMB inhibits 45. Choc is what 46. The following specimen processing is correct except 47. Yellow colonies for lactose fermentation 48. Reagent for Nitrate Reduction test 49. Vietnamese farmer 50. Agar for the V factor in Haemophilus 51. PCR test not used for amplification 52. Most common way of sterilizing in small hospitals 53. Sterilization using autoclave except: 54. Reye’s is associated with: 55. Most commonly used and most costeffective cell culture 56. What are the CPEs Anu to behh huhu. Kung (+) sa PYR, Eneterococcus kung (-) Group D strep. Ganern na lang. Nocardia Cyclohexamide and Chloramphenicol T. Mentagrophytes and Crypococcus Intracelllular, Do not produce ribosomes, Not susceptible to antibiotics, usually stable at ph 5-9, possess DNA or RNA basta its not generally unstable after recombination Mycoplasma Pneumoniae 25-30C C. Diphtheriae Acinetobacter Aeromonas, Plesiomonas, Listeria, E.coli Gram (+) Nonselective, Enriched, Nondifferential Compare to Mcfarland, 15 minutes, use same isolate, Direct is not appropriate for fastidious XLD Sulfanilic acid Burkholderia pseudomallei Choc agar DNA Probe, RNA Primers, Taq, Pfu Steam under pressure BA, EMB, XLD, Choc Orthomyxoviridae, Paramyxoviridae, Picornaviridae, Coronaviridae Tissue/Cell culture Necrosis, syncytial formation, cytoplasmic vacuolation basta ALL OF THIS M. gordonae 57. Mycobacterium nonpathogenic sa tap water 58. Multiple tube fermentation test positive Gas production Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 59. Lab results ng M. tuberculosis 60. Anaerobic indicator turning to pink 61. For anaerobic specimen, which is allowed 62. What is not an appropriate collection method 63. Anticoagulant for viral culture 64. 4C preserve except: 65. Color ng G(+) bacteria when crystal violet, iodine, and acetone-alcohol is added 66. Fastidious bacteria 67. Low viscosity, Low Yield, High Volume 68. Which of the ff is not true about disk diffusion 69. Lancefield grouping specificity 70. Automated in susceptibility 71. Variables in MIC 72. Who decides on formulation of Antibiotics in testing + Niacin, +Nitrate reduction +Catalase na heat labile (hindi heat stable) Resazurin, Methylene Blue Venous blood, catheterized urine, sputum Removing dentures, use calcium chloride for tissue, unsterile but washed stool, fresh would using sterile swab, NOTA (not sure of the answer) Heparin Bacterial blood specimen, Viral blood specimen, catheter, urine Purple Enriched Centrifuged, Single drop, Layered The great the area of inhibition, the more susceptible; Too thick MH may cause false resistance, Light inoculum may cause false susceptibility, The narrower, the lower amount of antibiotic must be used C Carbohydrate Vitek, Alamar, Epsilomer, Spiral Gradient Incubation time, Inoculum size, growth of bacteria, AOTA Medtech, Infection department, Pharmacy, AOTA 73. Mycobacteria grows in just 5 days 74. Sensitivity of Sputum in mycobacteria 75. Amount of Stools in Cholera 76. Katothick. Brown bipolar plugs 77. Heart-lung migration of roundworms Rapid grower 10,000 bacilli 10-30, 5-10 Trichuris trichiura Ascaris-Trichuris, Trichuris-hookworm, Ascaris-Hookworm, Strongy-Trichuris 78. Lateral prominent spine S. mansoni 79. S. japonica loses its tail in circulation Schistosomule 80. Filamentous. UTI because of IUD Actinomyces 81. Develops red color for nitrate reduction Positive test? 82. Differentiates helicobacter and Ung may Urease campylobacter 83. Latex agglutination of S. aureus due to Clumping factor (coagulase) and Protein A 84. Patient has chagoma, what is the Kissing bug, Sandfly, Tsetse, Ixodes vector? Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 85. Which helminth eggs will not float in zinc sulfate flotation method? 86. Sensitive test to quantify plasmodium 87. Which of the ff organisms does not match 88. Blood can be helpful in the ff except 89. Can replace india ink 90. Autoclave of soiled materials 91. Agent that is most resistant to heat, chemical and radiation 92. Characteristics of Nematodes except: 93. Soil-transmitted helminthes except: 94. Help each other to protect 95. Indole (+) lecithinase (-) Lipase (-) 96. TCBS, Will color yellow (lactose fermenting) 97. Deerfly tick 98.(--++) Motility (+) wound H2s (-) 99. Semicritical materials, why sterilize 100. Decarboxylation results in 101. Major indicator for fecal contamination 102. M. perstans 103. First intermediate host of trematodes Unfertilized ascaris Thick blood smear, Thin blood smear, either, neither O. volvulus-skin snips, Echinococcus-stool Babesias, filariasis, Cysticercosis, Trypanosomiasis Nigrosin, Giemsa, 30 minutes, 15 minutes Spores Incomplete digestive tract Capillaria philippinensis Biofilm Clostridium tetani V. Vulnificus F. Tularensis Enterobacter Cloacae, Klebsiella prenumoniae Mucous membranes Amines, Tryptophan, CO2 E. coli Unsheathed, nuclei extend to tip Mollusk MICROBIOLOGY 2ND TAKE OCTOBER 1. Antibiotic-associated pseudomembranous colitis 2. Canned good bacteria 3. Can be seen with Brightfield Microscopy 4. P-dimethylaminobenzaldehyde is for detecting 5. Ringworm of the Scalp 6. Horteaea Werneckii; dark patches on palms and soles 7. Late Lactose Fermenter. Red pigment; Prodigiosin Clostridium Difficile Clostridium Botulinum Leptospira, Borrelia, Treponema, NOTA Urease, M2S, Indole, Oxidase Tinea Pedis, Tinea Capitis, Tinea Cruris, Tinea Manuum White Piedra, Tinea versicolor, Tinea Nigra, Black piedra Citrobacter freundii, Enterobacter cloacae, Pseudomonas aeruginosa, Serratia marsescens Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 8. Yellow (+) indicator of carbohydrate metabolism 9. Greenish discoloration of surrounding colonies 10. Erythema chronicum migrans is associated with 11. Bile Esculin is for: 12. Falling leaf motility 13. Visceral Larva Migrans 14. Most common anaerobic bacteria 15. Fried-egg appearance 16. Agent for infectious mononucleosis and asso. With Burkitt’s lymphoma 17. Egg-based agar for Mycobacterium except: MSA, EMB, MAC, HE Alpha hemolytic, Beta-hemolytic Erysipelothrix rhusiopathiae, strep pyogenes, ricketsiia ricketssiae, Borrelia burgdorferi Haemophilus, Brucella, Enterococcus, Staphylococcus Giardia Lamblia Leishmania, Toxocara canis Bacteroides fragilis, Clostridium tetani, Clostridium botulinum Mycoplasma, ricketssia EBV, Cytomegalovirus Lowenstein Jensen, Middlebrook, Petragnani, ATS(American Thoracic Society) 18. Rocky Mountain Spotted Fever Rickettsia rickettsii, Orientia tsutsugamushi, R. prowazekii, R. typhi 19. Differential medium for non-fermenting ONPG, Choc, EMB, OF gram (-) which do not acidify TSI 20. Causes of mumps/inflammation of the Picorna, Rota, Paramyxo, Orthomyxo parotid glands 21. Gram(+) cocci, catalase (+), novobiocin Staph saprophyticus, Staph epidermidis, resistant, common among sexually active Group C strep, Enterococcus faecalis females 22. Isolator-Lysis Centrifugation System is Intracellular organisms, L-forms, used to detect: 23. What specimen is used in Brucella? Blood, Stool, Urine, Sputum 24. Bubonic plague Yersinia pestis 25. Soft Chancre. Gram(-) Coccobacilli with Neisseria gonorrhoae, Haemophilus tangled chains ducreyi, Treponema Pallidum 26. Culture media for Antimicrobial Mueller-Hinton Agar susceptibility 27. Pink growth in Urea Agar T. mentagrophytes and Cryptococcus 28. Parasite for Iron deficiency Anemia Hookworm, D. latum 29. 6 hooklets egg Trichuris, Saginata?, Ascaris 30. Decolorizer omitted, Streptococcus, Purple, Purple; Red, Red; Colorless, Red; Neisseria will stain? Colorless, Colorless 31. Differentiate Staph and Strep Catalase 32. Bacterial blood culture anticoagulant SPS, Heparin, EDTA 33. D. Latum Infected Raw Fish 34. Barber’s pole appearance na parasite Parastrongylus cantonensis Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 35. Cuticle expansion of E. vermicularis 36. Non-hemolytic, catalase (+), coagulase (-), gram (+) 37. Not acceptable for anaerobic culture 38. Microorganism that requires increased CO2 39. Autoclave 40. Decreased number of microbial killing EXCEPT Cephalic alae Saprophyticus/Epidermidis Catheterized urine Capnophilic 121C at 15minutes Longer contact time (this will increase kasi) Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 URINALYSIS 2ND TAKE JANUARY Gastric produced by gastrin DI is caused by decreased ADH Not found in UA lab Waterbath Viscosity of synovial fluid is due to Hyaluronic acid Sugar of semen Fructose Most component of urine Urea nitrogen and creatinine Can interfere ascorbic acid BBLNG Pathologic crystal Principle of SG rgt strip Measure of pKa change of certain pre treated polyelectrolytes in relation to ionic conc. Of urine color of rgt (blue-green) Presence of RBC but not seen Hemoglobinuria microscopically Cast are formed in DCT Maldigestion and malabsorption of d-xylose steatorrhea HCG detected after conception 6-8 days HCG undetected after delivery 2 weeks or 14 days Cause cloudiness immediately upon WBC / lipids? voiding Cause turbidity Milky fluid Prostate gland Positive red spot sa ovary ; infection into FRIEDMANNS TEST vein of marginal ear Transudates characteristics Phenylketonuria increased in Phenylalanine hydroxylase Wethstone acidic crystal Uric acid Fat, except: sulfoacetic acid Ethelene glycol CAOX Bilirubin interference Porphyria cutanea tarda Port wine Steatorrhea droplets >60droplets/hpf PSP measures what ?? Tubular secretion and renal blood flow Heat and acetic acid Protein Main matrix of cast Tamm hors fall Decreased alpha glucosidase Can pass thru glomerulus to become RBC filtrate Copper sulfate reduction test Glucose Not normal seen but when seen is RTE cell significant w/o diffraction halo Interference contrast Coomasie brilliant blue G250 Urine protein and CSF Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 Used to detect sputum and saliva Purple rx Medtech second reading no casts For prostatic infection Thorny apples; urea splitting bacteria ;alkaline Clinical significance of testing serum HCG in male Dust cell/carbonleyden Leukocyte esterase Increased Ph 3 glass Ammonium biurate Testicular tumor Albumin not meant to be filtered through glomerulus… Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 UA Cloudiness of urine p.23 Transudates, EXCEPT: malignancy Principle of rgt strip Color change Normal pH of random urine 4.5-8.0 Red cell cast? must contain free red blood cell? T or F Urinary sediments treated? Acetic acid, NSS, K, iodine Acid phosphate prostate Ascorbic acid interference Scrappig in diaper cammidge Ammonia odor in urine Test under hood Hormone for reabsorption of h2o Aldo? Tube 2 CSF microbiology Alkaptonuria alkaptones Incorrect pairing Ketone-dm? black melanuria Male back pain Acute glumerolo. Cryptococcus neoformans India ink Decrease sg Diabetes insipidus Type of microscope object will appear bright w/o diffractions HALO Interference contrast High in urine not in body fluids Urea, crea, salt Lung kidney Good pasture, wegeners Nitrate to nitrite For blood culture Bacterial culture Midstream catch Formulating creatinine clearance C= UV / P x 1.73/ A U- URINE CREAININE mg/ dL C= CLEARANCE ML/ MIN Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 V= VOLUME OF URINE Characteristics of ideal preservative Bactericidal Inhibits urease Preserved formed elements in the sediments Dont interfere w/ chemical tests Speckled Nonpathologic Hyaline casts Heat & acetic acid Test for albumin (protein) Cryptococcus neoformans India ink UA What to do with a specimen pH at 9.0 recollect Rare mousy odor, presence of? phenylketonuria Procedure for collecting ascites? P.125 Vacuolated macrophage engulfed a neutrophil? reiter Screening test for asymptomatic bacteriuria? Leukocyte? Creatinine clearance; urine creatinine = 150 mg/ dL ; plasma creatinine = 128.50 mmol (di ako sure sa unit), volume 24 hr 1.2L Non-pathogenic crystal, alkaline urine, presence of Amorphous urate ammonia, caused by urea-splitting bacteria 5 small RBC square, specimen count, multiplied by? 1M if 2 wbc large sq = 100,000 (yung 10,000, 100,000 ganern) 2 WBC (sperm) 100 000 Ammonium biurate, Spherical, thorny apples, prismotic specules Confirmatory for bilirubin? ictotest Wrickled blood result as positive sa dipstick? Hematuria? Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 Contamination of amniotic fluid with fetal or maternal blood effects Increase in bilirubin? Traumatic tap features. Differentiate hemolysis in traumatic tap from non-traumatic Read table p.87 S.G. urine strip principle Alkaline medium Pernicious Anemia Gastric Testing Chemical Stimulant Histamine phosphate test (What is the chemical used) L/S ratio true or false (When does formation start) Indicates fetal lung maturity (L= 35th) (S= 26th) 83. B Malabsorption malformation stearrtorhea What test do we use. Apt test / Lactose intolerance test (fecal test- van de kamer confirmatory test) Apt test- diff. Fetal and maternal blood Diabetis Insipidus Defect in insulin, vasopressin, ADH Blood reagent strip true or false Causes of speckling on blood reagent strip, Effects of methemoglobin on reagent strip Spinal deformity adult sight of collection General substance not allowed in glomerular filtrate Protein not allowed. Meningitis classification Viral, bacterial? Glomerular dse indicator Red cell ANCA. Vascular. Orthostatic proteinuria 1st (-) 2nd (+) Cant reabsorb water Wegener’s Ascending LH Normal odor of urine faintly aromatic Brown amiotic fluid Severe hemolysis (blood) Unit of creatine clearance ml/ min Urine formation Crea, urea nitrogen Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 Fetal maturity indicator Alpha fetoprotein Why 1st voided urine best? Concentrated specimen 2500ml / 24hrs? polyuria stain not true? Microalbuminuria ration in what reference? SG, uric acid... Presence of Hgb; no rbc hemoglobenuria Turbid urine EXCEPT: 350 mm3 rbc, 250 mm3 wbc, fat, ammonium phosphate leucine struvite Ammonium magnesium phosphate Total vol. Of CSF in adult 90-150ml (10-60 neonates) Characteristics of urine preservatives Bactericidal, inhibits urease, preserve formed elements, dont interfere w/ chem test Major nitrogen in urine Urea-creatine Inc. In urine that is not in other body fluids urea Dysmorphic RBC Glomerular bleeding Sperm cnt in thoma pipette?dilution? 100,100 (2 large sq) 1. Gland responsible for releasing ADH Pituitary gland 2. Order of Renal Blood Flow Renal Artery. Afferent, Peritubular, Vasa Recta, Efferent, Renal Vein 3. Included in the Glomerular Filtration except: RBC 4. First indicator of renal dysfunction Glomerular chuchu 5. Which is not affected by unpreserved urine Oxidation of Urobilin, transparency, 6. Effect of Angiotensin II, except: Control of aldosterone which is responsible for water reabsorption Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 7. Determination is specimen is actual urine Urea Nitrogen and Creatinine 8. Rough Determinant of degree of hydration Color 9. D. Insipidus Decreased SG 10. Color of urine upon ingestion of Pyridium Amber 11. SG using urinometer at 20o C with 2 mg/dl protein and 3 mg/dl glucose 1.012 12. Major advantage of refractometer to urinometer Use of small amount of specimen 13. Causes of acidic urine Choices: dehydration, diarrhea, protein, pulmonary emphysema, vegetarian Dehydration, protein, pulmonary emphysema, fever (basta 1,2,3,4) 14. Principle of Clinitest Copper Reduction 15. Urine pH of 9.0 Recollect 16. (+) clinitest (-) glucose oxidase Non-glucose reducing sugar present (galactose, fructose, pentose, lactose) 17. Most indicative of renal disease Protein 18. Effect on pH if protein pad run over false lowering of the pH reading 19. Butanol: Top-Red, Bottom-Colorless Chloroform: Top-Colorless, Bottom-Red Urobilinogen 20. Hoesch reagent Ehrlich dissolved in 6 M HCl 21. Nitrate reduction Choices: g(+), g(-), yeast, AOTA g (-) 22. UTI—Increased WBC with ? Choices: a) (+) LE b) Increased SG c) (+) Protein d) Presence of bacteria (+) Leukocyte Esterase Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 23. Nitrites screening utilities, except: Choices: a) screening for urine culture sp b) monitoring pc at risk for UTI c) evaluating antibiotic therapy d) evaluating fasting sp Evaluating Fasting Specimen 24. Not routinely read at 60 sec Choices: pH, protein, bilirubin, nitrites Bilirubin 25. Stain that best enhance the nuclear detail Choices: a) Hansel stain b) Eosin c) Toluidine d) Fat Red 0.5% Toluidine Blue 26. Accumulation of ketone lead to except: Choices: a) dehydration b) alkaloids c) diabetic coma d) electrolyte imbalance Alkaloids 27. Presence of mucus thread in male is clinically significant. T/F False diba? 28. Severe liver disease, rarely seen, seen as Tyrosine clumps or rosette colorless to yellow Choices: a) tyrosine b) leucine c) bilirubin d) ampicillin 29. Vital aid in identification of crystals pH 30. Inumerable RBCs, what to do to enhance Acetic Acid WBC 31. Not pathogenic Choices: a) clue cells b) bubble cells c) glitter cells d) yeast Glitter Cells Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 32. Differentiate Oval Fat Bodies from Bubble Cell Choices: a) OFB: RTE with lipid contents b) OFB: RTE with non lipid filled vacuoles Oval Fat Bodies are renal tubular cell containing lipids 33. Not true about casts Choices: a) shape determined by origin b) high pH c) found at edge of cover slip d) immunologic property High PH 34. Found in prolonged urinary stasis Choices: a) epithelial cell cast b) fatty cast c) fine granular d) coarse granular Fine Granular 35. Not seen in urine after strenuous exercise Choices: a) RBC cast b) WBC cast c) hyaline cast d) granular cast WBC Cast 36. Cast seen in normal urine Hyaline 37. Reported semi-quantitatively Choices: a) RBC b) WBC c) casts d) crystals Crystals 38. Appearance of leucine radial striations & concentric circle &Grapefruit & Crushed Diamonds 39. Increased HCG with no doubling time Ectopic Pregnancy 40. Female rat urine is used in these bioassays except: Choices: a) Friedmann’s test b) Frank-Berman test c) Kelso test Friedmann’s test (virgin female rabbit) Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 d) Kupperman test 41. Urea-splitting bacteria UTI is accompanied by which crystals Struvite 42. Clinical symptom of renal lithiasis Pain at the back 43. Percentage of Calcium Phosphate in renal stones 75% 44. Cause of false (+) fecal occult blood Sardines, iron, vit C 45. After 1st trimester, major contributor of Fetal urine amniotic volume 46. Cause of polyhdramnios Neural tube disorders 47. Cannot be used as fetal lung maturity indicator L:S Ratio <2 48. Regulates light intensity in microscope Rheostat 49. Automation of Urine Pregnancy VEDALAB Easy Reader 50. Definition of Renal threshold Amount that the body cannot take na so it goes out (haha sorry guys iparaphrase ko na lang) (may spills over daw) 51. Contain black granules; anthracosis Carbon-Laden (Dust Cells) 52. 50 mg/dl ____; 600 mg/dl _____ to define urine creatinine, urea nitrogen 53. Nephrotic syndrome Choices: transudate or exudate Transudate 54. Preservative when used in large amounts precipitates crystals Boric acid 55. Which does not immobilize sperm cells? Chloroform Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 56. Must be avoided when collecting Synovial fluid: Choices: a) collecting using syringe flushed with heparin b) fluid EDTA for cell ct c) use of powdered anticoagulant d) collecting less than 10 ml in nonanticoag Use of powdered anticoagulant 57. Best way to collect sp if px is an adult with severe spinal deformity Cisternal puncture 58. Type C fire class Electrical equipment 59. Biological wastes should be put in appropriate container with biohazard symbol except: Choices: a) urine b) sputum c) stool d) blood Urine? 60. Monocyte with engulfed neutrophils Reiter cell 61. Sputum collection First morning 62. Maximum amount of amniotic fluid collected 30 ml 63. Scraping stool from diapers Cammidge 64. Which does not correlate nitrate=purple (It should be pink) 65. Osmolarity is better than SG True 66. SG of Glomerular filtrate 1.010 67. Disinfectant of blood contamination Sodium hypochlorite 68. Employee spilled acid on arm Wash with running water for 15 mins 69. Organ affected in Zollinger Ellison Pancreas 70. Bronchial asthma—All are significant, except: Pneumoliths 71. Glucose Renal Threshold 160 to 180 mg/dl Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 72. Synovial fluid determination that differentiate inflammatory and septic arthritis? Lactate 73. Cholesterol crystals with normal TAG Pseudochylous 74. Increased of free fatty acids but normal neutral fats Malabsorption 75. Responsible for foul odor of stool, except: (skatole, indole, butyric acid) Urobilin 76. Traumatic tap Uneven, clear supernatant, clot formation 77. Meningitis with pellicle formation Tubercular 78. Storage of CSF for cell count Refrigerator 79. Normal volume of CSF in neonates 10-60 ml 80. Minimum acceptable urine volume in the lab 10 ml 81. Semen automation—velocity and trajectory CASA 82. Best type microscope for hyaline cast Phase contrast 83. Ascorbic acid causes false (-) in all, except: Ketones 84. Reagent of choice for CSF Turbidimetric Trichloroacetic acid Method 85. Normal Sperm count 20-160 million 86. Parameters measured in semenalysis, except: Glucose concentration 87. Alkaline sperm which help neutralize Bulbourethral gland the acidity from the prostate secretions and vaginal acidity come from where 88. Method of urine collection for bacterial culture, except: First morning 89. Tubular necrosis odor Lack of odor 90. pH where urine of px with UTI should be maintained at Acidic Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 91. Limulus Lysate Test; horseshoe crab; what is responsible for the blue color Choices: a) calcium b) magnesium c) copper d) iron Copper 92. Semen—color of live cells that do not take up the stain Choices: a) faint red b) purple c) blue d) white (bluish white sa module) Choose one Blue or White 93. Which is NOT true in semenalysis Choices: a) abstinence 2-3 days not longer than 5 days b) transport at RT within 1 hour c) analysis before liquefaction d) empty bladder before ejaculation Transport at RT within one hour 94. Broad cast Grave prognosis 95. Impermeable to water Ascending Loop of Henle 96. Increased number of squamous epithelial cells Improper collection 97. Pernicious Anemia Histamine Phosphate test 98. Intravascular Hemolysis Hemoglobinuria 99. (+) clinitest, (-) Reagent strip Galactose is present 100. Secretion of ADH is dependent on Level of blood pressure or hydration ata? 101. Avoided when collecting CSF specimen May tanong ba na ganto? :/ Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 1. Increased in intake of Bananas, Avocados, Walnuts 2. Urine sediment +_____ = stain pus 3. Leukocyte Esterase 4. Major Nitrogen Containing Compounds in Urine 5. CaOx 6. Normal Blood Glucose + Glycosuria 7. Effusions;noninflammatory ; No coagulation on standing 8. Guide in gestational assessment of gestational age in Amniotic fluid 9. Pregnant women with fresh urine for Benedict’s test. Formation of deep yellow color is caused by the ff. except: 10. Turbid Thoracentesis 11. Spermatozoa matures where? 12. Measured by SSA 13. Semen normally liquefies after how many minutes? 14. Male- back pain. Only characteristic finding in urine sediment: 10-20 rbc per hpf and RBC cast. Reason? 15. Multiplying factor for sperm count if using 2 WBC squares 16. Calcium Carbonate Shape 17. 1.040-1.050 SG means? 18. CA 125 (+) CEA(-) , peritoneal means? 19. Intake of caffeine, alcohol and diuretics will lead to 20. Ascitic Fluid origin 21. Black stool 22. CSF Pellicle. How many hours at ref temp. 23. Highly diagnostic of peritoneal with Intestinal perforation 24. Neural tube disorder has increased: 25. Calcium Carbonate pH 5-HIAA, Aldosterone, 7-Ketoacids, LD Acetic Acid, Iodine, Prussian Blue, Purple Urea, Creatinine, Uric Acid, Glucose Octahedral Square? Renal Tubular Damage, D.I, D.M Transudate, Exudate, Either, Neither Creatinine, Bilirubin, Uric Acid, CHON Lactose, Ascorbic Acid, Amino Acid, Glucose (In clinitest for glucose, Ascorbic acid will give a False (+) that’s why it is not the answer. Nephrotic, Congestive Heart Failure, Bacterial Infection, Hypoalbuminemia Epididymis, Seminal Vesicles, Prostate, Testis Urobilinogen, Bilirubin, Ketones, CHON(Protein) 15, 30, 45, 60 Nephrotic syndrome, Congestive heart failure, Renal lithiasis(renal calculi) 100,000, 1million, 2 million Dumbbell, Thorny Apple, Coffin Lid Radiographic Contrast dye (you should dilute?), Highly alkaline urine CA 125 is for ovarian origin. CEA is for gastrointestinal origin Polyuria, Anuria, Oliguria Peritoneal fluid Iron Therapy, Upper gastrointestinal infection, Bile Obstruction, Barium Sulfate 6-12 hours, 12-24 hours(UA pg. 87), 1-5 hours, 5-10 hours Increased cholesterol, Increased ALP, Decreased Glucose, Decreased creatinine Acetylcholinesterase activity Ph 8 Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 26. Phenylalanine to Tyrosine prevents: 27. Exudate Effusions 28. Normal WBC CSF Count 29. Increased Hydrostatic pressure? 30. Lactate >25mg/dL, lympho and mono in CSF 31. How many days of output of stool for fat analysis 32. CSF Glutamine (high) Indicates 33. Ketone in urine not detected 34. False positive occult blood: 35. Predominant WBCs in CSF (for neonates) 36. Where does ACP and proteolytic enzymes originate? 37. 2nd tube for Microbiology 38. Diluent of WBC count in CSF 39. Struvite HEMATOLOGY Phenylketonuria Pneumonia, Hepatic Cirrhosis, CHF, Nephrotic 0-5wbc/uL, 0-10, 0-20, 0-30 Exudate, Transudate Tubercular Meningitis 1, 2, 3, 4 Reye’s Syndrome, Guillain-Barre syndrome Diacetic, Acetone, B-Hydroxybutyric Banana, Prunes, Peanuts Monocytes Prostate, Epididymis, Seminal Vesicles Chem, Microbiology, cell count 0.9% NaCl, Pilot’s Solution, 1% Potassium Dichromate, 3% Acetic Acid Magnesium Ammonium Phosphate HEMA Spherocyte indices Mcv= 77-87; MCHC increased WBC callibration 11 Poikilo/aniso Shape/size HIV def cell t-lymph cytotoxic Deoxyuridine suppression test Megloblastic Slowest to migrate HbA2 1 megakaryocytes 1000-4000 plts Alpha thalassemia incompatible with life Bartsfetalis philadelphia CGL/CML Std. ng prick 3mm Defective centrifuge not affected MCH Gamma chain Chromosome 11 Replace glutamic acid in Sickle cell Valine Cobalamin transport Cobalamin II Decreased fibrinogen Thrombosis BM aspiration in adult Iliac Cytogenetic spn BM cell Macroovalocyte is seen except Hookworm Function of condenser Directs the beam of the light in Lab test presence of sickle cells Electrophoresis Malignant cell in CLL B lympho Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 Prolong PT and APTT Factor 2 activator Red color ascorbate cyanide Secondary of hemostasis Prolonged PT Does not respond to ristocetin Factor 7 and 9 5,8, protein C Presence of G6PD Coagulation 1,2,5,7,10 Bernard Soulier HEMA Immature granulocyte found in PB but small percentage Function of condenser Directs the beam of the light into he spn. Splenomegaly, increased or decreased platelets? Decrease RBC w/ iron granules in Prussian blue? Siderocyte WHO categorize acute as? >20 bone marrow PT is used for?hndi factors* Oral anticoag theraphy Platelet storage pool defect, alpha granules lacking Gray syndrome Shift to the left Increased O2, decreased 2,3 DPG, deceased body temp, decreased CO2, increased pH Factor IX deficiency is also known as? Hemophilia B Fibrinolysis activators Fibrinogen, PAI-t, tpA, alpha-2 antiplasmin and plasminogen Monocyte goes towards the tissue. Process Called Diapedesis what? ESR factors Erythrocyte, plasma composition, mechanical errors Adams ts 13 associated with? TTP Neutrophil to tissue process called what? Diapedesis Est. Plt. ct. Magnification used? 1000x Philadelphia asso with? CGL Principal protein of RBC? Sa peripheral spectrin Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 Principal protein of RBC? Sa integral band 3 3.36 x 10^12 (answer na ata to) SOLVING TO!! MM asso with? Sakit sya sa Plasma cell F XIII does what? (function) Stabilizing factor Platelet clumps Increase or decrease in counts Decrease Hemolytic Anemia morphology Normo/normo Electrical Impendance Principle Base on changes in electrical resistant produce by cell. Voltage pulse is proportional to the size of the cell. Pulses is proportional sa numbers of cells Most Verstatile Stem Cell Pluripontent, multipotent etc CAIHA Anti body (I) Hemostatic pathway Normal Adult Hemoglobin Pag female 12-16g/dl male 13.5-17.5 g/dl Factor IX Hemophilia B Alkali Denaturation Test Fetal Hgb GIIb/IIIa aggregation sideroblast Micro/Hypo or N/N Methyl blue and.. Eosin PPP is more hemostasis Extramedullary hemostasis Liver, spleen at lympnodes guys .kung except ang tanong eh di alam niu na ..hahaha !!! Fibrin monomer polyzmerize to form Next step po ay yung ASSEMBLY OF POLYMERS Asso. w/ vwf Plt function Dec. LAP score? CGL BT is for Plt function Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 Determination of cell complexity Side scatter Flip-flop PF3 or anti-heparin Indicator of megaloblastic Hypersegmented neutrophil Formula for wbc #of wbc x df / area correlation factor x # of square Dec. Fibrinolytic system Hodgkins dse Reed Sternberg cells Aticoag. For plt cnt 3.2% sodium buffered citrate=most recommed VCS coulter AMLLS # FAB 8 CML=6 ALL=3 Maximum tourniquet cause hemoconcentration. 1-2 mins Plt aggregate & neutro, correction done? Charac. Of retcis Larger than mature erythrocyte megaloblastic Hypersegmented neutro Forward scatter x, side y saan makikita ang lymphocyte Upper right HEMA Hbs trait from Hbs dse HbA Methd use when you move the blood film in wbc cnt longitudinal Anticog in vit, K Warfarin Instrument coulter calculate It calculates Hct, RDW,MCHC,MCH guys ang naalala ko dun na lumabas ay yung HCT Shift to the right Decresed affinity O2, increased temp, increased 2,3 DPG, inceased CO2 decreased pH Spcmn for plt count WB Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 Alder rielly anomaly Cytoplasmic abnormalities Wafarin overdose Vit. k 1st hemostatic response vasoconstriction Normal life span of plts 10 dys Asso w/ erythroleukemia Ringed sideroblast Inc. In hgb A2 Heterozygous beta thalassemia Source of error most coagulation procedure AOTA Heparin can be used EXCEPT: Rees and ecker Physical exam of primary hemostatic pathway Petechia or ecchymoses Normal hgb deoxyhgb WBC uses scatttered light Abbott cell dyn 1. Anticoagulant responsible for platelet satellitism 2. Heparin can be used in the following, except? EDTA 3. Sites to avoid in patients with DM if hand is not available 4. Preferred site of collection for patients <1 year old 5. Drabken’s reagent constituents Ankle or foot 6. Measurement of Hematocrit that uses pulse height generated by the RBC 7. What instrument measures WBC count and differential by scatter light 8. Corrective action of schistocytosis when suspected from RBC histogram 9. Which methodology uses P. nitroaniline bound to synthetic oligopeptides 10. Anticoagulant to blood ratio 11. These are the hydraulic components of automated analysers except? a. Osmotic fragility b. Rees and Ecker c. Eosinophil Absolute Count d. Acid-base balance Lateral part of the plantar surface of the foot, Heel, Earlobe Potassium ferricyanide + Sodium bicarbonate Sysmex Abbott Cell Dyn Smear review Chromogenic 1:9 Aspirating unit, Dispensers, Mixing chambers, Aperture baths, valve Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 12. What is not an advantage of automation? 13. Iron in an adult is most commonly found in? 14. In Kleihauer Betke test, the dark cells indicate: 15. Cells seen in Wright stain except: 16. In granulocytic maturation, secondary granules are found in? 17. Red brown blood with Heinz bodies 18. Irregularly spaced spicules found in haemolytic anemia and metastatic liver? 19. Stress induces: 20. In ALL, the presence of large, homogenous blasts, indicate? 21. Stain for basophil 22. Flared skirt lymphocyte 23. Thrombopoetin is produced in? 24. Platelet stage that has dense granules formation 25. Most potent agonist 26. Content of alpha granules specific to platelets? 27. Most sensitive for ESR? 28. Which is not correct with PT? All of these are advantages: Random access, cost effectiveness, Increased precision and accuracy Hemoglobin, Ferritin, Myoglobin a. haemolytic anemia b. Hereditary of Persistence of Fetal Hemoglobin c. beta thalassemia a. Howell Jolly b. Heinz bodies c. Basophilic stippling d. Pappenheimer Myelocyte Methemoglobin Spurr cells a. Eosinopenia b. basophilia c. either d. neither a. L1 b. L2 c. L3 D. none a. PAS b. SBB c. Toluidine blue d. A and C Type II Liver Promegakaryocyte/ Basophilic megakaryocyte, Early megakaryoblast, Late megakaryoblast Thrombin Thrombospondin, Pf4, (may isa pa memorize nyo lang ung alpha granules) Modified Westergren method, Wintrobe a. Invented by Dr. Quick b. Fibrinogen dependent c. Screen for 1,2,5,8 d. when Thromboplastin/cacl2 is added it will react Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 29. Factor that cant be detected through PT Factor 13 and APTT 30. Extreme factor X deficiency shows a. PT normal result in: b. APTT c. Thrombin time d. bleeding time 31. Heparin therapy monitoring APTT 32. 58% haematocrit, 4.5 ml. How much 0.35 ml (1.85 x 10-3)(100-Hematocrit)V citrate should be removed? 33. Red, needle like crystalline Auer rods 34. Eosinophil granular contents don’t a. peroxidase include b. myeloperoxidase c. acid phosphatase d. b- glucoronidase 35. Precursor of macrophage Monocyte 36. Increased metamyelocyte, myelocyte Shift to the left and promyelocyte 37. Stage in myeloid series found in a. Segmented neutrophil peripheral blood b. Metamyelocyte c. myelocyte d. band neutrophil 38. 80 % of lymphocytes are T cells 39. Indication of 3+ in capillary fragility Confluent petechiae over the whole arm and back of the hand, Multiple petechiae over the whole arm and back of the hand 40. Estimated platelet count should be 20,000 multiplied to 41. Indications of Sideroblastic Anemia Increased ferritin, Increased iron, low TIBC, Increased transferrin saturation 42. Indications of >3 RPI except: Bone marrow cannot compensate for the rbc destruction, acute blood loss, haemolytic anemia, Effective erythropoiesis 43. End product of Embden Meyerhof Lactate, Pyruvate 44. Dissociation curve, shift to the right Decreased affinity, decreased Ph, increased DPG 45. Inhibitors of erythropoietin, except a. estrogen b. insulin c. interferon d. Alcohol e. none 46. Corrected for Protamine sulphate, not FDP corrected for toluidine blue. 47. Von willebrand disease exhibits Prolonged or no aggregation to ristocetin Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 48. Conversion of prothrombin to thrombin 49. Extrinsic Pathway initiation 50. Inherited connective tissue defects 51. Purpura that has emboli stuck to capillary leading to necrosis. 52. Most versatile cell 53. Megakaryocytic production 54. Extramedullary hematopoesis 55. Erythrocyte stimulation 56. Plasma recalcification time 57. 15 platelets/ OIF x 20,000 x 1M 58. Large, macrophage with foamy cytoplasm 60. Prolonged APTT, normal PT; Not corrected by Factor 8 deficient plasma 61. Platelet factors that influence flip-flop arrangement 62. How to make a thick blood smear Factor 10a and Factor Va, Factor V and calcium, Factor VII, Pl Tissue pathway/ Thromboplastin Ehlers Danlos, Gronblad Strandberg and Marfan Syndrome Purpura fulminans Totipotent stem cells 6th week Liver Tissue hypoxia For Intrinsic and common pathway 300 x 109 /L Niemann pick cell Factor VIII deficiency PF 3 and anti heparin Large drop, increased angle, fast, without pressure 63. 0.45 L/L with 5 percent retics; compute Retics % x (Hct/0.45)=5 for corrected retics 64. Prolonged PT/APTT are caused by a. prolonged tourniquet these, except: b. overfilled anticoagulant c. icteric d. all of the above 65. TCT is prolonged because of Lupus Hexagonal phase anticoagulant. To check for this, an expected result should be: 66. Dense granules are numerous than False alpha granules 67. Blue cytoplasm, indented nucleus, no Promegakaryocyte/ Basophilic nucleoli megakaryocyte 68. Not true about coagulation a. lysis is slow because of factor 13 b. Fibrinolysis starts AFTER coagulation 69. Initiating stimulus to coagulation due Collagen in broken skin to injury 70. Method used when you move the blood Longitudinal, Crenellation, Battlement film from side to side in WBC counting 71. Clot retraction starts 30 seconds from True blood collection 72. Effect when pressing an incision wound Prolonged bleeding time 73. Phase microscopy does not include a. Van allen (Direct platelet count) b. Sweeny Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 74. Anisocytosis is determined by measurement of? 75. In WHO classification, acute leukemia is described as: 76.Measures nuclear density 77. All of these are correctly matched, except? 78.Platelet abnormal function due to factor 3 deficiency 79. Bernard Soulier characteristics 80. Focuses cell one beam at a time 81. Unstable Hemoglobin Disease test includes except 82. Florence spot test= positive in fluorescence indicates 83. As cells mature, N:C ratio? 84. Site of Cell development 85. Among Hb variants, what is the most anodic? 86. Platelet size of 5.6 um 87. Start of alpha granule formation 88. How many days do granulocytes survive in PB? 89. Erythrocyte 12-17 mm NC ratio 4:1 90. Gp IIb/IIIa is for? 91. 36 wbc, 4 Corners, 1:10 dilution 92. Purple granules in lymphocytes, granulocytes, and monocytes 93. Complement-mediated lysis for testing PNH c. Unoppette c. Dameshek RDW 20% in Bone Marrow Radiofrequency a. Hemophilia A- Factor 8 b. Hemophilia B: Factor 9 c. Hemophilia C: Factor 11 d. Christmas disease- X-linked recessive e. None a. Thrombocytopenia b. Thrombocythemia c. Thrombocytopathia d. Thrombasthenia a. autosomal dominant b. gp IIb-IIIa c. both d. neither Hydrodynamic focusing Isopropanol precipitation test, Heat denaturation and Heinz body staining technique, Peptide Analysis, NOTA Without Pyruvate kinase, NADH is present Decreases Yolk sac- Liver- Marrow Hb Barts Large platelets, Giant Platelets, Microthrombocte, Large and Giant Late stage of megakaryoblast 5-6 days (mali ung tanong dapat maturation time from stem cells) Basophilic normoblast/ Basophilic erythroblast Aggregation 0.9 x 109/L Alder-Reilly granules Sucrose lysis, Donath Landsteiner, Acidified serum lysis, Sucrose and Acidified (A and C) Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 94. What is not true in TTP 95. Quantitation of A2 is useful in what disease 96. In normal adult hemoglobin 1. Stain for Hairy Cells 2. Largest in Hematopoietic Cells 3. Reticulocytes correspond with: 4. RDW is a measure of what? 5. Sickle Cell anemia morphology 6. Classic manifestation or sign of megaloblastic anemia 8. Hemoglobin derivative that does not reverse to normal hemooglobin 9. Anticoagulant that has diffuse blue color if using Romanowsky stain 10. Fuelgen (+) 11. What increases in high altitudes? 12. Normal M:E Ratio 13. Order of Draw? 14. Cells with homogenous mass in the cytoplasm induced by antibodies that can be seen in special blood tests 15. Reference for RBC 16. Required for diagnosis of Hemoglobinopathies except: MAHA, Low coag factors, Low platelets, Deficiency of ADAMTS-13 Alpha or Beta (not sure which of these) Alpha-beta chains, Alpha-delta chains Naphthol, TRAP(Tartrate Resistant Alkaline Phosphatase) Megakaryocyte Increased nucleated RBCs, Increased polychromasia, increased hypochromasia Determination of BM activity, Evaluation of red cell population heterogeneity, Measures red cell size, Measures red cell Hb content (RDW measures differences in size not red cell size directly so I think the best answer is heterogeneity) Normo/Normo Macrocyte with Central pallor, Oval-shaped with central pallor, (should be Macrocyte with no central pallor) (answer is Hypersegmented Neutrophils (this is the only viable option), Leukopenia Hemoglobin, Oxyhemoglobin, Methemoglobin, Sulfhemoglobin Heparin, Oxalate, EDTA?(this answer is only based upon my judgment), Citrate Howell Jolly bodies, Heinz bodies, Reticulocyte, Basket cells Hct, Red Cells, Hgb, WBC (Im sure about Hematocrit and Red Cells. Not sure about Hgb) 2:1-4:1 (3:1 can be the answer) Bacte(yellow) > Citrate (Blue) > Red (no anticoagulant) > Heparin(Green) > EDTA (Purple) > Sodium Fluoride (Gray) LE Cell, Pegler-huet anomaly, Macrophage, Histiocytes Neutrophil, Small Lymphocyte, Large Lymphocyte, Basophil Dithionite Tube test, Hb Electrophoresis, Red Cell Morphology evaluation, Leukocyte differential Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 17. EPO is increased in Polycythemia vera 18. Reference range of RBCs in Cu/mm 19. Recommended microscope for Manual Cell Count 20. Christmas disease is a deficiency of what factor 21. How many attempts in phlebotomy is allowed? 22. Nuclear remnant of lymphocyte 23. Solution to lyse RBCs 24. Neutrophil function test 25. Anticoagulant for fibrinogen 26. Modified Drabkin’s reagent 27. Antibody in PCH 28. Niemann-Pick disease inclusion 29. ____ Nucleated RBC per 100 WBC found in differential count that indicates recount 30. Precision in BT 31. Number of heme per globin chain 32. Giant metamyelocyte are seen in:? 33. Youngest cell of neutrophil 34. Neutrophils pass through blood vessels 35. Most common drug that interferes with platelet funcion 36. Disorder of platelet functions. Alpha granules are deficient 37. Morphology of Megaloblastic anemia 38. Mistaken for pappenheimer bodies False 150,000-200,000 cu/mm, 4000-6000 cu/mm, 4-6million cu/mm Phase Contrast, Light Microscope?, Darkfield microscopy, Electron microscope Factor IX 2,3,4,5 Necrotic cell, Burr Cell, Smudge cell, Phagocytic cell, Basket Cell Dacie’s fluid, Turk’s fluid, Gower’s fluid, 0.85% NaCl (definitely not 0.85% NaCl) Nitroblue tetrazolium dye test, Kleihauer Betke Citrate, EDTA, Heparin Potassium ferricyanide, potassium cyanide, Distilled Water, Detergent IgG, IgM Sphingomyelin, Beta-glucosidase, Betagalactosidase, Alpha-glucosidase More than 5, More than 4, More than 3, More than 2, More than 1 Depth of wound, Size of wound, standardization AOTA 1,2,3,4 Pernicious Anemia, Megaloblastic anemia(kasi according to Hema1 pg. 69. Giant neutrophils and bands are common in megaloblastic anemia), Myeloblast Diapedesis Aspirin Gray Platelet syndrome, Bernard Soulier, Gronblad Strandberg. ET Macro/Hypo Pappenheimer, Heinz, Retics? Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 BLOOD BANKING/IMMUNO-SERO IMMUNO-DK Lw Ag except ( ABO, X, LW,) NOTA Characteristics of cold red cell autoAb Thermal amplitude Diff. O and BOMBAY Reverse HBv Ag HBsAg Grp A1 cells from A2 cells Dolichus bifluorus Live attenuated pasteur Hb determination , mass blood donation Copper sulfate Most associated of mortality TRALI Plts prepared from whole blood Random Ovarian adenocarcinoma CA125 Prevent MAC Protein S TTp P24 Prepare using light spin except Platelets Least able to cross placenta IgG2 Fctors not found in FFP Factor 5 Deferred to donate Transmitted HIV, HBV, HCV Engulf material and enzymatic granules Phagolysosome 1 year deferral Malaria Agglu of soluble Ag and Ab Precipitation Ankylosing spondylitis HLA B27 Staining pattern characteristic of drug Peripheral induce lupus C3 def. RID False negative of Ab Prozone 10 am stored blood @ 20-24C 4 am Duplication of HIV test Cleared for donation Complement dependent cyotoxicity 1 bag RBC 1g/dl Hb Measurement of total IgE Radioimmunoabsorbent Grp A Blue Basophil in tissue Mast cell Ag-ab rxn results in aggre of particles Agglutination EBV heterophil Ab absorption with EBV Ab Secondary response to same foreign anamnestic Fetal Rh positive RBC 30 detected in Rh 3 negative woman First line of transfusion therapy Cystalloid sol’n Pertussis coughing with whooping Paroxysmal IgA def Anaphylactic transfusion Phagocyte during opsonization Fc Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 RPR cardiolipin Lymphoid stem cell except Hepa A infection Common anticoag in apheresis Phagocyte except Lyme dse stage detection Infect RBC by bite of deer tick Positive direct coomb’s test Confirmatory to HIV Least transmitted thru blood transfusion True about Rh Purpose of major cross match Cannot induce immune response Monoclonal IgG Gives off light in chem rxn Complement inactivation Require pre transfusion Adjuvant stimulates positive cells except Ab most present in SLE Most specific for active SLE infection In pedigree analysis Stool of acutely ill during early days Complement system requires Ag-Ab RBC in traditional heterophil Ab Vaccine induces cell mediated response Indirect fuorescent immune assay Prevent transfusion associated graft vs host dse Acute phase of heap, onset of uremic state Receive 10 units of plts , ff transfusion count is 2000 only Anti-SD(a) stongly suspected Not true in LEd Ag AABB std require Ab detection testing include Weil Felix Charcoal NOTA Anti-HAV IgM CPDA Mast cell Icteric stage AOTA Westernblot Syphilis 45 blood type, more complex than ABO Letter A ..hahaha Hapten Single clone of B-cells Acridium ester Heating 56C and EDTA ABO, Rh, Ab screening, Crossmatch Nuclear Ag peripheral Propositus Classical pathway Live, attenuated Hetero Gamma irradiation Mixed filled refractile AHG testing Proteus vulgaris or Rickettsiae IMMUNO DK EBV heterophil ab absorb P.127 Incr. In hemolytic dse? (newborn) IgG Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 IgM & IgG acute TTP component of blood platelets RID endpoint Macini Confirmatory HIV PCR, Westernblot Indirect Hetero or homo Pwede mag donate, Hct and Hgb normal.count Hct= (F= 36-46; M= 41-57) Hb= (F= 1216; M= 13.5-17.5) Donor smp must stores how long in transfusion service 1 week Tumor marker is for...function P.91 AABB, ab detection also involve? Autologous Hct >11g/dL hb ; hct 33% Not true in modified WB Higher serum dilution; no hemolysis End point of ASO Highest dilution without hemolysis (todd units) Presence of ASO in antistreptolysin O P. 105,106 Malaria deferral 1yr (travel) 3yr (stayed for >5yrs) Immunoglubulin in B lymp IgD and IgM FFP Factors not found in transfusion Less nicks in transfusion kasi during 1990s nadetect yung ab H Order of collection Interview, collection of blood, screening test, bleeding Flourescent stain Purpose of washing three times before adding AHG? Remove free serum globulins 33 y/o female, RH neg, 2nd pregnancy at 17 weeks. Recommendation? a. Repeat titer after 1 month, b. Follow titer until >64, c. administer Rh immune globulin, d. Perform middle cranial artery doppler, e. Perform… Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 Most common type of Duffy? FyA Autoimmune antibody reacts with Fc & IgG molecule and immunoglobulin complex? Parasite from deer tick RF Not an enhancement medium for Coomb’s testing? NSS Decrease or lack of MHC 1 activates? Cytotoxic T cell, Helper T Cell, NK Cell, Direct AHG useful for the following, EXCEPT? HDN, Hepatitis, Hemolytic Anemia, Transfusion reaction? Group A, Lea, non-secretor? red cell: A, Lea ; secretion: Lea ?? Todd unit ASO Ulex Europas Anti H Lyme Disease best stage to measure serologic tests Icteric???hndi namin alm ang choices. Donor who received blood in the last 12 months; reason why cannot donate Two blood population Competent phagocyte Denritic cell Accident component to transfuse. 16% Hematocrit. 123,000 platelets Packed rbc A1B mother A20 father phenotype not possible Germ cell tumor marker A1 Fetoprotein and HcG? SLE antibody type ANA Nuclear ab Most serious transfusion reaction ABO/HLA B cell induced by IL4 and IL5 redundancy Solid Organ that doesn’t need blood component liver Leptospirosis Rat and cattle Most abundant Ab in plasma IgG F. tularences PCR for? Amplify DNA C3 def. test AOTA Prevent Membrane attack complex Protien S Blood component to treat Hypofibrinogenemia cryoprecipitate Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 Rh hndi namin alm yung tanong! Tsaka choices. L.w expression IMMUNO DK RPR component charcoal Negative B cell selection Bone marrow 2 times auto. donation Activates T cell, EXCEPT: Pg. 37 Recipient IgA Afebril transfu rxn? Lypho line, EXCEPT Nk, t cell, B, none? Best detect cell immune mediated T cell Ovarian cancer tumor marker CA 125 dombrock 014 Marker HBV HbsAg Wiel felix rickketsia Cold red cell hemolysis Titer, thermal...? Components of informtion system except: Hardware, software, human, validity IgA neg. Person PNH Wash RBC Polyspecific AHG reagent contains Anti-IgG and anti-C3d Which step in PCR rxn allows the rxn to be cooled at 550C? Annealing Donor starts to hyperventilate Rebreathe into paper bag Unexpected antibodies reacts best at 370C are Usually natural occuring antibodies Ankylosing spondilitis is highly associated with inheritance of which MCH gene? HLA-B27 Not cause hemolytic disease of newborn P A1B mother and A2O father could not produce phenotype A2O Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 Germ cell tumor AFP and B-hcg Antibody present in SLE is directed against Nuclear antigen Most severe blood transfusion reactions is associated with ABO incompatibility Todd unit for reporting results of ASO titration test Hypersensitivity of RA and SLE Type II Ulex europeus Anti-H Most competent phagocyte Dendritic cell B lymp to release IgA TNF beta Exaggerated rxn hypersensitiviy IgM in CMV Primary & reinfection Rbc will not agglutinate w/ anti-A,B O Not asso w/ HDFN Dombrock and Cromer A blood Group N - acetyl - galactosyltransferase Purple tinge in blood bag Bacterial contamination D 1. Robert Koch Discovered D 2. Humoral Immunity D 3. Innate Defense Components D 4. Innate defense are against organisms that are rich in 5. Outcome of Donor Screening Process Delayed Hypersensitivity Emil Von Behring/Elie Metchnikoff All except Plasma cells and Antibodies (1,2,3,4,5,6,7) Mannose, Peptidoglycan, Acid-fast Less harm to donor, Less harm to recipient, Either, Neither 6. WB on Sept 20, 2016 in CPD + AS3 expiry Nov 1, 2016 (42 days) date 7. Platelet time and storage 5 days, 20-24C, Agitator 8. RBC Lesion that is increased Lactic Acid, Glucose, ATP, B 9. Limitation of Type and Screen test No crossmatch, For Surgery pxs only, Does not reduce the cost, B 10. Increase the conc by decreasing PEG, LISS, Albumin, Polybrene water molecules surrounding RBCs B. 11. 70% of Autoimmune rxn and are Warm-reactive, Cold reactive, Drughighly connected to RH induced Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 B 12. Most important test for diagnosis of HDN B 13. In gel testing, blood cell button on the bottom of the microtube B 14. Pedigree: pointing arrow B 15. Hemophilia A: B 16. Donor Screening includes: B 17. Who cannot donate after a year B 18. Autologous Donor B 19. Accepted donor? B 20. In MHC class II, every individual inherits a set of which genes B 21. Primary mode of transmission of Treponema Pallidum B 22. Which stage of Syphilis is mismatched? B 23. Which stage infection of Bordetella pertussis is characterized by strong cough with whooping sound B 24. Weil’s disease is caused by B 25. Which hepavirus infection has a longer incubation period? A 26. The following are true about noncompetitive ELISA, except A 27. PCR cooled at 55C A 28. Mother R1R2, Father R1r, what is not possible A 29. Anti-H lectin D 30. Recent german Measles infection what IG D 31. Fungi infection is enhanced with D 32. AIDS-related Complex is associated with D 33. Detection of Capsular Polysaccharide Antigen D 34. Best way (correlates with) of getting Toxoplasma DAT using IgG, IAT using IgG, Kleihauer Betke, Anti C3 antiglobulin Negative, 2+, 4+, Mixedfield Propositus X Linked Recessive History, Physical Examination, Sero Testing Needle prick, Allogeneic bllod, Tattoos, Viral hepa after 11th birthday Mother who gave birth 5 months ago, Athlete 40bps/minute, Nagpavaccinate for measles 2 weeks ago, Malaria 3 years ago, Palawan last 5 months HLA-DP, DQ, DR Sexual contact, 1- Chancre, 2- Rash, LatentGranulomatous lesion, 3- Tabes Dorsalis Paroxysmal L. interrogans (Leptospira) A, B, Hepa C, D The antigens compete with enzyme labeled antigens Annealing DCE/DcE (Bawal may dalawang big E kasi sa mother lang may Big E) Ulex Europaeus IgG, IgM Immunodeficiency, Broadwave spectrum antibiotic, Organ Transplants (Lahat sila) Slow Decrease of CD4+ cells Aspergillosis, Coccidiodoycosis, Cryptococcus Ingestion of Cyst, Fecal oral contamination of infected cat, Transmission from mother (medyo di ko Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 D 35. Detect antibodies of Toxoplasma (Most sensitive and specific) 36. Antibodies enhanced by enzyme treatment 37. Associated most with Delayed HTR D 38. Recipient serum + RBC from Bloodbag D 39. Check cells added Negative result with no agglutination, what to do? B 40. Marker of Hepa B- Core window B 41. Surface Marker for Activated B cells B 42. Composition of TCR Complex B 43. First antigen after exposure B 44. Process that uses cell-mediated immunity C 45. Cause of false positive AHG C 46. RBC diluent not causing distortion C 47. Packed rbc is transfused within: D 48. Up to how many days will an outdated RBC pack still be used after rejuvenation D 49. How to prepare platelet concentrate D 50. Post-storage centrifugation to make leuko-reduced blood, how reduced are the WBCs 51. Aliquot is how many 52. Thawed cryoprecipitate expiration 53. 14 year old IgA deficient w/ previous serious reaction 54. Cryoprecipitate is used for the following except: 55. Multiple factor deficiencies and hemorrhage mag surgery 56. Associated with drug users that occur with HBV 57. Blood component most associated with septic reaction B 58. All about MHC II except sure to ha kasi lahat naman sila pwede magtransmit) Sabin-Feldman Dye Test Rh, Lewis, Kidd (pati P, ABO, at I) Anti-JKa Major Crossmatch Test result is invalid and test must be repeated IgM Anti-HbC CD25 TCR(ab), CD3, $ chain IgM (As long as nasa loob ng cell ung bacteria/virus) Dirty Glassware, Low Saline, Cell Suspension too heavy, Inadequate washing Isotonic saline 4 hours 3 days Centrifuge at 3200, 2-3minutes then 3600 for 5 minutes (basta light muna bago heavy spin) Less than 5x10^8 10-25 mL 6 hours (if pooled maging 4 hours) pRBC, deglycerolized (if may washed RBCs sa choices then ayun ung sagot, meron ba?) Volume replacement Fresh Frozen Plasma HDV Red cell, granulocyte, Platelets All nucleated, Alpha and beta microglobulin, Cytotoxic T cells, AOTA kasi MALI LAHAT Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 B 59. Mechanism of evasion of parasites against antibodies B 60. Exophthalmos or Bulging Eyes B 61. 35 yr old asked to test for ANA. Rashes, sensitive to sunlight, seizures B 62. CREST anung hindi kasama B 63. Tumor confined at primary site during lifespan D 64. Germ Cell Tumor 65. Reason why leukoreduced blood component is given to a patient who had a stem cell transplant 66. Most severe hemolytic reactions associated with: B 67. Most abundant complement B 68. Do microbes without antibody antigen complex activate complement? B 69. Role of IL2 in Tcell activation B 70. What will happen if APC that goes to T cell does not express costimulator B 71. MHC I is presented to? 72. There is an age limit for autologous 73. To determine hemoglobin, reagent required for mass blood donation 74. Bloodbank information system component except: 75. Outcome of Donor Screening: NAULIT KO huhu 76. Chills, Hypotension, increased Respiratory Distress 77. Result ng both Anti A1 and B if no agglutination ang cells sa backtyping 78. All of these are true about Anti-AB except: 79. HIV I and II sa screening ay slightly above cutoff, what to do? 80. IAT vs DAT anu difference Shedding of Antigen Graves Disease RA, RF, Confirm SLE, Pernicious Anemia Calcinosis cutis. Raynauds phenomenon, Esophageal dysmotility, Spondylitis, Telangiectasia Benign AFP & B-HCG To prevent graft v host disease ABO Incompatibility, HLA incompatibility C3 Yes (Panu ung pag question dito?) Autocrine No T cell activation, Cannot attach integrin Cytotoxic T cells (CD8) False Copper sulfate Validation TRALI Walang choices na binigay pero ganto: Since no agglutination sa backtyping, wala syang Px AntiA at Px AntiB so ang result ng reagent Anti A1 at Reagent anti-B ay negative dapat You can make Anti-AB by mixing monoclonal Anti-A and Anti-B Repeat in duplicate Walang choices . Basta ung Invitro ung IAT tapos it determines phenotypes, weak D, chuchu. Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 81. In a pre-B cell receptor, mu chain is combined with 82. IgG subclass that can bind complement the most 83. Interaction between single antigen and antibody 84. Not an important role of Monocyte 85. In the absence of T cell help, this elicits a very weak response 86. Neutralize Anti-p1 87. Group B nonsecretor w/ Lele genes will have what antigens in the Saliva 88. Most potent phagocyte 89. Not a prostate CA marker 90. Type III Hypersensitivity is against 91. Western blot of HIV detects 92. RID that measures the diameter of the ring after it has diffused completely 93. Detects specific antigen 94. AntiA 4+, AntiB 2+, A1 (0), B 4+, Check 0, Autocontrol 0 95. We do antibody screening due to: 96. What chemical will increase shelf life from 21 to 35 days 97. Not associated with HDFN 98. Platelets should be stored in what if not tested immediately. (Di ko sure if naulit ung tanong or naulit ko lang talaga) Surrogate Light Chain IgG3 Affinity, Avidity NOTA ata? Haha Walang binigay na choices Proteins, Lipids, Nonprotein antigens, Lipopoloysaccharide Hydatid Cyst Fluid Le(a) ONLY Dendritic Cell CEA, ALP Soluble Antigens, Particulate antigens, Pollens P24 and gp120 (may iba pa actually gp41 and gp160) Mancini (kapag may time Mckelvey) Agglutination inhibition, Direct agglu, passive agglu, hemagglu Acquired B antigen Clinically significant unexpected antibodies Adenine, Dextrose Dombrock and Cromer (basta ung may dombrock) 20-24C. Agitator All in All 96 Viable questions ung nanjan 1. Two veins used for Apheresis 2. Extracorporeal Blood Volume should not exceed __% of the donor’s estimated total volume 3. Amorph in Rh Blood Group 4. D+ C+ c+ E+ e+ 5. Hemolytic reaction is under what type of Hypersensitivity? CFC, IFC 15%, 20%, 40%, 50% (Bloodbank page 343) C,c,D,d RzRo, R(o)r(y), R(z),r(y) R’r” R2r ? (Either RzRo or Rory can be an answer kasi.) Type 2 Hypersensitivity Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 6. Uses strains of bacteria, the reaction is agglutination 7. Antigen that doesn’t induce an immune response 8. In IFA, which pattern is most specific for SLE 9. In Competitive ELISA, amount of antigen is _____ to color conc. 10. Largest dilution that gives/produces desired result 11.IFA agglutination for SLE, active SLE pattern? 12. Globulin in inflammatory disease 13. Without congenital form 14. Prepared from whole blood units 15. Not tested in donation 16. Positive compatibility except 17. Suspension of LW antigen except: 18. In the bag, what is the minimal precaution? 19. Donor requirements except: 20. Tumor marker most widely used in gastrointestinal CA 21. Serologic marker for HBV phase, window period? 22. O is universal donor because 23. AB is universal receiver because 24. Asthma is what type of Hypersensitivity 25. Biologically activity portion of Ig? 26. 1st marker for HBV for acute? 29. O donor to B recipient 30. Bombay patient reaction to Anti-H 31. Anti-B Lectin 32. Sugar of B group 33. Direct coombs test sample 34. Antibody that is secondary booster 35. Non-treponemal test 36. SLE Test 37. First to respond in a localize inflammation Widal, ASO, RPR, Paul-bunnell Hapten Speckled, Peripheral, Homogenous? Inversely proportional, Directly proportional Titer, Zone of equivalence, Prozone ( Homogenous, Peripheral, Nucleolar, Speckled ASO, Rheumatoid Factor, B-HcG Syphilis, Pertussis Random donor CMV, Malaria, Hepa C, HIV Hemagglutination and Hemolysis ABO, X Gene, LW, AOTA, NOTA(Supposed to be Rh. Based only upon my judgment. ABO is not an answer kasi eh) Write mailing address of patient, Initial and date of collection? Physically healthy, Fasting state, 17 and above CEA It has no antigens? It has no antibodies? Type I F(ab), F(ab)2? Fc HBsAg Incompatible minor crossmatch Negative Bandereia Simplicifolia D-Galactose Recipient/px serum IgG Reagin, Complement, ANA ANA, Compement T lymphocyte, lymphocyte, neutrophil Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 38. Response to foreign antigenic stimulus (type of immunity) 39. Associated with autoimmune specific against Fc portion of IgG Adaptive Immunity RF? Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 HISTOPATHOLOGY/MEDTECH LAWS AND BIOETHICS HISTOPTHOLOGY AND MTLB Best dehydrating process Ascending grades of alcohol Glycogen fixative Rossman’s Formaldehyde pH Neutral Study of cell, shed, scraped off Exfoliative cytology Complete non appearnce Agenesia Freez substitution method Osmic and rossman (both) Gross nicks Honing Formalin pigment AOTA Knife for ultra thin Plate glass Completeness of dehydration;monitor drop DMP of temperature Autopsy adult cadaver y-shape Specific subjects to be given Section 17 Transfer of DK lab Yes, renew LTO Milky or cloudy Incomplete dehydration Increasing conc. Of alcohol Dehydration Third amendment of RA 5527 June 11, 1978 Suspension or revocation of COR AOTA Registered medtech supervised how many 5 med. technicians Substance added to adhesive to prevent Thymol crystal mold Dangerous drug act 2002 RA 9165 Alteration in arterial flow Active hyperemia Brittleness and hardness AOTA To restore natural color 70% alcohol Fixative for embedding GMA and ultra thin Fifth step embedding Who can practice medtech in phil. AOTA Infiltrating substistute for paraffin except NOTA Head of blood bank Clinical pathologist Board exam issued license Yes, claim when 21 Not a hereditary trait Behavior Average computation to guys 75.83% Most important item besides px name Specimen Composition of MT board Chairman and 2 legal officers Fixation time of pap smear 60 mins Register medtech shall conduct a Reliability, honesty, intergrity reputation of To toe heal direction stropping Retard tissue fixation except NOTA Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 Monitor performance school, publish result of board exam How many witnesses for autopsy Glacial acetic acid Sliding microtome Purulent exudates Purpose of fixation except Reagent used as fixative and dehydrating agent Open biopsy Prolong decalcification Exudates Large amount of mucus Fibrous connective tissue Wax for hollow and dense Presence of ferning except Most common decalcifying agent Ammendments of 5527 except GC/MS Nissl granules Approved refresher course Cause of lost and inactivation of enzyme New born screening act Wartons jelly justice symptoms Fixative for cytological smear Stainig aftet removal Crumbling and tearing Detectable by observer HIV/ AIDs Raised surface lesion on the skin Stain for cytological studies Contains rubber Power of PRC except Whole eye section RA 7719 Passage through birth canal Manifestation of dse subjective Metal parts Medtech attending -------Newborn screening of 2004 Injections of dye to living body PRC 2 Destroy mitochondria and golgi apparatus Cutting celloidin and large paraffin materials PMNs Solubilization of tissues Acetone Excisional AOTA Catarrhal Both celloidin High progesterone level Acid NOTA Drug testing Toluidine blue Council Wrong choice of fixative fluid RA9288 Connective tissue Letter D guys ..hahaha (tight ng px maka receive ng tamang tx) Headache 95% ethyl alcohol Supravital AOTA Sign 5-7 Scalpel Pap smear Tissue mat Inspects school Dry AO#9 s.1995 Traumatic lesion Symptoms Xylol 1/hr April 7, 2004 Intravital Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 Microtome for paraffin embedded Temp of floating out bath Celloidin usually takes Step after sectioning and before staining Freeze substitution Non hospital based category Angle between cutting facet NRL HIV Current candidate which will disqualify Nuclear fixative except Deficiency in nicotine assay or vit. B complex Rotary 45-50C 1 day Deparaffinization Quenching and desiccation Donor selection Clearance San Lazaro 2,3,5 (Reguard) 4 is the only aswer Pellagra Histopath MTLB Changing decalcifying sol’n 5527 June 21,1969 Simplest and common rgt 5th step embedding PRC power Heel to Toe honing Wax for wet Prevent mold formation Gelatin, glycerol..? Purpose of fixation Celloidin?days. To remove the color Xylol, alcohol...? Metal wash Oil, water, xylol? Leather strop, EXCEPT: Size of tissue in fixative Observe and detectable Wag gamitin na fixative for decalcify For eye Dry celloidin Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 Produce of licensure of exam and newspaper Assist medtech Boat shape; curl edges Paraffin ebedden in rotary biconcave paraffin Produce of microtome Ultratin 0.5 Clinical laboratory should be monitored every? - (30 days?) - Staining for bacteria. G/S Which of the following is not a Nuclear fixation (madami ba yun? Memorize na lang, nakalimutan ko yung choices ; ; sorry na) Justice refers to…? Year Step after sectioning before staining? Deparaffinization Oath to be taken after passing the board exam? Prof.?? RA 7719, yung rules and regulation AO 27 s. 2007? Staining for Nissl granules? Function of Gilson’s mixture dry How many days/years a laboratory store a urine specimen tested positive for screening drug test? 15 Proper order of autopsy consent. EDTA Spouse, children, father, mother Chelating HIV Core Council # of members 5-7 Reference Laboratory RITM Phospholip sectioning? council constitution National Organization of Medtechs PASMETH/PAMET Freeze substitution Needle punch blah blah, incision/excision? incision Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 Underage Medical Technologist claiming license procedure Yes, only when 21 Lipid and fat microtome? Freezing Gangrene invasion without phagocytosis Dry Spirochete stain Rubber embessing Basta Mat. Letter C daw Removing of burr stropping ferning High progesterone 1. Most rapid fixative 2. Most used fixative for Routine biopsy 3. Most used fixative for blood smears 4. Most widely used fixative for exfoliative cytology. 5. Most rapid clearing agent 6. Microtome for plastic embedded tissue. 7. In clearing, what does the presence of cloudy medium means? 8. To prevent insufficient dehydration, what should you do? 9. Autopsy is required for the following, except? 10. Example of metabolic disturbance, except? 11. Ratio of fixative to tissue volume 12. Best dehydrating agent 13. Most rapid dehydrating agent 14. Temperature of water bath 15. Embedding medium for GMA and ultrathin microscopy 16. Acetone is used for? 17. Cryostat and environment should be of the same temperature 18. A machine used to slice thin tissues for microscopic examination Carnoy’s fluid Formalin, Alcohol, Acetone Alcohol (methyl alcohol) 95% Alcohol Xylene Ultra thin microtome, Rotary, Rocking Insufficient dehydration Change absolute alcohol, Change Acetone, Change fixative a. Approval of nearest kin/relative b.2 witnesses c. procedure of autopsy d. court order a. edema b. gout c. freckles d. Uric Acid 10-20x Ethyl Alcohol Acetone 45-50 Plastic? Brain True Microtome Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 19. Increase in size due to increase in number of cell 20. Reversible change of an adult cell to another adult cell 21. Most commonly used agent for decalcification 22. Removal of organ using scalpel 23. Permanent mounting medium, except? 24. Derivative of paraffin and DMSO 25. Cut done in autopsy of adults 26. Needle, shave, punch biopsy are examples of 27.Placing in a second fixative 28. Rabies, brain tissue fixative 29. Fixative for embryos 30. Stain that is in need of background for contrast 31. Best embedding media 32. Not used in leather stropes 33. Removal of gross nicks 34. When was the Medtech Act of 1969 approved? 35. Oath taking will be done in the presence of? 36. Appoints the 3-man commission of PRC 37. Components of the 3 man commission of PRC 38. Functions of the board 39. The Board consists of: 40. Assists RMT and pathologist 41. Dangerous drugs Act 42. Chairman of Council of Medical Technology 43. Most commonly used microtome in the lab 44. Did not reach full maturity 45. Which of these is a developmental defect? Hyperplasia Metaplasia Nitric Acid Excisional a. Clarite X b. XAM c. Canada balsam d. Von Apathy Paraplast Y-cut Incisional Postmordanting Acetone Bouin’s solution Counter staining Paraffin Mineral oil Honing June 21, 1969 a. judge b. president 3. member of the board 4. PAMET president President of the Philippines 1 full time chairman and 2 full time commissioners, 1 full time 2 part time, 1 full time 1 part 1 associate Refer to book 2 RMTs, 1 pathologist, 2 RMTs 1 physician, Med lab technician RA 9165 Chairman of Higher Education Rotary microtome Hypoplasia a. hyperplasia b. atrophy Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 c. hypoplasia 46. Minimum Required Course section 6 47. Who suspends, revokes and issues COR The Board 48. Not considered a work of a medtech a. blood bank techniques b. preparation of reagents c. ensures quality control d. Process samples 49. Exudates with large amounts of mucus Catarrhal 50. Fixative for glycogen Rossman’s 51. Fixative for color photography Mercuric chloride 52. Medtechs who can practice without a. medtech @ US Army base COR b. Foreigner c. Physician d. AOTA 53. Revision of RA 5527 a. 1539 b. 498 c. 6138 d AOTA 54. Which of these is a cause of low arterial blood supply to the tissue/ organ 55. Xylol can be used to remove what? 56. Effect of static energy to the tissue 57. Staining method in which the stain is injected 58. Fixative for peripheral blood smear 59. Staining that requires a mediator? 60. Female exfoliative cytology stain 61. An example of symptom is? 62. Well defined and characteristic structural change produced by disease in tissues 63. Blood bank Act after 1517 64. How many medtechs should be in the lab which performs 800 tests/ month 65. Third amendment of RA 5527 66. It is not a practice of a medical technologist. Deep-tissue laceration, exercise, pregnancy, leg plaster cast a. remove paraffin b. remove alcohol c. remove stain d. make tissue transparent Adhere to the knife Intravital staining Alcohol Indirect staining Papanicolau a. jaundice b. fever c. headache d. swelling Lesion 7719 1,2 (di ko sure) June 11, 1978 Treat and diagnose Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 67. Who started the medtech curriculum in the Philippines 68. Drugs that is used for blah blah blah which is abused 69. How many years is a lab’s license valid? Lto 70. The council is in charge of giving refresher course to those that failed.. 71. Reasons for revocation/ suspension of COR of medtech 72. Revocation of license could be achieved if there’s a? 73. Dangerous Drugs Act of 2002 74. A medtech is not allowed to 75. Organization in overseeing AIDS/ HIV prevention and control in Philippines 76. Puncture, rotate and use needle to get 77. Most rapid decalcifying agent 78. Very excellent dehydrating agent but is toxic 1. Disease manifestation correlating the underlying structural and functional changes 2. Most important factor in susceptibility and resistance to disease 3. Enters while the disease is already present. Changes the course of the disease 4. Detectable by Observer 5. Congenital disorders is associated to the ff. except: 6. Component of a cell that digests foreign substances 7. Alcohol 8. Microtome that uses biconcave in cutting paraffin embedded tissue 9. Papsmear minimum fixative time 10. Kardesewitch’s and Lillie’s method removes what? 11. Reagent that reacts with water to form methanol and acetone Mrs. Willa Hedricks CLINICAL CHEM TO 1 year 3 times a. negligence b. fraudulent lab report c. malpractice d. AOTA Unanimous decision of the board RA 9165 Head a clinical lab PNAC Needle biopsy, FNAB, Punch Nitric agent Dioxane Pathogenesis, Etiology, Pathophysiology, Morphological Changes (may gandang choice ba? Kasi eto tamang sagot) Environment, Nutrition, Emotion, Constitution Fulminating, Complication, Intercurrent Signs, Symptoms Present at birth, No genetic basis, Confined in the period of gestation, NOTA Lysosomes, Increasing concentration Rotary Microtome 30 mins, 45 mins, 60mins, 2 hours (histopath page 148) Formalin Pigments, Mercury, Excess picric acid, Chromates Benzene, DMP(Dimethoxypropane) Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 12. Tumor cell diagnostic features except: 13. Crumbling and tearing of tissue during sectioning is due to: 14. Fixative used for decalcification except: 15. Knife for ultrathin 16. What is not true about atrophy 17. Sharpening the knife 18. What automated machine is used in Histopath for clearing, dehydrating 19. Vaginal cell, acidophilic, dark, pyknotic 20. Manifestation of disease that is subjective 21. Abnormalities in the birth canal 22. Xylol, except: 23. Tumor cell of Epithelial origin 24. Pap smears used in the following except: 25. Increase amount of blood due to alteration of arterial blood flow 26. Type of fixative that specializes in the chemical constituent of the cell 27. State of collapse after injury resulting to insufficient oxygen distributed to tissue 28. Escape of RBC from the vascular system 29. Refractive index of mounting medium 30. The process of removing nicks 31. Used for hormonal studies: 32. Class 1 in Pap’s ID of vaginal/cervical smears Decreased cell size, abnormal vacuolation, hyperchromaticity, increased cell number, Dull knife, Paraffin soft and warm, incomplete dehydration, incomplete infiltration, AOTA Helly’s fluid, Zenker fluid, Buffered formalin, NOTA Plate glass, Biconcave, Plain Concave, Plain wedge Increased total number of cells, increased total number of size, developmental defect, AOTA(all of these kasi is not true) Toe-to-heel leather strop, Toe-to-heel stone, Heel-to-toe leather strop, heel-to-toe stone Autotechnicon, Microtome, Leica Superficial, Intermediate, Parabasal, Basal Symptoms Congenital, Familial, Traumatic Lesion, Hereditary, Dehydration, Dealcoholization, Deparaffinization, Making tissue transparent (PLEASE TAKE NOTE IN THE HISTOPATH 1ST TAKE THAT XYLOL MAKES TISSUES TRANSPARENT) histopath page 77 Lymphoma, Sarcoma, Carcinoma Diagnosis of Cancer, Hormonal studies, Genetic sex studies, cytologic diagnosis of anemia Active hyperemia, Localized passive, General passive Histochemical, Cytoplasmic, Microanatomical Shock, hyperemia, ischemia,inflammation Edema, Hemorrhage 1.518 Honing Cervical smear, Vaginal smear No atypical cells seen Downloaded by Mercy Ngila (mngila50@gmail.com) lOMoARcPSD|17224140 33. If one kidney is removed, the other kidney compensates. What is that? 34. Decreased O2 supply to organs 35. Thickness of paraffin 36. Adhesion to paraffin except: 37. Which is not a temporary mounting medium? 38. Phospholipid Stain 39. Fixative used for ultra thin sectioning 40. Dehydrating and clearing agent 41. Brittleness and Hardening 42. Flatten tissue except: 43. Study of body fluids: 44. Fix with gauze/cotton Compensatory hypertrophy, Compensatory hyperplasia Ischemia, Infarction, Necrosis 5-10um, 10-15um, 25-30um, none Mayer’s egg albumin, Starch paste, gelatin, NOTA, AOTA Canada Balsam, Water, Von Apathy, Glycerin’s jelly Schultz, Acrocarmine, Von Kossa, PAS Flemming’s, Rossman’s, Heidenhain’s susa Acetone Overfixation 1 or 2 drops of alcohol, Mayer’s Albumin Clinical Pathology Brain, Lungs, Stomach? (GAUZE IS FOR LUNGS, COTTON IS FOR INTESTINE/STOMACH) Downloaded by Mercy Ngila (mngila50@gmail.com)