1st Day: Clinical Chemistry 1. RECALL: (Elsevier) At what serum concentration would glucose begin to appear in the urine? A) 50 mg/dL B) 75 mg/dL C) 100 mg/dL D) 170 mg/dL 2. (Elsevier) Which of the following would be most adversely affected by a nonfasting sample? a. HDL b. LDL c. Cholesterol d. Triglycerides 3. (Elsevier) Which of the following apoproteins is inversely related to risk for coronary heart disease and is a surrogate marker for HDL? a. Apo A-I b. Apo B c. Apo B100 d. APO E 4. (Elsevier) Which of the following electrolytes is the chief plasma cation whose main function is maintaining osmotic pressure? a. Chloride b. Potassium c. Sodium d. Bicarbonate 5. (Elsevier) Which of the following enzymes catalyzes the conversion of starch to glucose and maltose? a. Lipase b. Amylase c. ALT d. GGT 6. Where do steroids derive? a. Glyceride b. non glyceride c. Fatty acid d. Complex 7. The sample of choice for measuring blood osmolality? A. Serum B. Plasma C. Whole Blood D. Serum or PLasma may both be used 8. How should a laboratory verify the reference range it uses for a particular test? A. Call another laboratory B. Use the numbers from a textbook C. Test samples from healthy people D. Look on a medical internet site. 9. Administrative controls? A. Handwashing station B. PPE C. Exhaust fan D. Alcohol stations(?) 10. TDM A. EDTA B. formalin C. sodium fluoride 11. Common for multiple myeloma and Waldenstrom macroglobulinemia? A. increased IgG B. decreased IgG C. increased IgM D. decreased IgM 12. Micro and Parasitology 1. P. falciparum gametocyte (picture) 2. Beta hemolysis - complete destruction of rbc 3. Actinomyces a. Gram-positive bacilli, facultative anaerobe 4. Vibrio a. TCBS 5. Invert the lid 6. Non-spore forming a. B. anthracis b. B. cereus c. B. fragilis d. ? 7. Gram Negative Diplococci, Growth on CAP and BAP A. N. meningitidis B. N. gonorrhoea 8. (elsevier) Which of the following is the specimen of choice for detecting rotavirus a. Throat swab b. Urine sample c. Bronchoalveolar wash d. Feces sample 9. (harr) ova recovered from the stool are routinely used to diagnose infections caused by all of the following except: a. Necator americanus b. Ascaris lumbricoides c. Trichuris trichuria d. Strongyloides stercoralis 10. Preparation of samples for detection of microsporidia: 1. Fresh 2. Refrigerated 3. Ethanol fixed 4. Formalin fixed (don’t remember the choices po sorry, hehe something like a. 1,2 b. 2,3 etc,) 11. Where to view trichrome stained smear of protozoa: ans: OIO 12. In T. solium infection, man serves as: ans. Both the definitive and intermediate host 13. MOT of P. westermani: ans; ingestion of undercooked crabs Clinical Microscopy 1. Normal odor of urine a. Fragrant b. Sweet c. Fruity d. Ammoniacal 2nd Day: Hematology 1. Which parameters are calculated rather than directly measured? A. Hct and RDW B. RBC count and WBC count C. WBC count and Hct D. Platelet count and MPV 2. Lazy Leukocyte Syndrome a. Neutrophil 3. Niemann pick disease a. Neutrophil 4. Stain used for reticulocyte a. Prussian blue b. Methylene blue c. Crystal violet d. Safranin 5. Acanthocyte: abetalipoproteinemia 6. Thrombopoiesis 7. Maturation stage: megakaryoblast, promegakaryocyte, megakaryocyte, thrombocyte 8. Thrombin factor a. FI b. FIIa c. FVII d. FX 9. Labile factor a. Factor V 10. Target Cell [picture] ISBB -HARR 1. From the following, identify a specific component of the adaptive immune system that is formed in response to antigenic stimulation: A. Lysozyme B. Complement C. Commensal organisms D. Immunoglobulin 2. Which cluster of differentiation (CD) marker appears during the first stage of T-cell development and remains present as an identifying marker for T cells? A. CD1 B. CD2 C. CD3 D. CD4 or CD8 3. All of the following are immunologic functions of complement except: A. Induction of an antiviral state B. Opsonization C. Chemotaxis D. Anaphylatoxin formation 4. Which immunoglobulin can cross the placenta? A. IgG B. IgM C. IgA D. IgE 5. Which immunoglobulin cross links mast cells to release histamine? A. IgG B. IgM C. IgA D. IgE 6. Which serum antibody response usually characterizes the primary (early) stage of syphilis? A. Antibodies against syphilis are undetectable B. Detected 1–3 weeks after appearance of the primary chancre C. Detected in 50% of cases before the primary chancre disappears D. Detected within 2 weeks after infection 7. Interpret the following results for HIV infection. ELISA: positive; repeat ELISA: negative; Western blot: no bands A. Positive for HIV B. Negative for HIV C. Indeterminate D. Further testing needed 8. Which method is used to test for HIV infection in infants who are born to HIV-positive mothers? A. ELISA B. Western blot test C. Polymerase chain reaction D. Viral culture 9. Who is the best candidate for a predeposit autologous donation? A. A 45-year-old man who is having elective surgery in 2 weeks; he has alloanti-k B. A 23-year-old female leukemia patient with a hemoglobin of 10 g/dL C. A 12-year-old boy who has hemophilia D. A 53-year-old woman who has septicemia 10. Which of the following vaccinations carries no deferral period? A. Rubella B. Varicella zoster C. Recombinant HPV D. Smallpox 11. (Harr) Which test are considered screening test for HIV? a. ELISA, 4th generation, and rapid antibody tests b. Immunofluorescence, western blot, radioimmuno-precipitation assay c. Culture, antigen capture assay, dna amplification d. Reverse transcriptase and messenger RNA (mrNA) assay 12. Which CD4:CD8 ratio is most likely in a patient with acquired immunodeficiency syndrome (AIDS) a. 2:1 b. 3:1 c. 2:3 d. 1:2 13. (Elsevier) immediate spin crossmatch: a. Patient has no clinically significant antibodies detected and no history of antibodies 14. Di phenotype: A. Asian B. African C. European D. Mongolian HTMLE 1. RECALL: All of the ff. may be considered unlawful compulsory tests except: A) Drug testing B) Newborn screening C) HIV testing D) Paternal testing 2. How to show empathy to a patient a. Good manners b. Acknowledge their pain c. Say encouraging words 3. Sign for respiratory… a. Virus detected b. Shortness of breath 4. All are bluing agent, except a. Ammonia water b. Scott c. Lithium carbonate d. Magnesium bicarbonate 5. Importance of preslide treatment 6. How to empathize to a patient with dead relative PAMIGAY QUESTION: ● Hand washing (10 minutes, 5 minutes, upward, DOWNWARD)