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4. Description of Zygomycetes
a. Septate hyphae churva
16.
b. Septate hyphae something
Anti- Anti- A B D D Screen
c. Aseptate hyphae with sporangiospores A B cells cells Antigen control cells
d. Aseptate hyphae with basidiospores
4+ 4+ 0 0 0 0 0
27. Whole blood collected at 9 am, stored at 4ºC. At 1 35. Computation of %Iron Saturation
pm, platelet was prepared. According to AABB, which Iron 125mg/dl
is correct regarding about platelets? Unsaturated TIBC 180mg/dl
a. “Hard spin” first Transferrin 245 mg/dl
b. Centrifuge should be at 4-6ºC
c. Platelet cannot be prepared
% Iron Saturation = (Serum Iron / TIBC) x 100%
28. When introducing a new manual technique, which is 36. RBC Reagent Strip +
the best approach? RBC (microscopy) no cell seen
a. Case presentation a. Dilute alkaline urine
b. Workshop
c. Lecture 37. Common error in PCR
a. Nucleic acid contamination
29. A woman has soft goiter and a decreased TSH, what b. Low temperature in machine
next test to perform
a. Free T4
38. 3 tubes negative to AHG. When check cell is added,
b. T3 negative parin. Error?
c. Anti microsomal Ab a. Insufficient saline from automated cell
d. Anti thyroglobulin Ab washer
b. Serum was omitted from the reaction
30. ANA shows speckled pattern
Anti-SM: Negative 39. AHG3+ 3+
Anti-RNP: Negative After auto adsorption, the result become 2+ AHG.
Anti-ss-DNA (or Anti ds-DNA?): Negative What to do next?
Anti SS-a, SS-b: Positive a. Do another auto adsorption
b. Cell panel
a. SLE c. Ab identification with enzyme
b. Sjogren’s syndrome
c. Polymyositis
d. Scleroderma
40. Patient with respiratory disease gave a specimen.
When cultured in sheep blood agar, beta-hemolytic 57. Metabolite of Cocaine - benzoylecgonine
gram positivecocci was seen. What to do next
a. Test with bacitracin 58. Primidone -Phenobarbital
b. Test with novobiocin
59. Image of Crithidialuciliae- SLE
41. RBC: 3.9
Hct: 33% 60. Picture of Trichinellaspiralis
Hb: 12.5
61. Picture of Heinz bodies
What is the problem?
a. Lipemic 62. Also, remember if there is an ingestion of moth
b. Clotted (naphthalene) balls you will find HEINZ BODIES
c. Release result
63. Picture of Mycobacteriumtuberculosis
*Check with the rule of 3
(Hbx3=Hct must be + or -3) 64. Cat scratch disease: Bartonella henselae
43. FBS = 120, RBS, OGTT = 140 67. PBS photo: RBC clumping - cold reactive antibody
a. hyperglycemia
b. normal 68. Rapid test for Legionella - urine antigen
c. impaired glucose
69. Glucose Strip = (+);Clinitest (-)
44. Cystic fibrosis Presence of glucose
- Burkholderia cepacia, Staphyloccus aureus,
Pseudomonas aeruginosa 70. Anti IgG (-) ; C3d (+)–Pre-warm
52. Surface markers of plasma cells 78. Diagram given with fat cells, waxy casts, RBC casts
Nephrotic syndrome
53. Other name for CD4 - inducer
79. Renal tubular epithelial cells
54. Antibody panel 1 - answerJKa + E – acute tubular necrosis
55. Wash RBC with saline solution 80. Majoritory of CLL - B lymphocytes
Anti-A Anti-B A cell B cell
4+ 4+ 2+ 2+ 81. Kidney-shaped gram negative cocci–
Neisseria gonorrhea
56. Anti-Mitochondrial - primary biliary cirrhosis
82. Eye conjunctivitis - Chlamydia trachomatis 110. Anti-smooth muscle antibody
- chronicactive hepatitis
83. SSA (+) ; Rgt strip (-) - Other protein than albumin
111. Hepatitis present in in acute infection - IgM Anti-Hbc
84. Differentiate Pseudomonas aeruginosa from other
Pseudomonas - Growth at 42°C 112. Dacrocyte/teardrop - myelofibrosis metaplasia
85. ALP - biliary obstruction 113. Bilirubin crystals photo - liver disease
86. Picture of giant platelets 114. Howell Jolly bodies - Wright stain
Bernard Soulier Syndrome
115. Ouchterlony photo/description: partial identity / non-
87. Hair Baiting Test identical / identical
- T. rubrum and T. mentagrophytes
116. Anti-Microsomal – Hashimoto’s thyroiditis
88. EPO below normal - Polycythemia vera
117. Picture na maraming echinocytes
89. Normal PTH; IncreasedCa2+ - metastatic carcinoma a. Severe anemia
b. Improper pH of buffer
90. Favic chandelier - T. schoenleinii c. Overly dried smear
d. Hemoglobinopathy yata
91. Normal WBC, platelet retics 0.1%
- Pure red cell aplasia 118. Treatment for a patient with warfarin toxicity (nagtagal
ako dito, huhuhu)
92. False positive for protein UA test strip a. Cryoprecipitate
- Radiographic dye b. Factor IX concentrate
c. Factor VIII concentrate
93. Neisseria lactamica - (+) lactose d. Vitamin K
94. Cryoprecipitate pooled 8am; expires: 12nn same day 119. Picture of target cells, dacryocytes, echinocytes.
a. Severe anemia
95. TIBC measures - iron bound transferrin b. Strongly oxidative drugs
c. Allergic response to a drug
96. Platelet apheresis contains - 6-8 units
120. Picture of ANA staining pattern. Centromere
97. RAST - Specific IgE a. SLE
b. Sjogren’s
98. RIST - Total IgE c. Chronic liver disease
d. Scleroderma with CREST
99. Her 2/neu measured by–FISH/IHC
121. TIBC indirectly represents?
100. Xanthochromia caused by - bilirubin a. Iron level
b. Transferrin level
101. Levey Jennings showing trend - Open new kit c. Ferritin
d. Iron Saturation
102. Troponin I (+); CKMB normal - AMI
122. Tapos may antibody panel. 4ºC, 37ºC and
103. Sperm count - do it after liquefaction (30 minutes) AHG….Then may reactions sapolyspecific antisera,
monospecific anti-IgG and anti-C3d. What should the
104. Tap water - Mycobacterium gordonae MLS do next?
a. Elution on the cells
105. Mucor - No rhizoids b. Test clotted cells
c. All reactions are valid
106. Most potent activator enzyme –Magnesium or Zinc
123. Graph ng reaction ng platelet aggregation expressed
107. Eosinophil in LAP score - Not counted in % transmittance for ADP, collagen and
epinephrine. May reaction to 0% transmittance yung
108. Longer wavelength emission - fluorometer tatlo pero wala sa 50% and 100%.(Not sure)
a. Normal ADP and collagen, abnormal
109. Surfactant fetal lung maturity - phosphatidyl glycerol epinephrine
b. Normal ADP, abnormal collagen and 2nd sample: collected after several hours of normal
epinephrine activity
c. Abnormal to ADP, collagen and epinephrine Specimen 1 Specimen 2
d. Normal to collagen ADP and epinephrine a. +3 Negative
b. +1 traces
124. Please review creatinine clearance computation. Two c. neg +1
problems. Yung first, plain computation. Yung second d. neg neg
question: Aside from creatinine, ano pa affected?
a. BUN 130. Principle of reagent strip for pH: double indicator
b. Calcium
c. AST 131. Which of the following would show dosage?
d. Glucose a. Anti–M
b. Anti-e
125. A CSF specimen was received in the lab with a c. Anti-K
previous history of 1:4 positive titer to RPR. Repeat d. Anti- Lea
RPR on the specimen is NEGATIVE. There are no
available VDRL kits in the Lab. What should the 132. Least dosage: Anti-E
medical technologist do?
a. Report RPR as negative 133. SsU antibodies appear in the presence of following
b. Wait for VDRL kits to arrive deletion sequence.
c. Call physician and request cancellation a. RH/RHCE
d. Repeat RPR but inactivate CSF first b. GYPB
c. GYPA
126. A viral specimen was received in the lab. What would d. GYPA/GYPB
the tech do when sending it to a reference lab within
96 hours? 134. Latex agglutination for Staphylococcus
a. Place in Loeffler’s serum slant and aureusdetects:Protein A and clumping factor
refrigerate
b. Lyophilize the sample 135. Given a sodium mean value of 142 mmol/L with an
c. Store at ambient temperature SD of 2.5. Assuming that 95% of the population is
d. Pack in ice considered for this value, what would be the reference
range for this analyte?137 – 147 mmol/L
127. 18% reticulocytes were observed on a Wright-stained
smear. What should you do next? 136. Sugar fermented by Neisseria gonorrhea?
a. Report retic count a. Mannitol
b. Heinz body stain b. Lactose
c. Siderocyte stain c. Maltose
d. Glucose
128. 2 methods were compared. 100 persons were tested.
137. Positive control for anti-c and negative control for anti-
Positive (100) Negative (100) Fya (Polansky: Heterozygous Cc for anti-c)
Method 1 50 100
Method 2 60 88 138. Lupus anticoagulant causes: Thrombosis
a. Wash red cells and retype 206. PBS: Clumping or RBC with two WBCs
b. Incubate serum at room temperature PCH / Cold-reactive antibody
c. Use additional test sa serum
207. Results consistent with Cushing’ssyndrome:
150. a. Hyperglycemia
37/LISS Anti-IgG b. Hypoglycemia
Screening cell I: 0 +/- c. Hypercalcemia
Screening cellsII: 0 +/- d. Hypocalcemia
APTT: abnormal; PT: normal; Fibrinogen: 150 mg/dl 227. Heparin manganese is used in HDL determination
What test should be ordered? to?To precipitate non HDL
a. Factor XII assay 228. Hepatitis B marker that is predominantly seen in acute
b. Fator VIII assay phase of infection but rarely seen in chronic infection?
c. TT a. Anti-HBs
d. Dilute russel viper venom b. Anti-HBc IgM
c. Anti-HBc IgG
214. Speckled pattern – anti SBB, anti RNP, anti Sm d. Anti-HBe
215. Antibody panel. Use polyspecific. May reaction lang 229. Advantage of MALDI LOF MS in automated
sa C3d wala sa IgG. Prewarm and retest microbiology system?
a. No need to isolated org
216. Walking pneumonia- have no cell wall b. Can amplify DNA something
c. Rapid sensitivity results
217. What is urobilinogen?
a. Colorless product of bilirubin metabolism 230. CBC results: Instrument A is repeated with the use of
b. Results in increase bile instrument B. Not sure of values. The discrepancy is
due to?
218. Synovial too viscous and difficult to aspirate. What to a. Lyse resistant target cells
be added in the specimen?Hyaluronidase b. Lyse sensitive target cells
c. Fragility of Hgb C
219. After several weeks of pharyngitis what can be found d. Lyse resistant Hgb C
in kidney biopsy?Streptococcus pyogenes
231. Deteriorates upon storage?
220. TSI A/A oxidase positive isolated in a. P
wound?Aeromonas b. Lw
221. Decrease ratio of plasma:anticoagulant in sodim c. Lu
citrate with hematocrit of 0.7 - what should be done? d. MNs
a. Decrease anticoagulant
b. Increase anticoagulant 232. May values ng glucose, osmolarity, lactate, at pH ng
c. Collect in heparin arterial blood, alin daw ang specimen for lactic
d. Report the result acidosis? Puro values ang choices.
233. Patient is in coma, alin daw ang possible na results 245. Intraoperative autologous blood stored in 1-5ºC, how
ng sample niya? Values ng glucose, ketones, many hours it should administered?
osmolarity at lactate ang choices. a. 6
b. 12
234. A patient is suspected of DM, fasting glucose ay 137 c. 24
tapos 2 hrs post prandial ay 225. What to do next?
a. OGTT 246. About Rubella, what to test to determine acute
b. No further testing need infection?IgG 2 weeks apart
238. A donor is in aspirin medication.She is deferred in 250. Post-partumA(-) mother gave birth to her first born
plateletpheresis of how many hours? O(+) baby. Mother has no anti-D in her serum. What
a. 6 should the technologist do next?
b. 12 a. Test the baby for HDN
c. 24 b. Give the mother Rhogam
d. 36 c. Do nothing
239. Who is deferred donor? 251. Picture: rouleaux formation (2) causes and other one
a. Hepa B vaccine several days ago is condition
b. RH immunoglobulin six months ago
252. Picture: ANA staining (fluorescence)
240. What is the test for AIDS?CD4 count a. anti dsDNA
b. anti SSA
241. Reference ranges is performed in a new methodology c. anti smooth muscle
to? d. anti mitochondrial
a. To test instrument accuracy
b. To test instrument precision 253. EBV titers
c. To assess control ranges Anti-VCA IgM <1:10
Anti-VCA IgG >1:10
242. Azotemia is increased in? Anti-EBNA >1:10
a. BUN (presence indicates past infection)
b. Creatinine CMV titer: 1:128
c. Ammonia Toxoplasma titer: <1:10
d. Uric acid
a. Primary CMV infection
243. Leukocyte esterase is 1+ but in microscopic exam no b. Primary EBV infection
WBC seen. What is the cause? c. CMV and EBV co-infection
A. Present of reducing agent d. Toxoplasma infection
B. LysedWBC
C. Bacteria acted in reagent strip
D. Present of ascorbic acid 254. Description: Sporothrix (cigar-shaped)
244. Group A Le (a+b-). Ano ang meron sasaliva ng 255. Bile Esculin + ; 6.5% NaCl +; PYR - ; LAP -
patient? a. Group D Strep
Lea b. Group B Strep
c. Leuconostoc
d. Enterococcus
256. Picture: Pneumocystis jirovecii 267. A leukemoid reaction is an increase in peripheral
blood cells associated with?
257. Picture with Schuffner’s dots trophozoite a. An extreme infectious response
a. P.falciparum and P.vivax b. Presence of Leukemia
b. P. vivax and P. ovale
c. P. malariae and P. vivax 268. In storage pool disease, platelets are primarily
d. P. falciparum and P. malariae deficient in:
a. ADP
258. Cold agglutinins: warm to resolve the problem b. PF3
c. Thrombasthenin
259. Out of 6 donor units there is 1 unit that is
incompatible. What is the possible reason? 269. Mother is group A positive, Father is group O
Ans: Donor unit may have positive DAT negative, the baby experienced HDN, what caused
the hemolytic disease of the newborn?
260. Quantitative fecal fat test a. Anti-D
a. H2O2 b. Anti-d
b. NADH c. Anti-A
c. Sudan black d. Anti-c
d. Weighing and extraction
270. Biochemical reaction, picture of tube reactions.
261. Sugar fermented by S. aureus Q: What is the correct reaction of Salmonella spp.?
a. Lactose
b. Sucrose 271. LAP score disease association
c. Glucose
d. Mannitol 272. What is a HAPTEN?
262. Low incidence antigen, usually not present on Ab 273. Michaelis-Menten curve, picture of graph was given.
screening or panel cells? Q: To formulate a new methodology, so that enzyme
a. Jka activity will be assessed using zero-order kinetics
b. I which concentration of substrate and needs to be first
c. Lw determined.
d. Wra
Pointers:
263. Cells produce immunoglobulins in response to MOST QUESTIONS ARE ABOUT BLOOD BANKING, AND
antigenic stimulation are designated as: QUESTIONS ARE TRICKY.
a. Thymocytes
b. Sezary cells Serology (Titers – EBV, CMV)
c. Plasma cells Immunohematology and Blood Banking (Antibody Screening
d. Virocytes and Identification, ABO/Rh Typing Discrepancies, DAT and
IAT)
264. Tropical sprue has the peripheral blood picture of: Hematology (APTT/PT instrument errors)
a. Malaria
b. Thalassemia
c. Megaloblastic anemia
d. IDA