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WorksheetsEXAM Review
Total questions: 50
Worksheet time: 26mins
The ONPG (ortho-nitrophenyl-BETA-D-galactopyranoside) test should be used to determine what?
catalase activity
separation late lactose fermenter from lactose negative bacteria
bile solubility
oxidase production
Which of the following substance produced by Group A Streptococci is responsible for producing type specific immunity:
Streptolysin O
Streptolysin S
M Antigen
T Antigen
Which are true statement regarding hospital- associated meth-resistant Staphylococcus aureus and community associated MRSA?
Resistance for both strains is conferred by the mecA gene
HA strain tend to demonstrate resistance to more drug classes than CA strains
CA tends to be associated with PVL gene and skin and soft tissue infections
All of the above
On sheep blood agar Haemophilus influenzae may exhibit satellite formation may exhibit satellite formation around all but which of the following organisms:
Pseudomonas
Neisseria
Staphylococcus
Pneumococcus
Which bacterial species is a common agent of neonatal bacteremia?
Streptococcus pyogenes
Listeria monocytogenes
Staphylococcus aureus
Enterococcus faecium
Charcot-Leyden crystals in stool may be associated with an immune response and are thought to be the breakdown products of:
neutrophils
eosinophils
monocytes
lymphocytes
Which of the following sugars has been fermented by a gram-negative rod that has produced an alkaline slant and an acid butt on triple sugar iron agar (TSI) ?
lactose
sucrose
glucose
glucose and sucrose
Which of the following species or organisms is the most likely to be the cause of mycotic keratitis (fungal eye infection)?
Fusarium species
Trichophyton rubrum
Scedosporium apiospermum
Aspergillus niger
Which of the following are not considered normal flora of the gastrointestinal tract?
Lactobacillus
Clostridium
Peptostreptococcus
Shigella
Which hemoglobin, when elevated, acts as a protection against sickling in patients with HbS?
Hemoglobin A2
Hemoglobin C
Hemoglobin F
Hemoglobin G
An increased serum level of which of the following analytes is MOST commonly associated with decreased glomerular filtration?
Creatinine
Uric acid
Urea
Ammonia
Which of the following cardiovascular risk markers is a more sensitive version of a test that is used to assess inflammation?
Oxidized-LDL
hs-CRP
ApoB/ApoA1
LpPLA2
In a normal CSF the protein concentration as compared to that in the plasma is generally:
Less than 50%
Less than 30%
Less than 10%
Less than 1%
This of the following electrolytes is most likely to be spuriously elevated in a hemolyzed specimen:
Sodium
Potassium
Chloride
BUN
A microscopic examination of normal urine pH 8.0 shows 2+ yellow-brown thorny spheres which are MOST probably:
ammonium biurate crystal
ampicillin crystal
amorphous urate crystal
crenated red cell
Which one of the following cardiac biomarkers could detect a reinfarction?
cTnI
cTnT
TnC
CK-MB
Which of the following lipid tests is LEAST affected by the fasting status of the patient?
Cholesterol
Triglycerides
Fatty acids
Lipoproteins
Which of the following proteins has the FASTEST electrophoretic mobility?
Albumin
Alpha globulins
Beta globulins
Gamma globulins
Which of the following is the most common technique that is used by clinical laboratories for therapeutic drug monitoring?
Immunoassay
Electrophoresis
Atomic absorption
Ion selective electrode voltimetry
In the condition kernicterus, the abnormal accumulation of bilirubin occurs in what tissue?
Brain
Liver
Kidney
Blood
Which of these white blood cell populations would have the MOST side scatter when analyzed using flow cytometry?
Monocytes
Lymphocytes
Granulocytes
Neutrophil
Which of these blood levels will increase during intravascular hemolysis?
Serum (plasma) LDH
Serum (plasma) bilirubin
Reticulocytes
All of the above
Auer rods may be seen in blasts of all the following condition EXCEPT:
Acute Myelomonocytic (M4)
Acute lymphocytic leukemia (L1,L2,L3)
Acute myelocytic leukemia (M1,M2)
Acute promyelocytic leukemia (M3)
A few dark blue staining granular inclusion located near the periphery of an erythrocyte are most likely:
Pappenheimer bodies
Howell-Jolly bodies
Heinz bodies
Basophilic stippling
Which of the following statements describe an eosinophil EXCEPT:
Cytoplasm contains large purple/blue-staining granules.
May be called an "eo"
Is a member of the granulocyte series
Cytoplasm contains large reddish-orange granules
Which FAB designation is called the "true" monocytic leukemia and is characterized by monoblasts, promonocytes, and monocytes?
FAB Ml
FAB M3
FAB M4
FAB M5
All of the following are characteristic findings in patients with iron deficiency anemia EXCEPT:
microcytic, hypochromic red cell morphology
decreased serum iron level
decreased total iron-binding capacity (TIBC)
decreased ferritin
A deficiency in which of these vitamins leads to increased clotting time and may result in hemorrhagic disease?
Riboflavin
Pyridoxine
Tocopherols
Vitamin K
Which of the following factors is not involved in the initial contact phase of the intrinsic pathway?
Factor Xll
Fitzgerald Factor
Fletcther Factor
Factor X
The M:E ratio in chronic myelocytic leukemia is usually:
Normal
High
Low
Variable
The cytokine most important for increased macrophage cell activity is:
Interferon gamma
Interleukin 3
Interleukin 4
Interleukin 5
What sero- marker is the first marker to become positive in Hepatitis B and is associated with the infective stage?
HBc antibody
HBc total
HBs antigen
HBs antibody
The prozone effect (when performing a screening titer) is most likely to result in:
False positive
False negative
No reaction at all
Mixed field reaction
Which of the following CD marker is NOT present on a normal mature T cell?
CD20
CD7
CD3
CD5
Which of the following immunoglobulin classes is chiefly responsible for the degranulation of mast cells and basophils:
IgG
IgA
IgM
IgE
Which of the following assays is routinely used for confirmation of HIV infections?
Southern blot
Western blot
In-situ hybridization
Radioimmunoassay
The serum hemolytic complement level (CH50):
Provides the same information as a serum factor B level
Is a measure of total complement activity
Is detectable when any component of the classical system is congenitally absent
Can be calculated from the serum concentration of the individual components
Which of the following is the "activation unit" in the classical complement pathway?
C1
C2
C4,C2,C3
C5,C6,C7,C8,C9
Which one of the following would not be considered an anatomic barrier of the innate immune system?
T lymphocytes
Tears and Saliva
Low pH
Mucous Membrane
Which of the following Rh antigens is found in the Caucasian population:
C
E
c
e
Why is RhIG administered within 72 hours of delivery or miscarriage to an Rh-negative mother if the newborn is found to be D-positive or weak D positive?
prevent future children from producing antibodies
prevent fetal cells from initially sensitizing the mother
prevent antibody response in a previously sensitized mother
neutralized any natural maternal antibodies present
Most antibodies present in cord blood are of what origin?
fetal
maternal
paternal
maternal and paternal
Which blood component is the most commonly used component for the replacement of multiple coagulation factor deficiencies?
Fresh Frozen Plasma
Red Blood Cells
Cryoprecipitate
Whole Blood
In an extreme emergency, if the ABO and Rh type are unknown which of the following should be given to the patient?
Group O, Rh positive blood
Group AB, Rh negative blood
Group O, Rh negative blood
Any blood type is OK
For which of the following antibodies is the DAT most likely to be negative when testing a newborn for possible HDFN?
anti-A
anti-c
anti-D
anti-K
Which of the following groups of antibodies generally reacts most strongly at 40 C?
Anti-A, Anti-P1 , Anti-Leb , Anti-M
Anti-B, Anti-K, Anti-Lua , Anti-Fya
Anti-H, Anti-S, Anti-Jkb , Anti-Leb
Anti-A, Anti-K, Anti-Lub , Anti-s
Of the following blood group antibodies, which has been most frequently associated with severe cases of hemolytic disease of the fetus and newborn (HDFN)?
anti-A,B
anti-Lea
anti-K
anti-Jka
Your screen cells are 3+ at immediate spin and weak (W)+ at AHG. Your auto control is negative for both phases. Some of your antibody panel cells are 3+ at immediate spin and negative at AHG. What should you suspect?
A warm autoantibody is present
A cold antibody may be present
Bad specimen draw
Report the result
Bacterial contamination is MOST likely in which of the following blood products?
Red Blood Cells
Red Blood Cells Frozen
Platelets
Fresh Frozen Plasma
Which of the following organisms is an obligate intracellular parasite?
Proteus
Escherichia
Klebsiella
Rickettsiae
