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MED 232 – Advanced Diagnostics & Testing Final Exam

Total questions: 100

Worksheet time: 50mins

Name
Class
Date
1.

Gram-positive stains are colored blue or violet because they retain the red dye. T/F?

a)

True

b)

False

2.

Bacteria that grow best in the presence of oxygen are called _____ ?

a)

Organisms

b)

Aerobes

c)

Viruses

d)

Anaerobes

3.

A vibrio is ______ shaped and can move.

a)

Cone

b)

Comma

c)

Rod

d)

Spiral

4.

Bacteria are, classified as Eukaryotes. T/F?

a)

True

b)

False

5.

Fungi are, classified as Eukaryotes. T/F?

a)

True

b)

False

6.

Which is not included in the 5 pathogens?

a)

Bacteria

b)

Viruses

c)

Mold

d)

Rickettsiae

7.

A complex cell structure with a nucleus & specialized organelles in the cell's cytoplasm is a/an _____ ?

a)

Eukaryote

b)

Prokaryote

c)

Subcellular

d)

Protozoans

8.

A microorganism that is neither, prokaryotic or eukaryotic, directly responsible for several diseases and can cause progressive brain degeneration is classified as a/an ______ ?

a)

Subcellular

b)

Prokaryote

c)

Eukaryote

d)

Prion

9.

Microbiology is the study of ______ ?

a)

Microanatomy

b)

Biology

c)

Microorganisms

d)

Macroorganisms

10.

An example of a subcellular microorganism is a ___.

a)

virus

b)

bacterium

c)

protozoan

d)

fungus

e)

helminth

11.

Which of the following is an example of a microorganism that is classified a prokaryotic cell?

a)

Fungus

b)

Virus

c)

Bacterium

d)

Parasite

e)

Helminth

12.

Which of the following are characteristics of prokaryotic cells?

a)

They are noncellular.

b)

They are simply structured with a single chromosome and no organelles

c)

They are highly structured and contain a nucleus

d)

They have a complex cell structure and have specialized organelles in the cytoplasm

e)

They consist of nucleic acid surrounded by a protein coat

13.

The ability to produce energy, switching from aerobic to anaerobic respiration is called?

a)

Facultative Anaerobe

b)

Facultative Aerobe

c)

Aerobic respiration

d)

Anaerobic respiration

14.

What is the medical term for the presence of pus in the urine, usually from a bacterial infection?

a)

Oliguria

b)

Anuria

c)

Polyuria

d)

Pyuria

15.

Which of the following are characteristics of eukaryotic cells?

a)

They have a complex cell structure containing a nucleus and specialized organelles in the cytoplasm

b)

They have a simple cell structure with no nucleus

c)

They are non-cellular

d)

They have an uncomplicated, basic structure that contains no organelles in the cytoplasm

e)

They consist of nucleic acid surrounded by a protein coat

16.

Mononucleosis is caused by which of the following?

a)

Varicella-zoster virus

b)

Enterovirus vermicularis

c)

Epstein-Barr virus

d)

Helminths

e)

Cytomegalovirus

17.

The tube of urine separated from the sediment portion is called the ______ ?

a)

Stool

b)

Precipitate

c)

Supernatant

d)

Waste

18.

Presence of blood in the stool may indicate colorectal cancer. What screening test is used?

a)

O & P

b)

FOBT

c)

WBC

d)

RBC

19.

A cylinder-shaped element with flat or round ends forming protein; e.g. hyaline, RBC & waxy ___

a)

Crystals

b)

Casts

c)

Bacilli

d)

Spirochete

20.

Bilirubin in the blood is the 1st sign of ________ disease?

a)

Liver disease

b)

Kidney disease

c)

Heart disease

d)

Disease of the Pancreas

21.

Bacteria in urine makes an enzyme that changes _______ to _______ ?

a)

Nitrites to Nitrates

b)

Bilirubin to Urobilinogen

c)

Carbohydrates to Glucose

d)

Nitrates to Nitrites

22.

The average healthy adult's daily urine output, with adequate fluid intake, is ____ mL /24 hrs

a)

1150

b)

1200

c)

1250

d)

1300

23.

Which of the following is the most common urinary parasite?

a)

Staphylococcus aureus

b)

Trichomoniasis vaginalis

c)

Escherichia coli

d)

Streptococcus pneumonia

24.

Bacterial infections caused by ______ (genus) can cause loose, bloody, or mucus-tinged stools.

a)

Salmonella or Shingella

b)

Trichomoniasis vaginalis

c)

Staphloccous aureus

d)

Nosocomial infections

25.

Which of the following is suspected when a reagent urine strip for (HCG) shows a positive result?

a)

Polycystic kidney disease

b)

Diabetes Mellitus

c)

Pregnancy

d)

Sickle-cell Anemia

26.

When collecting a blood alcohol specimen, a(n) ____________ must be followed

a)

Protocol

b)

List of rules

c)

Chain of custody

d)

Chain of command

27.

The purpose of adding potassium hydroxide (KOH) to a cervical smear is to ____.

a)

dissolve epithelial cells and mucus

b)

stain any fungi that might be present for better visibility

c)

kill any bacteria that might be present

d)

provide a nutritious medium for any organisms in the wet mount

e)

stabilize the cervical cells

28.

Which of the following routine tests are most often performed at the physician's office laboratory (POL)?

a)

Chemistry and hematology

b)

Cytology and histology

c)

Serology and immunology

d)

Blood typing

29.

Sterilization, or eradication of all organisms on the surface of instruments and equipment before they can be used on patients or in a procedure, is performed by a(n) ____.

a)

Centrifuge

b)

Hemocytometer

c)

Photometer

d)

Autoclave

30.

A device for spinning a specimen at high speed until it separates into its component parts is a ____.

a)

Glucometer

b)

Centrifuge

c)

Photometer

d)

Volumetric beaker

31.

Which of the following uses light, concentrated through a condenser and focused through the object being examined, to project an image?

a)

Photometer

b)

Hemocytometer

c)

Optical microscope

d)

Glucometer

32.

Which of the following is designed to be lowered into a drop of immersion oil placed directly above the prepared specimen under examination?

a)

Dry objective

b)

Stage

c)

Oil-immersion objective

d)

Substage

33.

Which of the following support and position the specimen and prevent contamination of the microscope by the specimen?

a)

Focus controls

b)

Coverslip and slide

c)

Stage

d)

Objectives

34.

Patients with diabetes and clinical personnel use which of the following to monitor blood glucose levels?

a)

Hemocytometer

b)

Glucometer

c)

Centrifuge

d)

Photometer

35.

Which of the following is included in the guidelines for Standard Precautions?

a)

Transfer blood from one collection device to another with the use of a mouth pipette

b)

Wear eye protection and face masks when there is a risk that droplets or spray may come in contact with your eyes, nose, or mouth

c)

Wear the same gloves from patient to patient as you collect specimens for testing

d)

If a work surface becomes contaminated, disinfect it once a week.

36.

When testing specimens that may be contaminated with blood-borne or other pathogens, which of the following would apply?

a)

Use a mouth pipette to draw specimens

b)

Rock the stopper back and forth to transfer a blood specimen from one collection tube to another container

c)

Avoid working when you have cuts, lesions, or sores on your hands

d)

Work on an open counter when completing procedures that are likely to generate splashes of contaminated material

37.

Which of the following is an appropriate solution for cleaning a surface contaminated with blood, blood products, or body fluids?

a)

Hot water and soap

b)

Iodine

c)

20% ammonia

d)

10% bleach

38.

A quality assurance program ____.

a)

requires employees to receive training regarding workplace hazards

b)

is designed to monitor the quality of patient care a medical laboratory provides

c)

contains information about hazardous chemicals or other substances

d)

specifies standards that must be met in order to perform tests in a POL

39.

Which of the following was created in response to public concern over the accuracy of laboratory testing?

a)

Clinical Laboratory Improvement Amendments of 1988

b)

Certificate of Waiver Tests

c)

Safety Data Sheets

d)

Bloodborne Pathogens Standard

40.

Laboratories that perform high-complexity tests ____.

a)

will not significantly impact the patient if they perform or interpret the tests incorrectly

b)

can allow the patient to perform these tests at home

c)

must be run by a pathologist

d)

are not authorized to perform blood cell counts and cholesterol screening

41.

Which of the following are chemicals or chemically treated substances used in test procedures?

a)

Controls

b)

Objectives

c)

Standards

d)

Reagents

42.

A foreign object that is visible through a microscope, but is unrelated to the specimen and may be misinterpreted when the specimen is examined, is a(n) ____.

a)

Reagent

b)

Calibration

c)

Artifact

d)

Control

43.

Which of the following communications should be used when preparing a patient for a laboratory test?

a)

Avoid giving the patient test instructions if the patient has had the test before

b)

Let the patient be your guide in determining how much information to provide

c)

Use technical terminology and language when providing information about the test

d)

Use the patient's first name to establish a friendly atmosphere

44.

The abbreviation for milligram is ____.

a)

mL

b)

mcg

c)

mm

d)

mg

45.

A pap smear used to detect cervical cancer is sent to which department of a reference laboratory?

a)

Toxicology

b)

Cytology

c)

Histology

d)

Immunology

46.

Which urine specimen contains the greatest concentration of substances?

a)

First morning urine specimen

b)

Random urine specimen

c)

Timed urine specimen

d)

24-hour urine specimen

47.

Which of the following is the most common type of urine sample?

a)

Timed urine specimen

b)

Clean-catch midstream urine specimen

c)

Random urine specimen

d)

First morning urine specimen

48.

Which method of collecting a urine specimen is required when performing a urine culture to identify the number and the types of pathogens present?

a)

Timed urine specimen

b)

First morning urine specimen

c)

Clean-catch midstream urine specimen

d)

Random urine specimen

49.

Bilirubin in the blood is the 1st sign of ________ disease?

a)

Heart

b)

Pancreatic

c)

Liver

d)

Heart

50.

A cylinder-shaped element with flat or round ends forming protein; e.g. hyaline, RBC & waxy ___

a)

Crystals

b)

Bacilli

c)

Casts

d)

Spirochete

51.

Pulmonary function testing is done to measure & evaluate a patient's _______ ?

a)

Heart function

b)

Breathing ability

c)

Airflow

d)

Lung capacity and volume

52.

An instrument used to measure breathing capacity is called a ______?

a)

Forced Vital Capacity (VFC)

b)

Holter Monitor

c)

Spirometer

d)

Peak Expiratory Flow Rate (PEFR)

53.

The greatest volume of air that can be expelled when performing rapid, forced expiration is?

a)

Forced Vital Capacity

b)

Spirometry

c)

Calibration syringe

d)

Peak Expiratory Flow Rate (PEFR)

54.

Measurements taken to determine the amount of air that can be quickly forced from the lungs is?

a)

Forced Vital Capacity (VFC)

b)

Peak Expiratory Flow Rate (PEFR)

c)

Holter Monitor

d)

Spirometer

55.

A noninvasive test that measures the saturation of oxygen in a patient's arterial blood is?

a)

PEFR

b)

Arterial Blood gas draw

c)

FVC

d)

Pulse oximetry

56.

A pulse oximeter can be placed as a sensor on all except:

a)

Earlobe

b)

Finger

c)

Tongue

d)

Bridge of the nose

57.

A pulse oximetry reading of less than 95% indicates ______

a)

Hypoxemia

b)

Hypovolemia

c)

Hypoglycemia

d)

Hypotension

58.

Measuring low blood oxygen may help to diagnose what condition?

a)

Bacterial infection

b)

Sleep apnea

c)

Insomnia

d)

Hypoxemia

59.

An acceptable maneuver when using a spirometer include all of the following, except:

a)

No coughing, particularly during the first second

b)

An adequate length of time (a minimum of 6 seconds)

c)

Consistency with other maneuvers

d)

A quick and gentle start

60.

The 3 peak flow zone colors are _____?

a)

Red, yellow and green

b)

Red, yellow and blue

c)

Red, purple and blue

d)

Red, green and white

61.

_____ is the condition of having 2 separate poles, one positive and one negative

a)

Depolarization

b)

Apolarization

c)

Polarization

d)

Repolarization

62.

Depolarization and Systole both mean ______________?

a)

Contraction

b)

Subtraction

c)

Detraction

d)

Attraction of polar opposites

63.

Peak flow rates in the red zone indicate______?

a)

The air moves well through the large airways

b)

Narrowing of the largest airways has occurred and is a medical emergency

c)

Large airways are beginning to narrow and medication is needed

d)

Flow rate is less than 80%

64.

Peak flow rates in the yellow zone indicate _______?

a)

Flow rate is 60% - 90%

b)

The air moves well through the large airways

c)

Narrowing of the largest airways has occurred with symptoms of wheezing and shortness of breath

d)

Large airways are beginning to narrow and medication is needed

65.

Depolarization begins at the ______ and flow to the ventricles.

a)

AV node

b)

BA node

c)

SA node

d)

Left Atria

66.

Depolarization is always followed by a period of electrical recovery called ______?

a)

Electrical impulse

b)

Cardiac cycle

c)

Repolarization

d)

Depolarization

67.

Electrodes are placed on ______ areas of the body when performing an EKG.

a)

12

b)

11

c)

10

d)

6

68.

Standard leads are also called _______?

a)

Precordial

b)

Bipolar

c)

Unipolar

d)

Augmented

69.

Augmented leads are also called _______?

a)

Bipolar

b)

Standard

c)

Precordial

d)

Unipolar

70.

One small square on an ECG paper represents _____ seconds?

a)

0.04

b)

0.05

c)

0.06

d)

0.20

71.

Erroneous marks or defects on the tracking of an ECG are known as ______?

a)

Flaws

b)

Artifacts

c)

Imperfections

d)

Blemishes

72.

This is an example of what on an ECG strip?

a)

Somatic tremors

b)

An alternating current (AC) interference

c)

Wandering baseline

d)

Flatline

73.

Tracing lines with a series of small uniform, jagged spikes are called _____?

a)

Flatline

b)

Asystole

c)

AC interference

d)

Wandering baseline

74.

Artifacts called _____ happens due to muscle movement, shifting of position, tremors or talking.

a)

Somatic interference

b)

Wandering baseline

c)

Electrical activity

d)

AC interference

75.

_____ originate from ventricles. It occurs before regular heartbeats as a result of irritability.

a)

V-tach

b)

A-fib

c)

SA node

d)

PVC’s

76.

A _____ is used to determine electrical activity of a patient's heart over a 24-hour period.

a)

Hilter monitor

b)

Haulter monitor

c)

Cardiac monitor

d)

Holter monitor

77.

Which of the following is an example of an invasive diagnostic procedure?

a)

Mammography

b)

CT scan

c)

Angiography

d)

Ultrasound

e)

Standard X-ray

78.

Which of the following is characteristic of a noninvasive diagnostic procedure?

a)

It requires the radiologist to insert a catheter or wire into a blood vessel or organ.

b)

It requires surgical aseptic technique.

c)

It uses standard X-rays or ultrasound to view internal structures.

d)

It requires close monitoring of the patient because of the anesthesia.

e)

A contrast medium is injected into a vein before the procedure.

79.

Many contrast media contain _____.

a)

calcium

b)

iodine

c)

petroleum

d)

lead

e)

hydrogen peroxide

80.

A patient who is to receive an iodine contrast medium should be asked which of the following questions?

a)

"Are you allergic to eggs?"

b)

"Are you allergic to chocolate?"

c)

"Are you allergic to milk?"

d)

"Are you allergic to shellfish?"

e)

"Are you allergic to peanuts?"

81.

Which of the following uses a contrast medium and fluoroscopy to assist in the diagnosis of abnormalities or injuries in the cartilage, tendons, or ligaments of the joint?

a)

Arthrography

b)

Angiography

c)

Thermography

d)

Xeroradiography

e)

Lower GI series

82.

Which of the following is used to diagnose ulcers, diverticulosis, tumors, and motility problems of the esophagus, stomach, duodenum, and small intestine?

a)

Retrograde pyelogram

b)

Barium swallow

c)

Cholangiography

d)

KUB radiography

e)

Myelography

83.

Motility problems of the colon and rectum are diagnosed by _____.

a)

barium swallow

b)

gastrointestinal angiography

c)

barium enema

d)

stereoscopy

e)

KUB radiography

84.

Which diagnostic test is used to detect pyelonephrosis and hydronephrosis?

a)

Barium enema

b)

Xeroradiography

c)

Myelography

d)

Intravenous pyelogram

85.

Which procedure is diagnostic for irregularities or compressions of the spinal cord?

a)

Retrograde pyelogram

b)

Ultrasound

c)

Myelography

d)

Mammography

e)

Gastrointestinal angiography

86.

Which of the following is used to diagnose upper GI bleeding?

a)

Retrograde pyelogram

b)

Stereoscopy

c)

Ultrasound

d)

Myelography

e)

Gastrointestinal angiography

87.

Which procedure includes nonionizing radiation and a strong magnetic field to allow the physician to examine internal structures and soft tissues of any area of the body?

a)

Nuclear medicine

b)

Ultrasound

c)

Arthrography

d)

Magnetic resonance imaging

e)

Intravenous pyelography

88.

In which procedure does a radiologist instill barium sulfate through the anus into the rectum and then into the colon?

a)

Barium swallow

b)

Nuclear medicine imaging

c)

Barium enema

d)

Cholangiography

e)

KUB radiography

89.

Which of the following involves the oral administration of barium and is also called an upper GI series?

a)

Barium swallow

b)

Cholangiography

c)

Barium enema

d)

Retrograde pyelogram

e)

Myelography

90.

In which procedure does the X-ray camera rotate completely around the patient on a special table while the computer compiles one cross-sectional view from each rotation of the camera?

a)

MUGA scan

b)

Ultrasound

c)

Fluoroscopy

d)

Cholangiography

e)

CT scan

91.

For which diagnostic procedure should a patient take a special drink the night before to help outline the intestines?

a)

Barium enema

b)

CT scan of the abdomen and pelvis

c)

Barium swallow

d)

Nuclear medicine scan

e)

Retrograde pyelography

92.

The diagnostic procedure performed by a radiologist, who injects the contrast medium through a urethral catheter and then takes a series of X-rays to evaluate the function of the ureters, bladder, and urethra, is a(n) _____.

a)

KUB

b)

intravenous pyelography

c)

retrograde pyelography

d)

abdominal CT scan

e)

cholecystography

93.

Which diagnostic procedure is an X-ray examination of the internal breast tissues?

a)

Myelography

b)

Cholecystography

c)

Mammography

d)

Fluoroscopy

e)

Cholangiography

94.

Which of the following should be included in the instructions given to a patient who is going to have a closed machine MRI?

a)

Tell the patient to follow an all-liquid diet the day before the procedure

b)

Explain that the table will be placed inside a long, narrow tube about 22 inches in diameter and that he will hear a loud knocking noise as the machine scans

c)

Instruct the patient that he will be drinking a barium sulfate drink that tastes chalky and resembles a milk shake

d)

Tell the patient that the physician may order a laxative to prevent constipation

e)

Tell the patient to consider avoiding caffeine for 14 days prior to the procedure

95.

For which diagnostic procedure would it be important for you to ask if the patient is a metalworker?

a)

Ultrasound

b)

KUB

c)

Cholecystography

d)

Myelography

e)

MRI

96.

The medical assistant should instruct women not to wear eye makeup when having which diagnostic procedure because eye makeup often contains metallic ingredients.

a)

Mammography

b)

Ultrasound

c)

Myelography

d)

Magnetic resonance imaging

e)

Nuclear medicine

97.

The entire body may be scanned for "hot spots" or places where the radioisotope is concentrated, in which procedure?

a)

Nuclear medicine scan

b)

CT scan

c)

Ultrasound

d)

MRI

e)

Standard X-ray

98.

The diagnostic procedure that directs high-frequency sound waves through the skin over the area of the body being examined and produces an image based on the echoes is called _____.

a)

cholecystography

b)

a CT scan

c)

ultrasound

d)

an MRI

e)

nuclear medicine

99.

Which of the following is used to treat cancer by preventing cellular reproduction?

a)

Nuclear medicine

b)

Ultrasound

c)

CT

d)

Stereotactic radiosurgery

e)

Radiation therapy

100.

A dosimeter is _____.

a)

a form of radiation therapy that allows deep penetration and is used primarily for deep tumors

b)

the scanner used in nuclear medicine

c)

a radiation exposure badge that registers the levels of radiation to which a medical staff member is exposed

d)

the screen that displays images from high-intensity light that is directed through soft tissue

e)

a machine used to administer therapeutic radiology