2023 Flashcards

1
Q

Semi-automated machine used in urine analysis that produces color

A

Spectrophotometry

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2
Q

Identify the three layers of the meninges from the innermost, middle, and outer most membranes:
a. Pia mater, Dura mater, Arachnoid
b. Pia mater, Arachnoid, and Dura mater
c. Dura Mater, Arachnoid, and Pia mater
d. Arachnoid, Pia mater, and Dura mateInnermost to outermost layer

A

B

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3
Q

Which of the following analytes in urine are not affected by improper storage?
a. Ketone
b. Bilirubin
c. Proteins
d. Nitrite

A

C

Note: Source Graffts
- Ketones: destroyed by volatilization
- Nitrites: decrease as bacteria convert nitrite to
nitrogen
- Bilirubin: decrease due to photooxidation. Converted to biliverdin at exposure to sunlight.

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4
Q

Physical characteristics of urine not included in result or reporting:
a. Foam
b. Odor
c. Color
d. Volume

A

A

Note:
- Odor could be reported as:
- Ammoniacal: alkaline
- Aromatic: acidic

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5
Q

Interferes with drugs and hormonal analysis?

A. Formalin
B. Sodium fluoride
C. Boric acid
D. Commercial tablet

A

C.

Formalin - preservative for addis count
Sodium fluoride - good preservative for drug
Commercial tablet - 1 tablet/ 30 mL, convenient when refrigeration is not possible

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6
Q

Which of the following is the preferred urine collection for a pregnancy test?
a. Random urine specimen
b. 24-hour urine
c. First-morning urine
d. Midstream Clean Catch

A

C

It is essential for preventing false-negative pregnancy tests and for evaluating orthostatic proteinuria

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7
Q

Which does not cause dark brown urine?
a. Nitrofurantoin
b. Clorets
c. Vit. B complex
d. Concentrate sample

A

B

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8
Q

CSF Results in meningitis
a. Increased CSF glucose and decreased CSF protein
b. Increased CSF glucose and Increased CSF protein
c. Decreased CSF glucose and increased CSF protein
d. Decreased CSF glucose and decreased CSF protein

A

C

Note: Checkpoint
- Increased levels of glucose is seen in: DM, encephalitis, and conditions associated with intracranial pressure

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9
Q

What test needs to be performed first if the CSF sample is inadequate?
a. Serology
b. Hematology
c. Microbiology
d. Chemistry

A

C

Note: For low volume specimens = Microbiology first, Hematology, and Chemistry/Serology

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10
Q

Degradationproductsoffibrinandcanhelpto differentiate between traumatic tap and CNS hemorrhage:
a. CSF Lactate
b. CSF Glucose
c. CSF Chloride
d. CSF D-dimers

A

D

Note:
Hemorrhage = Positive in CSF D-dimer Traumatic tap = Negative

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11
Q

XanthochromiaiscausedbyEXCEPT
a.High protein concentration b.Pyelonephritis
c.Blood
d.Bilirubin high concentration

A

B

All of the following can cause xanthochromia in CSF:
● Elevated serum bilirubin
● Presence of carotene
● Markedly increased protein
● Melanoma pigment
● Immature liver function (common in infants)

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12
Q

Whichoftheff.willnotcauseabnormalhighSG -iatrogenic cause?
a. Dextran
b. Protein
c. Radiographic dye
d. Talcum powder

A

D

Abnormally high results—above 1.040—are seen in patients who have recently undergone an intravenous pyelogram. This is caused by the excretion of the injected radiographic contrast media. Patients who are receiving dextran or other high-molecular-weight intravenous fluids (plasma expanders) also produce urine with an abnormally high specific gravity. Possible answer is talcum powder
Answer: Radiographic dye

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13
Q

Which of the ff disease produce a fruity odor
a. Phenol medication - menthol-like odor
b. MSUD - mapple syrup/ burnt sugar
c. Asparagus intake - unusual/pungent
d. STARVATION

A

D

Phenol medication - menthol-like odor
MSUD - mapple syrup/ burnt sugar
Asparagus intake - unusual/pungent

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14
Q

What is the urine output of an edematous patient?
a. Oliguria
b. Anuria
c. Polyuria
d. Normal

A

C

The onset of edema (swelling) in the legs due to venous insufficiency can be subtle and gradual, even taking years to develop noticeably, with frequent nighttime urination trips increasing over time.

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15
Q

Color of urine if taking phenazopyridine?

A

Red-orange brown

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16
Q

Whatistheurinecolorwhenmyoglobinispresentin the urine?
a. Clear red
b. Port wine
c. cloudy/turbid
d. Red and clear urine

A

D

Note:
- Hematuria: red and cloudy urine
- Hemoglobinuria and/Myoglobinuria: red and clear urine

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17
Q

Healthyvaginaldischargeduringpregnancythatis thin, clear or milky white
a. Leukorrhea
b. Pyuria
c. Cervical mucus
d. Portfolio

A

A

During pregnancy, the vagina secretes a thin, milky-white discharge called leukorrhea, it usually consists of sloughed-off dead cells and tissue.

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18
Q

Levels of hG during pregnancy usually are expressed in relation to days or weeks after
a. Last normal menstrual period (LNMP).
b. 2nd and 3rd trimester
c. First Trimester
d. First Missed Menses

A

A

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19
Q

Units used in measuring hCG?

A. IU/mL
B. mg/mL
C. mmol/L
D. ng/mL

A

A

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20
Q

First to use bioassay in 1928?
a. Galli-Mainini (Spermatogenesis)
b. Frank-Bermann (ovarian hyperemia)
c. Ascheim-Zondek (first test for hCG)
d. Friedmann

A

C

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21
Q

Urates-uroerythrin pink sediments; Urobilin-orange brown fresh urine

A

Answer:Firststatementiscorrect,Second statement is wrong (yellow-orange instead of orange-brown)

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22
Q

Polyuria-excretionof3litersormoredueto excessive sweating. Anuria- due to insufficient renal blood supply.
a. First correct, second wrong
b. Second wrong, first correct
c. Both wrong
d. Both correct

A

Answer: First wrong, second correct

Rationale:
Brunzel pg. 80: Polyuria is excretion of
>3L/day and can be due to excessive water intake. Si Oliguria ang sa excessive sweating, diarrhea, and vomiting. Any condition that decreases blood supply to the kidneys can cause oliguria and eventually anuria if not corrected

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23
Q

Refrigerated urine specimens turned thick with uric acid crystals. Fresh urine is clear if you use the midstream Clean catch technique.
a. First correct, second wrong
b. Second correct, first wrong
c. Both wrong
d. Both correct

A

B

Note:

Refrigerated urine specimens cause precipitaton of amorphous deposits (amorphous urates/phosphates)

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24
Q

Purpose of kleihauer betke test?
a. Fetal hemoglobin
b. Maternal hemoglobin
c. Acetylcholinesterase

A

A

Rationale:
A Kleihauer-Betke test is used to quantitate the number of fetal Rh-positive cells in the maternal circulation as a result of fetomaternal hemorrhage.

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25
Q

Bothamnioticfluidandserumlevelsarereportedin terms of multiples of the mode (MoM). The mode is the laboratory’s reference level for a given week of gestation.

a. First statement is correct. Second statement is wrong.
b. First statement is wrong. Second statement is correct.
c. Both statements are correct.
d. Both statements are wrong.

A

D

Note: Strasinger p. 248: Both serum and amniotic fluid AFP levels are reported in terms of multiples of the median (MoM). The median is the laboratory’s reference level for a given week of gestation.

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26
Q

pH of 6.5 specific gravity decreases due to bromothymol blue.
Specific gravity is used to confirm low concentrations of substances.

a. First statement is correct. Second statement iswrong.
b. First statement is wrong. Second statement is correct.
c. Both statements are correct.
d. Both statements are wrong.

A

B

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27
Q

Specimen cup is washed with formalin to preserve cells and casts. Sodium fluoride is used as specimen preservative for drug test
a. First correct, second wrong
b. Second correct, first wrong
c. Both wrong
d. Both correct

A

B

Rationale:
- When preserving urine specimens using formalin, 1 drop of formalin is added to a 30 mL urine.

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28
Q

24-hour urine specimen collection starts and ends with an empty bladder. Suprapubic aspiration specimen used for cytological studies.
a. First correct, second wrong
b. Second correct, first wrong
c. Both wrong
d. Both correct

A

D

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29
Q

Which among the following will cause an unusual odor in urine?
I.Onion
II. Garlic
III. Asparagus
IV. Rhubarb

A

Answer: choices na may I,II,III

Rationale:
- Asparagus is notorious for making urine smell like sulfur after you eat it. Our body converts the asparagusic acid it contains into sulfur- containing chemicals. These chemicals leave the body through urine, causing the distinct sulfur smell. Eating large amounts of onions or garlic can also cause this odor. Foods such as beets, fava beans, blackberries and rhubarb can turn urine reddish, or sometimes dark brown

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30
Q

WhichisTRUEaboutamnioticfluidspecimen collection and handling:

1.Immediately after collection, the fluid is dispensed into sterile glass specimen containers
2.All amniotic fluid samples for chemical analysis that must be stored for any length of time must be centrifuged.
3.Specimen for bilirubin analysis must be protected from air moisture.
4. Specimens for phospholipid analysis should be transported on ice and centrifuged

a. 2and4
b. b. 1 only
c. c. 1,2,3, & 4
d. d.1and3

A

A

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31
Q

Diabeticketoacidosisiswhatformofacidbase disorder?
a. Metabolic Alkalosis
b. Metabolic Acidosis
c. Respiratory Alkalosis
d. Respiratory Acidosis

A

B

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32
Q

What is the unit used in releasing micral test result?
a. mg/L
b. mg/dL
c. g/L
d. g/dL

A

B

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33
Q

Which of the following is the greatest source of error in the Glucose Reagent Strip?
a. Low Temperature
b. Improper Storage
c. High Specific Gravity
d. Ascorbic Acid

A

D

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34
Q

A Watson-Schwartz test was performed, results showed red chloroform. What does the compound contain?

A. Erlich substances and phosphobilonogen
B. Phosphobilonogen only
C. Erlich subtsances and urobilonogen
D. Urobilinogen

A

D

Note:
- Watson -Swartz test is a classic test used to
differentiate urobilinogen from porphobilinogen. Based on solubility characteristics with respect to pH and solvent type.
- Urobilinogen is SOLUBLE in both butanol and chloroform, producing red color.

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35
Q

The process of spermatozoa formation is under control of all of these hormones EXCEPT:
a. Follicle-stimulating hormone
b. Testosterone
c. Human chorionic gonadotropin
d. Luteinizing hormone

A

C

36
Q

Test Identify which test is useful in evaluating the presence of infection in the spermatic vessels:
a. Carnitine
b. Glycerophosphocholine
c. Malondialdehyde acid
d. Polymorphonuclear granulocyte elastase

A

D

37
Q

Cetyltrimethylammoniumbromide(CTAB)isusedto detect what metabolic disorder
a. Purine disorder
b. Mucopolysaccharide disorder
c. Cystine disorder
d. –

A

B

Note:

CTAB test, a thick, white turbidity forms when reagents are added to urine that contains mucopolysaccharides. Turbidity is usually graded on a scale of 0 to 4 after 5 minutes

38
Q

What test is used to confirm sulfonamide in urine?

A

Lignin test

Note

Two steps should be followed to confirm the presence of sulfa crystals.
- If possible, contact the nursing station (if the urine is from an inpatient) to verify that the patient is taking sulfa medication.
- An older test to help identify sulfonamides is the lignin test

39
Q

Foulsmellingmassesofbacteria,minutedirty grayish,andfattyacidcrystalsseeninsputumwith pulmonary gangrene and fetid bronchitis.
1.Curschmann’s spirals
2. Cheesy masses
3. Ditt-rich plugs
4. Traube plug

a. 3 only
b. 1and2
c. 3and4
d. 1,2,3,and4

A

C

Note: Dittrich plugs are minute, dirty grayish, foul smelling masses of bacteria. Synonym: Traube plugs (From Internship notes)

40
Q

Whatanalyteinreagentpadis/areincreasedinliver disease and hemolytic disorders?

A

Urobilinogen

41
Q

Which is TRUE about amniotic fluid specimen collection and handling:
1.Immediately after collection, the fluid is dispensed into sterile glass specimen containers
2.All amniotic fluid samples for chemical analysis that must be stored for any length of time must be centrifuged. 3.Specimen for bilirubin analysis must be protected from air moisture.
4.Specimens for phospholipid analysis should be transported on ice and centrifuged

a. 2and4
b. 1 only
c. 1,2,3, & 4
d. 1and3

A

A

Note: Immediately after collection, the fluid is dispensed into sterile plastic specimen containers. Glass containers are less desirable as cells have more of a tendency to adhere to the glasssurface

42
Q

Positive results a blood reagent pad
a. Pyelonephritis
b. Strenuous exercise
c. Muscle trauma
d. Crenated RBC

A

D

Note: High SG with crenated RBCs = false negative blood reagent pad

43
Q

Decreasedspermviabilitymaybesuspectedwhena specimen shows this findings
a. None of the above
b. Decreased sperm concentration with
decreased motility
c. Increased sperm concentration with
increased motility
d. Normal sperm concentration with markedly decreased motility.

A

D

Note: Not sure if viability and vitality are the same. B is also possible
Sperm vitality/Sperm viability (same)

44
Q

Asthenospermiadawangconditionsavasectomy eme. Tapos even a single sperm is considered a successful vasectomy.

A

Both statements are wrong

Note:Asthenozoospermia(orasthenospermia)isthemedical term for reduced sperm motility.

45
Q

Chemical leukocyte esterase test detects acetic acid. The presence of Yeast cells causes a positive glucose test.
a. First correct, second wrong
b. Second wrong, first correct
c. Both wrong
d. Both correct

A

C

Note

  • Leukocyte esterase detects the presence of esterase in neutrophils.
  • Yeast does not cause glucose test to be positive since yeast is the only consequence of high blood sugar. High blood sugars can easily feed the growth of yeast. When there’s excess sugar in the blood, there will inevitably be excess sugar in urine which leads to the overgrowth of yeast.
46
Q

ProcedurefortheFoamShakeTest.
Choose the correct Number:
1. Allow to sit undisturbed for 15 minutes.
2. Vigorously shake for 15 minutes.
3. Mix equal parts of amniotic fluid with 95% ethanol
4. Observe the presence of a continuous line of bubbles around the outside edge.

a. 3,2,1, and 4
b. 1,2,3, and 4
c. 2,4,3 and 1
d. 4,3,2and1

A

A

47
Q

Testinglipidsinserousfluidsishelpfulin differentiating chylous and pseudochylous effusions. Triglycerides are lower in pseudochylous effusions, while cholesterol is higher in chylous effusion.
a. First correct, second wrong
b. Second wrong, first correct
c. Both wrong
d. Both correct

A

A

Note: Cholesterol is absent in CHYLOUS effusions.

48
Q

Serousfluidamylaseisincreasedin:

  1. Bowel necrosis
  2. Pancreatitis
  3. Esophageal Perforation
  4. Metastatic adenocarcinoma

A. 1, 2, 3, 4
B. 2 only
C. 3, 4
D. 1, 2

A

A

49
Q

Uromodulin is produced in the ascending loop of Henle. Fanconi syndrome is tubular Reabsorption w/ defect in reabsorption.
a. First correct, second wrong
b. Second correct, first wrong
c. Both wrong
d. Both correct

A

D

50
Q

Presenceofescherichiacoliresultsinacidicurine. High vegetable diet causes alkaline urine.

a. First correct, second wrong
b. Second wrong, first correct
c. Both wrong
d. Both correct

A

D

Ratio

  • Higher fruit and vegetable and lower meat intake were related to more alkaline urine.
  • Urine with E. coli and K. pneumoniae exhibited the most acidic pH.
  • Very alkaline urine (pH > 7.0) is suggestive of infection with a urea-splitting organism, such as Proteus mirabilis.
51
Q

Crystals that are needle shaped and may be seen in synovial fluid following intra articular injections:

A. Corticosterid crystals
B. Monosodium urate (MSU) crystals
C. Cholesterol crystals
D. calcium pyrophosphate dehydrate (CPPD) crystals

A

A

Note

Primary crystals seen in synovial fluid are
monosodium urate (uric acid) (MSU), found in cases of gout, and calcium pyrophosphate dihydrate (CPPD), seen with pseudogout.
- MSUD: Needle shape, negative birefringence
- CPPD: Rhomboid square, rods, positive difringence

52
Q

Abdominal na may blunt cases

A

Peritoneal lAvage

53
Q

Bridgette is a vegetarian, had a red urine but negative for presence of blood

A

Large amount of beefs

54
Q

What to do with a sample without label but with requisition slip (situational question)
a. Call the nurse and ask to label the specimen
b. admit to hospital
c. give instructions, refrigerate
d. Throw away the sample

A

D

55
Q

Thenasogastrictubepassestothemouth, esophagus and stomach. It has a thin tube inserted to assess stomach contents.
a. First sentence is true, second statement is false
b. Second statements is true, first statement is false
c. Both statements is true
d. Both statement is false

A

B

Rationale: Nasogastric tubes are typically used for decompression of the stomach in the setting of intestinal obstruction or ileus, but can also be used to administer nutrition or medication to patients who are unable to tolerate oral intake. It passes to the nasal passage first.

56
Q

Advantage of guaiac test over other fecal occult blood test?
a. Do not require a diet
b. Not overly sensitive
c. Most specific
d. Most sensitive

A

B

57
Q

Indicator dye bound to resin given orally to tubeless gastric analysis
a. Azure B
b. AzureA
c. Diagnex Blue
d. lipat

A

B

Rationale:
- The rationale of tubeless analysis depends on the use of a dye, azure A, which is released from a cation exchange resin by free hydrochloric acid in the stomach.

58
Q

Which urinary sediment can be used as a reference point in focusing a microscope?
a. urinary crystals
b. epithelial cells
c. mucus threads
d. casts

A

B

59
Q

A Novice microscopist can misidentify fibers for what type of cast
a. Granular cast
b. Waxy cast
c. Bacteria
d. Epithelial cell

A

A

Note:
- Hyaline cast and Granular cast can be confused with
fibers.

60
Q

Accessory digestive organ includes all of these EXCEPT:
a. Pancreas
b. Pharynx
c. Spleen
d. Gallbladder

A

Spleen

Note: Pharynx is part of respiratory and digestive system

61
Q

Lactic acid can be seen in the gastric fluid and becomes positive when ingesting sweet milk. Formed from carbohydrate when lactic acid forming bacteria called Boas Oppler-Bacillus.

a. First statement is correct, second statement is incorrect
b. First statement is wrong, second statement is correct
c. Both statements are correct
d. Both statements are wrong

A

C

62
Q

Choose the correct normal appearance of vaginal fluid:
a. White or gray appearance
b. White and flocculent discharge
c. Cottage cheese appearance
d. Yellow green frothy discharge

A

B

63
Q

EnhancesthenucleardetailofWBC

A. 2%Acetic acid
B. Toluidine Blue
C. A and B
D. All of the above

A

C

64
Q

At 6.0 pH, this is crystal is present?

A

Uric acid

65
Q

Whathormonedeficiencyduringmenopausal chuchu causes atrophic vaginitis?
a. Progesterone
b. FSH
c. Estrogen
d. Testosterone

A

C

66
Q

Traditional procedures for the diagnosis of rupture of fetal membranes/ROM includes:
1 Nitrazine test
2 Bacterial culture
3 Pooling of amniotic fluid observed during speculum examination
4 Ferning test

a. 1,2,3,and 4
b. b.1,3,and4
c. c.1and4
d. d. 3 only

A

B

Graff’s p. 255:
- Traditional procedures for the diagnosis of ROM include pooling of amniotic fluid observed during speculum examination, nitrazine test, and a ferning test.

67
Q

Melanoptysis gives color of phlegm due to smoking and fungal infection?

A

Black

68
Q

Having trouble getting enough sputum specimens. These two procedures help?
1) tap your chest or back of?
2) drink plenty of water
3) take a breath on a steam chuchu
4) take a deep a breath, then cough forcefully

a. 2,3
b. 1,4
c. 1,3
d. 2,4

A

B

69
Q

A woman asked for instructions on how to collect a 24-hr urine if she lives 1 hour away from the laboratory. (case analysis – question & choices not exact words)
a. Remain in hospital for proper collection
b. Instruct how to collect properly and transport with ice
c. Reject specimen
d. Ask advice from chief med tech

A

B

70
Q

A 2y/o boy complains of painful urination. What method should be used in collecting?

A. Parents must perform manual collection
B. Parents can request for Suprapubic aspiration
C. Use catheter for collection
D. Urine collection bag

A

D

71
Q

Chemical composition of Sputum:
1. Sialic acid which contributes to its high viscosity.
2. Glycoproteins which contribute to its viscoelastic property.
3. Proteins like immunoglobulins.
4. Lipids and enzymes.

a. 1,2,3,and4
b. 2 only
c. 3and4
d. 1and3

A

A

72
Q

Yellow wavy threads, coiled into balls or seen in bright colorless w/central line

A. Curschmanns spirals
B. Cascous masses
C. Dittrich plugs
D. Fat globules

A

A

73
Q

Sputumorphlegmiscoughedupfromthebronchi, bronchioles, and trachea rather than glands in the mouth and throat. Composed of secretions, exudations, and exfoliators of the bronchopulmonary tree.

a. First statement is correct, second statement is incorrect
b. First statement is wrong, second statement is correct
c. Both statements are correct
d. Both statements are wrong

A

C

74
Q

Condition of a person that tends to sweat up to five times more than the average person or experiencing excessive/heavy sweating:
a. Anhidrosis
b. Anhydrosis
c. Hyperhidrosis
d. Hypohidrosis

A

C

Rationale:
• Anhidrosis – little or no sweat
• Anhydrosis – wrong spelling
• Hypohidrosis – little or no sweat

75
Q

Name the different types of Tears?
I. Basal Tears
II. Emotional Tears
III. Reflex tears
IV. Psychic Tears

A

AOTA

Rationale:
- Other term for Emotional tears: Psychic tears

76
Q

What is being tested for sexually transmitted disease that is used worldwide using saliva?
a. Hepatitis B antigen
b. Hepatitis B antibody
c. Antibodies for HIV
d. VDRL

A

C

77
Q

What casts are present in the urine after strenuous exercise?
1. Waxy cast
2.Broadcast
3. RBC Cast
4. Hyaline Cast

A

3&4

78
Q

What is the correct order of procedure for Schirmer’s Test?
1 - A small strip of paper is placed inside the lower eyelid
2 - The eyes are closed for 5 minutes
3 - the paper is removed and the amount of moisture is measured
4 - A topical anesthetic is placed inside the eye to prevent tears due from irritation from the paper

A

4,1,2,3

79
Q

In the first step in stimulating sweat, identify which drug that stimulates sweat?
a. Saline
b. Botulinum toxin
c. Pilocarpine
d. Insulin

A

C

80
Q

WhichisTRUEaboutthe3Typesofthemajor Salivary Glands:
1 Sublingual glands are the smallest of the major salivary glands.
2 Submandibular glands are smaller than the parotid glands.
3 Parotid glands are the largest salivary glands.
4 There are 2 parotid glands, one in front of each ear on either side of the face.

a. 4 only
b. 1and2
c. 2 and 3
d. 1,2,3,and4

A

D

81
Q

Thestudyofbodyfluidsisofmultispecialityand multidisciplinary field in the technical science. In general, studies of body fluids are most helpful to assess malignancy, inflammation, hemorrhage, and infection.
A. First statement is correct. Second statement is wrong.
B. First statement is wrong. Second statement is correct.
C. Both statements are wrong.
D. Both statements are correct.

A

B

Seminar Notes: It is a multidisciplinary & multispecialty field of medical science

82
Q

Abnormalcrystalareiatrogeniccause
A. Sulfonamides
B. Radiographic dyes
C. Bilirubin
D. Cholesterol

A

A

iatrogenic caused by medication

83
Q

Many metabolic by-products of Inborn errors are most commonly seen in?
A. Urine
B. CSF
C. Blood
D. Mucus

A

C

84
Q

The 18yr. Old boy is rushed to the emergency room with a broken leg that occurs during a basketball game.Routine urinalysis results are as follows.
Clarity- hazy
Color-dark straw
Protein-2+
Ph- 5.5
Sg- 1.028
Wbc- 0-2/hpf
What is observed when urine is examined under the microscope?

a. Waxy and broadcast
b. Wbc cast
c. Granular and hyaline cast
d. Epithelial cell cast

A

C

85
Q

What type of microscope is used to differentiate T. vaginalis, Renal tubular epithelial cells, tubular epithelial cells?

a. Polarized microscope
b. Phase contrast microscope
c. Bright-field microscope
d. Electron microscope

A

B

86
Q

The most common infectious agents that can enter the synovial fluid includes:
a. Mycobacterium
b. Bacteria
c. Virus
d. protein

A

B