CC Sir Jed Flashcards

1
Q
  1. Triglyceride conversion to SI

a. Use 0.0595
b. 0.0026
c. 12.9
d. 0.0113

A

d. 0.0113

Pneumonics:
TRI - 3

a. Uric Acid
b. 0.026 Cholesterol
c. Tyroxine

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2
Q
  1. DECREASE during exercise:
    i. cholesterol
    ii. TAG

a. Both correct
b. Both incorrect
c. I
d. II

A

a. Both correct

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3
Q
  1. Speeds up the rate of chemical reaction but is not being produced or consumed in the reaction?

a. enzyme
b. catalyst
c. both a and b
d. nota

A

c. both a and b

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4
Q
  1. First step in sample collection

a. Prepare the equipment
b. patient identification
c. Order of draw
d. Chain of custody

A

b. patient identification

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5
Q
  1. Chief counter ion of sodium in ECF being the only anion that serves as enzyme activator?

a. Potassium
b. Magnesium
c. Chloride
d. Bicarbonate

A

c. Chloride

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6
Q
  1. Proper degree angle for arterial puncture?

a. 15-30
b. 45-60
c. 90
d. 25

A

b. 45-60

15-30 for VENIPUNCTURE

ARTERIAL punture cannot be done by RMT unless trained and attended seminars for this technique

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7
Q
  1. This centrifuge is much FASTER due to LESS air resistance with GOOD pellet formation
    a. Swinging bucket
    b. horizontal rotor
    c. Fixed
    d. NOTA
A

c. Fixed

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8
Q
  1. The ff. will INCREASE during exercise

a. Glucose
b. cholesterol
c. TAG
d. Lactic acid

A

d. Lactic acid

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9
Q
  1. Fist clenching will cause false elevation of this electrolyte?

a. Potassium
b. Calcium
c. Sodium
d. Chloride

A

a. Potassium

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10
Q
  1. A BRIGHT RED blood pulsates during venipuncture, what is the first thing to do?

a. Call the supervisor
b. Apply pressure on the site
c. Stop the extraction
d. Ignore and continue the extraction

A

c. Stop the extraction

meaning you have hit an ARTERY

if you have experience this follow the steps:
c, b, a

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11
Q
  1. 10% contamination w/ 5% dextrose increase glucose measurement to?

a. 300mg/dL
b. 500 mg/dL
c. 150 mg/dL
d. 450 mg/dL

A

b. 500 mg/dL

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12
Q
  1. A blood sample was placed in EDTA for ELECTROLYTES study, the ff. is expected

a. Increase Na and Fe
b. Decrease Fe and Ca
c. Decrease Na and K
d. Increase Fe and Ca

A

b. Decrease Fe and Ca

Pneumonics:
NaK = INCREASE
CaFe = DECREASE

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13
Q
  1. Ability to detect the proportion of individuals with that disease who test positive for the disease

a. Diagnostic sensitivity
b. Diagnostic specificity
c. Sensitivity
d. Specificity

A

a. Diagnostic sensitivity

b. do not have disease; negative test

c. measures smallest concentration; for SCREENING TEST
d. detects only the analyte of interest; for CONFIRMATORY TEST

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14
Q
  1. A comprehensive program in an institution in which ALL AREAS of operation are monitored to ensure quality with the aim of providing the highest quality PATIENT CARE.

a. Quality control
b. Quality assurance
c. Quality management
d. External Quality control

A

b. Quality assurance

All areas namely Pre Analytical, Analytical and Post Analytical

a. Quality Control is Analytical ONLY

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15
Q
  1. What is the MOST SPECIFIC method as well as the REFERENCE METHOD for glucose testing?

a. glucose oxidase
b. Polarographic glucose oxidase
c. Hexokinase
d. HbA1c

A

c. Hexokinase

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16
Q
  1. It reflects LONG-TERM glucose control?
    a. Hba1c
    b. Fructosamine
    c. HPLC
    d. Hexokinase
A

a. Hba1c

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17
Q
  1. Errors that are consistent in one direction or vary in a predictable way?

a. Systematic error
b. Random error
c. Clerical error
d. Shift

A

a. Systematic error

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18
Q
  1. What is the reference method for QUANTIFICATION of lipoproteins?

a. Electrophoresis
b. Ultracentrifugation
c. Abell Kendal
d. Van Handel

A

b. Ultracentrifugation

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19
Q
  1. One control exceeds the + 2SD and the other exceeds -2SD?

a. 12s
b. 13s
c. 41s
d. R4s

A

d. R4s

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20
Q
  1. What is the HAPTOGLOBIN LEVEL in haemolytic anemia?
    a. Normal
    b. High
    c. Low
    d. It depends
A

c. Low

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21
Q
  1. True about type 1 DM
    i. Found among children
    ii. Absolute insulin deficiency

a. Both correct
b. Both incorrect
c. i only
d. ii only

A

a. Both correct

all ages but most common in children

22
Q
  1. What is the patient prep for argentaffinoma test?

a. Don’t drink water
b. Don’t eat banana
c. 8 hrs fasting
d. Supine position for 20 minutes

A

b. Don’t eat banana

Banana - High serotonin

Argentaffinoma - High serotonin

23
Q
  1. The ff. will lead to FALSE DECREASE blood glucose except

a. Leukocytosis
b. Bacterial contamination
c. Uncapped specimen
d. NOTA

A

c. Uncapped specimen

24
Q
  1. Which among the ff. follows the correct order of draw

a. Red top, Light blue top, and Green top
b. Light blue, Green top, and Gray top
c. Yellow bottle, Lavender top , and Light blue top
d. Red plastic top, red glass top, and Gray top

A

b. Light blue, Green top, and Gray top

Y, B, R, G, P/P, G

Yellow - blood culture
Blue - citrate
Red - glass and plastic
Green - heparin
Purple/Pink - EDTA
Gray - sodium chloride

25
Q
  1. CSF should be collected

a. 1 hr after blood glucose
b. 1 hr before blood glucose
c. immediately after blood glucose
d. 30 min before blood glucose

A

a. 1 hr after blood glucose

26
Q
  1. Antiseptic agent for ethanol test

a. bleach
b. betadine
c. Benzalkonium chloride
d. Isopropanol

A

c. Benzalkonium chloride
Aka Zephiran chloride

27
Q
  1. The higher the Standard deviation

a. the more precise control values
b. the less precise control values
c. the less accurate control values
d. the more accurate control values

A

b. the less precise control values

SD and CV are inversely proportional /= to Precision

28
Q
  1. A glycogen storage disease that improves with age?

a. Tarui
b. Hers
c. Anderson
d. McArdle

A

b. Hers

Pneumonics:
Her-age
TaRUI-hyperuricemia

Anderson - esophageal varices (pagputok ng ugat sa esophagus)
McArdle - muscle myoglobinuria

29
Q
  1. It is called geneticist nightmare

a. Type II DM
b. Type I DM
c. Nephrotic syndrome
d. Multiple myeloma

A

a. Type II DM

30
Q
  1. Cut-off for serum cholesterol age 40 yrs old and above who will have a HIGH RISK for atherosclerosis

a. >220 mg/dL
b. >200 mg/dL
c. >240 mg/dL
d. >260 mg/dL

A

d. >260 mg/dL

c.>240 mg/dL for moderate risk

31
Q
  1. Fasting hours for lipoprotein analysis?

a. 8-12 hrs
b. 10-12 hrs
c. 12-14 hrs
d. 8 to 10 hrs

A

c. 12-14hrs

Most afected by fasting in lipoprotein analysis is TAG

32
Q
  1. Formula for LDL-C:

a. Total cholesterol – HDL
b. Total cholesterol + (HDL-VLDL)
c. None of the choices
d. Total Cholesterol – HDL – TAG/5 or 2.175

A

d. Total Cholesterol – HDL – TAG/5 or 2.175

33
Q
  1. This is the CREAMY layer on top of non fasting patient’s sample; the largest but LEAST DENSE lipoprotein
    a. VLDL
    b. LDL
    c. HDL
    d. Chylomicron
A

d. Chylomicron

34
Q
  1. Most commonly used dye for albumin determination?

a. BCG
b. BCP
c. HABA
d. Methyl orange

A

a. BCG

b. BCP - most specific for Albumin

35
Q
  1. NCEP values for TAG?

a. 5%
b. 3%
c. 4%
d. NOTA

A

a. 5%

36
Q
  1. Serum protein/s that are negative APR

a. Transferrin
b. Albumin
c. both a and b
d. NOTA

A

c. both a and b

37
Q
  1. What is the blood and urine Urobilinogen of patient with complete bile duct obstruction

a. Absent
b. High
c. Low
d. Normal

A

a. Absent

38
Q
  1. Protein for renal tubular integrity?

a. Cystatin C
b. B2 microglobulin
c. Creatinine
d. Albumin

A

b. B2 microglobulin

39
Q
  1. Marker of hepatic and gonadal cancer which is also increased in neural tube defect?

a. AMG
b. A1x
c. Transferrin
d. NOTA

A

d. NOTA

AFP (Low-Down Syndrome)

Neural tube defect: Anencephaly and Spinibifida

40
Q
  1. A copper-binding a2 glycoprotein that has enzymatic activity and decreased in Wilson’s disease

a. Ceruloplasmin
b. AMG
c. Transferrin
d. Hemopexin

A

a. Ceruloplasmin

41
Q
  1. PT test have prolonged clotting time in this condition?

a. Bile duct obstruction
b. Hepatitis
c. Hemolytic anemia
d. AOTA

A

b. Hepatitis

42
Q
  1. Major end product of protein and amino acid catabolism?

a. Ammonia
b. Urea
c. Creatinine
d. Uric Acid

A

b. Urea

43
Q
  1. The ff. is/are medical emergency
    i. Diabetic ketoacidosis
    ii. Hyperkalemia
    iii. Proteinuria

a. AOTA
b. i,ii
c. ii
d. i

A

b. i,ii,

44
Q
  1. This enzyme is a helpful tool in confirming a possible rape has occurred

a. AST
b. ACP
c. Lipase
d. OCT

A

b. ACP

RAPE meaning you are serum and prostate fluid (+)

Lipase is most specific for PANCREATITIS

45
Q
  1. True about Uremia

a. Presence of Burr cells
b. Anemia
c. Hyperkalemia
d. AOTA

A

d. AOTA

46
Q
  1. Presence of this enzyme means that there is an “IMPENDING DEATH”?

a. LD6
b. CKBB
c. GGT
d. pseudocholinesterase

A

a. LD6

there are only 5 LD so if you have 6 meaning it has worsen

47
Q
  1. A form of estrogen that is increased in pre-menopausal women?

a. Estrone
b. Estradiol
c. Estriol
d. AOTA

A

b. Estradiol

a. Post-menopausal
c. Pregnant women

Pneumonics:
EstrONE - magisa menopause
EstraDIol - pre or dalaga pa
EsTRIol - 3 na sila meaning preggy

48
Q
  1. Main stimulus for the uptake of iodide

a. T3
b. T4
c. TSH
d. TRH

A

c. TSH

49
Q
  1. Is a depressant and a hallucinogenic and anaesthetic drug called ANGEL DUST of angel hair?

a. LSD
b. DMT
c. Phencyclidine
d. Opiates

A

c. Phencyclidine

50
Q
  1. What could be the disease suspected from the given results?

Total ALP Elevated
With Levamisole Normal
With 3M Urea Elevated

a. Placental CA
b. GI perforation
c. Bile duct obstruction
d. Paget’s

A

c. Bile duct obstruction