Clinical Microscopy Flashcards
What is the significance of a dark green amniotic fluid?
A. Normal
B. Meconium
C. Hemolytic Disease of the Newborn
D. Traumatic tap
Meconium
Which of the following test is not affected by blood or meconium in an amniotic fluid?
A. Lecithin: Sphingomyelin ratio
B. Foam stability
C. Amnio stat-FLM
D. Micro viscosity polarization assay
Amnio stat-FLM
What will cause the increase amounts or amniotic tuld auring pregnancy?
A. Decreased swallowing
B. Polyhydramnios
C. Oligohydramnios
D. Ruptured membrane
Decreased swallowing
What is the collection method for amniotic fluid?
A. Arthrocentesis
B. Paracentesis
C. Amniocentesis
D. Thoracentesis
Amniocentesis
When does Beta CG peak during the entire duration of the pregnancy?
A. 1st trimester
B. 2nd trimester
C. 3rd trimester
D. After childbirth
1st trimester
Which of the following tests detects is used to differentiate fetal from maternal blood?
A. Ross-jones test
B. Orcinol’s test
C. Apt’s test
D. Acid elution test
Apt’s test
WhIch of the following describes the complete absence of sperm?
A. Oligospermia
B. Oospermia
C. Azoospermia
D. Necrozoospermia
Azoospermia
Which of the following is a stain use for male fertility test?
A. Hematoxylin-eosin
B. Papanicolau
C. Eosin-nigrosin
D. Methylene blue
Eosin-nigrosin
What are macrophages with ingested neutrophils which is found in a synovial fluid called?
A. Reiter cell
B. Rice bodies
C. Ragocytes
D. LE cell
Reiter cell
What crystal is found in synovial fluid that causes gout?
A. Calcium oxalate
B. Apatite
C. Cholesterol
D. Mono sodium urate
Monosodium urate
A synovial fluid was collected for crystal identification, what additive will be use to contain it?
A. EDTA
B. Plain tube
C. NaF
Citrate
EDTA
Which of the following describes fluid that is accumulated in the peritoneal membrane?
A. Pleural
B. Ascites
C. Pericardial
D. Exudative fluid
Ascites
Gastrointestinal perforation in peritoneal fluid is screened and detected by testing for what metabolite?
A. Amylase
B. ALP
C. CA-125
D. CEA
ALP
What is the name of this cell indicated by the arrow which are found in the pleural fluid that resembles a fried egg appearance?
A. Mesothelioma cells
B. Plasma cell
C. Malignant cells
D. Neutrophil
Mesothelioma cells
A color black pleural fluid indicates the presence of which of the following?
A. Tuberculosis
B. Hemothorax
C. Aspergillus
D. Mesothelioma
Aspergillus
For an accurate evaluation of CSFf glucose, a blood glucose test must be run for comparison. When should the medical technologist draw blood for glucose determination?
A. 1 hr before lumbar tap
B. 1 hr after lumbar tap
C. 2 hrs after lumbar tap
D. 2 hrs before lumbar tap
2 hrs before lumbar tap
What is the preferred method of collection for cerebrospinal fluid?
A. Thoracentesis
B. Amniocentesis
C. Lumbar tap
D. Paracentesis
Lumbar tap
Sister Theresa, an old lady had several episodes of unbearable headaches after surviving a terrible fall. Recently, her physician requested for CSF analysis. Her laboratory results showed:
Total CSF Protein: 30 g/dL
CSF Lactate: 27 mg/dL
Predominant cell in differential count: macrophages with remnants of RBCs Based on the laboratory results and history of patient, what specific disorder does patient Theresa have?
A. Bacterial meningitis
B. St. Theresa is normal, her protein and lactate levels are within range
C. Intracranial hemorrhage
D. Tubercular meningitis
Intracranial hemorrhage
As the medtech on duty, you have observed the following characteristics of red CSFf sample from a patient:
I. Concentration of blood in tube 1 is greater than in tube 3 after collection
II. Presence of clots in the sample
III. Presence of intact RBCs
A. Traumatic tap
B. Japanese encephalitis
C. Intracranial hemorrhage
D. Cysticercosis
Traumatic trap
A lumbar puncture should not be performed on patients with _______
A. Encephalitis and meningitis
B. Inflammation over or near the puncture
C. Dementia
D. Multiple sclerosis
Inflammation over or near the puncture
Increased CSF glutamine is commonly associated with what disease?
A. Hepatitis
B. Multiple myeloma
C. Reye syndrome
D. Bacterial infection
Reye syndrome
All of the following can cause xanthochromia in CSF except?
A. Increased numbers of white blood cells
B. Erythrocytes from severe head injuries
C. Increased serum levels of carotene
D. Elevated serum levels of bilirubin
Increased numbers of white blood cells
What protein is only seen in CSF and not in serum?
A. Carbohydrate-deficient transferrin
B. Tau protein
C. Both A and B
D. NOTA
Both A and B
This disorder of the CNS is characterized by the presence of oligoclonal bands in CSF protein electrophoresis, increased IgG index and presence of myelin basic protein in CSF
A. Medulloblastoma
B. Multiple sclerosis
C. Panencephalitis
D. Viral meningitis
Multiple sclerosis
These cells are believed to be the producers of Immunoglobulin G. They are present in the CSF if the patient has multiple sclerosis. What are these cells?
A. Spindle-shaped cells
B. Lymphoblasts
C. Erythrophagocytizing macrophages
D. Plasmacytes
Plasmacytes
