Clinical Microscopy

Question 1

What is the significance of a dark green amniotic fluid?
A. Normal
B. Meconium
C. Hemolytic Disease of the Newborn
D. Traumatic tap

Answer 1

Meconium

Question 2

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

Answer 2

Amnio stat-FLM

Question 3

What will cause the increase amounts or amniotic tuld auring pregnancy?
A. Decreased swallowing
B. Polyhydramnios
C. Oligohydramnios
D. Ruptured membrane

Answer 3

Decreased swallowing

Question 4

What is the collection method for amniotic fluid?
A. Arthrocentesis
B. Paracentesis
C. Amniocentesis
D. Thoracentesis

Answer 4

Amniocentesis

Question 5

When does Beta CG peak during the entire duration of the pregnancy?
A. 1st trimester
B. 2nd trimester
C. 3rd trimester
D. After childbirth

Answer 5

1st trimester

Question 6

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

Answer 6

Apt’s test

Question 7

WhIch of the following describes the complete absence of sperm?
A. Oligospermia
B. Oospermia
C. Azoospermia
D. Necrozoospermia

Answer 7

Azoospermia

Question 8

Which of the following is a stain use for male fertility test?
A. Hematoxylin-eosin
B. Papanicolau
C. Eosin-nigrosin
D. Methylene blue

Answer 8

Eosin-nigrosin

Question 9

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

Answer 9

Reiter cell

Question 10

What crystal is found in synovial fluid that causes gout?
A. Calcium oxalate
B. Apatite
C. Cholesterol
D. Mono sodium urate

Answer 10

Monosodium urate

Question 11

A synovial fluid was collected for crystal identification, what additive will be use to contain it?
A. EDTA
B. Plain tube
C. NaF
Citrate

Answer 11

EDTA

Question 12

Which of the following describes fluid that is accumulated in the peritoneal membrane?
A. Pleural
B. Ascites
C. Pericardial
D. Exudative fluid

Answer 12

Ascites

Question 13

Gastrointestinal perforation in peritoneal fluid is screened and detected by testing for what metabolite?
A. Amylase
B. ALP
C. CA-125
D. CEA

Answer 13

ALP

Question 14

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

Answer 14

Mesothelioma cells

Question 15

A color black pleural fluid indicates the presence of which of the following?
A. Tuberculosis
B. Hemothorax
C. Aspergillus
D. Mesothelioma

Answer 15

Aspergillus

Question 16

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

Answer 16

2 hrs before lumbar tap

Question 17

What is the preferred method of collection for cerebrospinal fluid?
A. Thoracentesis
B. Amniocentesis
C. Lumbar tap
D. Paracentesis

Answer 17

Lumbar tap

Question 18

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

Answer 18

Intracranial hemorrhage

Question 19

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

Answer 19

Traumatic trap

Question 20

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

Answer 20

Inflammation over or near the puncture

Question 21

Increased CSF glutamine is commonly associated with what disease?
A. Hepatitis
B. Multiple myeloma
C. Reye syndrome
D. Bacterial infection

Answer 21

Reye syndrome

Question 22

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

Answer 22

Increased numbers of white blood cells

Question 23

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

Answer 23

Both A and B

Question 24

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

Answer 24

Multiple sclerosis

Question 25

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

Answer 25

Plasmacytes