Clinical Pathology Flashcards
Prevailing cause of Chyluria
Wuchereria bancrofti (filariasis)
Main determinant of urine volume
Water intake
Two most commonly utilized testing modalities for indirect assessment of Bacteriuria and Leukocyturia
Reagent strip nitrite (bacteriuria) and Leukocyte esterase (leukocyturia)
Gold standard for detecting bacteriuria
Bacteriologic culture
Best reserved and most useful for those samples with abnormal dipstick results
Examination of the urine sediment
Most frequent epithelial cells seen in normal urine and the least significant
Squamous epithelial cells
Most common form of pleural effusion in the newborn
idiopathic congenital chylothorax
Most useful single marker for adenocarcinoma
CEA
Most common etiologic agent of pericardial effusions
Enterovirus
Most reliable method to differentiate peritoneal transudates from exudates
serum-ascites albumin gradient
Preferred method for the diagnosis of spontaneous bacterial peritonitis
Ascitic fluid total neutrophil count
Most common association of eosinophilia in a peritoneal fluid
Chronic inflammatory process associated with chronic peritoneal dialysis
Most clinically significant antibodies detected during antibody screening
IgG
Most important function of polyspecific AHG
detection of IgG antibodies
Gold standard of measuring total body water
Tritiated water or Deuterium oxide
Most abundant glycosaminoglycan in the extracellular space
Hyaluronic acid
Main solutes in the Extracellular fluid (3)
Na, Cl, and HCO3
Main solutes in the Intracellular fluid (Cell) (4)
-K,
-Mg,
-PO4, and
-Protein
Main Phosphate in RBC
2,3-DPG
Main Phosphates in muscle (2)
ATP and Creatinine Phosphate
Main determinant of specific gravity of plasma
Protein
Chief determinant of how much ECF is retained
Effective vascular volume
Most important natriuretic peptide hormone for the renal excretion of sodium
Urodilatin
Main regulator of ADH secretion
Osmolality
Main determinant of the extracellular volume
Salt content of the body
Main source of energy for sodium reabsorption at all nephron segments
Basolateral Na-K ATPase
Best indicator of anemia
Low RBC count or number of RBC per volume of whole blood
Excellent indicator of hemolytic anemia
Elevated carbon monoxide levels in normocytic, normochromic anemia
Most common cause of macrocytic anemia
Nutritional deficiency such as Vitamin B12 and/or Folate
Most common cause of an elevated WBC
Infection
Definitive diagnosis of Chronic Myelogenous Leukemia
demonstration of Philadelphia chromosome (i.e. the BCR/c-abl translocation between Chr 9 and 22 by either cytogenetics or molecular techniques)
Major cause of elevated PT and aPTT
Disseminated intravascular coagulation (DIC)
Chief counter ion for sodium
Chloride
Four analytes that aid in the diagnosis of renal disease
BUN, Creatinine, Calcium, and Phosphate
Most abundant cation in the body
Calcium
Best measure of hypocalcemia, normocalcemia, or hypercalcemia
serum levels of ionized calcium
Three blood gas determinants interdependent by the Henderson-Hasselbach equation
PCO2, pH, and bicarbonate
Most common cause of metabolic alkalosis
Vomiting
hallmark of Pulmonary embolus
marked drop in the PO2
Most accurate method of diagnosing and monitoring treatment of diabetes mellitus
measurement of glycosylated hemoglobin levels (HgbA1C)
Only tissue in the body that can metabolize ammonia
Liver
It is the measurement of the reduction in light transmission caused by particle formation
Turbidimetry
This is the term used for detecting light that is scattered at various angles; wherein scattered light yields a small signal that must be amplified
Nephelometry
This is the term used to measure the concentration of a substance by measuring the change of the angle of light as it passes from one medium to another of different concentrations
Refractometry
antibody typically associated with Wegener’s granulomatosis
c-ANCA
most important test for diagnosing systemic necrotizing vasculitis
Tissue biopsy
third copy of the CCF (Custody and Control Form) goes to the
confirmatory laboratory
Positive drug test records of a drug testing facility are stored for how long?
stored indefinitely
a form of cytapheresis that removes the patient’s red blood cells and replaces them with allogeneic red blood cells
Red cell exchange (RCE) or therapeutic erythrocytapheresis
Red cell exchange (RCE) or therapeutic erythrocytapheresis is most commonly used in the treatment of
sickle cell disease
Requirements of allogeneic donor qualification for blood pressure
-<180 mm Hg systolic
-<100 mm Hg diastolic
Conventionally, what is the unit used to express renal clearance
mL/minute
Flocculation procedures differ from latex agglutination procedures because:
Soluble antigen reacts with antibody
Protein can be separated into _____ fractions by use of serum electrophoresis
Five (5)
In measuring lipids, how long should you advise the patient to fast before venipuncture?
12 hours
The circulating half life of N-Brain natriuretic peptide is:
60-120 min.
staining procedure utilized in detecting the presence of telomeres of chromosomes. This special stain produces an opposite banding pattern in relation to the routinely used stain.
R-banding
R stands for reverse.
HPV-related cervical carcinogenesis is brought about primarily by inactivation of tumor suppressor proteins, specifically pRB and p53. Which gene(s) are responsible for these inactivation?
E6 and E7
-E6 inactivates p53
-E7 inactivates pRB
After fecal DNA extraction, the purified DNA products are added to the PCR mastermix containing several primers, with the aim of detecting a specific etiologic agent (e.g. E. coli, Shigella spp., Salmonella spp., Vibrio spp., etc.). Which specific test best describes the above procedure?
Multiplex PCR
-A single PCR step with multiple primers used
The most commonly used method to determine the relatedness of two or more bacterial strains
pulse-field gel electrophoresis
Most common cause of agranulocytosis
Drug-Induced
Serious infection is very likely once neutrphil count falls below _ per cc
500
Heparin inhibits the clotting of blood by neutralizing the effect of
Thrombin
The substance active in splitting fibrin, fibrinogen and fragments is
Plasmin
In cerebrospinal fluid examination, microbiologic examination is usually done in which tube
Tube 2
In the grading of sperm motility, what grade do you assign for sperm cells with slow forward progression and noticeable lateral movement?
Grade 2
In mycology, what does dimorphic mean?
displaying two morphologic types:
-one environmental (mould) and
-one in vivo (yeast)
in spectrophotometry, the device that allows for a narrow band of wavelength is
Monochromator
This parameter of a diagnostic test will vary with the prevalence of a disease in a population
Accuracy
National Blood Service Act of 1994
RA 7719
Higher Education Act of 1994
RA 7722
Philippine AIDS Prevention and Control Act of 1998
RA 8504
PRC Modernization Act of 2000
RA 8981
It is the removal of microorganisms to a certain level as not to be able to infect humans and cause disease (WHO)
Decontamination
eliminates nearly all recognized pathogenic microorganisms but not necessarily all microbial forms (e.g., bacterial spores) on inanimate objects
Disinfection
Free of microorganisms
Sterilization
reduce the level of microbial contamination so that infection transmission is eliminated
Decontamination
consists of evaluation of method performance by comparison of results versus those of other laboratories for the same samples
Proficiency testing
Definition of Oliguria in adults
<400 mL/day
A negative reagent strip test but a positive Clintest result in can be interpreted as:
Presence of non-glucose reducing sugars
This test for fetal lung maturity uses increasing amount of 95% ethanol wherein fetal lung maturity index is seen in highest concentration of ethanol that supports ring of foam after shaking
Foam stability test or Shake test
Parasite associated with Vitamin B12 deficiency
Diphyllobotrium latum
produce small yeast-like cells often found in macrophages (yeast form) and tuberculate macroconidia for its mold form
Histoplasma capsulatum
produce barrel-shaped arthroconidia (mold form) and thick-walled spherules with endospores (yeast form)
Coccidioides immitis
produce thick walled yeasts, with multiple budding yeast cells with very narrow necks (like a mariner’s wheel) and hyphae with intercalary and terminal chlamydoconidia
Paracoccidioides brasiliensis
Mold form appear like a lollipop (conidia on top of a conidiophore)
Blastomyces dermatitidis
a rickettsial infection that is primarily transmitted by the larval form of Leptotrombidium species (chiggers)
Scrub typhus
Causative agent of Scrub typhus
Orientia tsutsugamushi
Causative agent of Epidemic typhus
Rickettsia prowazekii
Causative agent of Rocky Mountain Spotted Fever
Rickettsia rickettsii
Causative agent of Human monocytotropic ehrlichiosis
Ehrlichia chafeensis
Causative agent of Murine typhus
Rickettsia typhi
Epidemic typhus is transmitted by:
Body louse (Pediculus humanus var. corporis)
RMSF is transmitted by
Ixodidae ticks (tick borned disease)
Human monocytotropic ehrlichiosis is transmitted by:
Tick bite
Murine typhus is transmitted by
Flea bite (Xenopsylla cheopis)
recommended method for the detection of non-LGV C. trachomatis infection
in urogenital specimens
Nucleic acid amplification test (NAAT)
recommended for diagnosis of suspected sexual assault or abuse in boys or extragenital sites in girls
Cell culture
Recommended for diagnosis of ocular chlamydial infection
Direct fluorescent antibody (DFA)
most commonly used therapeutic target that can be interrogated by flow cytometry in acute myeloid leukemia
CD33
allows for the screening of several different mutations at one time by putting probes specific for different mutations on the membrane and then hybridizing a labeled patient DNA sample to the membrane
Reverse dot blot
The fluorescent dye that exhibits the greatest sensitivity for quantization of DNA is
SYBR Green