Medical Technology Board Examination Review Recall Questions

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Recall Questions September 2014
MICRO-PARA
1.       How to prepare agar plates?
a.       1/3water first
b.      Pour all agar first
c.       ½ agar first
d.      Pour all water first
2.       Water bacteriology completed test?
a.       Gram neg, non-sporulating on agar slant
b.      Lactose broth -Acid with gas
c.       Metallic sheen on EMB
d.      Lactose broth -Acid only












3.       By product of acetamide utilization?
a.       Carbon dioxide
b.      Ammonia
4.       Incubation period for fungal development in bone marrow and CSF?
a.       14 days
b.      7 days
c.       28 days
d.      20 days
5.       Microscope for spirochetes
a.       Brightfield
b.      Fluorescent
c.       Electron
d.      Phase contasrt
6.       How is water bacteriology reported?
a.       CFU
b.      Colonies/ml
c.       MPN/100ml
d.      IU/ml
7.       Household bleach inactivated at?
a.       1 hour
b.      60 minutes
c.       10 minutes
d.      60 seconds
8.       What is bench marking? Asked twice.
a.       Interlaboratory marketing (1st)
b.      Interlaboraty monitoring (2nd)
c.       Bench so others have space
d.      Comparing results with peers
9.       Gravid segments contain?
a.       Male reproductive organ
b.      Female reproductive organ
c.       Egg
d.      Scolex
10.   Recovered from cestodes in stool are?
a.       Filariform larva
b.      Microfilaria
c.       Ova
d.      Proglottids, scolex, ova
11.   Enhancement media?
a.       BAP
b.      Thioglycollate broth
c.       Selenite broth
d.      all
12.   Elevated cream yellow colored colonies? 
a.       Staphylococcus epidermidis
b.      Staphylococcus haemolyticus
c.       Staphylococcus aureus
d.      ALL
13.   Optochin test for S. pneumonia?
a.       <10 mm zone of inhibition in 6mm disk
b.      >14mm zone of inhibition in 6mm disk
c.       <14mm zone of inhibition in 6mm disk
d.      >16mm zone of inhibition in 6mm disk

14.   Double zone of hemolysis?
a.       C. perfringes
b.      C. difficile
c.       C. botulinum
d.      B. cereus
15.   Cause of whooping cough?
a.       Bordetella parapertusis
b.      Bordetella pertussis
c.       Bordetella bronchiseptica
d.      ALL
16.   Test for influenza & rubella?
a.       Hemagglutination inhibition
b.      Neutralization
c.       MIT
d.       
17.   True of Leptorspirosis
a.       Smear of urine sediment for diagnosis
b.      Difficult to stain and look for in microscope
c.       Stained with PAPs
d.       all
18.   Best Quality control in parasitology Laboratory
a.       Slides with ova and adult
b.      Hanging drop from preserved stools
c.       Parasitology atlas
d.      all
19.   Stool delayed for 30 minutes must be transported in
a.       Stuart medium
b.      Anderson medium
c.       Francis medium
d.      Saline Mary medium
20.   Undulating membrane (MOORSE TYPE)
a.       Trichomonas
b.      Euglena
c.       Giardia
d.      Trypanosoma

21.   Rhabditiform larvae: Thread worm
22.   Stool sample enrichment: Selenite broth
23.   Vinegar: flukes can’t be killed
24.   True of schistosomiasis: Skin penetration of cercaria in contaminated water
25.   Normal oral flora: Viridans
26.   Common pathogen: Group A
27.   Stool contaminated with S. aureus what to do? Plate with MSA (7.5%NaCl)
28.   8 nuclei: Entamoeba coli.
29.   Differentiate histolytica and hartmanii: size
30.   90%  cause of malaria: Falciparum and vivax
31.   POCT for dx of malaria: Falciparum, vivax, malariae
32.   Dwarf: H. nana
33.   Herpesviridae-ether sensitive
34.   True of W.bancroftii: no terminal nuclei (B. malayi yun)
35.   Cutaneous larva migrans: Ancylostoma brasilense
36.   Used in coagulase test:
a.       Sheep
b.      Human
c.       Goat
CC
1.       What does U stand for in Clearance = urine UxV/P? Urine Creatinine in mg/dl
2.       12 mg/dl of uric acid to mmol/l = 0.71
3.       TC=200; HDL=30; TAG=150 compute for LDL = 140mg/dl
4.       Which one is not needed in computation for LDL?
LDL = TC – (HDL + VLDL)
a.       HDL
b.      VLDL
c.       TAG- indirectly needed
d.      TC
5.       Abrupt change to new mean in Levy Jenning’s chart
a.       Dispersion
b.      Shift
c.       Trend
6.       Hypothyroidism T3 and T4 uptake are?
a.       Both high
b.      Both low
c.       One is very high and one is moderately high
d.      Inversely proportional
7.       Primary hyperthyroidism with normal T4. Confirm with
a.       TBG
b.      TSH
c.       T3 uptake
8.       Chloride and Bicarbonate relationship? Reciprocal
9.       Active male hormone? Testosterone
10.   Screening test for Cushing’s syndrome
a.       Low dexamethasone -----
b.      24 hour urine cortisol
c.       All items
d.      Insulin hypoglycaemia test
11.   Hepatic jaundice: Increase in direct and indirect bilirubin (both)
12.   Cholelithiasis: Increase in unconjugated bilirubin (increase TB > 90% is conjugated)
13.   In case of liver transplant which are monitored? Hepatic enzymes, Bilirubin, Coagulation factos
14.   Glucose oxidase negative; Benedict’s test positive in new born: Inborn error of metabolism
15.   TAG has fasting 12-15 hrs (ideal- 12hrs)
16.   RACE meaning = rescue, alarm, contain, extinguish
17.   <50 mg/dl alcohol level or 0.05%. What is the presumption
a.       Not under influence of alcohol
b.      Presumed to be under influence of alcohol
c.       No presumption can be done
18.   Endogenous TAG: VLDL
19.   Exogenous TAG: Chylomicrons
20.   HEPA meaning= high efficiency particulate air
21.   Uricase: Enzymatic:H202
22.   Fahey and Mancini method: Fahey 48-72 hours and sensitive
23.    Convert 0.5mg/dl IgD to mmol/L: 5.0
24.   pH measurement: Potentiometry
25.   Involved in female hormones:
a.       Hirsutism
b.      Polycistic ovarian dse
c.       Infertility
d.      All
26.   pC02: increase 3% when increase 1’ temp
27.   Blood with no anticoagulant blood glucose decreases: 7mg/dl per hour
28.   Activity depends on increase substrate concentration. Increase in substrate - - - - -for enzyme excess: First order kinetics
29.   Rape victims: ACP
30.   Renal threshold for glucose: 160-180mg/dl
31.   Which enzyme is the least specific?
a.       LDH
b.      ALT
c.       CK
d.      ACP
32.   Increase in gauge of needle: decrease in bore of needle.
33.   All are true for Sodium except: for nerve impulses
34.   Middle value of date: Median
35.   Frequently seen in date: Mode
36.   Total divided by the number of populations: Mean
37.   True about continuous flow:
a.       Use of separate cuvets
b.      Use of stirring rod
c.       Continuous tubing
d.      Allows STAT
38.   Differentiate VLDL from LDL and HDL: TAG and chole content daw po (?)
39.   Characteristics of DM: Destruction of B cells (sa pancreas hindi sa immunes system ibig sabihin nito); deficiency of insulin receptors; increase blood glucose
40.   Which of the following is not considered emergency: ans is Glycosuria
41.   Measure of substance in relation to other substance in solution: concentration
42.   Color of <350 nm
a.       Red
b.      Orange
c.       UV
d.      Infrared
43.   Newborn screening:
a.       Blood spot test
b.      Capillary
c.       Venipuncture
d.      Heat at 42’c----
44.   LDL mmol/L: use TAG/2.175 ( Binigay po both friedwald and de long but friedwald ang commonly used)
45.   Variation in basal state: exercise, diet (All of the above)
CM
1.       Urinometer steps: 1. Fill urine; 2. Place urinometer in twisting motion; 3. Read at lower meniscus
2.       Principle of protein strip? Protein errors of indicators.
3.       Stain that best differentiates small cells and monocytic cells?
a.       PAPS
b.      Gram stain
c.       Giemsa
d.      NMB
4.       Gives greatest problem in refractometer?
a.       bubbles
b.      Cells
c.       Crystals
d.      High protein
5.       Same patient voided urine thrice. Which has highest specific gravity?
a.       All have same SG
b.      30 ml
c.       100ml
d.      80ml
6.       High renin corresponds to?
a.       Low sodium and low plasma volume
b.      High potassium and low plasma volume
c.       Low aldosterone
7.       Low EPO due to:
a.       Renal disease
b.      Cardiomegaly
8.       Diluent for WBC CSF Count: Acetic Acid
9.       Dilute urine effect on RBC: Swell; appears like a halo
10.   Curshman spirals
a.       Elongated crystals with Charcot Leyden
b.      Spiral microorganisms staining gram negative
11.   How much can the glomerulus filter? Less than…
a.       <50kDa
b.      <60kDa
c.       <70kDa
d.      7000
12.   Temperature for Total WBC CSF count: Refrigeration temp.
13.   Phosphate: Aluminum molybdate for determination
14.   Fructose in seminalysis if delayed for 2 hours: store at Freezing temp till available for analysis
15.   CaOx Monohydrate shape: Elongated hourglass shape
16.   True about sputum
a.       Normal body fluid
b.      Usually green color
c.       All of the items
d.      From tracheo-bronchial
17.   First stage in spermatogenesis: Spermatogonia
18.   For newborn screening specimen collection: Blood spot test
19.   Bilirubin conjugated with albumin to be processed in the liver?
a.       Unconjugated
b.      Conjugated
c.       Direct
d.      None
20.   Bilirubin measurement in amniotic fluid: Spectrophotometry
21.   True of Biosafety cabinet II: Laminar flow
22.   Biohazard symbol: Three circles arrange in a triangle connected by a circle in the middle
23.   Sharps sympol: Syringe enclosed in a circle to make it look like an “X”
24.   Oligoclonal band: Neurosyphilis not Multiple MYELOMA (common mistake)
25.   Occult blood in stool: Pseudoperoxidase activity of haemoglobin
26.   Blondheim: To differentiate myoglobin and haemoglobin
27.   Principle of protein reagent strip: Albumin accepts hydrogen ions which changes the pH
28.   Ketone reagent strip color: Purple
29.   Ketone reagent strip:
a.       Acetoacetic acid and nitroprusside
b.      Acetone and phenosuphthalein
c.       All items
d.      Betahydroxybutyric acid and ---
30.   What tell patient in collection for seminalysis: (MOORSE TYPE)
a.       Abstain for 2-3 weeks = (2-7 days)
b.      No alcohol driking
c.       Place in penicillin bottle
d.      No smoking
31.   Stool WBC differential count:
a.       Polymorphonuclear cells and Monocyte
b.      Phagocytic and non-phagocytic
c.       Segmenters, Monocytes, Eosinophils
32.   Most abundant WBC in urine: Neutrophil (?)
33.   Best indicator for urinary bladder infection: Neutrophil
34.   Indicator for Acute tubular necrosis:
a.       Brown cast
b.      >1000WBC
c.       Renal cell- renal tubular epithelial cells
d.      Hemoglobinuria
35.   Most significant cell: Renal cell (RTE)
36.   Blood in peritoneal fluid
a.       TB peritonitis
b.      Malignancy
37.   Least significant to most significant cast: hyaline > wbc > granular >rbc >Waxy > broad
hyaline - rbc – granular- wbc-Waxy

38.   Cast in athlete: Cylinduria
39.   Granular cast derived from: Cells (Apollon)
40.   Associated with Melanuria: Albinism
41.   Which is not a PPE: sharp’s container
Hematology
1.       Sex chromosome: Barr body,
2.       Gray , brown, bluish dots containing ribosomes: Basophilic stipplings
3.       Associated with lead poisoning: Basophilic stipplings
4.       Wintrobe tube: 115 mm long 3 mm internal bore
5.       Tilt tube test  size of test tubes: 75x10mm
6.       Average life span of platelets: 10 days
7.       Not true cell which fragments only from the mother cell in the bone marrow?
a.       Erythrocyte
b.      Leukocyte
c.       Thombocyte  ans
d.      All
8.       Computations for corrected WBC count (2 questions)
9.       When is nRBC considered significant? 5nRBC present
10.   Vitamin K dependent (asked twice): 2,7,9,10
11.   >30 x 10^9 WBC: Dilute at 1:200
12.   0.1 to 30x10^9: Dilute at 1;20 ____
13.   Patient is bleeding while being treated with thrombolytic infusion something.
Blood results of blood taken DURING infusion (heparin)
PTT: Very Prolong.
Fibrinogen: Very  Low. What is the most likely disease?
a.       Hypofibrinogenemia
b.      Hyperplasminemia
c.       Liver and kidney disease
d.      DIC ans
14.   Stem cell to blast: 3-5 days. Life span in circulation: 121 days. What cell?
a.       Monocyte
b.      Erythrocyte ans
c.       Lymphocyte
d.      Basophil
15.   Stem cell to blast: 5. Life span in tissue: 10 days. What cell?
a.       Monocyte an
b.      Erythrocyte
c.       Lymphocyte
d.      Basophil
16.   Patient is bleeding while being treated with thrombolytic infusion something.Blood results of blood taken BEFORE heparin
PTT: Prolong. Fibrinogen: Very low
a.       Hypofibrinogenemia
b.      Hyperplasminemia
c.       Liver and Kidney disease
d.      DIC
17.   Bone marrow smear is prepared by:
a.       Crush
b.      Concentrate
c.       Particulate
d.      All ans
18.    How to make good smear?
a.       Smooth and rapid
b.      Smooth ans
c.       Slow
d.      Rapid
19.   What can be made with automated smear maker?
a.       Wedge ans
b.      Cover slip
c.       All
20.    Failure to create secondary enzymes: Pelger huet
21.   Hyposegmentation: Pelger huet
22.   FAB classification of acute myeloblastic leukemia WITHOUT maturation = M1
23.    Differentiate ALL from AML in that ALL is: Negative to both esterase and peroxidise
24.   Differentiate CML from leukemoid
a.       Basophils present
b.      LAP score of more than 100
25.   Grading of codocytes 20-50/oif: +3
26.   MCV <85; MCHC <31
a.       Macrocytic, normochromic
b.      Microcytic, hypochromic ans
c.       Normo,normo
d.      Marco, hypo
27.   Increase in WBC:
a.       Strenuous exercise
b.      Emotions
c.       Crying
d.      All ans
ISBB
1.       Gel technology centrifuge time: 10 minutes
2.       If three phases of Ab screen is negative, what to do: Add IgG coated cells (check cells)
3.       Which is a classification of cell (?) according to function?
a.       NK cell
b.      B cell
c.       Tcell
d.      All
4.       CD marker for T cells: CD4 and CD8
5.       C3 has high affinity for:
a.       IgM
b.      IgG
6.       Mycetoma & “Black lung?”: Aspergillus fumigatus
7.       MHC lymphotoxicity microscope used: Phase contrast microscope
8.       Deficiency in C3: Disease of the kidney (presumed to be AGN)
9.       Enzyme present in neutrophil but absent in monocyte?
a.       Peroxidise
b.      ALP
c.       ACP
10.   All has end stage except?
a.       Monocyte
b.      Neutrophil
c.       Eosinophil
11.   Penicillin (Anti-penicillin): Type II hypersensitivity
12.   Associated with hairy cell leukemia?
a.       EBV
b.      CMV
c.       HTLV-2
13.   Antibody is to Antigen; Immunogen is to Immunoglobulin
14.   Ragocytes: Rheumatoid Arthritis
15.   Circulating in Rheumatoid arthritis: Rheumatoid factor
16.   Paternity testing: dna testing
17.   To differentiate ABO & Rh HDN: Amniotic fluid O.D
18.   Amniotic fluid, bilirubin: Spectrophotometry
19.   WB to PRBC what to do: Change label to PRBC and adjust expiration date (rationale: becomes open system)
20.    
Anti A
Anti B
Anti AB
Cell A
Cell B
++
+
+
++++
+++
Possible cause?
a.       Contamination
b.      Cold agglutinins
21.   Emergency and no O negative or O positive cells available. What should be given?
a.       AB negative plasma
b.      Oh Bombay blood
c.       Crystalloid
22.   Not indicated for Cryoppt:
a.       Hypofibrinogenemia
b.      vWF dse
c.       XIII deficiency
d.      ITP
23.   Mr. Palanca is a resident in Palawan for 10 years. How many years deferral before blood donation: 3 years ( 1 year if traveller)
24.   Point of care testing for HBSAg
a.       Viral load
b.      PCR
c.       Sandwich method (inisip ko na lang po yung kit na readily available at yung principle niya)
25.   Most number of subgroups:
a.       A
b.      B            
c.       AB
d.      O

Histopath-MT laws
1.       Revocation of license: 3/3 or unanimous
2.       Suspension of license: 2/3 or majority
3.       1 legal counsel and 2 members of board- h
Composition of tribunal who will conduct administrative investigation
4.       Members of board are appointed by: President of Philippines
5.       Most commonly used fixative: Aldehyde
6.       Fixative for Immunohistochemistry: Osmium tetroxide and Glutaradlehyde