Medical Technology Board Examination Recall Notes

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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