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Clinical Labs Exam- 3rd Year- PMU

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Clinical Labs Exam- 3rd Year- PMU
Med Student
Quiz von Med Student , aktualisiert more than 1 year ago
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Zusammenfassung der Ressource

Frage 1

Frage
The laboratory result is a function of many factors influencing the final value:
Antworten
  • biological factors
  • pathological factors
  • factors in preanalytical stage
  • pathological, biological, preanalytical, analytical and post analytical factors

Frage 2

Frage
Which are the biological factors with permanent activity of the variation of the results:
Antworten
  • sex, race
  • age
  • body construction
  • stress

Frage 3

Frage
Which of the following criteria are valid when to reject a spicimen as unacceptable for testing ?
Antworten
  • Proper patient identification,storage and transport of samples to the laboratory
  • İmproper collection tube used, hemolyzed, lipemic,or icteric sample, blood clotted with anticoagulant, sample improperly transported
  • Carefully and strictly filled in examination form
  • Strict observation of procedures of venous puncture, urine colletion and collection of other biological samples

Frage 4

Frage
Mark the right answer for urine collection (diuresis)
Antworten
  • collection after morning toilet
  • collection of the whole urine from the first to the last portion
  • the first portion is eliminated, the last is collected
  • urine collection till the vessel is full

Frage 5

Frage
Which of the following procedures is wrong?
Antworten
  • conversation with the patient
  • selection of vein without hematoma and intravenous infusion
  • strangulation of the arm for a short time
  • tapping and massaging of the vein

Frage 6

Frage
Coagulation factors that obstruct the clot lyses are:
Antworten
  • anti-fibrinolytic
  • profibrinolytics
  • procoagulants
  • anticoagulants

Frage 7

Frage
Which test can be used for control and treatment with direct anticoagulants (heparin)
Antworten
  • APTT
  • Fibrinogen
  • Platelets(PLT)
  • PT

Frage 8

Frage
Creatine kinase (CK) is:
Antworten
  • transferase
  • kinase
  • oxydoreductase
  • hydrolase

Frage 9

Frage
Investigation of alkaline phosphatase activity (ALP) is informative for:
Antworten
  • transportation of amino groupies between alpha amino and alpha keto acid
  • catalyze transport of macroenergy phosphates
  • catalyse conversion piruvate-lactate
  • hydrolyze phosphate esters

Frage 10

Frage
When in healthy individuals there is a higher activity of MM-CK:
Antworten
  • children
  • physical activity
  • postprandial
  • after alcohol consumption

Frage 11

Frage
Which of the following hormones take part in the group of insulin antagonists:
Antworten
  • adrenaline
  • progesterone
  • aldosterone
  • parathormone

Frage 12

Frage
Diabetes mellitus is due to:
Antworten
  • decreased amount in insulin antagonists
  • renal loos of glucose
  • low or missing level of insulin in blood
  • decreased gastro-intestinal resorbtion of glucose

Frage 13

Frage
In which type of diabetes the two hours postprandial test has higher diagnostic sensitivity than the measurement of the glucose at fasting:
Antworten
  • type I
  • type II
  • diabetes in progress
  • decompensated diabetes

Frage 14

Frage
Fructosamine is used as a test for blood glucose concentration for past period of:
Antworten
  • 20 day
  • 8-10 weeks
  • 1 week
  • 6 months

Frage 15

Frage
''Dysproteinmia'' is used to indicate:
Antworten
  • hyperproteinemia
  • disturbed ration of protein fraction in electrophoresis
  • euproteinemia
  • hypoproteinemia

Frage 16

Frage
Which of the following laboratory parameters has better diagnostic reliability in evaluation of renal function?
Antworten
  • urea
  • uric acid
  • creatinine
  • total protein

Frage 17

Frage
What is the transferrin:
Antworten
  • reserve iron
  • main form for iron storage
  • individual protein for iron transport
  • functional ıron

Frage 18

Frage
What do you expect to be the level of ıron and FIBC(free ıron binding capacity) in malignant and infectious diseases:
Antworten
  • low ıron,increased FIBC
  • decreased ıron, decreased FIBC
  • increased ıron, decreased FIBC
  • increased ıron, increased FIBC

Frage 19

Frage
In viral hepatitis what can you find in urine?
Antworten
  • Bilirubin-positive, Urobilinogen-not increased
  • Bilirubin-negative, Urobilinogen-increased
  • Bilirubin-positive, urobilinogen-increased

Frage 20

Frage
The clinical reliability of laboratory results requires:
Antworten
  • High clinical and analytical reliability
  • Variety of factors influencing the final value
  • Correct interpretation of laboratory parameters
  • Specific requirements for laboratory analysis

Frage 21

Frage
Blood with EDTA anticoagulant is used for the investigation of:
Antworten
  • clinical-chemistry parameters
  • coagulation parameters
  • hematological parameters
  • heavy metals

Frage 22

Frage
Which of the following screening test shows the disturbance in extrinsic pathway of the first phase of coagulation:
Antworten
  • PT
  • APTT
  • TT
  • Fibrinogen

Frage 23

Frage
İn what cases in healthy individuals the activity of alkaline phosphatase (ALP) is over 1000 U/I:
Antworten
  • physical activity
  • postprandial
  • in stress
  • children

Frage 24

Frage
What kind of test is LDH and HBDH in the acute myocardial infarction?
Antworten
  • early
  • earliest
  • late
  • retrograde

Frage 25

Frage
What is the effect of somatotropin hormone one the glucose blood level:
Antworten
  • decrease the glucose blood level
  • increases the glucose blood level
  • have no effect on the glucose blood level
  • the effect depends on the age

Frage 26

Frage
In which organs there is glycogen synthesis
Antworten
  • central nervous system
  • muscles
  • erythrocytes
  • pancreas

Frage 27

Frage
Which of the following values of the blood glucose are in the pathological range in the postprandial test:
Antworten
  • <7.7 mmol/I
  • 7.78-9.99 mmol/I
  • >10.00 mmol/I
  • 2.78-5.55 mmol/I

Frage 28

Frage
In which of the following diseases fasting glucose amount is over upper reference value:
Antworten
  • Malabsorbtion
  • Insulinoma
  • Diabetes mellitus
  • Addison's disease

Frage 29

Frage
In serum of the newborn there are :
Antworten
  • IgA, IgM, IgG
  • IgM, IgG
  • IgA, IgM
  • IgA, IgG

Frage 30

Frage
Blood urea is final product of :
Antworten
  • metabolism of purine bases
  • metabolism of amino acid
  • metabolism of carbohydrates
  • metabolism of lipids

Frage 31

Frage
The reliable laboratory result
Antworten
  • Is a real evaluation of the actual value of the examined parameters in biological fluids and tissues and it presents useful information
  • Depend on the proper and timely collection
  • Is a function of a variety of factors
  • Is helpful for correct interpretation of laboratory parameters

Frage 32

Frage
Which of the following rules is not valid when a biological materials is taken
Antworten
  • to be taken in the morning fasting,after 12 hours fasting diet and 24 hours pause without alcohol and physical and physical peace
  • to be taken in a seated position and the form to be filled carefully and strictly
  • to be observed the procedures for taking, keeping and transport of biological material
  • the method for this test to be selected correctly

Frage 33

Frage
Blood with sodium citrate is used for the the investigation of:
Antworten
  • clinical-chemistry parameters
  • coagulation parameters
  • hematological parameters
  • heavy metals

Frage 34

Frage
For the qualitative investigation of urine is necessary:
Antworten
  • first morning portion of urine, after toilet
  • diures for fixed time
  • to take the urine with catheter
  • to take the urine in fasting

Frage 35

Frage
Fibrinolysis is:
Antworten
  • complicated, dynamic, self-regulating system
  • a process of coagulation
  • contraction of blood vessels with injury
  • a complex of processes which make possible lysis of the clot

Frage 36

Frage
What is the function of LDH enzyme:
Antworten
  • transportation of amino groupies between alpha amino and alpha keto acid
  • catalyze transport of macroenergy phosphates
  • catalyse conversion pyruvate-lactate
  • hydrolyze phosphate esters

Frage 37

Frage
The CK activity must not investigated after:
Antworten
  • Surgical intervention
  • Injection
  • Palpation of the glandulae prostate
  • X-ray

Frage 38

Frage
The lysis of the blood glucose is called:
Antworten
  • ketonuria
  • glucosuria
  • gluconeogenesis
  • glycolysis

Frage 39

Frage
Which of the following methods is used for qualitative investigation of protein fractions:
Antworten
  • immunoelectrophoresis
  • enzyme methods
  • electrophoresis
  • immunochemical methods

Frage 40

Frage
In hypertonic dehydration the values of Na and MCV must be as follows:
Antworten
  • increased Na, decreased MCV
  • decreased Na, increased MCV
  • decreased Na, decreased MCV
  • increased Na, increased MCV

Frage 41

Frage
GGT is located in:
Antworten
  • cell membrane
  • cytoplasm
  • mytochondrium
  • cytoplasm and mytochondrium

Frage 42

Frage
In which values of glucose-tolerance test is not disturbed:
Antworten
  • at fasting, at 60 minutes, at 120 minutes are in the reference range
  • at fasting is in the reference range,at 60 minutes-in pathological range,at 120 minutes-boundary range
  • at 60 minutes and at 120 minutes >11.1 mmol/I
  • at 60 minutes <8.9 mmol/I,at 120 minutes <7.7 mmol/I

Frage 43

Frage
The glycated hemoglobin (HbA1c) is used as a test for blood glucose concentration for past period of
Antworten
  • 20 days
  • 8-10 weeks
  • 1 week
  • 6 months

Frage 44

Frage
Which of the following clinical laboratory parameters is an early indicator of myocardial infarction
Antworten
  • CK (creatine kinase)
  • MB-CK
  • Troponin
  • LDH, HBDH

Frage 45

Frage
Which laboratory parameters include the basic lipid profile?
Antworten
  • Total Cholesterol, Triglycerides, HDL Cholesterol, LDL Cholesterol
  • Apolipoprotein A and Total Cholesterol
  • HDL Cholesterol, LDL Cholesterol
  • Total Protein and Albumin

Frage 46

Frage
What kind of biological materials do we use for clinical biochemistry analysis
Antworten
  • EDTA plasma
  • Serum
  • Plasma with citrate
  • Plasma with Li heparin

Frage 47

Frage
Which is the biologically active form of Calcium in the blood circulation
Antworten
  • Ionised Ca
  • Protein bound Ca
  • Ionised and protein bound Ca
  • Ceruloplasmin

Frage 48

Frage
What are the parameters included in the Complete blood count (CBC) test
Antworten
  • RBC, WBC, PLT, Hb, Ht, MCV, MCH, MCHC and ESR
  • RBC, WBC, PLT, Hb, Ht, MCV, MCH, MCHC and Differential Count
  • RBC, WBC, PLT, Hb, Ht, MCV, MCH, MCHC
  • ESR and Differential Count

Frage 49

Frage
What measure is the Differential count checking
Antworten
  • distribution of WBC in %absolute count in peripheral blood
  • the maturation forms of WBC in %absolute count in peripheral blood
  • the morphology of RBC in peripheral blood
  • the distribution of WBC, RBC, PLT in %absolute count in peripheral blood

Frage 50

Frage
Microforms of the erythrocyte lineage are typical characteristics of
Antworten
  • Megaloblastic anemia
  • Acute leukemia
  • Iron deficiency anemia
  • Chronic leukemia

Frage 51

Frage
Hemostasis is
Antworten
  • Complicated, dynamic, self-regulating system
  • A process of coagulation
  • Contraction of blood vessels with injury
  • A complex of processes which make possible lysis of the clot

Frage 52

Frage
Which ONE of the following does NOT contribute to clot formation
Antworten
  • Calcium
  • Thrombin
  • Tissue factor
  • Heparin

Frage 53

Frage
Which factors are involved in the extrinsic pathway?
Antworten
  • Factors XII, XI, IX, VIII
  • Factors III, VII
  • Factors V, X, I, II, XIII
  • None of the above are correct

Frage 54

Frage
Which of the following values of the blood glucose are in the normal range in the postprandial test:
Antworten
  • <7.7 mmol/l
  • 7.78-9.99 mmol/l
  • >10.00 mmol/l
  • 2.78-5.55 mmol/l

Frage 55

Frage
In serum during infection process the immunoglobulins increase in sequence as follows
Antworten
  • IgA, IgM, IgG
  • IgM, IgA, IgG
  • IgG, IgA, IgM
  • IgA, IgG, IgM

Frage 56

Frage
Which are the more accurate laboratory markes of kidney function
Antworten
  • Uremia
  • GFR and creatinine clearance
  • Uric acid
  • Ammonia

Frage 57

Frage
The recommended ranges desirable for Total Cholesterol (TC) are
Antworten
  • Low-density lipoprotein (LDL) cholesterol: 3.4 mmol/l or less
  • High density lipoproteins (HDL) cholesterol: 1.2 mmol/l or more
  • Total cholesterol (TC)- 5.2 mmol/l or less
  • TC/HDL ratio: 4.5 or less. This reflects the fact that for any given total cholesterol level, the more HDL, the better

Frage 58

Frage
Coagulation factors that initiate the clot formation are
Antworten
  • antifibrinolytics
  • profibrinolytics
  • procoagulants
  • anticoagulants

Frage 59

Frage
Which ONE of the following about Hemophilia A is FALSE?
Antworten
  • Haemophilia A is sex-linked
  • Haemophilia A is more common than Haemophilia B
  • Re-bleeding after 5 days from the injury is uncommon
  • Haemophilia A is caused by more than one genetic deficiency i.e. two individuals suffering from the disease may possess two different genetic mutations
  • The physician should always treat the patient even if bleeding is not physically detectable

Frage 60

Frage
Clots form to stop the "leakage" of blood from a damaged vessel. After the damaged vessel has healed, the clot is no longer needed and goes through a process of dissolution. Which of the following is involved in the dissolution of a clot?
Antworten
  • Plasmin
  • Fibrinogen
  • Thrombin

Frage 61

Frage
Secondary hemostasis is also known as.
Antworten
  • Enzyme release from endothelium
  • Coagulation of blood
  • Formation of platelet plug
  • Vascular spasm

Frage 62

Frage
Which Factors are involved in the intrinsic pathway?
Antworten
  • Factors XII, XI, IX, VII
  • Factors lII, VII
  • Factors V, X, I, ll, XIII
  • None of the above is correct

Frage 63

Frage
The final phase of blood clotting is the interaction of with
Antworten
  • VonWillebrand Factor, Factor VIII
  • Plasmin, Fibrin
  • Factor XIII, Fibrin
  • Thrombin, Fibrinogen

Frage 64

Frage
The fibrinolytic process is normally triggered by...
Antworten
  • Fibrin
  • Plasmin
  • Endothelial cells
  • Thrombaxane

Frage 65

Frage
An excess of Plasminogen Activator Inhibitor l (PAI-l) would likely result in
Antworten
  • Excessive bleeding
  • Excessive thrombus formation
  • Excessive vasodilation
  • All the above

Frage 66

Frage
To examine the extrinsic pathway, which labs would be most helpful?
Antworten
  • PT, INR
  • Bleeding Time
  • aPTT
  • TT

Frage 67

Frage
Which of the following labs assesses the fibrinolytic system?
Antworten
  • aPTT
  • TT
  • D-Dimers
  • PT, INR

Frage 68

Frage
To measure to conversion of fibrinogen to fibrin, what lab would you use?
Antworten
  • PT, INR
  • TT
  • aPTT
  • D-Dimers

Frage 69

Frage
Differential Blood Count contains information about following white blood cell types:
Antworten
  • Segmented Neutrophils, Monocytes, Lymphocytes, Eosinophils, Plasmocytes, Basophils
  • Segmented Neutrophils, Monocytes, Erys
  • Neutrophils, Monocytes, Lymphocytes, Eosinophils
  • Lymphocytes, Eosinophils, Plasmocytes, Basophils, Erys. etc.
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