14112485
Descripción
Test por Med Student , actualizado hace más de 1 año
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Creado por Med Student
hace más de 6 años
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Pregunta 1
Pregunta
The laboratory result is a function of many factors influencing the final value:
Respuesta
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biological factors
-
pathological factors
-
factors in preanalytical stage
-
pathological, biological, preanalytical, analytical and post analytical factors
Pregunta 2
Pregunta
Which are the biological factors with permanent activity of the variation of the results:
Respuesta
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sex, race
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age
-
body construction
-
stress
Pregunta 3
Pregunta
Which of the following criteria are valid when to reject a spicimen as unacceptable for testing ?
Respuesta
-
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
Pregunta 4
Pregunta
Mark the right answer for urine collection (diuresis)
Respuesta
-
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
Pregunta 5
Pregunta
Which of the following procedures is wrong?
Respuesta
-
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
Pregunta 6
Pregunta
Coagulation factors that obstruct the clot lyses are:
Respuesta
-
anti-fibrinolytic
-
profibrinolytics
-
procoagulants
-
anticoagulants
Pregunta 7
Pregunta
Which test can be used for control and treatment with direct anticoagulants
(heparin)
Respuesta
-
APTT
-
Fibrinogen
-
Platelets(PLT)
-
PT
Pregunta 8
Pregunta
Creatine kinase (CK) is:
Respuesta
-
transferase
-
kinase
-
oxydoreductase
-
hydrolase
Pregunta 9
Pregunta
Investigation of alkaline phosphatase activity (ALP) is informative for:
Respuesta
-
transportation of amino groupies between alpha amino and alpha keto acid
-
catalyze transport of macroenergy phosphates
-
catalyse conversion piruvate-lactate
-
hydrolyze phosphate esters
Pregunta 10
Pregunta
When in healthy individuals there is a higher activity of MM-CK:
Respuesta
-
children
-
physical activity
-
postprandial
-
after alcohol consumption
Pregunta 11
Pregunta
Which of the following hormones take part in the group of insulin antagonists:
Respuesta
-
adrenaline
-
progesterone
-
aldosterone
-
parathormone
Pregunta 12
Pregunta
Diabetes mellitus is due to:
Respuesta
-
decreased amount in insulin antagonists
-
renal loos of glucose
-
low or missing level of insulin in blood
-
decreased gastro-intestinal resorbtion of glucose
Pregunta 13
Pregunta
In which type of diabetes the two hours postprandial test has higher diagnostic sensitivity than the measurement of the glucose at fasting:
Respuesta
-
type I
-
type II
-
diabetes in progress
-
decompensated diabetes
Pregunta 14
Pregunta
Fructosamine is used as a test for blood glucose concentration for past period of:
Respuesta
-
20 day
-
8-10 weeks
-
1 week
-
6 months
Pregunta 15
Pregunta
''Dysproteinmia'' is used to indicate:
Respuesta
-
hyperproteinemia
-
disturbed ration of protein fraction in electrophoresis
-
euproteinemia
-
hypoproteinemia
Pregunta 16
Pregunta
Which of the following laboratory parameters has better diagnostic reliability in evaluation of renal function?
Respuesta
-
urea
-
uric acid
-
creatinine
-
total protein
Pregunta 17
Pregunta
What is the transferrin:
Respuesta
-
reserve iron
-
main form for iron storage
-
individual protein for iron transport
-
functional ıron
Pregunta 18
Pregunta
What do you expect to be the level of ıron and FIBC(free ıron binding capacity)
in malignant and infectious diseases:
Respuesta
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low ıron,increased FIBC
-
decreased ıron, decreased FIBC
-
increased ıron, decreased FIBC
-
increased ıron, increased FIBC
Pregunta 19
Pregunta
In viral hepatitis what can you find in urine?
Respuesta
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Bilirubin-positive, Urobilinogen-not increased
-
Bilirubin-negative, Urobilinogen-increased
-
Bilirubin-positive, urobilinogen-increased
Pregunta 20
Pregunta
The clinical reliability of laboratory results requires:
Respuesta
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High clinical and analytical reliability
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Variety of factors influencing the final value
-
Correct interpretation of laboratory parameters
-
Specific requirements for laboratory analysis
Pregunta 21
Pregunta
Blood with EDTA anticoagulant is used for the investigation of:
Respuesta
-
clinical-chemistry parameters
-
coagulation parameters
-
hematological parameters
-
heavy metals
Pregunta 22
Pregunta
Which of the following screening test shows the disturbance in extrinsic pathway of the first phase of coagulation:
Respuesta
-
PT
-
APTT
-
TT
-
Fibrinogen
Pregunta 23
Pregunta
İn what cases in healthy individuals the activity of alkaline phosphatase (ALP) is over 1000 U/I:
Respuesta
-
physical activity
-
postprandial
-
in stress
-
children
Pregunta 24
Pregunta
What kind of test is LDH and HBDH in the acute myocardial infarction?
Respuesta
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early
-
earliest
-
late
-
retrograde
Pregunta 25
Pregunta
What is the effect of somatotropin hormone one the glucose blood level:
Respuesta
-
decrease the glucose blood level
-
increases the glucose blood level
-
have no effect on the glucose blood level
-
the effect depends on the age
Pregunta 26
Pregunta
In which organs there is glycogen synthesis
Respuesta
-
central nervous system
-
muscles
-
erythrocytes
-
pancreas
Pregunta 27
Pregunta
Which of the following values of the blood glucose are in the pathological range in the postprandial test:
Respuesta
-
<7.7 mmol/I
-
7.78-9.99 mmol/I
-
>10.00 mmol/I
-
2.78-5.55 mmol/I
Pregunta 28
Pregunta
In which of the following diseases fasting glucose amount is over upper reference value:
Respuesta
-
Malabsorbtion
-
Insulinoma
-
Diabetes mellitus
-
Addison's disease
Pregunta 29
Pregunta
In serum of the newborn there are :
Respuesta
-
IgA, IgM, IgG
-
IgM, IgG
-
IgA, IgM
-
IgA, IgG
Pregunta 30
Pregunta
Blood urea is final product of :
Respuesta
-
metabolism of purine bases
-
metabolism of amino acid
-
metabolism of carbohydrates
-
metabolism of lipids
Pregunta 31
Pregunta
The reliable laboratory result
Respuesta
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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
Pregunta 32
Pregunta
Which of the following rules is not valid when a biological materials is taken
Respuesta
-
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
Pregunta 33
Pregunta
Blood with sodium citrate is used for the the investigation of:
Respuesta
-
clinical-chemistry parameters
-
coagulation parameters
-
hematological parameters
-
heavy metals
Pregunta 34
Pregunta
For the qualitative investigation of urine is necessary:
Respuesta
-
first morning portion of urine, after toilet
-
diures for fixed time
-
to take the urine with catheter
-
to take the urine in fasting
Pregunta 35
Pregunta
Fibrinolysis is:
Respuesta
-
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
Pregunta 36
Pregunta
What is the function of LDH enzyme:
Respuesta
-
transportation of amino groupies between alpha amino and alpha keto acid
-
catalyze transport of macroenergy phosphates
-
catalyse conversion pyruvate-lactate
-
hydrolyze phosphate esters
Pregunta 37
Pregunta
The CK activity must not investigated after:
Respuesta
-
Surgical intervention
-
Injection
-
Palpation of the glandulae prostate
-
X-ray
Pregunta 38
Pregunta
The lysis of the blood glucose is called:
Respuesta
-
ketonuria
-
glucosuria
-
gluconeogenesis
-
glycolysis
Pregunta 39
Pregunta
Which of the following methods is used for qualitative investigation of protein fractions:
Respuesta
-
immunoelectrophoresis
-
enzyme methods
-
electrophoresis
-
immunochemical methods
Pregunta 40
Pregunta
In hypertonic dehydration the values of Na and MCV must be as follows:
Respuesta
-
increased Na, decreased MCV
-
decreased Na, increased MCV
-
decreased Na, decreased MCV
-
increased Na, increased MCV
Pregunta 41
Pregunta
GGT is located in:
Respuesta
-
cell membrane
-
cytoplasm
-
mytochondrium
-
cytoplasm and mytochondrium
Pregunta 42
Pregunta
In which values of glucose-tolerance test is not disturbed:
Respuesta
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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
Pregunta 43
Pregunta
The glycated hemoglobin (HbA1c) is used as a test for blood glucose concentration for past period of
Respuesta
-
20 days
-
8-10 weeks
-
1 week
-
6 months
Pregunta 44
Pregunta
Which of the following clinical laboratory parameters is an early indicator of myocardial infarction
Respuesta
-
CK (creatine kinase)
-
MB-CK
-
Troponin
-
LDH, HBDH
Pregunta 45
Pregunta
Which laboratory parameters include the basic lipid profile?
Respuesta
-
Total Cholesterol, Triglycerides, HDL Cholesterol, LDL Cholesterol
-
Apolipoprotein A and Total Cholesterol
-
HDL Cholesterol, LDL Cholesterol
-
Total Protein and Albumin
Pregunta 46
Pregunta
What kind of biological materials do we use for clinical biochemistry analysis
Respuesta
-
EDTA plasma
-
Serum
-
Plasma with citrate
-
Plasma with Li heparin
Pregunta 47
Pregunta
Which is the biologically active form of Calcium in the blood circulation
Respuesta
-
Ionised Ca
-
Protein bound Ca
-
Ionised and protein bound Ca
-
Ceruloplasmin
Pregunta 48
Pregunta
What are the parameters included in the Complete blood count (CBC) test
Respuesta
-
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
Pregunta 49
Pregunta
What measure is the Differential count checking
Respuesta
-
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
Pregunta 50
Pregunta
Microforms of the erythrocyte lineage are typical characteristics of
Respuesta
-
Megaloblastic anemia
-
Acute leukemia
-
Iron deficiency anemia
-
Chronic leukemia
Pregunta 51
Pregunta
Hemostasis is
Respuesta
-
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
Pregunta 52
Pregunta
Which ONE of the following does NOT contribute to clot formation
Respuesta
-
Calcium
-
Thrombin
-
Tissue factor
-
Heparin
Pregunta 53
Pregunta
Which factors are involved in the extrinsic pathway?
Respuesta
-
Factors XII, XI, IX, VIII
-
Factors III, VII
-
Factors V, X, I, II, XIII
-
None of the above are correct
Pregunta 54
Pregunta
Which of the following values of the blood glucose are in the normal range in the postprandial test:
Respuesta
-
<7.7 mmol/l
-
7.78-9.99 mmol/l
-
>10.00 mmol/l
-
2.78-5.55 mmol/l
Pregunta 55
Pregunta
In serum during infection process the immunoglobulins increase in sequence as follows
Respuesta
-
IgA, IgM, IgG
-
IgM, IgA, IgG
-
IgG, IgA, IgM
-
IgA, IgG, IgM
Pregunta 56
Pregunta
Which are the more accurate laboratory markes of kidney function
Respuesta
-
Uremia
-
GFR and creatinine clearance
-
Uric acid
-
Ammonia
Pregunta 57
Pregunta
The recommended ranges desirable for Total Cholesterol (TC) are
Respuesta
-
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
Pregunta 58
Pregunta
Coagulation factors that initiate the clot formation are
Respuesta
-
antifibrinolytics
-
profibrinolytics
-
procoagulants
-
anticoagulants
Pregunta 59
Pregunta
Which ONE of the following about Hemophilia A is FALSE?
Respuesta
-
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
Pregunta 60
Pregunta
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?
Respuesta
-
Plasmin
-
Fibrinogen
-
Thrombin
Pregunta 61
Pregunta
Secondary hemostasis is also known as.
Respuesta
-
Enzyme release from endothelium
-
Coagulation of blood
-
Formation of platelet plug
-
Vascular spasm
Pregunta 62
Pregunta
Which Factors are involved in the intrinsic pathway?
Respuesta
-
Factors XII, XI, IX, VII
-
Factors lII, VII
-
Factors V, X, I, ll, XIII
-
None of the above is correct
Pregunta 63
Pregunta
The final phase of blood clotting is the interaction of with
Respuesta
-
VonWillebrand Factor, Factor VIII
-
Plasmin, Fibrin
-
Factor XIII, Fibrin
-
Thrombin, Fibrinogen
Pregunta 64
Pregunta
The fibrinolytic process is normally triggered by...
Respuesta
-
Fibrin
-
Plasmin
-
Endothelial cells
-
Thrombaxane
Pregunta 65
Pregunta
An excess of Plasminogen Activator Inhibitor l (PAI-l) would likely result in
Respuesta
-
Excessive bleeding
-
Excessive thrombus formation
-
Excessive vasodilation
-
All the above
Pregunta 66
Pregunta
To examine the extrinsic pathway, which labs would be most helpful?
Respuesta
-
PT, INR
-
Bleeding Time
-
aPTT
-
TT
Pregunta 67
Pregunta
Which of the following labs assesses the fibrinolytic system?
Respuesta
-
aPTT
-
TT
-
D-Dimers
-
PT, INR
Pregunta 68
Pregunta
To measure to conversion of fibrinogen to fibrin, what lab would you use?
Respuesta
-
PT, INR
-
TT
-
aPTT
-
D-Dimers
Pregunta 69
Pregunta
Differential Blood Count contains information about following white blood cell types:
Respuesta
-
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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