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Clinical Labs Exam- 3rd Year- PMU

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Clinical Labs Exam- 3rd Year- PMU
Med Student
Quiz por Med Student , atualizado more than 1 year ago
Med Student
Criado por Med Student aproximadamente 6 anos atrás
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Resumo de Recurso

Questão 1

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

Questão 2

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

Questão 3

Questão
Which of the following criteria are valid when to reject a spicimen as unacceptable for testing ?
Responda
  • 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

Questão 4

Questão
Mark the right answer for urine collection (diuresis)
Responda
  • 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

Questão 5

Questão
Which of the following procedures is wrong?
Responda
  • 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

Questão 6

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

Questão 7

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

Questão 8

Questão
Creatine kinase (CK) is:
Responda
  • transferase
  • kinase
  • oxydoreductase
  • hydrolase

Questão 9

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

Questão 10

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

Questão 11

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

Questão 12

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

Questão 13

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

Questão 14

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

Questão 15

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

Questão 16

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

Questão 17

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

Questão 18

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

Questão 19

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

Questão 20

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

Questão 21

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

Questão 22

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

Questão 23

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

Questão 24

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

Questão 25

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

Questão 26

Questão
In which organs there is glycogen synthesis
Responda
  • central nervous system
  • muscles
  • erythrocytes
  • pancreas

Questão 27

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

Questão 28

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

Questão 29

Questão
In serum of the newborn there are :
Responda
  • IgA, IgM, IgG
  • IgM, IgG
  • IgA, IgM
  • IgA, IgG

Questão 30

Questão
Blood urea is final product of :
Responda
  • metabolism of purine bases
  • metabolism of amino acid
  • metabolism of carbohydrates
  • metabolism of lipids

Questão 31

Questão
The reliable laboratory result
Responda
  • 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

Questão 32

Questão
Which of the following rules is not valid when a biological materials is taken
Responda
  • 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

Questão 33

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

Questão 34

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

Questão 35

Questão
Fibrinolysis is:
Responda
  • 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

Questão 36

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

Questão 37

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

Questão 38

Questão
The lysis of the blood glucose is called:
Responda
  • ketonuria
  • glucosuria
  • gluconeogenesis
  • glycolysis

Questão 39

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

Questão 40

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

Questão 41

Questão
GGT is located in:
Responda
  • cell membrane
  • cytoplasm
  • mytochondrium
  • cytoplasm and mytochondrium

Questão 42

Questão
In which values of glucose-tolerance test is not disturbed:
Responda
  • 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

Questão 43

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

Questão 44

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

Questão 45

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

Questão 46

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

Questão 47

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

Questão 48

Questão
What are the parameters included in the Complete blood count (CBC) test
Responda
  • 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

Questão 49

Questão
What measure is the Differential count checking
Responda
  • 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

Questão 50

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

Questão 51

Questão
Hemostasis is
Responda
  • 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

Questão 52

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

Questão 53

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

Questão 54

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

Questão 55

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

Questão 56

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

Questão 57

Questão
The recommended ranges desirable for Total Cholesterol (TC) are
Responda
  • 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

Questão 58

Questão
Coagulation factors that initiate the clot formation are
Responda
  • antifibrinolytics
  • profibrinolytics
  • procoagulants
  • anticoagulants

Questão 59

Questão
Which ONE of the following about Hemophilia A is FALSE?
Responda
  • 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

Questão 60

Questão
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?
Responda
  • Plasmin
  • Fibrinogen
  • Thrombin

Questão 61

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

Questão 62

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

Questão 63

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

Questão 64

Questão
The fibrinolytic process is normally triggered by...
Responda
  • Fibrin
  • Plasmin
  • Endothelial cells
  • Thrombaxane

Questão 65

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

Questão 66

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

Questão 67

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

Questão 68

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

Questão 69

Questão
Differential Blood Count contains information about following white blood cell types:
Responda
  • 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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