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Clinical Labs Exam- 3rd Year- PMU
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Questions in this quiz (69)
1The laboratory result is a function of many factors influencing the final value:
- Abiological factors
- Bpathological factors
- Cfactors in preanalytical stage
- Dpathological, biological, preanalytical, analytical and post analytical factors
2Which are the biological factors with permanent activity of the variation of the results:
- Asex, race
- Bage
- Cbody construction
- Dstress
3Which of the following criteria are valid when to reject a spicimen as unacceptable for testing ?
- AProper patient identification,storage and transport of samples to the laboratory
- Bİmproper collection tube used, hemolyzed, lipemic,or icteric sample, blood clotted with anticoagulant, sample improperly transported
- CCarefully and strictly filled in examination form
- DStrict observation of procedures of venous puncture, urine colletion and collection of other biological samples
4Mark the right answer for urine collection (diuresis)
- Acollection after morning toilet
- Bcollection of the whole urine from the first to the last portion
- Cthe first portion is eliminated, the last is collected
- Durine collection till the vessel is full
5Which of the following procedures is wrong?
- Aconversation with the patient
- Bselection of vein without hematoma and intravenous infusion
- Cstrangulation of the arm for a short time
- Dtapping and massaging of the vein
6Coagulation factors that obstruct the clot lyses are:
- Aanti-fibrinolytic
- Bprofibrinolytics
- Cprocoagulants
- Danticoagulants
7Which test can be used for control and treatment with direct anticoagulants
(heparin)- AAPTT
- BFibrinogen
- CPlatelets(PLT)
- DPT
8Creatine kinase (CK) is:
- Atransferase
- Bkinase
- Coxydoreductase
- Dhydrolase
9Investigation of alkaline phosphatase activity (ALP) is informative for:
- Atransportation of amino groupies between alpha amino and alpha keto acid
- Bcatalyze transport of macroenergy phosphates
- Ccatalyse conversion piruvate-lactate
- Dhydrolyze phosphate esters
10When in healthy individuals there is a higher activity of MM-CK:
- Achildren
- Bphysical activity
- Cpostprandial
- Dafter alcohol consumption
11Which of the following hormones take part in the group of insulin antagonists:
- Aadrenaline
- Bprogesterone
- Caldosterone
- Dparathormone
12Diabetes mellitus is due to:
- Adecreased amount in insulin antagonists
- Brenal loos of glucose
- Clow or missing level of insulin in blood
- Ddecreased gastro-intestinal resorbtion of glucose
13In which type of diabetes the two hours postprandial test has higher diagnostic sensitivity than the measurement of the glucose at fasting:
- Atype I
- Btype II
- Cdiabetes in progress
- Ddecompensated diabetes
14Fructosamine is used as a test for blood glucose concentration for past period of:
- A20 day
- B8-10 weeks
- C1 week
- D6 months
15''Dysproteinmia'' is used to indicate:
- Ahyperproteinemia
- Bdisturbed ration of protein fraction in electrophoresis
- Ceuproteinemia
- Dhypoproteinemia
16Which of the following laboratory parameters has better diagnostic reliability in evaluation of renal function?
- Aurea
- Buric acid
- Ccreatinine
- Dtotal protein
17What is the transferrin:
- Areserve iron
- Bmain form for iron storage
- Cindividual protein for iron transport
- Dfunctional ıron
18What do you expect to be the level of ıron and FIBC(free ıron binding capacity)
in malignant and infectious diseases:- Alow ıron,increased FIBC
- Bdecreased ıron, decreased FIBC
- Cincreased ıron, decreased FIBC
- Dincreased ıron, increased FIBC
19In viral hepatitis what can you find in urine?
- ABilirubin-positive, Urobilinogen-not increased
- BBilirubin-negative, Urobilinogen-increased
- CBilirubin-positive, urobilinogen-increased
20The clinical reliability of laboratory results requires:
- AHigh clinical and analytical reliability
- BVariety of factors influencing the final value
- CCorrect interpretation of laboratory parameters
- DSpecific requirements for laboratory analysis
21Blood with EDTA anticoagulant is used for the investigation of:
- Aclinical-chemistry parameters
- Bcoagulation parameters
- Chematological parameters
- Dheavy metals
22Which of the following screening test shows the disturbance in extrinsic pathway of the first phase of coagulation:
- APT
- BAPTT
- CTT
- DFibrinogen
23İn what cases in healthy individuals the activity of alkaline phosphatase (ALP) is over 1000 U/I:
- Aphysical activity
- Bpostprandial
- Cin stress
- Dchildren
24What kind of test is LDH and HBDH in the acute myocardial infarction?
- Aearly
- Bearliest
- Clate
- Dretrograde
25What is the effect of somatotropin hormone one the glucose blood level:
- Adecrease the glucose blood level
- Bincreases the glucose blood level
- Chave no effect on the glucose blood level
- Dthe effect depends on the age
26In which organs there is glycogen synthesis
- Acentral nervous system
- Bmuscles
- Cerythrocytes
- Dpancreas
27Which of the following values of the blood glucose are in the pathological range in the postprandial test:
- A<7.7 mmol/I
- B7.78-9.99 mmol/I
- C>10.00 mmol/I
- D2.78-5.55 mmol/I
28In which of the following diseases fasting glucose amount is over upper reference value:
- AMalabsorbtion
- BInsulinoma
- CDiabetes mellitus
- DAddison's disease
29In serum of the newborn there are :
- AIgA, IgM, IgG
- BIgM, IgG
- CIgA, IgM
- DIgA, IgG
30Blood urea is final product of :
- Ametabolism of purine bases
- Bmetabolism of amino acid
- Cmetabolism of carbohydrates
- Dmetabolism of lipids
31The reliable laboratory result
- AIs a real evaluation of the actual value of the examined parameters in biological fluids and tissues and it presents useful information
- BDepend on the proper and timely collection
- CIs a function of a variety of factors
- DIs helpful for correct interpretation of laboratory parameters
32Which of the following rules is not valid when a biological materials is taken
- Ato be taken in the morning fasting,after 12 hours fasting diet and 24 hours pause without alcohol and physical and physical peace
- Bto be taken in a seated position and the form to be filled carefully and strictly
- Cto be observed the procedures for taking, keeping and transport of biological material
- Dthe method for this test to be selected correctly
33Blood with sodium citrate is used for the the investigation of:
- Aclinical-chemistry parameters
- Bcoagulation parameters
- Chematological parameters
- Dheavy metals
34For the qualitative investigation of urine is necessary:
- Afirst morning portion of urine, after toilet
- Bdiures for fixed time
- Cto take the urine with catheter
- Dto take the urine in fasting
35Fibrinolysis is:
- Acomplicated, dynamic, self-regulating system
- Ba process of coagulation
- Ccontraction of blood vessels with injury
- Da complex of processes which make possible lysis of the clot
36What is the function of LDH enzyme:
- Atransportation of amino groupies between alpha amino and alpha keto acid
- Bcatalyze transport of macroenergy phosphates
- Ccatalyse conversion pyruvate-lactate
- Dhydrolyze phosphate esters
37The CK activity must not investigated after:
- ASurgical intervention
- BInjection
- CPalpation of the glandulae prostate
- DX-ray
38The lysis of the blood glucose is called:
- Aketonuria
- Bglucosuria
- Cgluconeogenesis
- Dglycolysis
39Which of the following methods is used for qualitative investigation of protein fractions:
- Aimmunoelectrophoresis
- Benzyme methods
- Celectrophoresis
- Dimmunochemical methods
40In hypertonic dehydration the values of Na and MCV must be as follows:
- Aincreased Na, decreased MCV
- Bdecreased Na, increased MCV
- Cdecreased Na, decreased MCV
- Dincreased Na, increased MCV
41GGT is located in:
- Acell membrane
- Bcytoplasm
- Cmytochondrium
- Dcytoplasm and mytochondrium
42In which values of glucose-tolerance test is not disturbed:
- Aat fasting, at 60 minutes, at 120 minutes are in the reference range
- Bat fasting is in the reference range,at 60 minutes-in pathological range,at 120 minutes-boundary range
- Cat 60 minutes and at 120 minutes >11.1 mmol/I
- Dat 60 minutes <8.9 mmol/I,at 120 minutes <7.7 mmol/I
43The glycated hemoglobin (HbA1c) is used as a test for blood glucose concentration for past period of
- A20 days
- B8-10 weeks
- C1 week
- D6 months
44Which of the following clinical laboratory parameters is an early indicator of myocardial infarction
- ACK (creatine kinase)
- BMB-CK
- CTroponin
- DLDH, HBDH
45Which laboratory parameters include the basic lipid profile?
- ATotal Cholesterol, Triglycerides, HDL Cholesterol, LDL Cholesterol
- BApolipoprotein A and Total Cholesterol
- CHDL Cholesterol, LDL Cholesterol
- DTotal Protein and Albumin
46What kind of biological materials do we use for clinical biochemistry analysis
- AEDTA plasma
- BSerum
- CPlasma with citrate
- DPlasma with Li heparin
47Which is the biologically active form of Calcium in the blood circulation
- AIonised Ca
- BProtein bound Ca
- CIonised and protein bound Ca
- DCeruloplasmin
48What are the parameters included in the Complete blood count (CBC) test
- ARBC, WBC, PLT, Hb, Ht, MCV, MCH, MCHC and ESR
- BRBC, WBC, PLT, Hb, Ht, MCV, MCH, MCHC and Differential Count
- CRBC, WBC, PLT, Hb, Ht, MCV, MCH, MCHC
- DESR and Differential Count
49What measure is the Differential count checking
- Adistribution of WBC in %absolute count in peripheral blood
- Bthe maturation forms of WBC in %absolute count in peripheral blood
- Cthe morphology of RBC in peripheral blood
- Dthe distribution of WBC, RBC, PLT in %absolute count in peripheral blood
50Microforms of the erythrocyte lineage are typical characteristics of
- AMegaloblastic anemia
- BAcute leukemia
- CIron deficiency anemia
- DChronic leukemia
51Hemostasis is
- AComplicated, dynamic, self-regulating system
- BA process of coagulation
- CContraction of blood vessels with injury
- DA complex of processes which make possible lysis of the clot
52Which ONE of the following does NOT contribute to clot formation
- ACalcium
- BThrombin
- CTissue factor
- DHeparin
53Which factors are involved in the extrinsic pathway?
- AFactors XII, XI, IX, VIII
- BFactors III, VII
- CFactors V, X, I, II, XIII
- DNone of the above are correct
54Which of the following values of the blood glucose are in the normal range in the postprandial test:
- A<7.7 mmol/l
- B7.78-9.99 mmol/l
- C>10.00 mmol/l
- D2.78-5.55 mmol/l
55In serum during infection process the immunoglobulins increase in sequence as follows
- AIgA, IgM, IgG
- BIgM, IgA, IgG
- CIgG, IgA, IgM
- DIgA, IgG, IgM
56Which are the more accurate laboratory markes of kidney function
- AUremia
- BGFR and creatinine clearance
- CUric acid
- DAmmonia
57The recommended ranges desirable for Total Cholesterol (TC) are
- ALow-density lipoprotein (LDL) cholesterol: 3.4 mmol/l or less
- BHigh density lipoproteins (HDL) cholesterol: 1.2 mmol/l or more
- CTotal cholesterol (TC)- 5.2 mmol/l or less
- DTC/HDL ratio: 4.5 or less. This reflects the fact that for any given total cholesterol level, the more HDL, the better
58Coagulation factors that initiate the clot formation are
- Aantifibrinolytics
- Bprofibrinolytics
- Cprocoagulants
- Danticoagulants
59Which ONE of the following about Hemophilia A is FALSE?
- AHaemophilia A is sex-linked
- BHaemophilia A is more common than Haemophilia B
- CRe-bleeding after 5 days from the injury is uncommon
- DHaemophilia A is caused by more than one genetic deficiency i.e. two individuals suffering from the disease may possess two different genetic mutations
- EThe physician should always treat the patient even if bleeding is not physically detectable
60Clots 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?
- APlasmin
- BFibrinogen
- CThrombin
61Secondary hemostasis is also known as.
- AEnzyme release from endothelium
- BCoagulation of blood
- CFormation of platelet plug
- DVascular spasm
62Which Factors are involved in the intrinsic pathway?
- AFactors XII, XI, IX, VII
- BFactors lII, VII
- CFactors V, X, I, ll, XIII
- DNone of the above is correct
63The final phase of blood clotting is the interaction of with
- AVonWillebrand Factor, Factor VIII
- BPlasmin, Fibrin
- CFactor XIII, Fibrin
- DThrombin, Fibrinogen
64The fibrinolytic process is normally triggered by...
- AFibrin
- BPlasmin
- CEndothelial cells
- DThrombaxane
65An excess of Plasminogen Activator Inhibitor l (PAI-l) would likely result in
- AExcessive bleeding
- BExcessive thrombus formation
- CExcessive vasodilation
- DAll the above
66To examine the extrinsic pathway, which labs would be most helpful?
- APT, INR
- BBleeding Time
- CaPTT
- DTT
67Which of the following labs assesses the fibrinolytic system?
- AaPTT
- BTT
- CD-Dimers
- DPT, INR
68To measure to conversion of fibrinogen to fibrin, what lab would you use?
- APT, INR
- BTT
- CaPTT
- DD-Dimers
69Differential Blood Count contains information about following white blood cell types:
- ASegmented Neutrophils, Monocytes, Lymphocytes, Eosinophils, Plasmocytes, Basophils
- BSegmented Neutrophils, Monocytes, Erys
- CNeutrophils, Monocytes, Lymphocytes, Eosinophils
- DLymphocytes, Eosinophils, Plasmocytes, Basophils, Erys. etc.
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