Medical Technology Board Exam Reviewer 2: CLINICAL MICROSCOPY

1. Nomarski and Hoffman are example of what 8. Urine clarity grading: “Few particulates, print
microscopy? easily seen through urine”
a. Phase contrast microscopy a. Clear
b. Darkfield microscopy b. Hazy
c. Brightfield microscopy c. Cloudy
d. Fluorescent microscopy d. Turbid

2. Degree of Hazard: 3 9. Which method for the determination of urine

a. Slight Hazard specific gravity is based on refractive index?
b. Moderate Hazard a. Total solids meter
c. Extreme Hazard b. Hydrometer
d. Serious Hazard c. Reagent strip
d. Harmonic oscillation densitometry
3. The best aid for chemical spills is flushing the
area with large amounts of water for at least ___ 10.Urine reagent strips should be stored in a/an:
minutes then seek medical attention. a. Incubator
a. 15 c. 25 b. Cool dry place
b. 20 d. 30 c. Refrigerator
d. Freezer
4. Arsenal fire:
a. Type A fire 11.Reading time: 30 seconds
b. Type C fire a. Bilirubin
c. Type E fire b. Ketones
d. Type F fire c. Specific gravity
d. pH
5. Urine samples should be examined within one
hour of voiding because: 12.The protein section of urine reagent strip is most
a. RBC, leukocytes and casts agglutinate on sensitive to:
standing for several hours at room temperature a. Albumin
b. Urobilinogen and bilirubin increased after b. Bence Jones protein
prolonged exposure to light c. Mucoprotein
c. Bacterial contamination will cause alkalinization d. Globulin
of urine
d. Ketones will be increased due to bacterial and 13.Bence Jones Protein is characterized by its
cellular metabolism unique ability to coagulate at ___ and dissolve
at ___.
6. The urine volume of a patient with oliguria is a. 30-50oC : 80-100oC
usually: b. 40-50oC : 80-90oC
a. 1,200-1,500 mL c. 50-60oC : 90-100oC
b. > 2,500 mL d. 40-50oC : 80-100oC
c. < 400 mL
d. < 700 mL 14.SSA turbidity: “Turbidity with granulation, no
flocculation”
7. The clarity of a urine sample should be a. 1+ c. 3+
determined: b. 2+ d. 4+
a. Using glass tubes only, never plastic
b. Following thorough mixing of the specimen 15.The parameter in the reagent strip which utilizes
c. After addition of salicylic acid Ehrlich units is:
d. After the specimen cools to room temperature a. Bilirubin
b. Urobilinogen
c. Glucose
d. Leukocytes
 Medical Technology Board Exam Reviewer 2: CLINICAL MICROSCOPY

16.Convert 0.4 mg/dL urobilinogen to Ehrlich units. 23.Manner of reporting for RTE cells:
a. 0.4 a. Average number per LPF
b. 4 b. Average number per HPF
c. 40 c. Average number per OIO
d. 400 d. 1+, 2+, 3+, 4+

17.Ascorbic acid causes false negative reactions in 24.Transitional epithelial cells seen in urine
what urine reagent strip? specimens may be reported using
a. Blood rare/few/moderate/many by using the:
b. Bilirubin a. Scanner field
c. Leukocytes b. Low power field
d. All of the choices c. High power field
d. Oil immersion field
18.Soluble in ether, except:
a. Red blood cells 25.In a urine specimen, ten calcium oxalate crystals
b. Lipids were seen per high power field (HPF). How do
c. Chyle you report the findings?
d. Lymphatic fluid a. Rare
b. Few
19.Soluble in dilute acetic acid, except: c. Moderate
a. Red blood cells d. Many
b. Amorphous phosphates
c. Calcium carbonates 26.In a urine specimen, nine bacteria were seen per
d. White blood cells high power field (HPF). How do you report the
finding?
20.Ascending sequence of casts: a. Rare
a. Waxy-hyaline-coarsely granular-finely granular- b. Few
cellular c. Moderate
b. Coarsely granular-finely granular-hyaline-waxy- d. Many
cellular
c. Hyaline-cellular-coarsely granular-finely 27.Most frequent parasite encountered in the urine:
granular-waxy a. Schistosoma haematobium
d. Cellular-hyaline-finely granular-coarsely b. Enterobius vermicularis
granular-waxy c. Trichomonas vaginalis
d. Giardia lamblia
21.Normal urinary crystal which is colorless,
resembling flat plates or thin prisms often in 28.A renal calculi described as very hard, dark in
rosette form: color with rough surface:
a. Amorphous phosphates a. Calcium oxalate
b. Struvite b. Uric acid
c. Apatite c. Cystine
d. Calcium carbonate d. Phosphate

22.If alcohol is added to urine with tyrosine crystals, 29.Renal disease whose etiology is the deposition of
this other type of abnormal crystal may be anti-glomerular basement membrane antibody
precipitated: to glomerular and alveolar basement
a. Bilirubin membranes:
b. Sulfonamide a. Berger’s disease
c. Leucine b. Wagener’s granulomatosis
d. Cystine c. Goodpasture syndrome
d. Membranous glomerulonephritis
 Medical Technology Board Exam Reviewer 2: CLINICAL MICROSCOPY

30.The sperm acrosomal cap should encompass 37.Normal synovial fluid glucose should not be
approximately ___ of the head and covers more than ___ mg/dL lower than the blood
approximately ___ of the nucleus. value.
a. One half, two-thirds a. 5
b. One third, one half b. 10
c. Two-thirds, one fourth c. 15
d. One fourth, one third d. 20

31.Sperm motility grading: “Slower speed, some 38.Cell which could be seen in synovial fluid
lateral movement” resembles polished rice macroscopically:
a. 4.0 a. Ragocytes
b. 3.0 b. Cartilage cells
c. 2.0 c. Rice bodies
d. 1.0 d. Reiter cell

32.Reagent/s used for the assessment of sperm 39.The normal color of gastric fluid is
viability: a. Colorless
a. Papanicolaou b. Green
b. Wright’s c. White
c. Giemsa d. Gray
d. Eosin-Nigrosin
40.What reagent is used for the APT test?
33.Computer-Assisted Semen Analysis (CASA) is a. Hydrochloric acid
used to determine sperm cell: b. Sodium hydroxide
a. Vertical movement c. Sulfuric acid
b. Lateral movement d. Potassium hydroxide
c. Circular movement
d. Velocity and trajectory

34.Florence test, which choline, uses which reagent?

a. Potassium iodide
b. Picric acid
c. Trichloroacetic acid
d. Silver nitroprusside

35.Pellicle clot formation after 12-24 hours

refrigeration of cerebrospinal fluid:
a. Bacterial meningitis
b. Viral meningitis
c. Tubercular meningitis
d. Fungal meningitis

36.Oligoclonal banding in cerebrospinal fluid but

not in serum, except:
a. Multiple myeloma
b. Encephalitis
c. Neurosyphilis
d. Guillain-Barre disease