CSF 12.

A patient with a blood glucose of 120 mg/dL

1. The CSF flows through the: would have a normal CSF glucose of:
a. Choroid plexus c. Subarachnoid space a. 80 mg/dL c. 120 mg/dL
b. Pia mater d. dura mater b. 60 mg/dL d. 20 mg/dL
2. What laboratory section is the CSF tube labeled
72, 78 or 84 mg/dL
2 routinely used to?
a. Serology c. microbiology 13. CSF lactate will me more consistently
b. Chemistry d. hematology decreased in:
3. The CSF tube labeled 2 should be maintained in a. Viral meningitis c. fungal meningitis
what temperature? b. Bacterial meningitis d. tubercular m.
a. 20-24C c. -20C 14. The test of choice to detect neurosyphilis is
b. 2-4C d. -80C the:
4. What does a web-like pellicle in a refrigerated a. RPR c. FAB
CSF specimen indicates? b. VDRL d. FTA-ABS
a. Viral meningitis 15. The cause of turbid or milky CSF, EXCEPT:
b. Multiple sclerosis a. Hemoglobin c. bacteria
c. primary CNS malignancy b. WBCs d. Protein
d. tubercular meningitis 16. What is the clinical importance of
5. A total CSF cell count on a clear fluid should be: macrophages in CSF:
a. Not reported c. reported as normal a. Cerebral hemorrhage
b. Diluted w/ norm saline d. counted undiluted b. Acute leukemia
6. What is the primary concern when pleocytosis c. RBCs in spinal fluid
of neutrophils and lymphocytes is found in the d. metastatic carcinomas
CSF 17. Decreased CSF protein indicates, EXCEPT:
a. Hemorrhage c. meningitis a. CSF leakage c. recent puncture
b. Multiple sclerosis d. CNS malignancy b. Neurosyphilis d. water intoxication
7. The reason why nucleates RBCs are seen in the 18. The reference concentration of a normal CSF
CSF glutamine:
a. Anemia treatment c. severe hemorrhage a. 8 to 18 mg/dL c. 8 to 18 g/dL
b. blood RBCs d. bone marrow contamination b. 15 to 45 mg/dL d. 15 to 45 mg/dL
8. Hemosiderin granules and hematoidin crystals 19. Organisms frequently encountered on a
are seen in: bacterial infected CSF:
a. Lymphocytes c. ependymal cells a. S. pneumoniae c. N. meningitidis
b. Macrophages d. neutrophils b. H. influenzae d. All of the above
9. The reference range for CSF protein: 20. The functions of the CSF include all of the
a. 15 to 45 mg/dL c. 15 to 45 g/dL following:
b. 6 to 8 mg/dL d. 6 to 8 g/dL a. Remove metabolic waste
10. In serum, the second most prevalent protein is b. Supply nutrients to the nervous tissue
IgG; in CSF, the second most prevalent protein c. Mechanical barrier to cushion the brain and
is: spinal cord
a. Transferrin c. Prealbumin d. All of the above
b. IgA d. ceruloplasmin
11. The finding of oligoclonal bands in the CSF and
not in the serum is seen with:
a. Viral infections c. multiple sclerosis
b. CNS malignancy d. multiple myeloma
 SIR DEAN PART 1 12. This is a condition characterized by the
presence of geometrically formed structures in
the urine.
1. What is the standard volume of urine that… a. Crystalluria c. bacteriuria
a. 20ml c. 5ml b. Cylindruria d. none of the above
b. 12ml d. any volume will do.. 13. Not concern…
2. Which of the following sediments are (chuchu) - Uric acid
semi-quantitatively? 14. Yellow-brown spherical crystals with spicules
a. Crystals c. WBCs are characteristic of:
b. RBCs d. All of the above a. Bilirubin c. uric acid
3. Which of the following is not supportive of b. Cystine d. ammonium biurate
microscopic finding of bacteriuria? 15. Which crystals are associated with liver
a. pH of 3.0 disorders?
b. leukocyte esterase + a. Leucine c. bilirubin
c. nitrite + b. Tyrosine d. all of the above
d. turbid urine 16. Hexagonal…
4. most frequently used stain.. - Cystine
- Sternheimer-Malbin stain 17. Which of the following is indicative of
5. Drug-induced interstitial nephritis may best be antifreeze poisoning?
elucidates by what stain? a. Uric acid c. CaOx monohydrate
a. Hansel stain c Oil red O b. CaOx dihydrate d. triple phosphate
b. Prussian blue stain d. Sternheimer-malbin 18. The presence of dysmorphic RBCs is indicative
6. What substance makes up casts? of damage localixed to:
a. Bence-jones protein a. Proximal tubule c. urinary bladder
b. Uromodulin b. Loop of henle d. glomerulus
c. Tamm-horsfall glycoprotein 19. This is a large polygonal cell with abundant,
d. B and c dense cytoplasm and a prominent nucleus that
7. What finding facilitates localization of infection is covered in come portions by coccobacilli
in the kidney instead of the lower urinary a. Clue cell
tract? b. Squamous epithelial cell
a. Nitrites c. Renal tubular epithelial cell
b. Positive urine culture for E.coli d. Transitional epithelial cell
c. Leukocyte esterase 20. Clue cell
d. WBC casts - Gardnerella vaginalis
8. Which of the following casts are always
pathologic?
a. Hyaline cast c. waxy cast
b. Granular cast d. all of the above
9. The presence of lipid casts is indicative of:
a. Nephrotic syndrome
b. Nephritic syndrome
c. Hypercholesterolemia
d. All of the above
10. Most common…
- T. vaginalis
11. Which of the following parasites can be
encountered in urine?
a. E. vermicularis c. T. vaginalis
b. S. hematobium d. All of the above
DOC M Plasma Test- Chylous
27. Sudden onset- Chylous
1. Usually bilateral owing to systemic conditions-
28. Milky to bloody turbidity- Chylous
Tra
29. Increased lymphocyte count only- Chylous
2. Presence of coagulation-Exu
30. >200 TAG in mg%- Chylous
3. May be chylous or pseudochylous-Exu
31. IFN-y-Chemical
4. Due to decreased oncotic pressure in plasma-
32. Mesothelial cell identification-Microscopic
Tra
33. ANA-Immunological
5. Due to increased hydrostatic pressure in
capillaries-Tra 34. Uric acid-Chemical

6. May be due to congestive heart failure-Tra 35. Lipoprotein electrophoresis-Chemical

7. Retained for 7-10 days for further testing-Tra 36. Bacterial culture-Microbiological

8. Requires additional medical workup-Exu 37. pH-Chemical

9. Seen in SLE(Systemic Lupus Erythematosus)-Exu 38. Pleural fluid/Serum Cholesterol ratio

10. Pleural LD level equal to 2/3 the upper limit of -Chemical

serum LD-Exu 39. CEA-Chemical

11. Pleural fluid/ serum protein ratio >25-Exu 40. RF-Immunological

12. Serum-pleural fluid albumin ratio < 1.2g/dl-Exu 41. ADA-Chemical

13. Pleural fluid/ serum cholesterol ratio of 0.45- 42. PCR-Chemical

Exu 43. CYFRA 21-1-Chemical

14. Clear to pale yellow fluid-Tra 44. TSA-Chemical

15. Feculent/ putrid smell-Exu 45. Clarity-Gross Exam

16. Usually unilateral often linked to localized 46. Telomerase-Chemical

diseases-Exu 47. Color-Gross Exam

17. Presence of chylomicrons-Exu 48. Neutrophilia assessment-Microscopic

18. Generally characteristic of fluids with >1000 49. WBC count-Microscopic

WBC counted per-Exu 50. CA-125-Chemical

19. Seen in noninfectious inflammatory disease of 51. Creatinine & Urea-Chemical

the pericardium-Exu 52. Bilirubin-Chemical
20. Seen in hepatic cirrhosis-Tra 53. PSA-Chemical
21. Gradual onset-Pseudo 54. ALP-Chemical
22. <0.50 M TAG-Pseudo 55. Interleukin-8-Chemical
23. Chylomicrons absent- Pseudo
24. Metallic sheen- Pseudo
25. Presence of cholesterol crystals- Pseudo
26. Creamy layer on top of plasma after a Standing
SIR DEAN PART 2 11. Poor arthrocentesis technique is expected to
show plenty of which types of cells?
1. Which is FALSE about synovial fluid? a. Reiter Cells c. LE Cells
A. It is a perfect ultrafiltrate of plasma.(not perfect) b. Ragocytes d. Synoviocytes
B. It provides lubrication to joints 12. Neutrophils with degraded nuclear material
C. It is a source of nutrients to joints from ingested cells are known as:
D. It is found in between movable joints. a. Reiter Cells c. LE Cells
2. What mucopolysaccharide is responsible for the b. Ragocytes d. Synoviocytes
viscosity of synovial fluid? 13. The presence of fat droplets in synovial fluid
A. Heparin C. Collagen is indicative of?
B. Hyaluronic Acid D. B and C a. Nephrotic Syndrome
3. Which of the tests below is commonly b. Traumatic Injury
performed on synovial fluid? c. Acute inflammation
a. Gram Stain c. WBC count d. All of the above
b. Ropes test d. Crystal examination 14. A blue birefringence in polarized light is
4. Which of the ff synovial fluid values is characteristic of:
abnormal? a. Negative birefringence c. Either
a. Volume: 2.5 ml c. Crystals: None seen b. Positive birefringence d. Neither
b. Clarity: Clear d. WBC count: 225 cells/ uL 15. A yellow color in polarized microscopy is
5. Which of the following shows minimal characteristic of:
deviations from normal values of synovial fluid? a. Negative birefringence c. Either
a. Non-inflammatory c. Septic b. Positive birefringence d. Neither
b. Inflammatory d. Hemorrhagic 16. A blue color in polarized microscopy is
6. What test is not properly matched to the characteristic of
anticoagulant that should be used?(naa ra ana 2 a. CPPD c. Cholesterol
di ko sure asa) b. MSU d. Calcium oxalate
a. Gram Stain: Sodium Polyanethol Sulfonate 17. What is used to stain undigested muscle
b. WBC Count: K3 EDTA fibers in the stool
c. Glucose: Fluoride a. Crystal violet c. Eosin
d. None of the Above b. Desmin d. MyoD1
7. What reagent is used for the mucin clot test? 18. The presence of neutrophils in the intestinal
a. 2-5% Hyaluronic Acid epithelium is specific for an infectious
b. 2-5% Trichloroacetic Acid process:
c. 2-5% Acetic Acid a. True b. False
d. 2-5% Polyanethol Sulfonic Acid 19. A black stool can be explained by:
8. A turbid fluid with a friable clot is graded as? a. Bleeding in the stomach
a. Good c. Low b. Ingestion of activated charcoal as treatment
b. Fair d. Poor for poisoning
9. In what squares should WBCs be counted in a c. Iron megadosing
cloudy, green synovial fluid with a clinical d. All of the above
impression of septic arthritis: 20. Cholera is characterized by what type of
a. All 9 large squares diarrhea?
b. 5 small squares in the central large square a. Secretory
c. 4 large corner squares b. Osmotic
d. Any of the above c. Dysentery
10. Lysis of RBCs is done by using? Dysmotility
a. Hypotonic saline (0.3%)
b. Hypertonic saline
c. 2-5% Acetic acid
d. Hyaluronic Acid
SIR GWAPO <3333 12. How amniotic fluid for fetal lung maturity
1. What temperature should you keep you semen should be delivered in the laboratory?
sample? -placed in ice for delivery to the laboratory and
-Room temperature left refrigerated

2. What labels should you find on a semen sample? 13. What is the normal color and appearance of

- Patient’s name, Time specimen collection normal amniotic fluid?

3. What is the sperm motility in grade 4? -colorless

-motile with rapid, straight line-motility 14.What does zone 1 in the Liley graph mean?

Grade 3 – slow progression, some lateral movement -moderate hemolysis --- mildly affected fetus

4. What stain is used in in sperm vitality? 15. What does zone 3 mean in Liley graph mean?

-Eosin-negrosin -severe hemolysis --- severely affected fetus

5. What is the stain result of the live sperm? 16. The significant rise in OD of amniotic fluid at

- bluish-white (living sperm) 450 mL indicates the presence of what

Red-purple (dead sperm) analyte?

6. What are the changes of a semen sample if the -Bilirubin

first is missing? 17. In testing for fetal lung maturity, this is an

- decrease sperm count, increase pH, specimen will immunologic test of thin layer

not liquify chromatography and the positive result is

7. What are the changes of a serum sample if the the presence of agglutination?

last portion is missing? -Amniostat-FLM

- increase sperm count, decrease pH, specimen will 18. What is the normal value of amniotic fluid?

not clot -800-1200 mL

8. Sperm function test: sperm is exposed to low

sodium concentration and is evaluated for
membrane integrity and sperm viability?
-Hypo-osmotic swelling
9. What is the measurement of the head and
flagella of the sperm?
-h-5micrometer long; 3um wide; f-45micrometer
long
10. What is the measurement of acrosomal cap?
-half of the head: cover is equals to 2/3 of the sperm
nucleus
11.What are the three lung surfactants?
-Lecithin, Sphingomyelin, Phosphatidyl glycerol