a) Spermatid

CLINICAL MICROSCOPY 2 b) Varicocele

POST EXAM c) Round cells
d) Necrospermia
14) Home based hCG test kit uses the principle of what?
1) This causes the small intestine to fill too quickly with a) ISE
undigested food from the stomach,it is also known as the b) Jaffe reaction
hallmark of early dumping syndrome, this term is called? c) Nephelometry
a) BAO d) Enzyme immunoassay
b) IBS 15) Which of the following statement is true regarding OD 450
c) Steatorrhea examination?
d) Rapid gastric emptying a) Optical density (OD) of the fluid is measured in intervals
2) Which of the following causes false positive result in between 450 nm and 365 nm
pregnancy test? b) HDN- decreased at 450nm
a) Ectopic pregnancy c) Performed by spectrophotometric analysis
b) Low titer or concentration of hormone d) NOTA
c) Toxic urine specimen 16) MODE of collection for peritoneal fluid collection
d) Low sensitivity of the animal a) LUMBAR PUNCTURE
3) In computing for sperm concentration, this method is used b) PARACENTESIS
for undiluted specimen: c) PERITONEOCENTESIS
a) Neubauer counting chamber d) A AND B
b) Mahkler counting chamber 17) An accumulation of fluid between the peritoneal cavity
c) Van de kamer a) Ascites
d) Titration method b) Effusion
4) Cerebrospinal fluid (CSF) is formed by ultrafiltration of c) Transudate
plasma through the: d) exudate
a) Choroid plexus 18) Which test best correlates with the severity of HDN?
b) Sagittal sinus a) Rh antibody titer of the mother
c) Anterior cerebral lymphatics b) Lecithin/sphingomyelin (L/S) ratio
d) Arachnoid membrane c) Amniotic fluid bilirubin
5) Which of the following statement is true regarding d-xylose d) Urinary estradiol
test? 19) Require fasting period for gastric period:
a) Creatorrhea can be detected throught this test. a. 12-15 minutes b. 8-12 hours
b) Normal D-xylose test indicates pancreatitis. c. 12 hours d. 6-8 hours
c) In cases where Urine D-xylose is high the resulting 20) Causative agent of meningitis in 5-29 years of age?
creatorrhea would indicate malabsorption condition a) L. monocytogenes
d) AOTA b) H.infuenzae
6) It is an autosomal recessive metabolic disorder affecting the c) S.pneumoniae
mucous secreting galnds of the body, what disorder is this? d) N.meningitidis
a) Mucoviscidosis 21) CSF is formed by filtration of plasma under hydrostatic
b) Down syndrome pressure and active transport. CSF is collected by lumbar
c) Neural tube defects puncture placed in 2 sterile tubes.
d) Meningitis a) First statement is true. Second statement is false.
7) What is the most predominant cells seen in bronchioalveolar b) First statement is false. Second statement is true.
lavage? c) BOTH statements are false.
a) Lymphocyte d) BOTH statements are true.
b) Monocyte 22) Which is the reference method for determining fetal lung
c) Eosinophils maturity?
d) Macrophage A. Human placental lactogen
8) Which of the following is not a function B. L/S ratio
of synovial fluid? C. Amniotic fluid bilirubin
a) It acts as a is a lubricant and adhesive D. Urinary estriol
b) None of the choices 23) In first trimester majority of amniotic fluid is contributed by
c) It provides nutrients for the avascular articular cartilage. the mother, the second and third are contributed by the
d) It reduces friction between bones infant.
9) Which organism is the most frequent cause of bacterial a) Both statement true
meningitis in neonates? b) Both statement are false
A. Neisseria meningitidis c) First statement is false, second statement is true
B. Group B Streptococcus d) First statement state is true, second statement is false.
C. Streptococcus pneumoniae 24) Acrosomal cap of the sperm morphology should encompass
D. Klebsiella pneumoniae approximately:
10) In CHO disorder, the pH of feces in this condition is? A. Half of the head and covers 1/3 of the nucleus
a) 8.0 B. Half of the head and covers 2/3 of the nucleus
b) 6.7 C. 2/3 of the head and covers half of the nucleus
c) 6.0 D. 1/3 of the head and covers half of the nucleus
d) <5.5 25) The test for CSF which is not considered a part of routine
11) The following are classifications of exudates: analysis?
a) Crystal: no crystal a. Color turbidity
b) Crystal:cholesterol hematoidin b. Cell count
c) Cells: mesothelial cells c. Chloride determination
d) NOTA d. Protein and glucose determination
12) The term euchlorhydria id described as: 26) Known as the cause of stool odor
a) Normal free HCl a) Parasite
b) Increased free HCl b) Urobilinogen
c) Gastric fluid Ph is >3.5 c) Bilirubin
d) Failure to produce a Ph of <6 d) Indole and skatole

13) This term is describe as hardening of veins that drains the 27) Psammoma bodies, fall under the category of:
testes, this term is called? a) Peritoneal exudate

1
 b) Peritoneal transudate c) 20LPF
c) Pleural exudate d) 10LPO
d) Pericardial exudate 42) Which of the ff is a functional disorder in which the nerves
28) Which assay result is often approximately 25% below the and muscles of the bowel are extra sensitive, causing
expected level in pregnancies associated with Down cramping, bloating, flatus, diarrhea, and constipation?
syndrome? a) IBS
A. Serum unconjugated estriol b) Dumping syndrome
B. L/S ratio c) Diarrhea
C. Amniotic fluid bilirubin d) steatorrhea
D. Urinary chorionic gonadotropin 43) Identify what specimen is being described in the following:
29) Gastric fluid collection is done by aspiration using gastric Urea<30mg/dl
tubes. Levin tube is passed through the: Creatinine < 3.5 mg/dl
A.nose C. ears Protein(+)
B.mouth D. trachea Glucose(+)
30) Caused by INCOMPLETE BREAKDOWN or REABSORPTION a) Amniotic fluid
OF FOOD which draws excessive water un large intestine b) Urine
a) Altered diarrhea c) Synovial fluid
b) Secretory diarrhea d) CSF
c) Osmotic diarrhea 44) Number of dilution in clear CSF?
d) IBS a) 1:10
31) Chemical screening tests performed on feces includes all the b) 1:0.5
following except: c) UNDILUTED
A.Apt test C. Pilocarpine iontophoresis d) 1:20
B.Clinitest D. Quantitative fecal test 45) This process serves to remove the toxic metabolic waste
32) Identify what specimen is being described in the following: product ammonia from the CNS.
Urea<30mg/dl a) CSF Glutamine
Creatinine < 3.5 mg/dl b) Glucose
Protein(+)
c) Ldh
Glucose(+)
a) Amniotic fluid d) Enzyme
b) Urine 46) This exam distinguish between the fetal blood or maternal
c) Synovial fluid blood in infant’s stool (vomitus).
d) CSF a) Serosamucin test
33) A black tarry stool is indicative of: b) APT Test
A.Upper GI bleeding C. Intestinal constriction c) Revalts’s test
B.Lower GI bleeding D. Excess carbohydrates d) FOBT
34) Elevated lactate in pleural fluid, is an indication of? 47) This is the gold standard for fecal fat determination:
a) Bacterial infection a) Neutral fat stain
b) Chylous fluid b) Split fat stain
c) Tubercular infection c) Van de kamer titration
d) Malignancy d) NOTA
35) In computing for sperm concentration, this method is used 48) The term use to describe the manner of collection in
for undiluted specimen: synovial fluid:
a) Neubauer counting chamber a) Lumbar puncture
b) Mahkler counting chamber b) Arthrocentesis
c) Van de kamer c) Synioviocentesis
d) Titration method d) All of the above
36) In revalta’s test, Exudate appears as: 49) It is a fluid from the prostate gland needed for liquefaction
a) Sl.cloudy appearance of semen EXCEPT
b) Heavy precipitate a. Acid phosphatase
c) Clear b. Zinc
d) With precipitate c. Fibrinolysin
37) Fluid that encloses the heart: d. Citrate
a) Pleural 50) It is known as the ascitic fluid.
b) Peritoneal A.Pleural fluid C. Peritoneal fluid
c) Pericardial B.Pericardial fluid D. Synovial fluid
d) CSF 51) In liley graph, the reading of ; moderately affected fetus
38) What analyte is being tested in gibson cooke pilocarpine (requires close monitoring) falls to what zone?
test? a) Zone IV
a) Na and K b) Zone III
b) Na and CL c) Zone II
c) Cl and K d) Zone I
d) NOTA 52) Viscosity of synovial fluid is produced by:
39) Cerebrospinal fluid (CSF) is formed by ultrafiltration of a) Hyaluronic acid
plasma through the: b) Synoviocytes
e) Choroid plexus c) WBC
f) Sagittal sinus d) Reiter cells
g) Anterior cerebral lymphatics 53) Where does the reabsorption of water take place in the
h) Arachnoid membrane primary digestive process?
40) Which of the following is a pathological gamma globulin a) Large intestine
found in CSF? b) Pancreas
a) IgG c) Small intestine
b) IgM d) Stomach
c) IgD
d) IgA

54) Which of the following is the physiological serum LDH

41) In grading for sperm motility, how many field should be read
pattern?
to assess its reading?
a) 2>1>3>4>5
a) 20hpf
b) 1<2<3<4>5
b) 20OIO
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 c) 2<1<3<4<5 d) Pleural transudate
d) 1>2>3>4>5 68) Order of draw in cases of amniotic fluid collection in on
55) Give what classification of meningitis is present, with the tube?
following results: a) Micro-hema-chem/sero
Predominant cell: LYMPHOCYTE b) Hema-micro-chem/ser
Protein: INCREASED c) Micro-chem-sero-hema
Glucose:NORMAL d) Chem/sero-micro-hema
Lactate : NORMAL 69) In amniotic fluid, the 2nd trimester collection of amniotic
a) Bacterial meningitis fluid is for:
b) Viral meningitis a) Assess genetic defects
c) Fungal meningitis b) Fetal lung maturity
d) No such thing exist c) To detect HDN
56) MSU crystals run parallel to the long axis producing a d) To check fetal heartbeats
. This is considered as 70) Which of the following is not a function of synovial fluid?
A. blue color, negative birefringence a) It acts as a is a lubricant and adhesive
B. yellow color, positive birefringence b) None of the choices
C. blue color, positive birefringence c) It provides nutrients for the avascular articular cartilage.
D. yellow color, negative birefringence d) It reduces friction between bones
57) In the evaluation of sperm morphology, kruger’s criteria 71) Major contributor to the amniotic fluid volume after
comprises how many of normal form? trimester of pregnancy is?
a) >30 a) Fetal urine
b) <30 b) Maternal urine
c) 14 c) Plasma
d) >14 d) Amniotic fluid
58) Which of the following is are indications of traumatic tap? 72) In joint disorder, the viscosity of inflammatory-crystal
1. Even distribution of blood on 3 tubes induces is described as:
2. Clear supernatant after centrifugation a) Variable
3. Xantochromia b) Poor
A.1 and 2 C. 2 only c) Good
B. 2 and 3 D. 1 only d) Low
59) Screening test for neural tube defects: 73) Which organism is the most frequent cause of bacterial
A. Acetylcholinesterase C. Bilirubin scan meningitis in neonates?
B. Lecithin-sphingomyelin D. Alpha-fetoprotein A. Neisseria meningitidis
60) In CSF total protein determination, SSA precipitates what?
B. Group B Streptococcus
a) Albumin C. Streptococcus pneumoniae
b) Globulin
D. Klebsiella pneumoniae
c) Pre albumin 74) The term euchlorhydria id described as:
d) All of the above
e) Normal free HCl
61) It is an autosomal recessive metabolic disorder affecting the f) Increased free HCl
mucous secreting galnds of the body, what disorder is this?
g) Gastric fluid Ph is >3.5
a) Mucoviscidosis h) Failure to produce a Ph of <6
b) Down syndrome
75) MODE of collection for peritoneal fluid collection
c) Neural tube defects a) LUMBAR OUNCTURE
d) Meningitis
b) PARACENTESIS
62) What is the most predominant cells seen in bronchioalveolar c) PERITONEOCENTESIS
lavage?
d) A AND B
e) Lymphocyte 76) Which of the following is are indications of traumatic tap?
f) Monocyte
1. Even distribution of blood on 3 tubes
g) Eosinophils 2. Clear supernatant after centrifugation
h) Macrophage
3. Xantochromia
63) Purulent effusions that form in any body cavity as a result of A.1 and 2 C. 2 only
an inflammatory process
B.2 and 3 D. 1 only
a) Ascites 77) Borderline value for cystic fibrosis?
b) Exudates
a) 40mEq/DL
c) Transudate b) 40mEq/L
d) NOTA
c) 70mEq/DL
64) Amniotic fluid that are to be tested for cytologic studies are d) 70mEq/L
stored in what temperature?
78) Which of the following is not related to cystic fibrosis?
a) Body temperature a) Pancreatic insufficiency
b) Ref temperature
b) Bronchitis
c) Freezer temperature c) Respiratory distress
d) No temperature required
d) Intestinal obstruction
65) In WBC count for synovial fluid, why is it not advisable to use 79) The following are proteins that are not normally found in
acetic acid?
CSF?
a) Because it can cause detoriation of cells I. IgM
b) Might lyse the RBC
II. Beta lipoprotein
c) It causes clot formation III. Fibrinogen
d) It makes the specimen expired
IV. Albumin
66) Which of the following macroscopic structure of sputum is a) I only
described as colorless globules occurring in a variety of
b) I,II,III,IV
sizes and bizzare forms? c) II,III,IV
a) Elastic fibers
d) I,II,III
b) Charcot leyden crystals
c) Creola bodies
d) Myelin globule
67) Type of effusion in empyema 80) What is the most common cause of male infertility?
a) Pleural exudate a) Mumps
b) Pericardial transudate b) Klinefelter’s syndrome
c) Peritoneal exudate c) Varicocele

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 d) Malignancy d) TCA
81) The term used to denote a high WBC count in the CSF is: 94) ) Basic Acid Output and Maximum Acid Output of a patient
a) Empyema with pernicious anemia is:
b) Neutrophilia A. >70 mEq/hr C. <40 mEq/hr
c) Pleocytosis B. >40 mEq/hr D. 0 mEq/hr
d) Hyperglycorrhachia 95) In Bristol stool chart, it is categorize a soft blobs with clear
82) In CHO disorder, the pH of feces in this condition is? cut edges, what type is it?
a) 8.0 a) Type1
b) 6.7 b) Type3
c) 6.0 c) Type4
d) <5.5 d) Type5
83) It has mercurial tip in tube: 96) What specimen is used for the APT Downey Test?
a. Miller Abbot b. Rehfuss c. Sawyer a) Vomitus
d. Kaslow e. Levine b) Urine
84) Which of the following correctly matches regarding synovial c) Saliva
fluid: d) Blood
1. Normal = clear, pale yellow3. Traumatic tap = blood streaks 97) In APT test, the indication of (+) maternal blood indicates
2. Crystal = milky 4. Sepsis = uniform blood with the color:
A.1 and 3 C. 1, 2 and 3 a) Pink
B.1, 3 and 4 D. 1, 2, 3 and b) Yellow
85) The following are classifications of exudates: c) Red
a) Crystal: no crystal d) Brown
b) Crystal:cholesterol hematoidin 98) Which of the following conditions is most often associated
c) Cells: mesothelial cells with normal CSF glucose and protein?
d) NOTA A. Multiple sclerosis
86) Collection of ascItic fluid is called? B. Malignancy
a) Amniocentesis C. Subarachnoid hemorrhage
b) Pericardiocentesis D. Viral meningitis
c) Paracentesis 99) Which of the following is are indications of traumatic tap?
d) Thoracentesis 1. Even distribution of blood on 3 tubes
87) Cellular constituents of CSF Is composed primarily of: 2. Clear supernatant after centrifugation
a) Segmenters and lymphocytes 3. Xantochromia
b) Lymphocytes and monocytes A.1 and 2 C. 2 only
c) Erythrovytes and leukocytes B.2 and 3 D. 1 only
d) Basophils and eosinophils 100) Which of the following is not a frequently performed test on
88) Sperm count is reported as: synovial fluid?
a) /ejaculate a) Uric acid
b) /ml b) Crystal examination
c) /L c) WBC count
d) /hr d) Gram stain
89) Normal appearance of pericardial fluid, appears as:
a) Clear, pale yellow
b) Gray, turbid
c) Clear, transparent
d) Pale yellow, slightly hazy
90) This examination differentiates exudates from transudates
a) Fern test
b) Revalta’s test
c) Gibson cookie iontophoresis
d) APT test
91) Which of the following statement expresses true positive
diagnosis?
a) Predominant cell: NEUTROPHIL
Protein: INCREASED
Glucose: DECREASED
Lactate: INCREASED
DX: tubercular meningitis
b) Predominant cell: neutrophil
Protein: INCREASED
Glucose:NORMAL
Lactate : NORMAL
DX: bacterial meningitis
c) AOTA
d) Predominant cell: LYMPHOCYTE AND MONOCYTE
Protein: INCREASED
Glucose: DECREASED
Lactate : INCREASED
Others: pellicle formation
DX: Tubercular meningitis
92) Hcg is detectable as early as:
a) First week upon conception
b) 2weeks after conception
c) 2days after conception
d) 3months after conception
93) In the reagent used in limulus lysate test, what causes it’s
blue color formation?
a) Copper comples
b) Tau protein
c) SSA