MCQ IN HEMATOLOGY

PHARMACY - Y3, S1- (IU/2020-2021)

I- MCQ (250):

1- CFU-E ផ្តលក
់ ំណ ើតឱ្យតតែៈ
A. Erythrocytes
B. Lymphocytes
C. Polynuclears
D. Monocytes

2- A person with O Rh+ blood could always safely be given which blood types?
A. AB Rh+, AB Rh-
B. O Rh-, O Rh+
C. O Rh- only
D. O Rh+, B Rh-, A Rh-, AB Rh-
3- CFU-L ផ្តលក
់ ំណ ើតឱ្យតតែៈ
A. Erythrocytes
B. Platelets
C. Polynuclears
D. Lymphocytes
4- ណោសិោណ ើម lymphoides ផ្តល់កំណ ត
ើ ឱ្យតតែៈ
A. Erythrocytes
B. Lymphocytes
C. Polynuclears
D. Platelets

5- ោរអូសបន្ល្យរយែៈោលរីកសាយ (amplification period) មានកនុងករ ែៈ

A. កងវះ Vit.B12
B. កងវះជាតិត ក
C. កំណ ើន Reticulocytes ណៅកនុងចរនតឈាម
D. កងវះ Hb ណៅកនុងណោសិោ
6- A person with AB Rh+ blood could always safely be given which blood type(s)?
A. O Rh+
B. O Rh-
C. B Rh+
D. All of the above are correct
7- ណៅកនុងោរបងកបណងកើត Erythrocytes, the cytoplasm ចាប់ណផ្តើមតរបរបួលព ៌ណៅ ណា
ំ ក់ោលែៈ
 A. Erythroblast basophil I, II
B. Erythroblast polychromatophil
C. Erythroblast acidophil
D. Reticulocytes
8- ណៅកនុងោរបងកបណងកើត Erythrocytes, ណោសិោបណចេញ nucleus ណៅ ំណាក់ោលែៈ
A. Erythroblast basophil I, II
B. Erythroblast polychromatophil
C. Erythroblast acidophil
D. Reticulocytes
9- ណៅកនុងោរបងកបណងកើត Erythrocytes, ណោសិោចាប់ណផ្តម
ើ សំណោគ Hb ណៅ ំណាក់ោលែៈ
A. Pro-Erythroblast
B. Erythroblast basophil I, II
C. Erythroblast polychromatophil
D. Erythroblast acidophil
10- ណៅកនុងោរបងកបណងកើត Erythrocytes, ណោសិោចាប់ណផ្តើមសំណោគ Hb ណៅកនុងែៈ
A. Nucleus
B. Cytoplasm
C. Granulations
D. None of above
11- ណៅណពលកំពង
ុ បំណពញតួន្ទរបស់វាពពួក granulocytes ងាប់ណៅកនង
ុ ែៈ
A. សរសសឈាម
B. ជាលិោរ ឬណៅនឹងកតនែង
C. ខួរឆ្អឹង
D. សតុកបំរុង
12- ណៅកនុងោរបងកបណងកើត Erythrocytes, ណោសិោបចេប់ mitose ណៅ ណា
ំ ក់ោលែៈ
A. Pro-erythroblast
B. Erythroblast basophil I, II
C. Erythroblast polychromatophil
D. Erythroblast acidophil
13- ណគសណងកតណ ើញមាន neutrophil granulations ចាប់ណផ្តើមណលចណ ើងណៅ ំណាក់ោលែៈ
A. Promyelocyte
B. Myelocyte
C. Metamyelocyte
D. Polynuclear
14- ណៅកនុងោរបងកបណងកើត granulocytes, ណោសិោបចេប់ mitose ណៅ ណា
ំ ក់ោលែៈ
A. Myeloblast
B. Promyelocyte
C. Myelocyte
 D. Metamyelocyte
15- ទិ ឋភាពណៅណលើគំណនៀសឈាមណសតើងបន្ទ្បព
់ បំពាក់ព ៌ណោយ cresyl bue ណគសណងកតណ ើញ RBC ខែះមានែៈ
- ទំហំ = 7 à 10 µm
- រាងមូល
- ណៅកនុងសុតូប្ល្ស់មានបណាត្ញ Reticulo-filamentous មានព ៌ណ្ម្ ឬសាវ្យចាស់
ណគអាចសននិោឋ្នថាណោលិោណនះសថិតកនង
ុ ំណាក់ោលែៈ
A. E.Basophil I, II
B. E.Polychromatophil
C. E.acidophil
D. Reticulocyte
16- ណគសណងកតណ ើញមាន eosinophilic granules ចាប់ណផ្តម
ើ ណលចណ ើងតំងព ណា
ំ ក់ោលែៈ
A. Promyelocyte
B. Myeocytes
C. Metamyelocyte
D. Polynuclear
17- ណតើចណមែើយណាមួយត លសមរសបណៅនឹងកងវះជាតិត ក ណបើណគសណងកតណ ើញមានភាពមិនរបរកតសនណោលិ
ោរកហម ូចខាងណរោមែៈ
A. Acanthocytosis
B. Microcytose
C. Basophilic stippling
D. Schistocytes
18- ណតើចណមែើយណាមួយត លសមរសបណៅនឹងកងវះ vit.B12 ណបើណគសណងកតណ ើញមានភាពមិនរបរកតសនណោលិោរកហម ូច
តណៅែៈ
A. Cabot ring
B. Target cells
C. Microcytosis
D. Macrocytosis
19- A person with O Rh+ blood could always safely be given which blood types?
A. O Rh-
B. O Rh+, B Rh-, A Rh-
C. O Rh+
D. A & C
20- ណតើចណមែើយណាមួយត លសមរសបណៅនឹងកងវះជាតិត ក ណបើណគសណងកតណ ើញមានភាពមិនរបរកតសនណោលិោរកហម ូច
ខាងណរោមែៈ
A. Acanthocytosis
B. Howel Jolly body
C. Macrocytosis
D. None of above
21- ណតើចណមែើយណាមួយត លសមរសបណៅនឹងកងវះ vit.B12 ណបើណគសណងកតណ ើញមានភាពមិនរបរកតសនណោលិោរកហម ូច
តណៅែៈ
A. Acanthocytosis
B. Howel Jolly body
C. Microcytosis
D. None of above
22- ណតើចណមែើយណាមួយត លសមរសបណៅនឹងកងវះោរសំណោគ DNA ណបើណគសណងកតណ ើញមានភាពមិនរបរកតសនណោលិោ
រកហម ូចតណៅែៈ
A. Schistocytes
B. Reticulocytosis
C. Macrocytosis
D. None of above
23- ណតើចណមែើយណាមួយត លសមរសបណៅនឹងកងវះោរសំណោគ Hb ណបើណគសណងកតណ ើញមានភាពមិនរបរកតសនណោលិោ
រកហម ូចតណៅែៈ
A. Schistocytes
B. Anisocytosis with microcytosis
C. Reticulocytososis
D. Poikilicytosis with ovalocytosis
24- ោរអូសបន្ល្យរយែៈណពល ំណាក់ោលនមួយៗ របស់តខ្ែសងាវ្ក់សនោរបងកបណងកត
ើ ណោលិោរកហមន្ំឱ្យមានែៈ
A. Macrocytosis
B. Normocytosis
C. Annulocytosis
D. Microcytosis
25- ោរអូសបន្ល្យរយែៈណពលកនុង ំណាក់ោលនមួយៗ របស់ោរបងកបណងកើតណោលិោរកហម អាចបណាត្ល
មកអំពែៈ
A. មានបរិមា GR ណរចើនណពកកនុងចរនតឈាម
B. ោរសំណោគ Hb មិនរគប់រោន់ (កងវះជាតិត ក)
C. កងវះណោសិោ myeloid
D. កងវះ vit.B12 and / or folate
26- កនុងករ កងវះ vit.B12 and / or folate ណគសណងកតណ ញ
ើ មានភាពមិនរបរកតសនណោលិោរកហម ូចតណៅែៈ
A. RBC fragmented
B. Basophilic stipling
C. Microcytosis
D. None of above
27- ណៅកនុងតខ្ែសងាវ្ក់សនោរបងកបណងកើតណោលិោរកហម ណោសិោបចេប់ Mitosis ណៅកនុង ំណាក់ោលែៈ
A. E.Basophil I, II
B. E.Polychromatophil
C. E.Acidophil
 D. Reticulocyte
28- Which ONE of the following transfusions is likely to cause intravascular haemolysis?
A. Group A blood to group O recipient
B. Group AB blood to group B recipient
C. Group O blood to group A recipient
D. A & B
29- ណៅកនុងោរបងកបណងកើត RBC , chromatin ត លមានរាង ូចអាចម៍បំ ះរលុបប្ត់អស់ ណៅកនង
ុ ំណាក់ោលែៈ
A. E.Basophil I, II
B. E.Polychromatophil
C. E.Acidophil
D. Reticulocyte
30- ណៅកនុង ណា
ំ ក់ោលណផ្្ែងៗសនជវិត Erythroblast, Macrophage មានតួន្ទែៈ
A. ណ្វើសំណោគ Hb.
B. ណ្វើសំណោគ DNA
C. សុ nucleus ត លបណចេញណោយ Erythroblast
D. None of above
31-លទធផ្លណ្វើ Count Blood Cell មួយបងាហ្ញឱ្យណ ើញថាែៈ
- RBC រសុតចុះ
- Hb ្មមត
- Ht ្មមត
ូណចនះណគអាចសននិោន
ឋ្ ថា លកខ ែៈរូបរាងរបស់ណោលិោរកហមទំងណន្ះមាន ូចតណៅែៈ
A. Acanthocytosis
B. Normocytosis
C. Macrocytosis
D. Microcytosis
32- តួន្ទរបស់ Macrophage កនុង ណា
ំ ក់ោលណផ្្ែងៗសន Thrombopoiesis មាន ច
ូ តណៅែៈ
A. ណ្វើោរសំណោគ Erythropoietin
B. ណ្វើ maruation nucleic (DNA)
C. ជរមុញោរណ្វើ Cells mitosis.
D. សុ Nucleus ត លបណ្ច្ញណោយ thombocytogen megakarocyte
33- ណោសិោ lymphoid (CFU-L) ផ្តលក
់ ំណ ើតឱ្យែៈ
A. Platelets
B. Erythrocytes
C. Granulocytes
D. None of above
34- Granulocytes neutrophils បំណពញតួន្ទណៅណពលែៈ
A. ណ្វើ maturation
B. ណៅណពលសថិតកនុងខួរឆ្អឹង
 C. ណៅណពលចូលកនុងជាលិោ
D. ណៅណពលណ្វើចលន្កនុងចរនតឈាម
35- ណៅកនុង Thrombopoiesis, granulations azurophils ណលចណ ើងណៅ ំណាក់ោលែៈ
A. Megacaryoblast
B. Megacaryocyte basophil
C. Megacaryocyte granular
D. Megakaryocyte thrombocytogen

36- Granulopoiesis បងកបណងកើតែៈ

A. Plasma cells
B. Polynuclear
C. Monocytes
D. Lymphocytes

37- ណៅណពលណាមាន antigenic stimulation, ណគសណងកតណ ើញមានកំណ ើនែៈ

A. Lymphocytes
B. P. Basophils
C. P. Neutrophils
D. P. Eosinophils

38- A person with AB Rh-blood could always safely be given which blood type(s)? More than one answer
may be possible.
A. O Rh-
B. A Rh-
C. B Rh-
D. All of the above are correct

39- ណៅកនុង granulocyte colony, eosinophils granules ណលចណ ើងណៅ ំណាក់ោលែៈ

A. Promyelocyte
B. Myelocytes
C. Metamyelocyte
D. Polynuclear

40- ណៅកនុង granulocyte colony, basophils granules ណលចណ ើងណៅ ំណាក់ោលែៈ

A. Promyelocyte
B. Myelocytes
C. Metamyelocyte
D. Polynuclear
41- ណៅកនុង granulocyte colony, azurophilic granulations ណលចណ ើងណៅ ំណាក់ោលែៈ
A. Myeloblast.
B. Promyelocyte
C. Myelocytes
D. Metamyelocyte

42- តម្មមត granulocytes ត លចូលកនុងចរនតឈាមមាន nuclei:

A. round or oval
B. unsegmented
C. segmented 2 to 5 lobes
D. segmented over 5 lobes

43- ណៅកនុងចរនតឈាម polynuclear neutrophils:

A. បងកបណងកើត antibodies
B. បនតណ្វើ maturation
C. ណ្វើចលន្ចុះណ ើង
D. បំណពញតួន្ទ phagocytosis

44- Macrophages បំណពញតួន្ទណៅកនុងែៈ

A. សរសសឈាម
B. ជាលិោណផ្្ែងៗ
C. Marginal sector សនសរសសឈាម
D. None of above

45- Which is the rarest blood group?

A. AB Rh negative
B. AB Rh positive
C. O Rh negative
D. O Rh positive

46- រកុម antibodies ត លអាចភាជ្ប់ជាមួយ complement គែៈ

A. IgG
B. IgA
C. IgD
D. IgE

47- រកុម antibodies ត លអាចភាជ្ប់ជាមួយ complement គែៈ

 A. IgA
B. IgD
C. IgM
D. IgE

48- Genotype ត លអាចណឆ្ែយ

ើ តបណៅនឹង phenotype A គែៈ
A. AB
B. BO
C. OO
D. AA

49- Genotype ត លអាចណឆ្ែយ

ើ តបណៅនឹង phenotype B គែៈ
A. AB
B. AO
C. BB
D. AA

50- Genotype ត លអាចណឆ្ែយ

ើ តបណៅនឹង phenotype AB គែៈ
A. AO
B. AB
C. BB
D. AA

51- Genotype ត លអាចណឆ្ែយ

ើ តបណៅនឹង phenotype A គែៈ
A. AB
B. BO
C. AO
D. BB

52- Genotype ត លអាចណឆ្ែយ

ើ តបណៅនឹង phenotype B គែៈ
A. AB
B. BO
C. AA
D. AO

53- Genotype ត លអាចណឆ្ែយ

ើ តបណៅនឹង phenotype O គែៈ
A. AO
B. AB
 C. OO
D. AA

54- IgG anti-Kell does not bind complement; if hemolysis may occur:
A. Lymhnod
B. Thymus
C. In liver
D. A & C are true

55- អនកជមងមាន្ក់មានឈាមរកុម AB Rh- ; ណ ម

ើ ្បចាក់ plasma, ណគរតូវណរជើសណរីសឈាមណៅកនុង system ABO and
Rhesus ូចខាងណរោមែៈ
A. Plasma Group A Rh-
B. Plasma Group B Rh-
C. Plasma Group ORh-
D. Plasma Group AB Rh+

56- អនកជមងមាន្ក់មានឈាមរកុម AB Rh- ; ណៅមជ្ឈម ល

ឌ ជាតិផ្តល់ឈាមោមន
្ ឈាម AB Rh- ណទ; កនុងករ ណនះណគអាច
ណ្វើោរចាក់បចេូលឈាម ណោយណរជើសណរីសឈាមណៅកនុង system ABO andRhesus ូចខាងណរោមែៈ
A. Group A Rh +, (concentrated erythrocyte)
B. Group A Rh-, (concentrated erythrocyte)
C. Group O Rh +, (concentrated erythrocyte)
D. Group B Rh +, (concentrated erythrocyte)

57- អនកជមងមាន្ក់មានឈាមរកុម AB Rh- ; ណៅមជ្ឈម ល

ឌ ជាតិផ្តល់ឈាមោមន
្ ឈាម AB Rh- ណទ; កនង
ុ ករ ណនះណគ
អាចណ្វើោរចាក់បចេូលឈាម ណោយណរជើសណរីសឈាមណៅកនុង systeme ABO andRhesus ូចខាងណរោមែៈ
A. Group A Rh +, (concentrated erythrocyte)
B. Group B Rh +, (concentrated erythrocyte)
C. Group AB Rh +,( concentrated erythrocyte)
D. Group B Rh-, (concentrated erythrocyte)

58- ណគអាចឱ្យឈាម O dangerous ត លមាន hemolysins anti-A ណៅឱ្យអនកជមងែៈ

A. Group A
B. Group B
C. Group AB
D. None of above

59- ណគអាចឱ្យឈាម O dangerous ត លមាន hemolysins anti-B ណៅឱ្យអនកជមងែៈ

A. Group A
 B. Group B
C. Group AB
D. None of above

60- ណគអាចឱ្យឈាម O dangerous ត លមាន hemolysins anti-A and anti-B ណៅឱ្យអនកជមងែៈ

A. Group A
B. Group B
C. Group O
D. Group AB

61- ណគណ្វើ transfusion of fresh whole blood កនុងករ ?

A. ជមងណសែកសាលង
្ំ ណោយខវះជាតិត ក
B. ជមងប្្រា្សុតកនុងណពាះណវៀន
C. ជមងវះោត់្ំៗ (ណបះ ង
ូ )
D. ជមងរគុនចាញ់

62- ណគណ្វើ Transfusion of packed red blood cells (concentrated erythrocyte) កនុងករ ?
A. ជមងរគុនឈាម
B. ជមងវះោត់្ំៗ
C. Medical emergency
D. ជមងណសែកសាលង
្ំ ខាល្ំង

63- ណកមងណកើតជមងរគុនឈាមោលណា Ht < 25%, ណគរតូវណ្វើោរចាក់បចេូលឈាម កនង

ុ បរិមា ច
ូ ខាងណរោមែៈ
A. 10ml/kg
B. 15ml à 20ml/kg
C. 3 ណប្ល្កឈាម
D. 2 ណប្ល្កឈាម

64- ណកមងណកើតជមងរគុនឈាមោលណា Ht > 25%, ណគរតូវណ្វើោរចាក់បចេូលឈាម កនង

ុ បរិមា ច
ូ ខាងណរោមែៈ
A. 10ml/kg
B. 15ml à 20ml/kg
C. 2 ណប្ល្កឈាម
D. 3 ណប្ល្កឈាម

65- ណ ើម្ប validate negativity antiglobulin test X.match (X.match 3rd stage) ណគណរបើរបតិករែៈ
A. Papaїne solution
B. Liss solution
C. Coombs check cells
 D. None of above

66- ណៅកនុងករ surgical emergency, ណគណរបើផ្លិតផ្លឈាមណាមួយ កនង

ុ ចំណណាមផ្លិតផ្លឈាមខាង
ណរោមែៈ
A. Fresh frozen plasma
B. Packed red blood cells (concentrated erythrocyte)
C. Fresh whole blood
D. Platelet concentrate

67- ណៅកនុងករ medical emergency, ណគណរបើផ្លិតផ្លឈាមណាមួយ កនង

ុ ចំណណាមផ្លិតផ្លឈាមខាង
ណរោមែៈ
A. Fresh frozen plasma
B. P.F.C + C.E.
C. Platelet concentrate
D. Packed red blood cells

68- ណៅកនុងករ chronic anemia, ណគណរបើផ្លិតផ្លឈាមណាមួយ កនង

ុ ចំណណាមផ្លិតផ្លឈាមខាងណរោមែៈ
A. Fresh frozen plasma
B. Packed red blood cells
C. Platelet-rich plasma
D. F.F.P + E.C

69- ណៅកនុង System Kell មាន antigens ចំនន

ួ ែៈ
A. 1
B. 2
C. 3
D. 4

70- ណៅកនុង System Kell មាន phenotypes ចំនួនែៈ

A. 3
B. 2
C. 4
D. 5

71- ណៅកនុង System Duffy មាន antigens ចំនួនែៈ

A. 1
B. 2
C. 3
 D. 4

72- ណៅកនុង System Duffy មាន phenotypes ចំនន

ួ ែៈ
A. 1
B. 2
C. 4
D. 3

73- ណៅកនុង Systeme Kidd មាន antigens ចំនួនែៈ

A. 1
B. 2
C. 3
D. 4

74- ណៅកនុង System Kidd មាន phenotypes ចំនួនែៈ

A. 1
B. 2
C. 3
D. 4

75- How much antigens are there in the Rh system ?

A. 4
B. 5
C. 6
D. 7

76- ណៅកនុងករ Chronic anemia with signs of decompensation, ណគណរបើផ្លិតផ្លឈាមណាមួយកនុង

ចំណណាមផ្លិតផ្លឈាមខាងណរោមែៈ
A. Fresh frozen plasma
B. F.F.C + E.C
C. Platelet-rich plasma
D. None of above

77- ណៅកនុង method of B.Vincent tube ណគកំ ត់ថាជាឈាមរកុម A ណោយតផ្អកណៅណលើលទធផ្លណតសត ូចខាងណរោមែៈ

A. Agglutination កនុង Tube A and tube B
B. Homogeneous កនុង Tube A and tube B
C. Agglutination កនុង Tube A and Homogeneous កនុង tube B
D. Homogeneous កនុង Tube A and Agglutination កនុង Tube B
78- ណៅកនុង method of B.Vincent tube ណគកំ ត់ថាជាឈាមរកុម B ណោយតផ្អកណៅណលើលទធផ្លណតសត ូចខាងណរោមែៈ
A. Agglutination កនុង Tube A and tube B
B. Homogeneous កនុង Tube A and tube B
C. Agglutination កនុង Tube A and Homogeneous កនុង tube B
D. Homogeneous កនុង Tube A and Agglutination កនុង Tube B

79- ណៅកនុង method of B.Vincent tube ណគកំ ត់ថាជាឈាមរកុម AB ណោយតផ្អកណៅណលើលទធផ្លណតសត ូចខាងណរោមែៈ

A. Agglutination កនុង Tube A and tube B
B. Homogeneous កនុង Tube A and tube B
C. Agglutination កនុង Tube A and Homogeneous កនុង tube B
D. Homogeneous កនុង Tube A and Agglutination កនុង Tube B

80- ណៅកនុង method of B.Vincent tube ណគកំ ត់ថាជាឈាមរកុម O ណោយតផ្អកណៅណលើលទធផ្លណតសត ូចខាងណរោមែៈ

A. Agglutination កនុង Tube A and tube B
B. Homogeneous កនុង Tube A and tube B
C. Agglutination កនុង Tube A and Homogeneous កនុង tube B
D. Homogeneous កនុង Tube A and Agglutination កនុង Tube B

81- ណៅកនុង method Simonin tube ណគកំ ត់ថាជាឈាមរកុម O ណោយតផ្អកណៅណលើលទធផ្លណតសត ូចខាងណរោមែៈ

A. Agglutination កនុង Tube A and tube B

B. Homogeneous កនុង Tube A and tube B

C. Agglutination កនុង Tube A and Homogeneous កនុង tube B

D. Homogeneous កនុង Tube A and Agglutination កនុង Tube B

82- ណៅកនុង method Simonin tube ណគកំ ត់ថាជាឈាមរកុម AB ណោយតផ្អកណៅណលើលទធផ្លណតសត ូចខាងណរោមែៈ

A. Agglutination កនុង Tube A and tube B
B. Homogeneous កនុង Tube A and tube B
C. Agglutination កនុង Tube A and Homogeneous កនុង tube B
D. Homogeneous កនុង Tube A and Agglutination កនុង Tube B

83- ណៅកនុង method Simonin tube ណគកំ ត់ថាជាឈាមរកុម B ណោយតផ្អកណៅណលើលទធផ្លណតសត ូចខាង

ណរោមែៈ
A. Agglutination កនុង Tube A and tube B
B. Homogeneous កនុង Tube A and tube B
C. Agglutination កនុង Tube A and Homogeneous កនុង tube B
D. Homogeneous កនុង Tube A and Agglutination កនុង Tube B
84- ណៅកនុង method Simonin tube ណគកំ ត់ថាជាឈាមរកុម A ណោយតផ្អកណៅណលើលទធផ្លណតសត ូចខាងណរោមែៈ
A. Agglutination កនុង Tube A and tube B
B. Homogeneous កនុង Tube A and tube B
C. Agglutination កនុង Tube A and Homogeneous កនុង tube B
D. Homogeneous កនុង Tube A and Agglutination កនុង Tube B

85- ោរណ្វើ transfusion massive du sang total ត លរក្ាទុកយូរន្ំឱ្យមានែៈ

A. Hypercalcemia
B. Hypokalemia
C. Hyperkalemia
D. None of above

86- ណៅកនុងករ surgical emergency, ណគណរបើផ្លិតផ្លឈាមណាមួយ កនង

ុ ចំណណាមផ្លិតផ្លឈាមខាង
ណរោមែៈ
A. Fresh frozen plasma
B. Platelet-rich plasma
C. platelet concentrate
D. None of above

87- ណៅកនុងករ medical emergency, ណគណរបើផ្លិតផ្លឈាមណាមួយ កនង

ុ ចំណណាមផ្លិតផ្លឈាម
ខាងណរោមែៈ
A. Fresh frozen plasma
B. F.F.C + C.E.
C. Platelet-rich plasma
D. None of above

88- ណ ើម្ប validate negativity antiglobulin test X.match (X.match 3rd stage)ណគណរបើរបតិករែៈ
A. Serum bovine albumin
B. Liss solution
C. Imidazole solution
D. None of above.

89- ណៅកនុង system ABO រកុមឈាមត លអាចបណងកើត Hemolysins anti-A and anti-B ?
A. Group A
B. Group O
C. Group AB
D. Group B
90- ណគអាចឱ្យ Plasma O ណៅអនកជមងត លមានឈាមែៈ
A. Group A
B. Group B
C. Group AB
D. None of above

91- ណគអាចឱ្យឈាមរកុម AB ណរោមទរមង់ជា C.E ណៅអនកជមងត លមានឈាមែៈ

A. Group A
B. Group B
C. Group O
D. None of above

92- ណគអាចវិភាគរកណ ើញ hemolytic disease of the newborn (HDN) ណោយតផ្អកណៅណលើណតសតែៈ

A. Direct Coombs test
B. Indirect Coombs test
C. Kleihauer test
D. Apt test

93- ណគអាច classify antibody "Natural" blood group ចូលណៅកនុង class antibodies:
A. IgM
B. IgG
C. IgA
D. IgE

94- ោរកំ ត់រករកុមឈាម ABO ចំណពាះអនកជមងមាន្កប

់ ងាហ្ញនូវរបតិកមម ច
ូ តណៅណនះៈែៈ
Patient cells with Pateient serum with
Anti-A Anti-B A cells B cells
+++ +++ Negative Negative
ណតើឈាមអនកជមងសថិកង
នុ group ណា?
A. group O
B. group AB
C. group B
D. group A

95- ោរកំ ត់រករកុមឈាម ABO ចំណពាះអនកជមងមាន្កប

់ ងាហ្ញនូវរបតិកមម ច
ូ តណៅណនះៈែៈ
Patient cells with Pateient serum with
Anti-A Anti-B A cells B cells
Negative ++++ +++ Negative
 ណតើឈាមអនកជមងសថិតកនុង group ណា?
A. group O
B. group A
C. group B
D. group AB

96- ោរកំ ត់រករកុមឈាម ABO ចំណពាះអនកជមងមាន្កប

់ ងាហ្ញនូវរបតិកមម ច
ូ តណៅណនះៈែៈ
Patient cells with Pateient serum with
Anti-A Anti-B A cells B cells
Negative Negative +++ +++
ណតើឈាមអនកជមងសថិតកនុង group ណា?
A. group O
B. group A
C. group B
D. group AB

97- ោរកំ ត់រករកុមឈាម ABO ចំណពាះអនកជមងមាន្កប

់ ងាហ្ញនូវរបតិកមម ច
ូ តណៅណនះៈែៈ
Patient cells with Pateient serum with
Anti-A Anti-B A cells B cells
+++ Negative Negative +++
ណតើឈាមអនកជមងសថិតកនុង group ណា?
A. group O
B. group A
C. group B
D. group AB

98- Immunoglobulin class សន anti-B របស់បុគគល group A គែៈ

A. IgM
B. IgG
C. IgM and IgG
D. IgM and IgA

99- Immunoglobulin class សន anti-A របស់បុគគល group B គែៈ

A. IgM
B. IgG
C. IgM and IgG
D. IgM and IgA
100- ោរពិនត
ិ ្យណមើលណ ើងវិញសនឯកសារពមុន បងាហ្ញថាឈាមរបស់អនកជមងមាន្កគ
់ group O; ោរពិនត
ិ ្យ sample
testing ថ្ម បងាហ្ញថាឈាមរបស់អនកជមងគ group A; កនុងករ ណនះណគរតូវ selectred blood group ណាសរមាប់ណ្វើ tr
ansfusion ?
A. group AB
B. group B
C. group O
D. group A

101- ណតើណគរតូវរក្ា Red blood cells ណៅកនុងសតុ ហភាពបុន្ម្ន?

A. 1 - 10◦C
B. 4 - 6◦C
C. 4 - 10◦C
D. 20 - 24◦C

102- សមាសធាតុឈាមខាងណរោមណនះ can be prepared from whole blood:

A. Red blood cells
B. Platelets
C. Fresh frozen plasma (F.F.C)
D. ចណមែើយទំង 3 ខាងណលើសុទធតតរតឹមរតូវ

103- DAT (Direct Test in Antiglobulin) positive អាចរកណ ើញកនុងករ ែៈ

A. A weak D positive patient
B. Hemolytic Disease of Newborn (HDN)
C. A patient wich anti-K
D. An incompatible crossmatch

104- ោរណ្វើ Coombs control cells ណកើតណ ើងណោយសារោរោក់ែៈ

A. Type A-positive cells ជាមួយ anti-D
B. Type A-negative cells ជាមួយ anti-D
C. Type O-positive cells ជាមួយ anti-D
D. Type O-negative cells ជាមួយ anti-D

105- របតិកមម hemagglutination រវាង antgen-antibody មានឥទធព

ិ លណៅណលើណោយសារែៈ
A. Incuabtion time
B. pH
C. Ionic strength of the test system
D. ចណមែើយទំង 3 ខាងណលើសុទធតតរតឹមរតូវ
106- Immunoglobulin class សន anti-A et anti-B របស់បុគគល group O គ៖
A. IgM and IgA
B. IgM and IgG
C. IgG
D. IgM

107- ណតើ antigen ណាត លមានរហូត ល់ 85% កនុងចំណណាមរបជាជនតស្បកស ណហើយត លមានសារែៈសំខាន់

សរមាប់ Transfusion ?
A. d
B. c
C. D
D. E

108- Rh antibodies មារបតិកមមលអណៅសតុ ហភាពបុន្ន

ម្ ◦C?
A. 22◦C
B. 18◦C
C. 15◦C
D. 37 ◦C

109- Immunoglobulin class សន Rh antibodies គែៈ

A. IgM
B. IgG
C. IgD
D. IgA

110- សរីរាងគ primary lymphoid មានែៈ

A. អណ តើក
B. ណថ្ែើម
C. កូនក តុរ
D. Thymus

111- សរីរាងគ secondary lymphoids encapsulated (or peripheral) មានែៈ

A. ណថ្ែើម
B. Amygdale
C. កូនក តុរ
D. Thymus

112- សរីរាងគ primary lymphoides មានែៈ

 A. ខួរឆ្អឹង
B. កូនក តុរ
C. Amygdale
D. អណ តើក

113- សរីរាងគ secondary lymphoides encapsulated (or peripheral) មានែៈ

A. ខួរឆ្អឹង
B. អណ តើក
C. Amygdale
D. Thymus

114- Lym.T ណពញវ័យត លណចញព Thymus ណៅបំណពញតួន្ទណៅកនុងែៈ

A. អណ តើក
B. តរមងណន្ម
C. ណថ្ែើម
D. ចរនតឈាម

115- របព័នធភាពសា្ំ humoral immunity រតូវប្នបងកបណងកើតណោយ B cells ណៅកនុងសរីរាងគែៈ

A. កូនក តុរ
B. ណថ្ែើម
C. Thymus
D. ខួរឆ្អឹង

116- របព័នធភាពសា្ំ humoral immunity រតូវប្នបងកបណងកើតណោយ B cells ណៅកនុងសរីរាងគែៈ

A. ខួរឆ្អឹង
B. ណថ្ែើម
C. Thymus
D. អណ តើក

117- សរីរាងគ secondary lymphoides non encapsulated មានែៈ

A. កូនក តុរកូនក តុរ
B. Thymus
C. អណ តើក
D. Plaques de Payer

118- ោរកណកើត Lymphocyte T របរពឹតតណៅណៅកនុងែៈ

A. ខួរឆ្អឹង
B. Thymus
 C. កូនក តុរ
D. Peyer’s patch

119- Lym.T ណពញវ័យត លណចញព Thymus ណៅបំណពញតួន្ទណៅកនុងែៈ

A. ណថ្ែើម
B. ចរនតឈាម
C. តរមងណន្ម
D. កូនក តុរ

120- ណតើ IL-2 បណចេញណោយណោសិោអវ?

A. Lymphocytes T4
B. Monocytes
C. Lymphocytes B
D. Cellules dendrityiques

121- Granules របស់ណោសិោ T cytotoxic មានផ្ទុកសារធាតុអវ ត លអាចទមែះុ តស្បករបស់ណោសិោឈ(ណោសិោសុ

ប)?
A. Phagosome
B. Serotonine
C. Lysosome
D. Perforine

122- Hémogramme របស់អនកជមងមានក

្ ់បងាហ្ញឱ្យណ ើញថា GR( , GB&& (PN&, Lympho(), Plaq& អនកសង្ែ័យ
ថាបុគគលណន្ះមានជមងែៈ
A. Ankylostomose
B. C.L.L
C. C.M.L
D. Infection virale

123- ណៅកនុងករ normochromic anemia ណបើសិនជា reticulocyte range ណកើនណ ង

ើ អនកគិតថាមូលណហតុ
សនជមងណនះ អនកគិតថាមូលណហតុអំព៖
A. កងវះោររីកលូតលាស់សនខួរឆ្អង
ឹ
B. Acute hemorrhage
C. Aplastic anemia
D. វិបតតិោររីកលូតលាស់សនឆ្អង
ឹ

124- ណោសិោអវត លតមសមាល្ប់ណោសិោឈ (Cellules infectées) ?

A. Neutrophiles
 B. Eosinophiles
C. Lym.T cytotoxiques
D. Basophiles

125- ណតើណោសិោណាត លជាណោសិោបងាហ្ញអងទតហ្ែន (APC) ?

A. Neutrophiles
B. Eosinophiles
C. Basophiles
D. Lymp.B

126- ចូររកឃ្ល្រតឹមរតូវ ត លប្ជ្កព

់ ណោលោរ ៍សនោររាប់ណោលិោឈាមរកហម (RBC):
A. សំអាងណលើោរពរងាវជាមួយសូលុយស្យុងអាសុតអាណសទិចណរបើ Hemocytometer and microscope Objective
x 10
B. សំអាងណលើោរពរងាវជាមួយសូលុយស្យុង Formol citrate ណរបើ Hemocytometer and microscope Objective
x 40
C. សំអាងណលើោរពិនិត្យគំណនៀសឈាម (Blood smear) បំពាក់ព ៌ណោយ May- Grunwald Giemsa and
microscope Objective x 100
D. សំអាងណលើោរពិនិត្យគំណនៀសឈាម បំពាក់ព ៌ណោយ Cresyl blue brillant and microscope Objective x
100

127- Which ONE of the following transfusions is likely to cause intravascular haemolysis?
A. Group O blood to group A recipient
B. Group A blood to group O recipient
C. Group AB blood to group A recipient
D. B & C

128- ខាងណរោមណនះសុទធសង
ឹ តតជាសំភារែៈនិងរបតិករត លចាំប្ច់សរមាប់ោររាប់ណោលិោស (WBC)ណលើក
តលងតតមួយគែៈ
A. Microscope and Micropipette 200-1000µl & 10-100µl
B. បំពង់សាក និងទរមបំពង់សាក
C. សូលុយស្យុង Acetic acid
D. Immersion oil

129- រកឃ្ល្មួយរតឹមរតូវ ត លប្ជ្កព

់ មូលណហតុសនោរណ្វើគំណនៀសឈាមណសតើង (blood smear) ណលើសផ្ទឡាម
គណ ើម្បែៈ
A. ឱ្យណោលិោឈាមតបក ត លណ្វើឱ្យងាយរសួលពិនិត្យណមើណលាតផ្នកខាងកនុងសនណោសិោ
B. ឱ្យណោលិោឈាមតណរមៀបោន្មួយរសទប់កនុងទរមង់្មមត ត លណ្វើឱ្យរសួលណមើល
C. រូបរាងណោសិោ
 D. ឱ្យណោលិោឈាមរីក្ំជាង្មមត ណ្វើឱ្យងាយរសួលណមើលរូបរាងណោសិោ
E. មិនមានឃ្ល្ណាមួយរតឹមរតូវ

130- Hemolytic Disease of Fetus and New bone in Rhesus system may occur in:
A. Mother Rh-, Father Rh+ (DD)
B. Mother Rh + , Fetus Rh +
C. Mother Rh- , Feutus Rh-
D. All of the above are wrong
131- ខាងណរោមណនះសុទធសង
ឹ តតជាណឈាម្ះឧបករ ៍សរមាប់វិភាគណតសតកនុងតផ្នក Hematology. មួយណាត លណគ
ណរបើសរមាប់ណ្វើ ESR (Erythrocyte Sedimentation Rate) ?
A. Micropipette 200-1000µl
B. Hemocytometer, Neubauer
C. Westergren tubes and their support
D. Graduated pipette 1 ml

132- ណតើអវជាណោលបំ ងសនោរណ្វើគំណនៀសឈាមណសតើង (blood smear) និងបំពាក់ព ៌ណោយ Cresyl Blue Brilliant ?
A. កំ ត់អតតស្ញ្ របណេទណោលិោឈាមស (WBC)
B. ោររាប់ចំនួន Reticulocytes
C. កំ ត់រូបរាងមិន្មមតសនណោលិោឈាមរកហម (RBC)
D. កំ ត់រកណមណរាគរគុនចាញ់

133- កនង
ុ ចំណណាមរបតិោរខាងណរោម ណតើមួយណាត លណរបើសរមាប់ Platelet ?
A. សូលុយស្យុង Acetic acid
B. សូលុយស្យុង Formol-citrate
C. សូលុយស្យុង New Methylene Blue
D. សូលុយស្យុង Ammonium oxalate

134- ណតើឃ្ល្ណាមួយត លរតឹមរតូវ ចំណពាះទតំងផ្លិតណោសិោឈាម (Hematopoiesis/ Hématopoièse)

កនុងរយែៈណពលសនោរលូតលាស់ Fetus, Infants/Foetus,Enfants?
- រកចណមែើយមួយណាត លរតឹមរតូវជាងណគែៈ
A. ខួរឆ្អឹង (រគប់ឆ្អឹងទំងអស់ ) ណថ្ែើម
B. ខួរឆ្អឹង (រគប់ឆ្អឹងទំងអស់ ) ណថ្ែើម ផាល
C. Yolk sac/Sac vitellin ណថ្ែើម អណ តើក ខួរឆ្អឹង (រគប់ឆ្អឹងទំងអស់)
D. Yolk sac, thymus

135- ណោសិោខាងណរោមទំងអស់ណនះសុទធតតណ ើញមានសថិតណៅកនុងខួរឆ្អឹង ណលើកតលងតតែៈ

A. Adipocytes
B. B-Macrophages
 C. Osteoblasts/Ostéblastes
D. Thymocytes

136- ណោសិោខាងណរោមទំងណនះសុទធតតជា stroma cells/cellule stroma ណលើកតលតតតមួយណន្ះគជាែៈ

A. Adipocytes
B. Fibroblasts/fibroblastes
C. Reticulum cells/cellules Réticulum
D. Reticulocytes

137- ណតើមខ
ុ ងារណាមួយកនុងចំណណាមមុខងារខាងណរោមទំងណនះ ត លមិនតមនជារបស់ hematopoietic growth
factors/facteurs de croissance hématopoiétique?
A. Proliferation
B. Suppression of apoptosis/suppression de l’apoptose
C. Maturation
D. Functional inactivation/inactivation fonctionnelle

138- ខាងណរោមណនះសុទធតតជាណោសិោត លបណងកើតណ ើងណោយ mesenchymal stem cells/cellules souches de la

mésenchyme ណលើកតលងតតមួយគែៈ
A. Muscle cells/cellules musculaires
B. Osteoblasts/Ostéoblates
C. Vascular endothelial tissues/tissu vasculaire endothélial
D. Myeloid cells/cellules myéloides

139- ណោសិោត លមានលកខ ែៈខាងណរោម មិនមាន Nuclear DNA/ADN nucléaire, មាន RNA/ARN កនុងសុតូប្ល្ស់
មានវតតមានណៅកនុងខួរឆ្អង
ឹ និងឈាមគជាែៈ
A. Pronormoblast/pronormoblaste
B. Normoblast/normoblaste
C. Reticulocyte/réticulocyte
D. Mature RBC/ GR mature

140- ណតើសរីរែៈណាមួយត លផ្លិត erythropoietin/érythropoiétine ណរចើនជាងណគបំផ្ុត?

A. ណថ្ែើម
B. តរមងណន្ម
C. លំតពង
D. ផាល

141- ណតើសំខាន់ជាងណគបំផ្ុតមួយណា ត លន្ំឱ្យមានោរណភាញ្ចោរផ្លិត Erythropoietin/ Erythropoiétine?

A. សមាព្្អុកសុតសន (O2) ណៅកនុងសួតធាល្កច
់ ុះ
 B. សមាព្្អុកសុតសន (O2) ណៅកនុងជាលិោតរមងណន្មធាលក
្ ់ចុះ
C. សមាព្្ឧសម័នោបូនិច (CO2) ណៅកនុងជាលិោតរមងណន្មធាល្ក់ចុះ
D. សមាព្្អុកសុតសន (O2) ណៅកនុងជាលិោសាច់ ុំធាល្កច
់ ុះ

142- Fetal-maternal incompatibility in the Rhesus system may occur when:

A. Abortion
B. Obstetric surgery
C. Delivery
D. All of above are true

143- ចូររកលកខខ័ ឌមួយ ត លមិនរតឹមរតូវកនុងចំណណាមលកខខ័ ឌខាងណរោម ត លបងកឱ្យមានសមាព្្អុកសុ

តសនណៅកនុងជាលិោតរមងណន្មធាល្ក់ចុះ?
A. ភាពណសែកសាល្ំង (anemia/anémie)
B. ណៅណពលអុកសុតសនបរិោោសចុះទប
C. ោរខូចខាតចរនតឈាមតរមងណន្ម
D. ណពលមានរគួសតរមងណន្ម (Renal calculi/calcul rénal)

144- Normoblasts/normoblastes អាចមានវតតមានណៅកនុង peripheral blood /sang périphérique កនុងករ ែៈ

A. មនុស្ែ្មមត
B. Extramedullary erythropoiesis/érythropoièse extramédullaire ឬជមងខួរឆ្អង
ឹ មួយចំនួន
C. ោរបំណពញមុខងាររបស់ណបះ ង
ូ មិនប្នលអ
D. ោរខូចខាតចរនតឈាមត លហូរណរសាចរសពតរមងណន្ម

145- ខាងណរោមណនះសុទធតតជាកតត្ ឬ precursor ត លណ្វើឱ្យ erythropoiesis មានរបសិទធភាព ណលើកតលង

តតមួយែៈ
A. ណលាហែៈ (Fe, Co)
B. វីតមន (B12, B6, B2 folate, vitamin C, vitamin E)
C. Erythropoietin/ Erythropoiétine
D. Thrombopoietin/ Thrombopoiétine

146- ចូររកណមែើយត លរតឹមរតូវជាងណគបំផ្ុត ចំណពាះមុខងាររបស់ (Hemoglobin/Hemoglobine) ៈែៈ

A. ណៅកនុងសរសសអាកតទរ ឹកន្ំ O2 ពសួតណៅជាលិោ
B. ណៅកនុងសរសសតវ៉ែន ឹកន្ំ CO2 ពជាលិោណៅសួត
C. ណៅកនុងអាកតទរ ក
ឹ ន្ំ CO2 ពជាលិោណៅសួត
D. ឃ្ល្ A និង B រតឹមរតូវ

147- What is the meaning of Rh negative

A. RBC express antigen D
 B. RBC Express Weak D antigen
C. RBC do not show antigen D
D. RBC express Du+

148- Methemoglobinemia/méthémoglobinémie គជាែៈ

A. Hb ត លមានវតតមានអ៊ីយុងត កវា្ ង់ ២ (Fe++)
B. Hb ត លមានវតតមានអ៊ីយុងត កវា្ ង់ ៣ (Fe3+)
C. Hb ត លមានវតតមានបងគំណមទល (methyl)
D. Hb ត លមានវតតមានអ៊ីយុងសាព្ន់្័រ (S)

149- ណៅណពលមានកងវះវីតមន B12 និង folate បងកឱ្យណោសិោឈាមរកហមមានរាង ូចជាែៈ

A. Microcyte
B. Macrocyte
C. Stomatocyte
D. Target cells/cellules cibles

150- ជមងណសែកសាល្ំង (anemia/anémie) រតូវប្នណគកំ ត់ថា ជាោរថ្យចុះសនែៈ

A. កំហាប់ជាតិត ក
B. កំហាប់ Hb
C. មាឌណោសិោឈាមរកហម (parked cell volume ឬ Hématocrite)
D. ចំនួនណោសិោឈាមរកហម (RBC/GR)

151- Effective erythropoiesis/Erythropoièse effective រតូវប្នណគវាយតសមែណោយែៈ

A. ោររាប់ចំនួនណោសិោឈាមរកហម
B. ោររាប់ចំនួន Reticulocytes
C. ោរណ្វើ Erythrocyte indices/indices érythrocytaire
D. ោរពិនិត្យខួរឆ្អឹង (Bone marrow examination/myélogramme)

152- កនង
ុ ចំណណាមរបជាជនខាងណរោម ណតើរបណេទមួយណាត លរតូវោរជាតិត ករបចាំសថ្ងណរចើនជាងណគបំផ្ុតែៈ
A. បុរសណពញវ័យ
B. ស្រសតអស់រ ូវ
C. ស្រសតណពញវ័យកំពុងមានរ ូវ
D. ស្រសតអាយុព ១២ ណៅ ១៥ឆន្ំ

153- ខាងណរោមណនះសុទធតតជាមូលណហតុសនោរកងវះជាតិត ក ណលើកតលងតតមួយគែៈ

A. ោរប្ត់បង់ឈាមរា្ំសរ៉ែ (chronic blood loss/perte sanguine chronique)
B. ោរប្ត់បង់ឈាមរសួចរសាវ (acute blood loss/perte sanguine aigüe )
C. ោរព្ាប្លណោយ erythropoietin/érythropiétine
 D. ោររសូបចូលផ្ែូវអាហារមិនប្នលអ (Malabsorption)

154- ចំណពាះមនុស្ែណពញវ័យ ណតើ hématopoïèse/hematopoiesis ណ្វើណៅទណា?

A. កនុងឆ្អង
ឹ តវង
B. កនុងណថ្ែើម
C. កនុងអណ ក
តើ
D. កនុងខួរឆ្អឹងខនង

155- A patient has blood type AB Rh-; to inject plasma, blood must be selected inABO & Rhesus system
as follows:
A. Plasma group A Rh-
B. Plasma group B Rh-
C. Plasma group ORh-
D. None of the above

156- ណតើមនុស្ែរបុសមាន្ក់អាយុ ២០ឆន្ំ រតូវមានចំនួន hémoglobine/ hemoglobin ចណន្ល្ះពែៈ

A. 50 à 60 g/dl
B. 11-12 g/dl សនឈាម
C. 16-20 g/dl
D. 13 à18 g/dl

157- ណគណ្វើ transfusion fresh whole blood កនុងករ ?

A. Iron deficiency anemia
B. Intestinal parasites
C. Major surgical disease (heart)
D. Malaria

158- ណតើមូណលគុលមួយណា ត លទទួលខុសរតូវកនង

ុ ោរសតុកជាតិត ក (Fe) កនង
ុ សារពាងគោយែៈ
A. Transferrine
B. hemoglobin/hémoglobine
C. hémosidérine/hemosiderin
D. ferritine/Ferritin
ANSWER : D
159- ណតើណោសិោឈាមមួយណាត លមាន peroxydase ណរចើនជាងណគ?
A. polynucléaire neutrophile/neutrophil
B. ណោលិោឈាមរកហម
C. ប្ល្តកត
D. polynucléaire basophile/basophil
160- ណតើអាយុោលរបស់ réticulocyte/reticulocyte ណៅកនុងឈាមមានបុន្ម្ន?
A. ២ ណៅ ៣សថ្ង
B. ៣ណមា្ង
C. ៧សថ្ង
D. ១៥សថ្ង

161- ណតើអវណៅជា corps de Howell Jolly/Jolly’s body ?

A. ជាសតវលអិតណៅកនុងណពាះណវៀន
B. ជាបំត កសនរកូមូសម
ូ ត លផាត្ច់ណចញកនុងរយែៈណពលសនមតូស (mitose/mitosis)
C. ជាមរកុបណៅកនុងណោលិោរកហម (GR/RBC)
D. ជា hémoglobine/hemoglobin មិន្មមត

162- ណតើវីតមនណាខែះត លចូលរួមកនុង érythropoïèse/ erythropoiesis ណៅណពលសំណោគ ADN (Acide

désoxyribonucléique/DNA) ?
A. វីតមន B2 និង B5
B. វីតមន B6 និង B2
C. វីតមន B9 និង B12
D. វីតមន C និង E
163- What does the word Le (a-b-) mean?
A. Meaning the Le(a-b-) antigen
B. Meaning the Le(a-b-) gene
C. Meaning the phenotype Le(a-b-)
D. A and B

164- ណៅកនុងប្លសា
្ ម្ជាតិត ក (Fe) រតូវប្នភាជ្ប់ណៅនឹង glycoprotéine មួយណឈាមះ្ tranferrine ។ ណតើណោសិោ
ណាត លទទួលជា intermédiaire/intermediate រវាង Erythroblasts នឹង transferrine?
A. polynucléaire neutrophile/neutrophil
B. ប្ល្តកត
C. Macrophage
D. lymphocyte B/B-cells

165- Lymphocytes B កណកើតណៅកនុងសរីរាងគែៈ

A. Thymus
B. Liver
C. Bone marrow
D. Ganglion
166- ណោសិោត លសមាល្ប់ cellules infectées គែៈ
A. Lymphocytes B
B. Polynucleaires
C. Lymphocytes T4
D. Lymphocytes T cytotoxiques

167- ណោសិោត លបងាហ្ញអងទតហ្ែនកនុងោរបងកបណងកើតអតទគ័រគែៈ

A. Mastocytes
B. Monocytes
C. Lymphocytes T
D. P.basophiles

168- ណោសិោសនរបព័នធោរពារត លបណចេញ Cytokines គែៈ

A. Mastocytes
B. Macrophages
C. P. Basophiles
D. P.neutrophiles

169- ណោសិោត លបណចេញ humoral immunity (antibody) គែៈ

A. Plasma cells
B. P.neutrophiles
C. Lymphocytes T
D. P.Basophiles

170- ណៅណពលមាន micro-organism ចូលជាណលើក ប

ំ ូង Lymphocytes B បណងកើតប្នែៈ
A. IgE
B. IgA
C. IgG
D. IgM and memory B cells.

171- ណៅណពល Memory B cells ជួបជាមួយ micro-organism ត លជាណលើកទ២ ណតើវាបណងកើតប្នែៈ

A. IgD
B. IgG
C. IgM
D. mIgM ណៅណលើសផ្ទ Lymp. B

172- All of the following mature cells are considered to be part of the myeloid cell compartment except
A. Neutrophils, monocytes, and dendritic cells
 B. Red cells
C. B cells
D. Platelets

173- Lymphocytes in the blood of man

A. are included in the category of " granulocytes"
B. can produce fibrinogen
C. multiply in the bone marrow
D. constitute about 25% of all leucocytes

174- Size of lymphocytes

A. 7-8 µm
B. 12 µm
C. Most are small (7-8 µm) and few are large (12µm)
D. 12-15 µm

175- Blood platelets in man :

A. Possess small nuclei
B. Develop in spleen
C. Develop from monocytes
D. Are about 250,000/ mm3

176- Neutrophil count is high in:

A. Acute bacterial infection
B. Iron deficiency anemia
C. Megaloblastic anemia
D. None of the above

177- Leukocyte that involve in Adaptive and Acquired immunity:

A. Lymphocyte
B. Neutrophil
C. Monocyte
D. Basophile

178- Leukocyte responsible for response to parasitic and allergic infection:

A. Lymphocyte
B. Nutrophile
C. Monocyte
 D. Eosinophil

179- Lymphocyte is elevated in :

A. Viral infection
B. Acute bacterial infection
C. Iron deficiency anemia
D. Megaloblastic anemia

180- Rhesus antibodies have been associated with of the following clinical conditions ?
A. Erythroblastosis fetalis
B. Thrombocytopenia
C. Jaundice
D. A & C are true

181- Which of White blood cell give immunoglobulin :

A. Lymphocyte
B. Neutrophil
C. Basophile
D. Monocyte

182- One of these cell the largest leukocyte cell:

A. Neutrophil
B. Basophil
C. Monocyte
D. Lymphocyte

183- All Cells Are Nucleated EXCEPT:

A. Lymphocytes
B. Monocytes
C. RBCs
D. Neutrophils

184- Blood type AB can be given in the form of an erythrocyte concentrate to a patient who has:
A. Group A
B. Group B
C. Group O
D. No correct answer
185- ណតើអវណៅជា corps de Howell Jolly/Jolly’s body ?
A. ជាសតវលអិតណៅកនុងណពាះណវៀន
B. ជាបំត កសនរកូមូសម
ូ ត លផាត្ច់ណចញកនុងរយែៈណពលសនមតូស (mitose/mitosis)
C. ជាមរកុបណៅកនុងណោលិោរកហម (GR/RBC)
D. ជា hémoglobine/hemoglobin មិន្មមត

186- ណតើណោសិោឈាមមួយណាត លមាន peroxydase ណរចើនជាងណគ?

A. polynucléaire neutrophile/neutrophil
B. ណោលិោឈាមរកហម
C. ប្ល្តកត
D. polynucléaire basophile/basophil

187- ណតើមូណលគុលមួយណា ត លទទួលខុសរតូវកនង

ុ ោរសតុកជាតិត ក (Fe) កនង
ុ សារពាងគោយែៈ
A. Transferrine
B. hemoglobin/hémoglobine
C. hémosidérine/hemosiderin
D. ferritine/Ferritin

188- ចូររកឃ្ល្មួយត លមិនរតឹមរតូវចំណពាះ Megaloblastic anemia /anémie mégaloblastique.

A. គជាភាពណសែកសាលង
្ំ ត ល erythroblasts ណៅកនុងខួរឆ្អង
ឹ បងាហ្ញពលកខ ែៈមិន្មមត
B. ជាប់ទក់ទងណៅនឹងភាពទុំរបស់ស យូយតជាងភាពទុំរបស់សុតូប្ល្ស់
C. ជាប់ទក់ទងណៅនឹងភាពណខាច្ះរបស់ស យូសនោរសំណោគ DNA/ADN
D. បងកណ ើងណោយកងវះជាតិត ក

189- ចំណពាះ Macrocyte anemia ណោសិោរកហមមានទំហំខុសព្មមត។ណតើតសមែ MCV មួយណាត លរតឹម

រតូវ?
A. > 95 fL.
B. = 95 fL
C. < 95 fL
D. មិនមានចណមែើយរតឹមរតូវ

190- A client is receiving a first-time blood transfusion of packed RBC. How long should the nurse stay
and monitor the client to ensure a transfusionreaction will not happen?
A. 15 minutes.
B. 30 minutes.
C. 45 minutes.
D. 60 minutes.
191- កនង
ុ ចំណណាមលកខខ័ ខា
ឌ ងណរោម ណតើលកខខ័ ឌណាខែះត លបងកឱ្យ MCV & MCH and MCHCថ្យចុះ
ោ្ងច្ាស់?
A. កងវះជាតិត ក (Iron deficiency)
B. Chronic inflammatory or malignancy
C. Thalassemia
D. A & C

192- Cryoprecipitate come from

A. Spin of whole blood
B. Spin of platelet rich plasma
C. Spin of fresh frozen plasma
D. All of the above

193- ជមងណសែកសាល្ំង (anemia/anémie) រតូវប្នណគកំ ត់ថា ជាោរថ្យចុះសនែៈ

A. កំហាប់ជាតិត ក
B. កំហាប់ Hb
C. មាឌណោសិោឈាមរកហម (parked cell volume ឬ Hématocrite)
D. ចំនួនណោសិោឈាមរកហម (RBC/GR)

194- Leukocyte that involve in Adaptive and Acquired immunity:

A. Lymphocyte
B. Neutrophil
C. Monocyte
D. Eosinophil

195- Reticulocyte is immature:

A. RBC
B. WBC
C. Platelet
D. None of above

196- Leukocyte responsible for cellular immunity is:

A. T. lymphocyte
B. Monocyte
C. B. lymphocyte
D. Eosinophil

197- All Cells Are Nucleated EXCEPT:

 A. Lymphocytes
B. Monocytes
C. RBCs
D. D-Neutrophils

198- To verify the age of blood cells in a blood bag, the nurse will check which of thefollowing?
A. Blood type.
B. Blood group.
C. Blood identification number.
D. Blood expiration date.

199- A smear that is prepared from equal parts of methylene blue and whole blood will be usedfor:
A. WBC differential
B. Platelet estimates,
C. Reticulocyte count
D. RBC count

200- Donated blood undergoes screening for which diseases?

A. AIDS
B. Viral hepatitis
C. Diabetes
D. A and B

201- ណៅកនុងករ Neutrophilie, ណោលិោឈាម (PN, Plaq, Lympho). មានោរតរបរបួល ូចខាងណរោមែៈ

A. PN& , Plaq& , Lympho(
B. PN& , Plaq( , Lympho(
C. PN& , Plaq( , Lympho&
D. PN &, Plaq( , Lympho(

202- Spherocytes in the blood film are a feature of which ONE of the following?
A. Thalassaemia major
B. Autoimmune haemolytic anaemia
C. Reticulocytosis
D. None of the above

203- Which ONE of the following is NOT a cause of intravascular haemolysis?

A. Rhesus incompatibility
B. ABO incompatibility
 C. Red cell fragmentation syndrome
D. None of the above

204- Which of the following normally contains >10% of body iron?

A. Transferrin
B. Heart
C. Neutrophils
D. Macrophages

205- Which of the following is NOT TRUE about sideroblastic anaemia?

A. It may be inherited
B. It is most frequently caused by myelodysplasia
C. It may be caused by folate deficiency
D. It may respond to erythropoietin

206- A client is receiving transfusion of one unit of cryoprecipitate. The nurse will review which of the
following laboratory studies to assess the effectiveness of the therapy?
A. Platelet count.
B. White blood cell count.
C. Coagulation studies.
D. Hematocrit count.

207- Which of the following statements is NOT correct?

A. A unit of blood contains 200-250 mg iron
B. A man needs to absorb about 1 mg of dietary iron daily
C. A molecule of transferrin may transport 4 atoms of iron
D. None of the above

208- Which ONE of the following may be used to treat iron deficiency?
A. Ferric sulphate
B. Desferrioxamine
C. Ferrous gluconate
D. Erythropoietin

209- Which ONE of the following is NOT TRUE about neutropenia?

A. It may be caused by acute myeloid leukaemia
B. It occurs in aplastic anaemia
C. It is caused by aspirin
 D. It is associated with systemic lupus erythematosus

210- Which ONE of the following is NOT a cause of neutrophil leucocytosis?

A. Myocardial infarct
B. Trauma
C. Asthma
D. Corticosteroid therapy

211- All of the following are major complications of massive transfusion, except:
A. Hypokalemia
B. Hypothermia
C. Hypocalcemia
D. Hyperkalimia

212- Which ONE of the following is NOT a cause of eosinophilia?

A. Steroid therapy
B. Eczema
C. Hookworm
D. Hodgkin's lymphoma

213- Which of the following causes thrombocytopenia?

A. Essential thrombocytopenia
B. Aspirin
C. Infectious mononucleosis
D. Hyposplenism

214- What are the risks of donating blood?

A. Contract common viruses
B. Bacterial infection
C. Low blood pressure
D. None of the above

215- Which of the following statements is TRUE about von Willebrand's disease?
A. It predominantly causes deep muscle and joint haemorrhage
B. It is usually associated with a low plasma factor VIII level
C. It occurs mainly in males
D. The level of von Willebrand factor in plasma is always reduced
216- Global medullary aplasia អាចបណាត្លមកអំព :
A. Acute hemorrhage
B. Auto-immun hemolytic
C. ោរពុលណោយឱសថ្ខែះ
D. Blood parasite (plasmodium

217- មូលណហតុត លន្ំណអាយមាន central and peripheral thrombocytopenia គ ៖

A. LMC
B. Syndrome myeloproliferative
C. Viral infections
D. None of the above

218- Why are transfusions given?

A. To increase the amount of blood
B. To increase the blood's ability to carry oxygen
C. To decrease the risk of bleeding
D. All of the above

219- Aplastic anemia is caused by

A. a defective gene for hemoglobin
B. inability to absorb vitamin B12
C. exposure to toxic chemicals or radiation
D. iron deficiency

220- Based on the results of a differential WBC count shown in the table, this person has

Basophils 1%
Eosinophils 10%
Neutrophils 56%
Lymphocytes 25%
Monocytes 8%

A. mononucleosis
B. leucopenia
C. allergies or a parasitic worm infection
D. an acute bacterial infection
 ANSWER : C
221- A deficiency of which of these will result in abnormally large red blood cells and a condition called
megaloblastic anemia?
A. Oxygen
B. Vitamin C
C. Vitamin B-12 and folic acid
D. Carbon dioxide

222- Which ONE of these clinical features is commonly seen in patients who present with chronic
myeloid leukaemia?
A. Swollen cervical lymph nodes
B. Enlarged spleen
C. Bone marrow failure with reduced peripheral blood cell count
D. None of the above

223- Lymphocyte is elevated in :

A. Viral infection
B. Acute bacterial infection
C. Iron deficiency anemia
D. Megaloblastic anemia

224- The most common cause of megaloblastic anemia is:

A. Iron deficiency
B. Vtamin B12 deficiency.
C. Vtamin B6 deficiency
D. None of the above

225- Chronic leukemia is usually found in patients:

A. អាយុ > 50
B. អាយុ > 40
C. អាយុ > 30
D. អាយុ > 20

226- Which of the following statements indicates a change in red blood cell size?
A. RBC and WBC
B. WBC and Hemoglobin
C. RBC and MCV
D. Platelets and MCH
227- Causes of leukemia:
A. Ionizing radiation, heriditary facto
B. Receiving radiation therapy
C. Both 1 & 2
D. All of above

228- Leukemic ណកើតមាន៖

A. Only in children
B. Only on adults
C. Only on the elderly
D. All ages

229- Which cells release histamine?

A. Neutrophil
B. Eosinophil
C. Monocyte
D. Mast cells

230- Platelet functions are:

A. Role in coagulation cascade
B. Transfer of O2 and CO2
C. Fight against bacteria
D. All of above

231- Mecanisms ត លន្ំឱ្យមាន normochromic and normocytic anemia:

A. Lack of access to iron
B. Lack intake of Vit. B12
C. Intra and extra-cellular hemolysis
D. None of above

232- ណតើចណមែើយណាមួយខាងណរោមត លទក់ទិនណោយផាទ្ល់ណៅនឹង bone marrow suppression ?

A. Hypochromic microcytic anemia
B. Aplastic anemia
C. Megaloblastic anemia
D. None of above

233- Pluripotential stem cells អាចបងកបណងកើតែៈ

 A. Only T-lymphocyte and B-lymphocyte
B. Erythropoietin, thrombopoietin
C. Lymphoid and myeloid stem cells
D. Daughter cells from only a single cell line

234- Normal value of White Blood Cell Count for Adult female
A. 5.0 – 13.0 x 109/L
B. 4.0 – 10.0 x 109/L
C. 5.0 – 18.0 x 109/L
D. 6.0 – 16.0 x 109/L

235- Which ONE of the following does NOT cause pancytopenia?

A. Iron deficiency
B. Folate deficiency
C. Aplastic anaemia
D. Acute myeloid leukaemia

236- The type of anemia that is fairly common and caused by insufficient dietary iron is likely suffering
from
A. Megaloblastic anemia
B. Aplastic anemia
C. Hemolytic anemia
D. Iron deficiency anemia

237- What kind the type of blood does a person have antigen D-Galactoe on the red blood cell?
A. Group A
B. Group B
C. Group AB
D. Group O

238- What is the meaning of Rh negative

A. RBC express antigen D
B. RBC Express Weak D antigen
C. RBC do not show antigen D
D. RBC express Du+

239- ណតើពាក្យ Le(a+b-)មានន័យ ូចណមេច?

A. Antigen Le(a+b-)
 B. Gens Le(a+b-)
C. Phenotype Le(a+b-)
D. A & B

240- ណតើពាក្យ (K-k+) មានន័យ ូចណមេច?

A. Kell phenotypes (K-k+)
B. Antigen Kell (K-k+)
C. Gens Kell (K-k+)
D. A & B

241- ណតើពាក្យ Jk(a+b+) មានន័យ ូចណមេច?

A. Kidd antigen Jk(a+b+)
B. Kidd gen Jk(a+b+)
C. Kidd phenotypes Jk(a+b+)
D. B & C

242- ណតើពាក្យ Fy(a+b-) មានន័យ ូចណមេច?

A. Duffy antigen Fy(a+b-)
B. Duffy gen Fy(a+b-)
C. Duffy phenotypes Fy(a+b-)
D. A & C

243- Which blood type can be transfused to an individual whose blood type is unknown?
A. AB Rh+
B. AB Rh–
C. O Rh +
D. O Rh -

244- A patient with AB- blood could always safely be given which blood type(s) ?
A. O+
B. A+
C. B+
D. AB-

245- A patient with AB negative could always safely be given which blood type(s)?
A. O+
B. A+
C. B+
 D. O- , A- , B-

246- ណតើឃ្ល្ណាមួយខាងណរោមត លបន្ទ្ប់ពណ្វើ transfusions អាចន្ំឱ្យមាន intravascular haemolysis?

A. Group O give to A
B. Group B give to AB
C. Group A give to O
D. Group A give to AB

247- Rhesus antibodies have been associated with of the following clinical conditions ?
A. Erythroblastosis fetalis
B. Thrombocytopenia
C. Jaundice
D. A & C are true

248- The immunodominant sugar specific for group B is :

A. N-acetylgalactosamine
B. L-fucose
C. N-acetylglucosamine
D. All of above are wrong

249- On what basis blood type is classified?

A. Antigen
B. Antibody
C. Rh factor
D. Oxygen content

250- What is the meaning of Rh negative

A. RBC express antigen D
B. RBC Express Weak D antigen
C. RBC do not show antigen D
D. RBC express Du+