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MCQ Microbiology برومترك
MCQ Microbiology برومترك
MCQ
خاص بامتحان الهيئه السعودية للتخصات الصحية
(للتحاليل الطبية )
الخصائى وفنى الميكروبيولوجى
1
-1امتحان بكالوريوس الميكروبيولوجى(.الاخصائى )
:مسمى الامتحان
SCHS microbiology Baccalaureate
لو المتقدم معاه بكالوريوس ميكروبيولوجى فقط هيتصنف بعد الامتحان فنى ميكروبيولوجى
لو المتقدم معاه دبلومة او ماجستير او دكتوراة فى الميكروبيولوجى بعد بكالوريوس الميكروبيولوجى هيصنف اخصائى
ميكروبيولوجى
لو المتقدم معاة ماجستير فى الميكروبيولوجى بعد بكالوريوس العلوم اى تخصص هيتصنف اخصائى ميكروبيولوجى
الملخص :الامتحان دة للى معة بكالوريوس ميكروبيولوجى وايضا للى معاه ماجستير وللى معاه دكتوراة
فى ناس هتدخل نفس الامتحان واحد هيتصنف اخصائى وواحد هيتصنف فنى وعرفنا الحاليتين
-2امتحان فنى ميكروبيولوجى
) بيكون فى الميكروبيولوجى فقط ( يوجد فى السعودية ومصر :
امتحان كمبيوتر اختيار من متعدد
:مسمى الامتحان
microbiology technician
2
طبيعة ومحتوي امتحان فني/اخصائى احياء دقيقة
)(70 MCQs, 2 hours
45%نسبة نجاح فنى الميكرو ( سواء بكالوريوس ميكروبيولوجى فقط بعد خبرة سنتين او اى بكالوريوس علوم اى قسم
اخر مع دبلومة ميكرو)
60%نسبة نجاح اخصائى الميكرو (اللى هو بكالوريوس ميكرو او ميكرو +كيمياء مع دبلومة ميكرو طبية او بكالوريوس
ميكرو طبى )
Total 100%
وصـــــــــــــــــــا يا الـــــــــــــــــــــــــــــــــــهوارى
#أمين_الهوارى
أنا لو داخل إمتحان أخصائى/بكاليريوس ميكروبيولوجى أذاكر منين ؟؟
مرحلة المذاكرة:
حضر نوت بوك كويس وقلمين واحد احمر وواحد ازرق وطربيزة وكرسى
على الطربيزه الزم يكون فيه كتابين:
كتاب مونيكا الجزء التانى كله و كتاب مونيكا الجزء االول :باب الباراسيتولوجى فقط
هتذاكر كويس جدا ..بمعدل 3ساعات يوميا كل كلمة كل حرف كل اورجانيزم وكل صب سبيشيس كمان
هنبدأ بالكتاب الجزء التانى
..................................................
خطة المذاكرة:
.................................................
مقدمة الكتاب:
من صفحة - 1صفحة 07هتالقى االتى:
نبذه عن مع امل الميكروبيولوجى كمقدمة ثم تقسيمات وخواص الكائنات الدقيقه المهمه طبيا ..ثم طرق الفحص الميكروسكوبى ..وطرق الزرع
3
واالوساط الغذائيه ..واخيرا االختبارات التفريقيه للبكتريا.
الجزء دا مهم وبيجى منه اسئله كتير جدا ركز ومتدخلش ع اللى بعده اال لما تكون ذاكرته كويس
ـــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ
البكتريا:
1-هتبدأ من صفحة 150الى صفحة 432
دول فيهم كل ميكروب وتحته خواصه وكل مايدور حوله باختصار
بعد ماتخلص دا ..انت كدا راجعت كل البكتريولوجى نظرى
............
2-هتذاكر المزارع من صفحة 07الى صفحة 134
وبكدا انت لما هيقابلك اورجانيزم هتبقا عارف هو مين النك ذاكرت عنه ف الجزء االول
...........
3-المضادات الحيوية واختبارات الحساسية من صفحة 134الى صفحة 123
بعد ماتخلص دا ..انت كدا ذاكرت كل البكتريولوجى (المزارع) عملى
ملحوظة :
لو انت شغال ف الميكروبيولوجى ف الفتره دى هيساعدك جدا النك كمان هتطبق الكالم دا ف شغلك وهيثبت المعلومه عندك
خلصت مذاكرة البكتريولوجى ومزارعه كدا انت تمام جدا
ــــــــــــــــــــــــــــــــــــــــــــــــــــــ
الفيروسات:
هتذاكر من صفحة 422الى صفحة 477
الجزء دا صعب لكن من رحمة ربنا ان اسئلته ف االمتحان مش كتير
ملحوظة:
فيه جداول ومخططات ف الكتاب متعديهاش الزم تتذاكر النها مهمه جدا وبتسهل عليك عملية الحفظ واسترجاع المعلومه
ــــــــــــــــــــــــــــــــــــــــــــــــــــ
الفطريات:
من صفحة 435الى 422ف الكتاب هتالقى شرح للفطريات ذاكرهم كويس وركز ف االمراض والفرق بينهم ف الشكل
ـــــــــــــــــــــــــــــــــــــــــــــــــــــــ
بكدا انت ذاكرت االساسيات +البكتريا +الفيروسات +الفطريات
ملحوظه:
فيه جزء زى اطلس ملون ف الكتاب الزم تطلع عليه لتثبيت المعلومات
ـــــــــــــــــــــــــــــــــــــــــــــــــــــ
الباراسيتولوجى:
فى كتاب مونيكا الجزء االول شابتر الباراسيتولوجى
من صفحة 102الى صفحة 377
هتقسمهم براحتك وتبدأ فيهم واحده واحده لحد ماتخلصهم
ملحوظه:
اوعا تذاكر الجداول بس وتقول البارا مش يجى منها كتير ..خلى بالك اسئلة البارا صعبة خصوصا طفيليات الدم
ـــــــــــــــــــــــــــــــــــــــــــ
الحدوتة دى كلها تاخد 27-37يوم بالظبط بمعدل 3-4ساعة ف اليوم
خلصت مذاكره خالص كله تمام ..عملت زى ماقولتلك بالحرف ..سجلت كل النقاط اللى محتاج ترجعلها تانى ..ايقنت انك عديت على كل شىء ف اللى
قولناه ..افكارك مترتبه ..عقلك شغال ..أحب اقولك اننا كنا بنأسسك بس ولسه هنبنى عليك
اوال :المراجعـــه:
مهم جدا انك تكون ذاكرت كويس قبل ماتدخل على االسئله اكبر غلط ممكن توقع فيه انك تذاكر االسئله بس الن لو حتى هتنجحك مع انى اشك ..
فاكيد ع مستوى عملك مش هتستفيد
1-الملخصات:
على النت وف الجروب هنا فيه ملخصات كلنا عارفينها اسمها ملخصات ابو شادى ملخص فيها الميكرو كاالتى:
1- Gram positive cocci
2- Gram positive bacilli
3- Gram negative cocci
4- Gram negative bacilli
4
5- Basic principle of microbiology
6- Viruses
7-Parasitology
8- Immunity
ملحوظة:
رقم اتنين فيها غلطة هو مكرر الــ Bacillus anthracisمرتين بس هو التانيه هى CereusوليسAnthracis
حاول تشوف مصدر للمضادات الحيويه وتلخص بنفسك الفطريات واالكتينوميسيتس
ـــــــــــــــــــــــــــــــــــــــــــــــــــــــــ
ذاكر الملخصات دى كويس جدا جدا لحد ماتحس انها اتطبعت جوه هتالقى انواع من البكتريا هو مش ملخصها ..روح انت ع الكتاب واكتبها ف
ضهر الورق بنفس الطريقه ...
كدا انت خلصت مراجعة الملخصات
....................
ثانيا :االسئلة
اختار االسئله اللى ف الميكروبيولوجى فقط طبعا هتقدر تفرق النك مذاكر
اقرا وجاوب بنفسك
ملحوظه كل االسئله متجاوبه ياريت تحاول تدارى االجابه وتختبر نفسك الن يبانلك سهل وانت قدامك لكن ممكن تنساه ف االمتحان
االسئله كتير ولكن اهمهم اربع ملفات هنزلهملكم ف الملحقات ان شاء هللا
-فيه كتب ف الميكروبيولوجى بتبقا عباره عن ان كلها اسئلة اختيارات زى كتاب االعداد للبورد مثال دا رائع وهيعمل مراجعه لمعلوماتك بطريقه
جميله
................................................................................................
خلصنا كل االسئله اختارنا المراجع والملفات الصح للمذاكره توكلنا ع هللا
نيجى بقا للجزء المهم وهو اهم االسئله اللى جاتنى ف االمتحان:
1-يفرز الــ CRPمن ..الكبد....
2-الفيروس الذى يشبه فيروس االيدز هو) (FIVفيروس نقص المناعة في القطط....
3-المطهر المستخدم لمزارع الدم هو.....
4-هل الــ Pasteurizationيعتبر Sterilization؟؟
5-ماهو الذى يحتوى على نقطتين مش عارف ايه كدا ف البالزموديوم
6-ماهو الوسط الغذائى للدفتيريا التيوليت
7-ماهى نوع الـ Bacillusالغير متحركه
8-عينة بول منذ ساعتين بالظبط هتقبلها وال ترفضها
9-ميكانيكية عمل البنسلين
10-ف المضادات الحيويه الــSynergism and additive
11-العينه التى تفحص بمجرد وصولها المعمل
12-الــ S.pneum.تتبع جروب.....
13-نوع من الـTap worm
14-نووع الطفيل ع حسب عدد الــGravid segment
15-المالريا اللى بتعملenlargement
16-صبغة الــFeldensen
17-الــBacteroides
18-الــMucor
19-البروسيال والــ URease
20-شكل النايسيريا ع المكانوكي
21-نوع من االنتاميبا اليوجد ف االمعاء
22-كيف يمكن التحكم ف النورمال فلورا
23-االورجانيزمات الـInvasive
24-تعالج االنتيروكوكس بــ.....
25-كيف تفرق بين الــ D-enterococcusوالـenterococcus
26-نوع من الـ Tap wormيوجد ف االنسجه
27-حاله ع مااعتقد كانتliptospira
5
?? 28- IL 1&2 …..
29-ف سائل النخاع البكتريا تقلل.....
30-يفرز االفالتوكسين من.......
31-ميديا التستخدم لزراعة الهوائيات.....
– 32االذن الوسطى والنورمال فلورا
33-ملوثات مزرعة الدم ؟
– 34الــStaph aureus
35-بكتيرويدس ميالنو ...
36-عينات اليتم عليها زراعه ال هوائى
37-البروتوزوا اللى تحتوى ع جزئين متماثلين
38-الـ Genetic variationف فيروس البوريلال
39-الميكروبات والجروح البطنية
40-التجمع حلو جسم غريب كبويضات البلهارسيا يسمى....
41-طريقة الــZn sulphate
42-للتفرقه بين البروكاريوتيك وااليوكاريوتك
43 – intracellular cocci
??? … 44- S.faecalis
45- shape of micrococcus
46-خواص الهيموفيلس انفلونزا والتفرقه بينهم
47-صبغة اليورامين تستخدم لــ
48-وجود صديد ف البول مع عدم نمو بكتريا ؟؟
– 49بكتريا الدرن
– 50حالة مرضيه لطفل مصاب بفيروس معين
51-حالة مرضيه لمريض نقص مناعه
52-طرق نقل فيروسات عن طريق الحيوانات
53-ميكانيكية السيفالوسبورين واجياله
54-حالة لميكروب السالمونيال
55-كيفية امضاء نتيجه ومراجعتها
56-تقسيم عمل التيكنيشن حسب التخصص
57-حاله لعضة الذبابه السوداء
58-حالة ف جامايكا ولكن مش فاكر المرض كان ايه
59-حاله او اتنين ويديلك خيارات للعالج
60-حالة كانت تشخيص المرض
61-فترة حضانه وظهور المضادات
لحد هنا دا كل اللى فاكره او اللى كان سهل وافتكرته ...الباقى كان صعب وكان الفف جدا ...الخيارات بتبقا متشابهه جدا ف االسئله محتاجه
تركيز ...لكن الحمد هلل ربنا كرمنى وعديت بسكور عالى كمان ...احمد ربنا واشكره له المنه والفضل ..ومن بعده الجروب الممتاز دا بكل
اعضاءه كبيرهم وصغيرهم
#امين الهوارى
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د.حمدى قطب
بالنسبة لالمتحان ممكن تمتحن عادي قبل تمام السنتين مفيش مشكلة
امتحانات الفنيين
ملخصات الفنيين في الميكروبيولوجي
6
كل الملفات اللي على الجروب
امتحان الفنى زى االخصائى عادى يعنى اسئله الفنيين هى بردو الى بتيجى لالخصائى بس الفرق فى نسبه النجاح
4-تذاكر اسئلة الباراسيتولوجي بتاعة الفنيين وتحفظها النها 17اسئلة مضمونة ان شاء هللا
================================================================-
Ahmed Shabaan
بصوا يا جماعه ترتيب اهميه المذاكره بتكون كالتالى .بكتيريولوجى ومناعه وباراسيتولوجى .دول ان شاء هللا يضمنوا
النجاح .بعدها الفيرولوجى والميكولوجى علشان تبقى فى السيف سايد
Ahmed Shabaan
ذاكرو المناعه كويس قوى .و البارا الفروق بين االوفا واشكالها والسيست والتروفوزويت يتحفظ اشكالها ووصفها كويس .
واخيراا بالتوفيق وانا تحت امركم فى اى استفسارات اخرى
اكثر االسئلة عن البكتيريا طبعا ركزوا كثير ع حكاية جرام بوزتيف و ال نيجتيف باسالي او كوكاي يعني يعطيك بكتريا و
يسألك كيف شكلها
الصبغات برضو مهمه تعرفي كل بكتريا ايش فيه صبغه مميزة لها زي مثال الكورنيبكتير دفتيريا تنصبغ ب ألبرت
االختبارات البيوكيميائية للتفريق بين البكتريا جاني يمكن 3او اربع اسئلة عنها واحد عن تختبار اليوريز نستخدمه للتفريق بين
ايش و ايش ؟ و جاني سؤال ايش الميديا اللي نستخدمها في اختبار الريد ميثيل ..جلوكوز و ال بروتين و ال شو ؟ جاني كمان
ايش االختبار اللي نستخدمه لل انتيروكوكس ؟ و جاني سؤال رابع كمان برضو عن الرد ميثيل بس ناسية ايش كان و هللا:/
كمان سؤال عن ايش لون الكولوني حق الفايبرو كوليرا ع بيئة ) )tcbs؟
ايش المضاد الحيوي للمايكوبالزما !؟
طبعا في اسئلة تشخيصية زي مثال يجيك سؤال انو طفل مريض و عندو sore throatو البكتيريا كانت جرام بوزيتف
كوكاي و بيتا هيمواليتك ايش حتكون البكتيريا ؟ اللي هيا ستريبت بايجون
في سؤال ناسيه ايش كان بس برضو تشخيصي عن النيسيريا و اعتقد كان السؤال ايش من التيستات نعملو مع ذي البكتيريا و
كانت الخيارات فيها انو اكسيديز بوزيتيف
برضو في سؤال عن الستاف اوريوس و صفاتها و سؤال عن ايش البكتيريا الي تعمل كلوت للبالزما و طبعا االجابه كانت
ستاف اوريوس
جاء سؤال مافهمته بس كان يسأل ايش البكتيريا اللي نزرعها ع كوكيد ميت و انو العينة من الستول عند درجة حرارة 27
ناسيه السؤال لالسف
اسئلة البكتريا و صبغاتها و اختباراتها التفريقية و تشخيصاتها كانت اكثر االسئلة
8
يجي بعدها الفيروسات صراحة الفيروسات انا ذاكرتها بشكل عام يعني ايش الفيروسات الي تصيب الجهاز التنفسي بشكل عام
ماذاكرت بالتفصيل كل فايروس
و جاتني اسئلة تشخيصيه يعني اعراض االصابه كذا و كذا ايش الفايروس بالذات فايروسات الجهاز التنفسي ذاكريها كويس
جاتني رسمة لفايروس الهريبس و ماادري ايش كان السؤال مافهمته
بعدها اسئلة المناعة جاني كم سؤال ف التكنيك نفسو يعني مثال عن خطوات االليزا
سؤال عن سيتوتوكسين تي سيل ايش وظيفتها ؟ سؤالين سهله عن االنتي بدي ايش اللي يروح من االم للبيبي!
9
Microbiology Revision By Dr.AboRashad Email.Dr_alganzory@hotmail.comMob.0598092704
البكتريا
1-Bacteria are
a) Prokaryotic أولية النواة
b) Eukaryotic حقيقية النواة
c) Animal
d) Protozoa
e) Helminthes
صبغة البرت
19- Albert's stain use with which of the organism.
a) E.coli.
b) H. influenza.
c) C.tetani.
d) Corynebacterium diphtheria.
المسبب حمى
28- Cause of Q fever is?
a) Coxiella burnet.
b) Borrella.
c) Treponema.
d) Anopheles
الحمى الروماﺗيزمية
29- Indicative for rheumatic fever is?
a) CRP.
b) RF.
c) ASO.
d) None of above.
الغرغرينا
30- Gas gangrene cause by.
a) Clostridium. perfringers.
b) Clo. Tetani.
c) Clo. Botulism.
d) None of above.
اختبار لتعريف
36-Test for Identifying ◌Strepto
ٍ pneumonia is?
a) Catalase.
b) Oxidase.
c) Optichine.
d) None of the above.
الكالميديا
49-Chlamydia cause
a) Trachoma
b) Neonatal ophthalmic
c) A&B
d) Diarrhea
الطور المعدى
62-Infective stage in leishmania :-
a) Cyst
b) Trophozoit
c) Larva
d) Worm
الكابسولة
69-Capsule is
a) Polysaccharide عديد السكريات
b) Lipid دھن
c) Protein بروﺗين
d) Cholesterol كوليستيرول
التعقيم عند
72- The sterilization in autoclave performed at:
a) 121 c° for 15-30 min.
b) 160 c° for 45-60 min.
c) 121 c° for 10 min.
d) 160 c° for 10 min.
العدوى الذاﺗية
77- Autoinfection of human can caused in case of:
a) Entrobius vermicularis
b) Taenia Sp.
c) Anclystoma Dudenal
d) Ascaris Lumbercoidis
الفالريا
78- Blood of Microfilaria infection diagnosis with:
a) Wuchereia bancofti
b) Cercaria
c) Rhapditoform larva
d) Oocyst
صبغة االيودين
89- Iodine stains of Entamoeba cyst staining:
a) Chromatoidal bars
b) Cell wall
c) Nuclei
d) Cytoplasm
e) ALL
95-Capsulated bacteria
a) Mycobacterium
b) Klebsiella
c) Streptococcus pyogenes
d) Colistridium sp
تخمر الالكتوز
98-Media use for differentiate between L.F and N.L.F:
a) MacConkey agar
b) Chocolate
c) Blood agar
d) XLD
e) TCBS
106- Specimens from a polio victim for culture can be best made on
a) Blood
b) Urine
c) Feces
d) CSF
e) Throat / Nasal washing
116- Best for identification of parasite if you can not see it in stool
(negative in stool)
a) Concentration technique
b) Flotation technique
c) Wet mount technique
d) Kato technique
ممرضة
118- Some organisms are to said to be pathogenic if they are
containing the following features:-
a) Coagulase
b) Catalase
c) Sugar
d) Antibodies
الدودة القزمية
139- The dwarf worm is?
a) Schistosoma sp.
b) Tenia saginata
c) H.nana
d) Tainia saginata
140- When focusing a stained smear under oil immersion field the
magnification is?
a) 10
b) 40
c) 100
d) 15
H االنتيجين
145- H Ag present in:
a) Pilli
b) Capsule
c) Flagella
d) Cell membrane
اٚال الذَ اعتزاسي ال ثٛسشبد الًٔ ٔششت اٌّزوشات ٚراٌه العجبة :
-اٚال ٌبث ٛسشبد احٕب ِغٍٍّٓ ٚاخٛاْ فً هللا لجً ِباعشفه ٌٚىٓ أب 1
الحظت أه ثذٌت فً االعتغالي ِع اٌعٍُ أ ٛاالعئٍٗ اتغٍشت ٚأت تتذعً
ٌٍجٍّع أه عبسف االعئٍٗ ٌٍٗ وزا ً٘ حت اٌّبي طغى عٍى ِجبدئه ٌبثٛ
ّيْ ٚتعشف هللا ِبظٍٕت أه تى ْٛثزااالعٍٛة اثذا .
سشبد أت أغبْ دي
-حبٍٔب ٚهللا اٌعظٍُ ِبٔششت اٌّزوشات اال ثعذ ِبعبٌت اوخش ِٓ شٍخ 2
ُِٕٙٚاٌشٍخ ِحّذ إٌجًٍّ ٚاٌىً ٌعشفٗ ٚافت ًٔٛاْ ٘زا اعتغالي
ٌبث ٛسشبد ٚال ٌجٛص ٌه تغٛي ثبٌطالة وزا ارا وٕت تتعت اٌطٍجٗ ٌُٙ
عٍٕٓ ٌ ُ٘ٚتعجٚ ْٛاوخشُ٘ حبٌتٗ اٌّبدٌٗ ِبتغبعذٖ فٍٓ ِجذاء
االٔغبٍٔٗ عٕذن .
-ارا ٌبث ٛسشبد ثتمٛي ِ ِٓ ٛحمً أشش اٌّزوشات حك أً عبٌت لجً 3
ِبعٛي را االجشاء ٚغٍش وزا تذسي اْ اٌتذسٌظ ا ٚاٌّجّٛعبت اًٌٍ
تغٌٙٛب غٍش ٔظبٍِٗ ِٕٙب أه اعتغٍٍت ِٓٙتن ٚاعتغٍٍت اٌىٍٍٗ اًٌٍ
أت تذسط فٍٙب .
ٌ-بث ٛسشبد دٌٕٕب االعالًِ حخٕب عٍى اٌتعٍُ ٚحج وً ِغٍُ اْ ٌٕفع 4
غٍشٖ ثبٌعٍُ اًٌري تعٍّٗ.
-اتّٕى ٌبث ٛسشبد أً اعّع اخجبس صٌٕٗ عٕه لجً ِباتبخز االجشاء 5
اٌخبًٔ ٚأب ِبثً الطع سصله ٌٚىٓ خف عٍى اٌطٍجٗ شٛي ٚخز ُِٕٙ
ِجٍغ سِضي ِٚ 1500 ٛالصَ ٌىِ ٛٔٛجّٛعبت ٌعًٕ ٌ ٛوبْ ٌىً طبٌت 500
لاير ِعم ٌٗٛاِب 1500حشاَ ٚهللا ال تفىش ثٕفغه ٚجًٕ اٌّبي ٚال تٕغً
أه تمٛي أً ٍِّض ثششحً ٚارا هللا وبتت ٌه سصق ثتبخزٖ.
-اخٛأً ايطالة اعبي هللا اْ ٌٕفعىُ ثٙبٌّزوشات اًٌٍ وٍٓ ٌتىٍُ عٕٙب 6
ٌٚىٓ ٚهللا اٌعظٍُ االختجبس اٚي لجً ِبتتغٍش االعئٍٗ ٌجً ِٕٙب اِب
اٌالْ صذلٚ ًٔٚٚٚٚٚٚٚٚٚٚٚٛهللا ِبفً شً ِجبشش ادسعٚ ٛاتعج ٛاٌذعٖٛ
ٌجً ٌٙب فٚ ُٙتشوٍض ِ ٛخجط ٌضق صي ِباعّع عٓ اٌىخٍش ٌمٛي ًٌ
ٌ ٍِٓٛاراوش ٌعًٕ ِٓ اٌّعمٛي اْ حصبد حالث عٕٛات ٔٚص ٌجً ثٍٍِٓٛ
ِزاوشٖ فىش ٚثبٌّٕطك .
-تفبئٍ ٛثبٌخٍش تجذ ٖٚٚاخٛوُ اٌجشح اٌعٍّك . 7
Deep_wound_2010@hotmail.com
1- Solidifying agent for media is, B) 45c.
A) agar. C) 60C.
B) wax. D) 75C
C) starch.
D) non of above. 10- Anticoagulant that use in blood culture is?
A) fluoride.
2- Color of gram stain is. B) EDTA.
A)brown C) citrate.
B) red. D) Sodium polyanthol sulphat(SPS)
C) green.
D) black. 11- Which test help in identifying staph from
strepto it is.
3- Those are use In gram stain except. A) catalyase(H2O2)
A) crystal violet. B) coagulase.
B) malachite green. C) oxidase.
D) safranine. D) all above
E) non of above
12- Use to protect biohazard is?
4- Temperature for autoclave is. A) tube.
A) 121c for 30 min. B) Gloves.
B) 121C for 60min. C) syringe.
C) 131C for 20 min. D) non of above.
D) non of above.
13- Ziel nelson stain use in?
5- Microscope use in condition gram stain is. A) bacillus.
A) Bright field microscope. B) mycobacterium.
B) electronic microscope. C) H.influnza.
C) dark field microscope. D) non of above.
D) non of the above.
14- Bacteria that can grow in present or absent
6- Thayer martin medium is the media of choice of O2 is called?
for isolation of . A) facultative anaerobic.
A) E.coli. B) strict anaerobic.
B) neisseria. C) anaerobic.
C) bacillus. D) non of above.
D) vibrio.
15- Optimum temperature for growth of bacteria
7- Bacteria that has no flagella classified as ? is?
A) atrichon. A) 50C.
B) monotrichons. B) 60C.
C) keprotrichons. C) 37C.
D) peritrichons. D) non of above.
8- CLED agar use in urine culture because it? 16- Salmonella in the coming medium it gives?
A) it is transport media. A) on maccokey pink colonies.
B) it is basic media. B) XLD red black colonies.
C) Help in colonies count and prevent swarming C) SS pink colonies black center.
of proteus D) all are true
D) all above.
17- Satellite phenomenon seen in ?
9-Agar solidified at? A) influenza and staph. aureus.
A) 100C. B) influenza and strepto.
C) influenza and vibrio. D) Malachite green.
D) non of the above.
26- Color of gram negative bacteria is.
18- All are true about salmonella except. A) red.
A) somatic. B) blue.
B) oxidase positive. C) violet.
C) H2S produce. D) green.
D) produce acid and gas
27- Most common bacteria that produces urease
19- Quellung test is positive with the coming is.
except. A) proteus.
A) strepto pneumonia. B) pseudomonas.
B) H. influenza. C) E.coli.
C) klebsiella. D) non of above.
D) corynebacteria diphtheria.
28- Albert's stain use with which of the
20- In significance bacteria cfu/ml is. organism.
A) > 100. A) E.coli.
B) >1000. B) H. influenza.
C) >10000. C) C.tetani.
D) 100000. D) Corynebacterium diphtheria.
21- Agar use to solidify the medium in 29- Proteus mirabilis and proteus vulgaris all are
concentration of. true except:
A) 1- 2 %. A) produce H2S.
B) 3%. B) Non lactose ferment.
C) 2 – 4%. C) urease positive.
D) non of above. D) indole positive.
22-Which of the following is lactose ferment. 30- Gram stain smear see under:
A) klebsiella. A) Dark field microscope.
B) proteus. B) Bright field microscope.
C) shigella. C) Fluorescence microscope.
D) pseudomonas D) Electron microscope.
23- Culture media kept in the following after 31- Smear stain with fluorescence exam with:
plating. A) Bright field microscope.
A) hot oven. B) Fluorescence microscope.
B) incubator. C) Dark field microscope.
C) non of above. D) Electron microscope.
D) all above
32- An example for negative stain is:
24- Media for detection of hemolysis is. A) gram stain.
A) blood agar. B) Alberts stain.
B) neutral agar. C) methyl blue.
C) macconky. D) nigrocine stain.
D) all above
33- All of the following are non lactose ferment
25- All are use in Zeilh Nelson stain except. except:
A) Carbon Fuchcin. A) E.coli.
B) Acid alcohol. B) shigella.
C) Methyl blue. C) proteus.
D) salmonella. C) produce H2S.
D) man is reservoir and carrier host.
34- To differentiate between staph aureus and E) oxidase positive.
other staph spp:
A) catalyase test. 42- The primary stain of gram stain is.
B) Oxidase test. A) crystal violet.
C) Coagulase test(Clumping) B) safranine.
D) Dnase test. C) iodine.
D) eosin.
35- One of the following is an example for
enrichment media: 43-Mycobacterium named acid fast because?
A) Blood agar. A) stain easily.
B) CLED. B) once stained not decolorize by acid.
C) Nutrient agar. C) because of it is shape.
D) Selenite broth. D) non of above.
36- One of the following is an example for enrich 44- Infections may be caused by microorganisms
media: entering the body through:
A) Blood agar. A- Skin & mouth
B) N.A. B- Eyes
C) Selenite broth. C- Respiratory tract
D) Macconky. D- All of them
37- One of the following is an example for 45- Decontaminate culture s by autoclaving at
enrichment media: A- 121 C for 20 min
A) Blood agar. B- boiling water for 20 min
B) N.A. C- 100 C for 30 min
C) Selenite broth. D- non of these
D) Macconky.
46-Organisms can be picked up on the hands
38-All of the following affect gram stain except. from the
A) smear from old media. A- Benches and equipment
B) prolong decolorization. B- Contaminated splashes
C) staing smear stay for long time. C- Contaminated spills
D) All of above. D- All of them
39- The following are use in gram stain except. 47- Pipettes soaked after use for at least 1h in
A) iodine. A- 2500 ppm chlorine
B) crystal violet. B- 1000 ppm chlorine
C) safranine. C- 1 % w/v virkon
D) malachite green. D- boiling water for 20 min
40- All of the following belong to 48- Infected small airborne droplets into the
enterobacteracae except. atmosphere cause infection through
A) E.coli. A- Skin
B) Alcaligenes. B- Mouth
C) proteus. C- Respiratory tract
D) campylobacter. D-Eyes
41-All are true about salmonella except. 49- if the sterile tubes are needed autoclave it at
A) gram negative bacilli. A- 121 C for 20 min
B) non lactose ferments. B- boiling water for 20 min
C- 100 C for 30 min 56- Enriched media are required for the culture
D- non of these of
A- hemophilus influenza
50- The organisms in the risk group 3 present a B- Neisseria
…………. to the community C- streptococcus
A- No risk D- All of them
B- Low risk
C- Intermediate risk 57- Macroscopic appearance of faecal specimens
D- High risk A- Odour
B- Specific gravity
51- Loops & forceps are sterilized by C-Whether the specimen contain worms
A- Flaming until red hot D-All of them
B- boiling water for 20 min
C- soaked in 1 % w/v virkon 58- Differential media contain indicators or dyes
D- non of these such as
A- Bromothymol blue
52- Preventing laboratory infections depends on B- Methyl red
laboratory staff understanding C- crystal violet
A- The routes by which infections are acquired D- all of them
B- Which organisms are the most hazardous
C- Which techniques are the most hazardous 59-Pale colored faecal specimen is found in the
D- All of them following cases except
A- Giardiasis
53- Causes of presence of pus in feaces B- Infections associated with intestinal
A- amoebic dysentery malabsorption
B- intestinal schistosomiasis C- Obstructive jaundice
C- trichuris trichura D- E. Histolytica
D- all of them
60- In gram stain the first stain is
53- Most bacteria can be differentiated by their A- Crystal violet
Gram stain due t difference in: B- Iodine
A- Cell wall C- Safranine
B- Cell membrane D- Alcohol
C- Capsule
D- All of them 61- The first urine passed by the patient at the
beginning of the day shouldbe sent for
54- Culture media contain ingredients such as examination because the specimen is the
A- peptone A- Most suitable
B- carbohydrate B- Most concentration
C- Meat extract C-Lowest concentration
D-All of them D- Available one
55- Acquiring infection by mouth pipetting can 62 – Giemsa stain technique used in stain
occur when A- Bacteria
A- Aerosols are produced from fluid as it is being B- Virus
sucked up or expelled C- Parasites
B- A pipette with a contaminated end is put in the D- All of them
mouth
C- Pipette with a chipped end causes cuts to the 63- In case of urine specimen if a delay in
fingers or lips delivery of more than 1 hour anticipated ……..
D- All of them should be added to the urine:
A- Sulfuric acid
B- Boric acid
C- Acetic acid 71- These are media to which indicators or dyes
D- Nitric acid are added to differentiate microorganisms as
XLD agar
64- bacteria contain only one flagella called A- Basic
…….. B- Enriched
A- mono-trichous C- Selective
B- peri- trichous D- Differential
C- loph- trichous
D- ( a , b ) 72- Bacteria which can not retain with Gram
stain's called
65- Gastric washings should be …………… as A- Gram negative bacteria
soon as possible After collection B- Gram positive bacteria
A- Acidified C- Acid fast bacteria
B- Alkalinized D- no result.
C- Neutralized
D- None of these 73- Decontaminate sputum by autoclaving at
A- 121 C for 15 min
66- bacteriology is the science which study the B- boiling water for 20 min
A- bacteria & their characters C- 100 C for 30 min
B- virus& their characters D- non of these
C- fungi & their characters
D- no result 74- Organisms can penetrate the skin through
A- Cuts & scratches
67- If the specimen is for the isolation of M. B- Airborne droplets
tuberculosis , ensure that it is Delivered to the C- Contaminated fingers
laboratory D- Cigarettes
A- Within 2 hours
B- Kept at 4 ‘C until delivery is possible 75- Basic media are simple media such as
C- A & B is true A- Nutrient agar
D- A and B is false. B- Blood agar
C- XLD agar
68- in the ………..bacteria are divided at high D- TCBS agar
concentration
A- Lag phase 76- Direct finger to mouth infection as in
B- Log phase A- Eating food in the laboratory
C- stationary phase B- Contact with infected material
D- Decline phase C- Cigarettes or pipes
D-All of them
69-For 8 hours before swabbing , the patient
must not be treated with 77- Stainless steel lancets sterilized in autoclave
A- Antibiotics at
B- Antiseptic mouth washes A- 121 C for 15 min
C- A or B B- boiling water for 20 min
D- None of these C- 100 C for 30 min
D- non of these
70- in the ………..the rate of cell death increase
& bacterial growth stopped 78- The organisms in the risk group 2 present a
A- Lag phase A-No risk
B- Log phase B- Low risk
C- stationary phase C- Moderate risk
D- Decline phase. D- High risk
B- Detection of the eggs of Taenia , cysts of Giardia
79- Decontaminate bench surface are sterilized C- To check whether treatment has been successful
by D-All of them
A- 1h in 2500 ppm chlorine
B- 5 % phenol 87- Selective media such as ………used for select
C- both A,B is true salmonellae & shigellae
D- 1h in 1000 ppm chlorine A- XLD
B- TCBS
80- The organisms offer a moderate risk can C- Blood agar
cause D- non of these
A- Human & animal disease
B- Serious human disease but not a serious 88-Blood and mucus may be found in feaces
hazard from patients with
C- Serious human disease are transmitted from one A- Amoebic dysentery
individual to another B- Intestinal schistosomiasis
D- No disease C- Severe T. trichiura
D- All of them
81- Causes of blood & mucus in feaces due to
A- amoebic dysentery 89- Mycobacteria can be stained with
B- intestinal schistosomiasis A- Gram stain
C- trichuris trichura B- Ziehl- Neelsen stain
D- all of them C- Giemsa stain
D non of these .
82-Special precautions need to be taken when
A- Collecting the specimens 90-A 24 hour urine is required for the
B-Testing the specimens quantitative analysis of substances such
C- Handling the infected material A- Hormones and phosphate
D-All of them. B- Steroids and calcium
C- Protein
83- Causes of pale colored specimen in feaces D- All of them.
A- Giardia lamblia
B- obstructive jaundice 91- In acid fast stain the first is
C- both A,B is true A- Carbol fuchsin
D- non of these B- Methelen blue
C- Malachite green
84- Aerosols can be formed through the D- non of these
following ways except
A- Using a suitable loop which is properly closed 92-If immediate delivery of the urine specimen to
B- Opening a centrifuge immediately th laboratory is not possible
C- Dropping or spilling a specimen or culture A- Refrigerated at 10 C
D- Mouth pipetting B- Cooled
C- Refrigerated at 40 C
85- Decontaminate culture s by autoclaving at D- None of these
A- 121 C for 20 min
B- boiling water for 20 min 93- In gram stain the last is
C- 100 C for 30 min A- Crystal violet
D- non of these B- Iodine
C- Safranine
86-Faecal concentration techniques is required D- Alcohol
in
A- Schistosoma species , few egg is produced in 94- Sputum is best collected in the
sever infections A- Morning
B- Soon after the patient wakes
C- Before any mouth- wash is used
D- All of them
18- which of the following bacteria can growth on 36- normal range of uric acid:
choclate agar:
# 3-7 # 140-200
38- which of the following can diagnose iron 57- in the lab the staff most;
deficiency; a- lab coat
# complete blood count (CBC ) b- wear gloves
c- #all above
39- which of the following of immunoglobulin un
flexible 58- aenemia cause;
# Ig A # microcytic
41- gram positive bacteria irregular in cluster; 60- teania saginata diagnosis by;
# staphylococci # egg in stool
42- in emergency case which of the following test do 61- ascaris lumbrcoid infection stage:
for glucose; # embrgonated egg
# random blood sugar
62-biochemistry test used sample except;
43- life spin of red blood cell is; # stool
# 120 days 63- leukocyte responsible for parasitic and allergic
reaction:
44- genital disease can caused by; # eosinophil
#gonorrhea & trichomonas
64- which of the following parasite cause cerepral
45- in the beta HCG urine : malaria
# positive or negative # plasmodium falcibarium
47- in case blood clot occur that called ; 66- which of the following transmite malaria :
#blood coagulation #female anohlele mosquito
48- infective stage of sichtosoma mansoni : 67- in potential diabetic patient , the confirming test
# cercaria used :
# oral sugar tolerance
49- the cause of chagas diseases :
# trypansoma cruzi 68- which of the following immunoglobulin have five
molecule:
50- the cause of sleeping diseases: # Ig M
#trypansoma gambiense & trypansoma rhodesiense
69- deficiency of vitamin B12 cause :
51- cause of kala-azar; # anemia
# lishmania donovani
70- the thorompocytopoitein replication by ;
52- cause of oriental sore; # liver
# lishmania tropica
157- Inhibit the growth of micro organisms 166- In the past they were listed as large
a- Bacteriostatic viruses
b- Bactericidal a- Richettsia
c- Fungicidal b- Mycoplasma
d- Germicidal c- Chlamydia
d- None of the above
158- To sterilize fluid damaged by heat:
a- Gaseous Sterilization 167- Bacteria multiply by:
b- Heat Sterilization a- Replication cycle
c- Filtration b- Simple binary fission
d- Ionizing Radiation c- Sexual reproduction
d- All of the above
159- For water disinfection we use:
a- Hydrogen peroxide 168- It protects bacteria from antibiotics
3
a- Capsule 177- Genetic information of bacteria is carried
b- Cell membrane on
c- Flagella a- Messenger RNA ??
d- Fimbria b- Transfer RN|A
c- Transcript RNA
169- Vibro cholera is: d- Double – Stranded DNA
a- Mono –trichous bacteria
b- Atrichous bacteria 178- Thermophilic bacteria grow at
c- Lopho-trichous bacteria a- 60 – 80 °C
d- Peri-trichous bacteria
b- 0 - 20°C
170- Short rods, motile by peritrichous flagella c-. 37°C
a- Spirochaeta d- 100 - 120°C
b- Lactobacillus
c- Escherichia coli 179- Acidophilic bacteria grow at
d- Vibrio a- pH 7.2 – 7.4
b- pH 5.0 – 5.5
171- To take up soluble DNA fragments
derived from other, closely related species is: c- pH 8.5 – 9.0
a. Mutation d- None of the above
b. Transformation
c. Transduction 180- Mycoplasma is
d. Conjugation a- Neutrophilic bacteria
b- Acidophilic bacteria
172- Tuberculosis are c- Basophilic bacteria
a- micro-airophilic d- All of the above
b- Facultative anaerobic
181- It is the adaptation of bacteria to the fresh
c- Obligatory anaerobic
medium
d- Obligatory aerobic
a- Lag phase
b- Decline phase
173- According to pH, Lactobacillus is c- Logarithmic Phase
a- Neutrophlic bacteria
d- Stationary phase
b- Acidophilic bacteria
c- Basophilic bacteria
182- Bacteria which do not cause hemolysis is
d- None of the above
a- Beta-Hemolytic
b- Alpha-Hemolytic
174- Bacteria without cell Wall c- Gama Hemolytic
a- Chlamydia
d- None of the above
b- Rickettsia
c- Mycoplasma
183- Normal flora of Lower intestine are all of
d.- Spirochetes
the following except:
175- Brucella Melitensis is a- Staphylococci
a- Obligatory aerobic bacteria b- Diphtheroids
b- Obligatory anaerobic bacteria c- Shigella
c- Facultative anaerobic bacteria d- Lactobacillus
d- Micro-aerophilic bacteria
184- Opportunistic pathogens are all of the
176- Pseudomonas aeroginosa is following except:
a- Peri-trichous bacteria a- Cause a disease when the host defense are
b- Lopho-trichous bacteria suppressed.
c- Amphi-trichous bacteria b- Are normal flora of healthy body
d- Monotrichous bacteria c- Are greatly harmful
d- Do not invade the body or tissue.
4
185- For disinfection of mattresses : d- the prion
a- Hot air oven
b- Autoclave 194- …………………… may be seen under
c- Ethylene Oxide light microscope
d- Hydrogen Peroxide a- rota virus
b- influenza virus
186- Pyschrophilic bacteria grow at: c- herps virus
a- 10٠°C d- pox virus
b- 6٠°C
195- viruses may be:
c- 14°C a- monomorphic
d- 37°C b- pleomorphic
c- dimorphic
187- Bacteria which contain chlorophyll d- all of the above
a- Heterotrophic bacteria
b- Autotrophic bacteria 196- viral capside is formed of:
c- Photosynthetic bacteria a- protein
d- All of the above b- glycogen
c- lipoprotein bilayer
188- Tricophyton is one of d- glycoprotein
a- Yeast
b- Moulds 197- class III in Baltimor classification is:
c- Dermatophyte a- double stranded DNA viruses
d- Dimorphic Fungi b- single stranded DNA viruses
c- double stranded RNA viruses
189- Plastomyces is one of d- single stranded RNA viruses
a- Dermatophytes
b- Dimorphic Fungi 198- Hierarchial virus classification system use
c- Yeast the following characters except:
d- Moulds a- nature of nucleic acid
b- capside symmetry
190- Color of gram negative bacteria is c- diameter of viron & capside
a- Violet d- virus molecular weight
b- Green
c- Red 199- in viral replication which is true:
d- Black a- penetration is the 1st step
b- assembly is the last step
191- Acid Fast Bacteria c- relaease is the last step
a- Salmonella d- all of the above
b- Shigella
c- M. Tuberculosis 200- viron:
d- E – Coli a- may be extracellular phase of virus
192- Spherical or avoid cells occurring in b- may be intracellular phase of virus
chains c- can grow and replicate
a- Staphylococci d- means “ virus – like “
b- Streptococci
c- Lactobacillus 201- pleomorphic viruses means :
d- Spiro chaeta a- virus which have constant shape
b- virus that may appear in 2 forms
193- ……………… carries the genetic c- virus that have not a constant morphology
information d- virus that have spherical shape
a- the envelope
b- the capsid 202- vapor of gold is used in :
c- the nucleic acid a- shadow casting technique
5
b- negative staining technique 211- amniotic cavity inoculation is one type of
c- positive staining technique virus culture in:
d- non of the above a- tissue wall
b- lab animals
203- direct diagnosis of virus : c- embryonated egg
a- ELISA Antibody d- non of the above
b- CFT
c- IFT 212- …………….. is an in vitro method
d- PCR virus amplification of a short sequence of target
DNA
204- all of the following are required in cell a- PCR
culture except: b- hyberdization
a- neutral PH c- finger printing
b- presence of buffer salts d- all of the above
c- presence of antibiotics
d- incubation at 20 C (( 30-37 C)) 213- nucleic acid hyberdization means:
a- probe anneling or binding with it’s
205- all of the following are diagnostic complementary
molecular biological technique except: segment of NA
a- PCR b- fragmentation of nucleic acid
b- ELISA c- amplification of nucleic acid
c- nucleic acid hyperdization d- non of the above
d- DNA finger printing
206- PCR require all of the following except: 214- DNA hyberdization is performed by:
a- extracted DNA template a- primers
b- 2 specific primers b- DNA labeled probe
c- reation buffer c- restriction endonuclease
d- RNA polymerase d- non of the above
207- bacteriophage is : 215-PCR starts with :
a- virus that can be killed by antibiotic a- annealing
b- virus that act like a bacteria b- denaturation of DNA
c- bacteria that act like a virus c-extension of primers
d- virus that infect bacteria d- non of the above
208- all of the following viruses are transmitted 216- ……………….. is a piece of DNA
by blood except: fragment of a particular gene that can bind
a- HIV specially with it’s complementary piece of
b- HBV DNA:
c- HCV a- codon
d- herps virus b- probe
c- LCR
209-all of the following are RNA viruses d- code
except:
a- corona viridase 217- how many primers are used in PCR :
b- reoviridase a- non
c- picorona viridase b- one
d- pox viridase c- two
d- three
210- penetration of naked virus is by :
a- fusion 304-Lowenstein-Jensen media is used for the
b- endocytosis isolation for:
c- translocation a- neisseria gonorrhea
d- all of the above b- mycobacterium tuberculosis
6
c- haemophilus influenza c- klebsiella
d- staphylococcus aureus d- proteus
305- Hekton-Enteric agar is the selective media 313- Widal test is done for diagnosis of :
for: a- salmonella
a- salmonella b- shigella
b- streptococcus c- E-coli
c- staphylococcus d- klebsiella
d- all of the above
314- the causative agent of enteric fever:
306- the selective media for isolation of fungi is: a- salmonella
a- S-S agar b- shigella
b- XLD agar c- klebsiella
c- sabouraud glucose agar d- proteus
d- Hekton-Enteric agar
315- the most common cause of urinary tract
307- gram positive rods with Chinese letter infection :
appearance: a- E-coli
a- mycobacterium tuberculosis b- salmonella
b- corynebacteria diphtheria c- shigella
c- clostridium tetani d- streptococcus
d- staphylococcus pneumonia
316- an important cause of diarrhea in infant:
308- E lek test is done to diagnose : a- staphylococcus
a- streptococcus b- E-coli
b- staphylococcus aureus c- salmonella
c- clostridium tetani d- shigella
d- corynebacteria diphtheria
317- the most common causative agent for
309- all are lactose fermenter except: peptic ulcer :
a- E-COLI a- campylobacter
b- proteus b- H-pylori
c- klebsiella c- V-cholera
d- enterobacter d- all of the above
318- TCBS is the selective media for isolation
310- produce pale colonies on MacConkey’s of:
agar and have tendency to swarm on blood a- H-pylori
agar: b- V-cholera
a- salmonella c- E-coli
b- shigella d- H influenza
c- klebsiella
d- proteus 319- gram negative bacilli strict aerobes grows
on simple media producing a characteristic
311- lactose frementer gram negative bacilli greenish pigment:
with mucoid growth: a- campylobacter
a- salmonella b- pseudomonas
b- shigella c- pasterulla
c- klebsiella d- bordetella
d- proteus
320- the bacteria which cause scarlet fever:
312-non lactose fermenter gram negative bacilli a- staphylococcus
produce H2S : b- streptococcus
a- salmonella c- salmonella
b- shigella d- shigella
7
321- antistreptolysin O titer (ASO) is done for d- all of the above
the diagnosis of:
a- group A streptococcus 392- AIDS is transmitted through :
b- group B streptococcus a- food
c- staphylococcus aureus b- blood
d- staphylococcus albus c- semen
d- (b) & (c)
323- Loffler’s serum is used for isolation of:
a- anthrax 393- bacteria which cause syphilis:
b- clostridium a- Neisseria gonorrhea
c- diphtheria b- Viencent angina
d- T.B c- Treponema palladium
d- Yersinia pestis
324- gas gangrene is caused by:
a- clostridium tetani 394- to diagnose syphilis:
b- clostridium botulinum a- RPR
c- clostridium welchii b- VDRL
d- non of the above (( clostridium perfinges )) c- Wasserman
d- all of the above
325- Bacillary dysentery is caused by:
a- salmonella 395- streptococci secret:
b- shigella a- streptolysin O
c- cholera b- streptolysin S
d- all of the above c- streptokinase
d- all of the above
326- the cause of plague:
a- Y-enterocolitica 396- disease caused by streptococci:
b- Y-pestis a- scarlet fever
c- Y pseudotuberculsois b- purperal sepsis
d- non of the above c- rheumatic fever
d- all of the above
327- treponema palladium is the cause of :
a- T.B 397- staphylococci secrets:
b- gonorrhea a- coagulase enzyme
c- syphilis b- fibrinolysin
d- AIDS c- hyaluronidase
d- all of the above
328- the venereal disease research laboratory
test (VDRL) is done for diagnosis of: 398- gram positive bacilli:
a- T.B a- Klebsilla
b- gonorrhea b- Salmonella
c- syphilis c- Proteus
d- AIDS d- C-diphtheria
9
d- New York city agar c- entrobacteria
d- enterococcus
418- to diagnose systemic infection we do :
a- urine culture 466- the Kovac's reagent used in the following
b- CSF culture biochemical tests:
c- blood culture a- catalase
d- sputum culture b- coagulase
c- indole
419- we give no growth for blood culture after: d- methyl red
a- 1 week
b- 8 weeks 467- positive results for H2S production appear
c- 6 weeks as …. Colour:
d- 3 weeks a- black
c- yellow
420- to dissolve mucous in sputum sample : c- red
a- 10% NaOH d- green
b- 30 % NaOH
c- 10 % KOH 468-………. Give positive coagulase test:
d- 10% NaCl a- streptococci
b- staphylococcus aureus
421- mutualism means: c- staphylococcus saprophyticus
a- one partener benefits , other unaffected d- Escherichia coli
b- both partner benefit
c- one partner benefit , other damaged 469- methyl red test is performed with:
d- living together a- Erlich reagent
b- Kovac's reagent
422- Commensalisms means: c- Voges proskaur
a- living together d- non of the above
b- one partner benefit , other damaged
c- both partner benefit 470- ………… give positive result with urease
d- one partner benefits , other unaffected test:
a- salmonella
423- Balantidium coli moves by: b- shigella
a- flagella c- Y. enterocolitica
b- cilia d- all of the above
d- pseudopod
d- all of the above 471-…………. test is used to differentiate
between bacteroides & brucella:
424- Mouth inhabitant: a- indole
a- Trichomonas hominis b- methyl red
b- Trichomonas tenax c- H2S production
c- Trichomonas vaginalis d- nitrate reduction
d- giardia lamblia
472- DNAase test is positive with:
425- Transmitted by sexual intercourse: a- streptococcus pneumonia
a- toxoplasma b- E.coli
b- giardia lamblia c- staphylococcus aureus
c- Trichomonas vaginalis d- staphylococcus epidermis
d- all of the above
473- ………… solution used in the gram stain
465- citrate utilization test is done to assist technique acts as a mordant:
identification of: a- crystal violet
a- gram +ve bacteria b- safranine
b- gram –ve bacteria c- iodine
d- alcohol
10
431- Its trophozite is shaped like a pear , has
474- the counter stain in Ziehl- Neelson stain is the 2 nuclei that resembles eyes and 4 pairs of
: flagella that look like hair:
a- malachite green a- Trichomonas vaginalis
b- methylene blue b- entameoba histolytica
c- iodine c- giardia lamblia
d- (a) & (b) d- endolimax nana
ﻟﻠﻛن ﻟﻼﺳف ﻧﺳﯾت اﻟﺳؤال واﻟﺧﯾﺎرتKALA-AZAR وﺟﺎﻧﻲ ﺳؤال ﻋن 8- which stain most commonly used in
اﻧﺗﻲ ﺑدي طﺑﻊa واﻟرﺟلab وﺟﺎﻧﻲ ﺳؤال اذا ﻛﺎن ﻋﻧد اﻟﻣرة microbiology
اﻟطﻔل ﻻﯾﻛون ﻋﻧدة # gram
A
B -which of the following gram negative rod cause
Ab desentry:
O # shigella
30) CPD_A anticoagulant used to store blood for: - in the beta HCG urine :
35 days 45 days # positive or negative
5 days
15 days - infective stage of sichtosoma mansoni :
Non of the above # cercaria
4) One is always gram –ve rods: -biochemistry test used sample except;
1-Haemophilus Influenza #stool
2-Shigella 16) One is always non motile gram –ve rods:
3- E.coli 1- Haemophilus Influenza
4- Salmonella Shigella-2
6- Borditella Pertusis
21) Function of Thyroxin is:
24) in cardiac infraction one of the measurements 1- Increase Oogenesis
is not benefited: 2- Stimulate contraction of uterus
Creatinine 3- Increase basal metabolic
CK
LDH 48) Immunoglobulin pregnancy test related to:
GOT 1- IgG
2- IgM
3- Human chorionic Gonadotropin
in LIVAR infraction one of the measurements is not - Normal prothrombin time (PT) is:
benefited: a- 30-45 seconds
Creatinine b- 30-45 minutes
CK d- 12-15 minutes
LDH e-10-16seconds
GOT
CPD_A anticoagulant used to store blood for:
The sterilization in hot air oven performed at: a) 35 days**
a) 121 c° for 15-30 min. b) 45 days
b) 160 c° for 60 min.c) 121 c° for 10 min. c) 5 days
d) 160 c° for 10 min. d) 15 days
e) Non of the above
while using the pregnancy test we are measuring?
- Progesterone. Prothrombin time detects:
a) Extrinsic pathway of coagulation* b- gonorrhea
b) Intrinsic pathway c- syphilis
c) Platelets activity d- AIDS
d) Bleeding time
2_ Bacillary dysentery is caused by:
Haemocytometer used in count of a- salmonella
a) White blood cells(WBCs) b- shigella
b) Red blood cell (RBCs) c- cholera
c) Platelets d- all of the above
d) ALL*
Megaloblastic anaemia caused by 3_all the following estimation can be done on
a) Iron deficiency plasma EDTA blood except:
b) Folic acid and B12 deficiency* a_glucose
c) Zinc deficiency b_cholestrol
d) Globin deficiency c_urea
d_calcium
In new born Hb F is up to
a) 20% 4- cell not have nucleus ?
b) 70%* RBC
c) 50%
d) 30% 5_ infection stage in tenia saginata:
1- autoclave work at => 121 c 20 min a_ cercaria
2- schistosoma hematobium causes => urinary b_cystcarcus
tract infection
Which of the following of immunoglobulin
3- netrophil is increased in => bacterial infection unflexible:6-
4- parasite is infected vagina and urethra => a_ IgG
trichomonas vaginals b_ Ig M
c_ Ig A
5- leishmania is transported by => sand fly d_Ig D
7-CPD anticoagulant to store blood for : 20-while using the pregnancy test we are
-21 measuring ?
-35 - total HCG
-45 - Beta HCG & LH
- Beta HCG
8- blood collect in anticoagulant tub should be: - Alpha HCG
- Not clot
- hemolysis 21- in potential diabetic patient, the confirming test
- not gently mix used is
A- random blood sugar
9- the colonies of Mycobacteria in Lowenstein B- fasting blood sugar
Jensen medium " C- oral blood sugar tolerance (GTT)
Raised , dry cream D- all of the above
14- all are blood function except : 25- bacteria arranged in chinese litters?
hormone ﻣب ذاﻛره اﻟﺧﯾﺎرات ﺑس ذاﻛره اﻟﺟواب اﻟﻠﻲ اﺧﺗرﺗﮫ اﻻ ھو C.diphteriae
production
15-the (u) unit use to evaluation? 26- the Organ responsible for maturiation of B-
-protein in serum lymphocyte :
-hemoglobin - liver
-hormone assay - kidney
-enzymatic activity - thyumus
- bone marrow
16- a semen specimen , contain source of the - spleen
spermatozoa energy is :
- glucose 27- one is motile gram -ve rod aerobeic:
- mannose - Hinfluenza
- fructose - B.anthracis
- sucrose - P.aerogenes-
vibro cholerae
17- during reaction of 2 chemical substances , the - yersinia pestis
color produced asses by :
- spectrophotometer 28- autoclave sterilize in ?
- flame photometer - 121c-20 min
- ELISA -125-35 min
- PCR - 115-35 min
-160c-45-60 min
18-all the following estimations can be done on
plasma EDITA blood except: 29- media use fo differentiate between L.F and
- cholestrerol N.L.F?
- MacConkey agar اﻋذروﻧﻲ ﻣﺎﻧﻲ ﻓﺎﻛر اﻻﺧﺗﯾﺎرات
- chocolate
- blood agar 7_normal rang of the uric acid is :
- XLD a_3-7
- TCBS
30- lactos (+ ) , Indol (+) , MR (+ ) , VP (-) , citrate (-) 8_ tranport by blood tranfision is
are :
- Escherichia a-HIV
-Klebsiella b - hepatitis
- salmonella c- .........
d- ........
which of the following organism is an anaerobic e - all of the bove
bacterium? 9_ 5. cell not have nucleus ?
- clostiriduium spp RBC
- haemophilus
- E.coli 10_ infection stage in tenia saginata:
- yersinia enteroclitica a_ cercaria
b_cystcarcus
31- Salmonella causes?
food poisoningﻣو ذاﻛره اﻟﺧﯾﺎرات ﺑس اﻟﺟواب ﻛﺎن ﻣﺎﻧﻲ ﻓﺎﻛر اﻟﺳؤال ﺑس11_ granulocytes cause leukemia
ﻣﻌﻧﺎه ﺗﻘرﯾﺑﺎ زي ﻛذا واﻻﺟﺎﺑﮫ ﻣﺗﺎﻛد ﻣﻧﮭﺎ
CML
not found in spectrophotometer : ﺟﺎﻧﻲ ﺳؤال ﻋن
11-for mean cell volume(MCV) measured:
a_ mg/dl
..ھذي اﻻﺳﺋﻠﮫ اﻟﻠﻲ ﻗدرت اﺗذﻛرھﺎ b_ fl
.اﻻﺟﺎﺑﮫ ھذي ﻣﺗﺎﻛد ﻣﻧﮭﺎ ﻣﻠﯾون ﻓﻲ اﻟﻣﯾﮫ
ﺟﺎﻧﻲ اﻛﺛرaerobe , anaerobe رﻛزوا ﻋﻠﻰ ﺗﺻﻧﯾف اﻟﺑﻛﺗﯾرﯾﺎ ﻣن ﺣﯾث
(- ) ( او+) ﻣن ﺳؤال ﻋﻠﯾﮭم ﺳؤال ﻛﺎﻧت 12_ . in the bate HCG urine use:
a- positive or negative
b_ mmol/l
ﻣﺎﻧﻲ ﻓﺎﻛﻲ ﺑﺎﻗﻲ اﻻﺧﺗﯾﺎرات
1-Which of the following of immunoglobulin
unflexible: 13_ organ excrete the uric acid :
a_ IgG a_liver
b_ Ig M b_kidney
c_ Ig A
d_Ig D
21_which of the following bacteria can growth on 3- all of the following bacteria cell components
choclate agar: except
a_ hemophilus influenza - cell wall
22_hormone replication of RBCs: - cell membrane
A_ erythropoietin - neoclues
- cytoplasm
23_ Brucella Melitensis is
Obligatory aerobic bacteria a_ -pilli
Obligatory anaerobic bacteria b_ 4- after ensure from physical exam__ and history
Facultative anaerobic bacteria c_ record we measure
d_ micro-aerofhilic bacteria - Hb c-
21 –one test in tha following can diagnose anaemia 33- rice watery stool can coused by
: salmonella-A
- cbc B- vibrreo cholera
C- shigella
- pt D- E.coli
- ptt
- peletlet
- leukocyte 34- lactobacilli isolated in
A- throat swab
22- westrone test we use for B- Ear
- ESR C- urine
D- stool
- HB
- AG-AB reaction
- P.L 35- the test used to differntiate pathogenic staph
A- oxidase
:ﺗﺳﺗﺧدم ﺟﻣﯾﻊ اﻻﺧﺗﺑﺎرات اﻟﺗﺎﻟﯾﮫ ﻓﻲ ﻣﻌﻣل اﻟﻛﯾﻣﯾﺎء اﻻ23- B- catalase
CBC C- coagulase
Serum
antibody))ﻛم رواﺑط ﺗوﺟد ﻓﻲ اﻟﺧﻼﯾﺎ اﻟﻣﺿﺎده Stool
a-1 ﺟﺎوﺑت ﻛذا ﻻﻧﻲ ﻣﺎﻋﻣري ﺷﻔت ﺳﺗول ﺑﺎﻟﻛﻣﺳﺗري ﺧﺧﺦ
b- 2
c- 3
d- 4
f- 5 17. transmitter through blood transfusion ?
AIDS
Malaria
Cytomegalovirus
ﯾﺣﺗوي ﻋﻠﻰ ارﺑﻊ ﺟزﯾﺋﺎتIG All above .
18. leukocytes responsible for parasitic and
IG M allergic reaction ?
IG A Eosinophile .
IG D
IG E ھذا ﻣو اﻟﺳؤال ﺑس19. granulocytes cause leukemia ?
IGG ﻣﻌﻧﺎه ؟
CML .ﺟﺎوﺑت
HDNﯾﺳﺑبIG 20. organ participate in billrubin ?
IGG anti – d Liver
21. in the bate HCG urine use ?
Mmol/l
ﻋدد ﻛرﯾﺎت اﻟدم اﻟﺑﯾﺿﺎء اﻧﺎ ﺣطﯾت ھذا ﻻﻧﺔ ﻣﻛﺗوب ﺑول ﻣدري ﺻﺢ اوPositive or negative
ﻻ
4000- 11000 22.organ excrete the uric acid ?
Kidney
23. genital disease can caused by ?
Gonorrhea and trichomonas .
1. urine samples culture in :-
إﻧﺎ ﺟﺎوﺑت ھذاCleed ager 24. 36- hemolytic in normocytic normochromic
cleed ager and blood ager .ﺑس ﻛﺎن ﻓﯾﮫ ﺧﯾﺎر ﺣﯾرﻧﻲ ھو anemia the test used is
2. Albert stain used to diagnoses :- A- ferritin
Coryenbactrium diphtheria . B- transferine
3. which the following produce by staph . auerus ﺑس ﻣدري وش اﻷﺟﺎﺑﺔ
and not produce by other staph ?
Coagulas . ﺟﺎﻧﻲ ﺳؤال ﻣﺻدر اﻟطﺎﻗﺔ ﻟﻠﺣﯾواﻧﺎت اﻟﻣﻧوﯾﺔ اﻧﺎ ﺣطﯾب ﻓرﻛﺗوز ﺑس ﻣﺎﻧﻲ
4. the test used to differentiate pathogenic staph ? ﻣﺗﺄﻛد
Coagulas test . وﺟﺎﻧﻲ ﺳؤال ﻋن اﻟﻘﻠب ﺣطﯾت ﻛرﺗﯾن ﻛﺎﯾﻧﯾز
5. cell not have nucleus ? وﺟﺎﻧﻲ ﺳؤال اﻟﺗﺣﻠل ﯾﺄﺛر ﻋﻠﻰ ﻧﺗﯾﺟﺔ ﻣﺎ ﻋدا اﻧﺎ ﺟﺎوﺑت اﻟﺑﯾﻠروﺑن ﺑس ﻣدري
RBC وش اﻷﺟﺎﺑﺔ
6. Leukocytes normal rang ? واﻟﻠﺔ ﯾوﻓﻘﻛم ﯾﺎرب
4000 – 11000
7. platelet store for ?
5 days .
ﻛﺎن ﻣﻌﻧﻰ اﻟﺳؤال ﻋﻠﻰ ﻣﺎ اﻋﺗﻘد ادﻧﻰ ﺣد ﻟﻣﻌدل8. platelet rang The following statements are true about insulin
اﻟﺻﻔﺎﺋﺢ ؟ except:
اﻟف200 اﻧﺎ ﺟﺎوﺑت
1-promots glucose uptake by muscle and fat
?ﺷﻲ زى ﻛذا9. anemia cause soluble.
microcytic .أﻧﺎ ﺟﺎوﺑت 2-prevent glycolysis.
?ﻣﻌﻧﺎه ﻛذا10. sickle cell have 3-mobilizes transfer of plasma glucose from tissue
HB Sﺟﺎوب to cell membrane of cells.
? ﯾﻌﻧﻲRH –ve أذا ﻛﺎن11. 4-mobilizes transfer of plasma glucose from liver
not have D-Antigen .ﺟﺎوﺑت ))اﻟﺻﺢto other tissues. ((
12. chaga disease caused by ? 5- non of above.
Trypanosome cruzi .
13. malaria diagnosis by ? The majority of the glycogen in the body is stored
Thick blood film . in the:
14. taenia saginate diagnosis by ? 1-muscle.
Egg in stool . 2-liver.
15. Ascaris lumbricoides infection stage ? 3-muscles and tissue.
Embeyonated egg . 4-heart.
)اﻟﺻﺢ5-A and B(
16. biochemistry test used sample except ?
Urine. The principle determinant of body water esmolality
Whole blood is:
3-directly proportional to the concentration of the
))اﻟﺻﺢ1-sodoum concentration.(( ))ﺻﺢanalyte.((
2-potassium concentration. 4-inversly proportional to the absorbance.
3-chloride concentration. 5-inversly proportional to the emitted color.
4-bicarbonate concentration.
5-glucose concentration.
Q1: Lap result of patient is high in all the parameters
The technician should inform the physician when these indicate:
blood glucose level is: Urea, Creatinine, Na, CL and K.
A) High or Low Proteins
1-60mg\dl. B) High or Low Carbohydrates
2-80mg\dl. C) High or Low Lipids
))اﻟﺻﺢ3-50mg\dl.(( Q2: One of these is not anticoagulant:
4-110mg\dl. A) Phosphate
5-120mg\dl. B) Oxalate
C) Citrate
Which statement is true about chemical or latent Q3: Insulin is used to maintain glucose and with
diabetes: other hormone:
A) Growth hormone
1-the FBS exceeds 150mg\dl. B) Thyroxin
2-the oral glucose tolerance test is normal. C) Glucagons
3-the 2 HR post pradial exceeds 180 mg\dl. Q4: Test used for Bile Duct Obstruction:
)) اﻟﺻﺢ4-presence of acedosis and ketosis.(( A) Total Bilirubin
5-presence of sugar in urine. B) Esterad Bilirubin
C) Urinobilirubin
A severe diabetes mellitus will bring about which Q5: One of these parameters is affected by
condition: Hemolysis:
A) LDH
1-electrolyte imbalance. B) AST (SGOT)
2-dehydration. C) K
3-acidosis and ketosis. Q6: One of these parameters used to indicate
))اﻟﺻﺢ4-all above (( Pancreatis:
5-non of the above. A) ALP
B) GGT
Mycobacterium tuberculosis is called acid fast C) Acid phosphatase
because : Q7: One of these parameters used to indicate
Myocardial Infraction:
1-its easily to stained by gram stain. A) CK
))اﻟﺻﺢ2-once stained it cant be removed by acid.(( B) CK-MB
3-its easily decolorized after staining. C) CK-BB
4-its very easy to stain . Q8: ElecSystem 2010 incubator:
5-its stained by an alkaline stain. A) 30 C
B) 37 C
All of the following is a test for liver function C) 35 C
except: D) 40 C
1- bilirubin in urine. E) 50 C
2- Bilirubin in serum. Q9: Hitachi ElecSystem 2010 positions from 1 to 6
))ﻣﺎﻧﻲ ﻣﺗﺎﻛد ﻣن اﻻﺟﺎﺑﮫ3- Excretory function test.(( is for:
4- Enzyme test . A) Controls
5- Non of the above. B) Emergency samples
Q10: ICIB 283 for determination of Co2 used:
A) Serum
Parasite which doesn’t deposit eggs in the B) Plasma
intestine: C) Whole Blood
1-E.vermicularis.
2-A.dudenale.
3-A.lumbricoides.
4-T.saginata. Section 2: Microbiology
))وﷲ اﻧﺎ ﺷﺎﻛك ﻓﻲ اﻻﺟﺎﺑﮫ5-T.spirali ((
Q1: The colonies of Salmonella Typhi appeared on
In spectrophotometer the amount of light absorbed the plate:
is: A) Colorless with black centre
B) --------------------------------
1-directley proportional to the amount of light C) -------------------------------
transmitted. Q2: One of these is Oxidase Positive:
2-inversly proportional to the amount of solute. A) Pseudomonas aeruginosa
B) ------------------------------
C) ------------------------------ Q1: Lymph node with central germ end is:
Q3: Neisseria meningitis is: A) Deep cortex lymph node
A) Gram –ve Cocci B) Medulla of lymph node
B) ------------------- C) Red pulp of spleen
C) ------------------ D) White pulp of spleen
Q4: To differentiate between Staphylococcus and Q2: Satisfactory of Sputum is:
Streptococcus use: A) Present of Carbon laden
A) Catalyze B) Few leukocytes
B) ---------- C) Mucoid fibre
C) ---------- D) Few squamous cell
Q5: Streptococcus agalactiae (Group B E) All of the above
Streptococcus): Q3: Satisfactory of FNA is:
A) Inhibited by bacitracin A) Needle is in the centre of tumor
B) Against antibody A B) Needle penetrate the tumor
C) -------------------------- C) Needle is not close to the tumor
Q6: Error of Gram stain is: D) ------------------------------------
A) Crystal violet more than 1min Q4: Villa papilloma is affect:
B) Safranin 3min A) Skin
C) Over decolorizing B) Lip
Q7: MacConkey agar added crystal violet act as: C) Ureter
A) Indicator D) Vagina
B) Growth factor Q5: Causes of Necrosis is:
C) Inhibit Enterococcus Sp A) Chemical Toxins
Q8: Indian Ink used to stain: B) Heat
A) M. tuberculosis C) --------------------
B) ------------------ D) --------------------
C) ----------------- Q6: One of these is Cytology used:
Q9: Measles (rubeola) is: A) 95 % Ethanol
A) Koplik's spots marker B) 70 % Alcohol
B) Caused by paramyxovirus of the genus C) Methanol
Morbillivirus D) ---------------
C) Characteristic maculopapular, erythematous
D) Laboratory diagnosis Positive measles IgM
E) Children salivary measles specific IgA Section 4: Hematology & Immunohematology
F) Hyperplastic lymph nodes (Warthin-Finkeldey Q1: To differentiate between Hemoglobin C
cell,) disease and trait by:
G) All othem are correct A) Electrophoresis
Q10: Gram +ve with branch: B) Ruler
A) M. tuberculosis C) Meter
B) Actinomysis israli D) ------------------
C) ---------------------- Q2: Many of Target Cells seen in:
Q11: Skin affected with Pus: A) Hb C disease
A) M. tuberculosis B) Aplastic Anemia
B) M. leprosy C) Autoimmune Hemolytic Anemia
C) ------------------ D) -------------------------------------
Q3: Megakaryocyte – Low Platelets seen in:
Q12: Small RNA virus is: A) Aplastic Anemia
A) Adenovirus B) Pernicious Anemia
B) Retinavirus C) Thrombotic Thrombocytopenic
C) ------------- D) ---------------------------------
Q13: Latex virus: Q4: PCV (HCT) / RBC count is:
A) Affinity of latex for viral antibody A) MCV
B) Antigen antibody complex B) MCH
C) -------------------------------------- C) MCHC
D) ------------------------------------- D) --------
Q14: Gram +ve Cocci in cluster will be use median Q5: 107 fL Hb with normal VitB12 and Folate is:
sensitive (inhibited): A) Iron Deficiency Anemia
A) Penicillin G B) Aplastic Anemia
B) Erythromycin C) VitB12 deficiency
C) Vancomycin Q6: Prothrompin Time (PT) is affected by:
D) Methicillin A) Fibrenogen I
E) Oxacillin B) Factor VIII
F) --------------- C) Factor X
D) ---------------
Section 3: Histology & Cytology Q7: Reject the sample if it:
A) Hemolysis
B) Not written Correct request form
C) --------------
D) ------------
Q8: To Transfer Blood not use:
A) Heparin
B) CIP
C) CIA
D) 1% sodium
Q9: Blood Donor + Patient RBC indicate:
A) Cross-match
B) --------------
C) -------------
Section 5: Parasitology
Q1: Giardia lablia is the same of (watery stool-
diarrhea):
A) Shigella
B) Salmonella
C) ECT
D) V. Cholera
1-malachite green .
2-crystal violet.
))اﻟﺻﺢ3-carbol fuchsin.(
4-acrydine orange.
1-acid.
2-crystal violet.
))اﻟﺻﺢ3-alcohol.((
).اﻟﺻﺢ1-DNA(
2-RNA.
3-single dsDNA.
4-single DS RNA.
1-klebsiella.
))اﻟﺻﺢ2-salmonella.((
3-E.coli.
4-shigelloa.
a) 150.000 – 450.000*
All the following can be done by hemocytometer b) 250.000 – 500.000
except c) 150 - 400
d) 20 -80
a)RBCs
b)Semen
Viruses is
c)Lymphocyte
a-Can live by their own
d)Total White blood cells
b-Can not see by light microscope
a) 100 x 10 (12)
b)10 x 10 (9)
c) 10 x 10 (9) Which of the following of immunoglobulin have five
d) 10 x 10 (9) molecules and heavy
c- heamolysis
We can different gram –ve bacteria and +ve bacteria
d- mix gently differented by
a)capsule
b)cytoplasm
scotch-tap test used for d)cell wall
a- ascaris lumbricoides
b- ancylostoma duodenal
c- trichuris tricura antigen In O Positive person
d- taenia saginata
a) No presence of Ab
ﻣو ﻣﺗﺄﻛد ﻷﻧﻲ ﻣﺎ ﺳﻣﻌت ﺑﺎﻻﺧﺗﺑﺎر ھذا b) No presence of Ag*
c) No Presence of Ab and Ag
D- enriched media
Rh negative patient means he dose not have
a) E antigen
Normal range of Platelets b) D antigen
c) B antigen
d) C antigen 4- Cyst
e) Non of the above 5- Metacercaria
In O blood group the Ab in serum is Immune system can called Adaptive system or
ESR mesure
The unit used in MCV
ﺗﻘﺎس ب
A)p/g
1-millimeters
b) ml/ blood 2-centimeter
3-miligram
C)mg/dl
b) 75-85 fl 1-streptococci
2-staphyllococci
c) 75-96 fl 3-gonococci
4-meningococci
Infective stage of Entrobius Vermicularis is one is gram-motile rod earobic and oxidase possitve
:
1- Larva E.coli
2- Cercaria
3- Egg proteus
Pseudomonas
- gondotropic hormone
LH
a- 30-45 seconds
b- 30-45 minutes
d- 12-15 minutes
c : 13+-2 seconds
a- toxoplasma
b- giardia lamblia
c- Trichomonas vaginalis
d- all of the above
E-coli
a)motile
b)indole +ve
c)lactose vermetive
d)produce gas and acid
e)all above
a)125
b)132
c)164
d)225
1 ﳕﻮذج، أﺳﺌﻠﺔ اﳍﻴﺌﺔ
(1) 1- 3 ά chains and 2 γ chains
<< طﺒﻌﺎ ﻋﻼﻣﺔ ﺻﺢ ﺻﺤﯿﺤﮫ اﻛﯿﺪ 2- 2 ά chains and 2 β chains
ﺻﺢ وﻧﺠﻤﮫ ] ﺗﻘﺮﯾﺒﺎ ً [ او ﺑﺎﻷزرق
<< ﻷن ﻓﯿﮭﺎ اﺧﻄﺎء وﺻﺤﺤﺔ ﺑﻌﻀﮭﺎ
√
3- 2 ά chains and 2 δ chains
1) The definitive host is an animal: 4- 2 ά chains and 3 δ chains
1-Entamoeba histolitica 5- 3 ά chains and 2 δ chains
9) The main (most) Hb found in adult is:
√
2- Toxoplasma Gondii
1- √Hb A
3-Trypanosoma cruzi
4-E.coli 2- Hb A2
5- Giardia lamblia 3- Hb F
2) One is not found (involve) in colorimetric: 10) Blood medium commonly used in blood
1- Cuvett bank:
2-light source
3- Photo sensor and analyzer
1- √* Citrate Phosphate Dextrose adenine
(CPD-A)
√
4- *fule source 2- EDTA anticoagulant
3- Heparin anticoagulant
5-Filter
3) The smallest molecular weight Ig is: 4- Saline alanin glucose maltose (SAGM)
√
1- IgG
2-IgM
3-IgD 11) Indirect anti-antibody test used to detect:
4-IgE 1- Sensitized RBCs in patient blood
5-IgA 2- IgG
4) Bacteria can cause pathogenesis to human 3- IgM
by:
1-Capsullar
4- √ Sensitized antibody in patient serum
2-Secret enzymes 5- Non of the above
3-Endogenous toxins 12) Direct anti-antibody test used to detect:
4-Exogenous toxins
√
1- Sensitized RBCs in patient blood
√
5- All of the above 2- IgG
3- IgM
5) Neutrophil count is high in:
4- Sensitized antibody in patient serum
1√* -Acute bacterial infection 5- Non of the above
13) Anti-Human Immunoglubin is:
2- Iron deficiency anemia
3-Megaloblastic anemia 1- Coombs reagent
6) One is not correctly paired: 2- Anti-Ab
1- α- cells→ glucagon 3- IgG
2- β- cells → insulin
3- Parathyroid → calcium
4- √All of the above
4- Corpus luteum → Progesterone 5- Non of the above
14) Rh-ve patient means he dose not have:
5- √ Estrogen → seminiferous tubules 1- E antigen
7) Function of pili of the bacteria:
2- √D antigen
√
1- Attachment to the host tissue 3- B antigen
4- C antigen
2- Movement
3- Reproduction (multiplication) 5- Non of the above
4- Engulf of food 15) Detection of malaria parasite is by:
5- All of the above
8) Hb A2 is consisting of:
√1- Thick blood film
1
1 ﳕﻮذج، أﺳﺌﻠﺔ اﳍﻴﺌﺔ
√
2- Turn litmus paper to blue 1- √Finding of a typical fertilized egg in stool
41) Life span of red blood cells in the
3- Sour taste
circulation (body):
4- React with alkaline to give water and salt
1- 80 days
5- Non of the above
32) Pentose phosphate metabolism cycle is 2- √120 day
important to the cell because it give: 3- 130 day
1- Acetyl CoA 4- 20 day
2- ADP 5- 7 days
3- ATP 42) Increase in growth hormone causes:
4- NADH 1- Cushing disease
*
5- √ NADPH 2- √Gigantism
3- Exophthalamic goiter
33) Hydrolysis of sucrose result:
4- Hypoglycemia
1- Only glucose
43) If you see this sign (symbol) in the lab it
2- Galactose
means:
√
3- Fructose + glucose 1- Flammable
4- Glucose + Glucose 2-√ Corrosive
5- Maltose + Glucose 3- Oxidizing
34) One is not a Romanowsky stain: 4- Explosive
1- Fields stain 5- Toxic
2-√ Gram stain 44) Reticulocyte is immature:
3- Geimsa stain 1-√ RBC
4- Leishman stain 2- WBC
35) Romanowsky stain consists of: 4- Platelet
1- √Eosin + Alkaline methylene blue
45) Best sterilization of Nutrient media done
2- Eosin only
by:
3- Methylene blue only
1- Hot air oven
4- Indian Ink
36) Deionization of impure water means: 2- √Autoclaving
1- Boiling 46) Most common method (technique) used to
2- Filtration detect hormone amount in the laboratories:
3-√ Exchange of protons and electrons 1- Spectrophotometry
37) Iodine stain of Entamoeba cyst used to 2-√ Enzyme Linked Immuno Surbant Assay
detect (diagnose): (ELIZA)
1- Chromatoidal bars 47) Test should be kept away from light:
2- Cell wall 1-√ Serum bilirubin
3-√* Nuclei 48) Immunoglobulin pregnancy test related to:
1- √*IgG
38) Hb A consists of:
2- IgM
1- 2 ά chains and 2 δ chains
3- Human chorionic Gonadotropin
2- 3 ά chains and 2 β chains
3
1 ﳕﻮذج، أﺳﺌﻠﺔ اﳍﻴﺌﺔ
49) Leukocyte responsible for cellular 59) Confirmatory test of streptococcus
immunity: pneumonia:
1- √T-lymphocyte 1- Catalase
2- Optochine disc
2- B- lymphocyte
3- Coagulase
3- Monocyte
4- Basophile 4- √*Bile insolubility
5- Eosinophil 6- Bacitracin
50) Buffer solution is:
1- Chaing color when chaing pH 60) Most sever (serious) malaria infection
2- Resist acidic pH caused by:
3- Resist alkaline pH 1- √Plasmodium Falcibarum
4- Weak acid + weak base
2- Plasmodium Malaria
5- Strong acid + weak base
3- Plasmodium Ovale
51) An indicator is:
4- Plasmodium Vivax
1-√ Chaing color with chaing pH 5- All of the above
2- Resist acidic pH 61) Parasite can cause fetal cerebral infection:
3- Resist alkaline pH 1- Taenia
4- Weak acid + weak base 2- √Toxoplasma gondii
5- Strong acid + weak base
62) Gram +ve cocci arranged in groups
(clusters):
1- Streptococci
52) Target of prolactin in female:
1- Ovary 2- √Staphylococci
2- √Mammary glands 63) Non motile protozoa:
1- E.coli
53) Parasite can be detected in vaginal and
2- Entamoeba Histolytica
urethral discharge:
3- Trypanosoma cruzi
1- √Trichomonas Vaginalis
4- √*Giardia lamblia
54) Org. (bacteria) arranged in Chinese litters:
5- Trichomonas vaginalis
1- √Corynebacteria Diphtheria 64) One is always oxidase +ve
2- Bacillus anthraces 1- Haemophilus Influenza
55) Malaria infection transmitted by: 2- √Pseudomonas aurogenase
1- Male anopheles mosquito
65) Leukocyte responsible for response to
2- √Female anopheles mosquito parasitic and allergic infection:
56) Heparin is: 1- Lymphocyte
1-√ Protein 2- Nutrophile
3- Monocyte
2- Enzyme
4- Basophile
3- Polysaccharide
4- Oligosaccharide 5-√ Eosinophil
5- Non of the above
57) One stage prothrombin time used to detect
(diagnose) disorders in:
1-√ Extrinsic coagulation pathway (factors)
2- Intrinsic coagulation pathway (factors)
58) Thrombin time is:
1- Extrinsic coagulation pathway (factors)
2- Intrinsic coagulation pathway (factors)
3- √The conversion of prothrombin to
fibrinogen in addition of thrombin
4
2 ﳕﻮذج، أﺳﺌﻠﺔ اﳍﻴﺌﺔ
Methyl alcohol
(2) chloroform
5%phenol
1-Blood of Microfilaria infection 5% cresol
diagnostic with: 12-prolonged fast cause:
√Wuchereria bancrofti Hyperglycemia
2-Oocyst benefited to diagnose: √Keton in urine
E.histolytica 13-One is not correctly paired :
E.coli α- cells →glucagon
√Toxoplasma gondii β- cells → insulin
Giaradia lamblia √ Estrogen → seminiferous tubules
Typanosoma cruzi Corpus luteum → Progesterone
3-intracellular parasite: Parathyroid → calcium
E.coli 14- bacteria motile gram-rods:
Toxoplasma gondii Shigella
Giaradia lamblia Bordetela pertusis
Typanosoma cruzi √ Pseudomonas aeruginoea
√Trichomonas vaginalis Yersenia pestis
4- An animal is a definitive host:
E.histolytica
E.coli
√Toxoplasma gondii
Giaradia lamblia 15-presence one from this substance in
Typanosoma cruzi urine detect abnormal codition;
5-cosnider ketose: Calcium
Glucose Phosphates
√Fructose √ Glucose
Mannose Urates
6- non motile protozoa: 16-hypersecretion of cortisol cuase:
E.histolytica √ Cushing disease
E.coli 17-in cardiac infraction one of the
√Toxoplasma gondii
measurements is not benefited:
Giaradia lamblia
√ Creatinine
Typanosoma cruzi
7-cutaneous leishmaniasis transmitted 18-elevated in parasitic infection and
by: allergy :
√ IgE
√Phlebotomus sand fly
19- with romanowsky stain ,2-5 lobes
8-malaria transmitted by : and give violet or pinkish granules:
√Female anopheline mospuito √ Nutrophile
Male anopheline mospuito Eiosinophile
Basophile
9- shistosoma hematobium diagnosis:
Monocyte
√Egg in urine with terminal spine
10-not find in the flam photometry : 20-lense near the slid in light microscope
Burner :
Filter √ Objective
Fuel source Eye lenses
Cuvete for sample 21-one of the following has highest conc.
Photo Of cholesterol:
11-low effective sterilization with: Chylomicron
Ethyl alcohol 70% LDL
1
2 ﳕﻮذج، أﺳﺌﻠﺔ اﳍﻴﺌﺔ
HDL √ Decrease ca level
VLDL 36-use O cell tube on lab for:
Apolipoprtein √ As control
22-hypersecretion of insulin cause: To detect Ag
√ Hypoglycemia To detect Ab
23-hyperglycemia hormone 37-all cause false –v ABO blood
√ Glucagon grouping except
24- B-lymphocyte after attack foreign √ Too short incubation
bodies ,called 38-prothrompin time detect:
√ Plasma cell √ Extrinsic pathway of coagulation
25- technique used for detect Hormon 39-alkali skin burn treatment by
amount: neutralization with:
√ ELIZA Sodium bicarbonate powder
26-does not sterile with hot air oven: Boric acid
Dry glassware Acetic acid 1%
Oil √ Cold water
Powder Hot water
Waxes 40-acid skin burn treatment by
Rubber gloves neutralization with:
27-lymphocyte is elevated in : Sodium bicarbonate powder
√ Viral infection Boric acid
Acute bacterial infection Acetic acid 1%
Iron deficiency anemia √ Cold water
Megaloblastic anemia Hot water
non of the above 41-store RBC at -80◌c:
ْ
28- The smallest molecular weight Ig is: √ 1year
√ 1-IgG 1month
2-IgM 4 year
3-IgD 2 year
4-IgE 6year
29-gram-v bacteria colonies color : 42-deffenetial test for:
Dark purple √ Leukocyte
√ Pale to dark red 43- disease caused by pyogen
Orange stereptococcus:
30- bacteria need dark field to detect √ Scarlet fever.
√ T.pallidium 44- you do not take this stage for
31-Autoclave sterilize in temp: tratment small cut In emergency :
√ 121◌c-20min
ْ Clean with soap and water
32-strict aerobe bacteria Do pressure with piece
√ Mycobacterium Immediately rinse mouth well and water
33-citrate test assis : Cover it with water dressing
Mycobacterias Sterilize
Staph 45- org cause bloody in stool:
Strept √ Shigella sp.
Colistridia sp
46-sensitized Ab in serum detect by:
√ Indirect antiglublin test
34-nutrent agar: 47-thrombin time measure:
√ Basic media √ Convert fibrinogen to fibrin with activate of
35- hypoparathyrodism hormone cause: thrombin
Elevated ca level
2
2 ﳕﻮذج، أﺳﺌﻠﺔ اﳍﻴﺌﺔ
48- in presence of clotting defect one of Adenine
this not measure: Guanine
√ Leucocyte count √ Thymine
Uric acid
49-in Rh-v person , this Ag not found :
Urea
√ D-antigen
50-Z.N stain use for diagnose : 64- one use for measure abnormality in
√ Mycobateria kidney :
√ Creatinine
51-media use for differentiate between
L.F and N.L.F: 65- not romanowsky stain :
√ Gram stain
√ Maconky media
52-bleeding time test detect the 66-does not stimulate with slight
abnormality in : hemolysis:
√ Cholesterol
√ Defect in vessels and platelets
53- Immature RBC that is normally 67-one of them use for susceptible
presence in blood film: abnormality kidney:
√ Erythrocyte
√ Creatinin
54- erythrocyte is immature cell of: 68- in O+v person
√ RBC
√No presence of Ag
55-S hemoglobin is the same defect of √No presence of Ab
thalassemia but the different is : 69-one is stimulate on serum calcium
Long B chain
level:
√ Glutamic acid on B chain is substituted with
√Prolonged application of tourniquet on arm
valine
Glutamic acid on a chain is substitutes with 70-Eiosinphil is high in :
valine √Parasitic infection and allergic reaction.
b-blue colonies
mcqs ( multiple choice questions c-green colonies
which of the following culture media is suitable for d-white colonies
semi quantitative bacterial count in urine samples e-red colonies
a-mc conkey agar on emb /mc conkey agar the salmonella/shigella
b- blood agar give small colonies , which colour of the following
c-xld medium appear
d-mannitol salt agar a-black
b-pink
√e-cled medium c-yellow
the following organisms are lactose fomenters d-brown
except √e-colorless
a-e. coli
f-yellow-brown
b-enterobacter cloacae
which color do gram negative appear:-
√c-shigella sonnei a-blue
√ d-proteus spp. b-green
bacteriological media can be sterilized in :- c-yellow
a-oven √d-red
b-filtration all is true about enterobacteriaceae except :-
√c-autoclave a-they are …… hemolytic and sorbitol
b-ferments mannitol
all of the following are true except :- √c-grow in methylene blue medium
d-inhibited growth with 6.5 % nacl and/or at
√b-nutritious temperature
c-solidity at 42c 60 %
d-melts at 100c which of the following is sterilized in the
primary stain of gram stain :- oven :
√a-crystal violet √a-media
b-iodine b-sand
c-water
d-blood
e-all of the above
the following are used in gram staining except:-
a-crystal violet
b-iodine all are component of gram stain procedure except
c-safranine :-
√d-malachite green a-safranine
growth of vibrio cholerae on tcbs medium produces √b-malachite green
colonies :- c-iodine
√a-yellow colonies d-crystal violet
2
5 ﳕﻮذج، أﺳﺌﻠﺔ اﳍﻴﺌﺔ
all are lactose fomenters except :- √d-positive to indole test
a-e.coli to obtain an isotonic media, sodium chloride
b-enterobacter cloaceae content should be :-
√ c-proteus spp. √a- 0.85 g %
√d-shigella b-0.085 g%
all are true of campylobacter jejuni or c- 8.5 g%
which of the following statements about d- 6.5 g%
campylobacter all is true about salmonella organism except:-
is false:- a- the main reservoir is human
a-gram negative curved bacilli b-contains o and h antigen
b-slow growth c-urease , kcn and phenylalanine (negative )
√c-grow on xld medium d-h2s positive with gas
d-arranged in pairs √e-indole +
a parasite which does not deposit eggs in the mycobacterium tuberculosis is called acid-fast
intestine because :-
√a- e. vermicularis a-it is easily stained by gram stain
b-a. duodenale √b-once stained , it can not be remove by acid
c-a. lumbricoides c-it is easily decolorizes after staining.
d-t.saginata d-it is very easy to stain
e-t. spiralis e-it is stained by an alkaline stain
specimens from a polio victim for culture can be f-none of the above
best made on :- g-all of the above
a-blood group b beta-hemolytic streptococci are
b-urine differentiated by other streptococcus groups by
√c-feces using :-
d-csf a-optochin
e- throat / nasal washing b-neufeld quelling reaction.
the best anticoagulant for blood culture specimen c-niacin test
is:- d-catalase test.
a-heparin √e-bacitracin sensitivity disc
b-edta most of pathogenic strains of streptococcus belongs
c-oxalate to group :-
√d-sps a-viridans
e-acd √b-beta-hemolytic
c-alpha-hemolytic
d-group d
e-micrococcaciae
the vector for leishmanya infection is :- bacterial sterilization of serum can be accomplished
by the filtration using a porosity of : -
√b-sand fly √a- 0.22 u
c-housefly b- 0.80 u
d-anopheles mosquito c- 0.60 u
e-reduvid bugs d- 4.0 u
beta hemolysis is enhanced when group b f- 5.0 u
streptococci is streaked at an angle in blood agar
plate with
a-streptococci
√b-staph aureus select the letter of the best answer
c-micrococcus the trophozoite , which contains red blood cells in
d-streptococcus epiedermidis the cytoplasm , brings to this parasite:-
e-corynebacterim diphteriae √a-entamoeba histolytica
all statements are true about proteus mirabilis and b-entamoeba gingivalis
proteus vulgaris except :- c-entamoeba coli
oxidase negative & liquefies gelatin d-iodamoeba butschlii
a-exhibits swarming on bap and mc conkey's agar e-none of the above
b-urease positive sterilization by the autoclave is best accomplished
c-kcn and n2s positive at
3
5 ﳕﻮذج، أﺳﺌﻠﺔ اﳍﻴﺌﺔ
a -1oo c/ 30 minute which of the following is an enrichment medium :-
b-100c/10 minute a-cled
c-200c/30 minute b-bap
√d-121c/30 minute c-mac
e-121c/10 minute √d-thiocyanate broth
e-chocolate agar
which of the following indicates a blood agar plate?
a-corynebacterium diphteriae
b-mycobacterium tuberculosis
the causative parasite of egyptian bilharisiasis c-bordetella pertusis
a-trichomonas vaginalis d-francisella tularensis
b-schitosoma haematobium √e-none of the above
c-schitosoma japonicum all are member of the family enterobacteriaceae
√d-schitosoma mansoni except :-
e-all of the above a-klebsiella pneumonia
on emb and mc conkey's agar , the colour of the b-yersinia pestis
colonies of shigella – salmonella is : c-pseudomonas aeroginosa
a-black d-shigella dysentriae
b-green √e-campylobacter jejuni
c-pink a specific test for staphylococcus aureus is
d-yellow a-catalase test
√e-colourless √b-coagulase test
the imvic reaction of e. coli is c-optochin sensitivity test
√a/ + + - - d-bacitracin sensitivity test
b/ - - + + e-camp test
c/+ + + - the concentration of agar in the culture medium is
d/+ - + - a- 10 - 11 %
dwarf tapeworm is known as :- b- 20 %
a-tania saginata c- 50 %
b-taenia solium d-60 %
√c-hymenolepis nana √e- 1-2 %
d-diphilidium caninum
the solidifying content of the best for identification of parasite if you can not see
culture media is it in stool ( negative in stool )
a-wax concentration technique
b-litmus milk identification of fertilized eggs in feces
c-peptone broth ascaris lumbricoides
√d-agar causes false negative abo incomparability/ cross
e-meat extract matching :-
micro-organisms that grow at 60 c are classified as a- deteriorated reagent
:- b-not putting antisera c-under incubation
a-psychrophilic false positive abo incompatibility/cross matching
b-mesophilic cold agglutinin
c-halophilic why do we have to wash red blood cells
√d-thermophilic in cross matching
e-saprophilic to remove an excess antibody present in the sample
ivy method of bleeding time
for vascular and platelets abnormalities(function )
identification of leishmanya parasite
a diagnostic finding for giardia lamblia in lymph node aspirate.
stool :- klebsiella pneumonia
a-cyst in stool capsulated
√b-cyst and trophozoite in stool neutrophil
c-characteristic ova most abundant in wbcs
d-trophozoite in stool hba
e-all of the abov ( adult haemoglobin ) for adult, dominant in adul
4
5 ﳕﻮذج، أﺳﺌﻠﺔ اﳍﻴﺌﺔ
hbf √a- anti-a
( infant heamoglobin) fetal haemo b-anti-ab
neutrophil c-anti-b
d-non infections
firstly increased in bacterial
prolonged application of tourniquet egyptian haematuria is caused by :-
venous stasis increased calcium level a-schitosoma japonicum
√what is the meaning of this sighn √b-schitosoma haematobium
highly flmmable c-schitosoma mansoni
some organisms are to said to be pathogenic if they significant bacteriuria :-
are containing the following features :- > ten to the power of five cfu/ ml
√a- coagulase test used to diagnose obstructive bile duct
b-catalase √a-bilirubin
c-sugar b-biliverdin
c-urobilinogen
d-none of the above
to differentiate between nisseria gonorrhoea &
sterilization is best done by nisseria meningitidis
121c 15 psi for 15-20 minutes a-dextrose + lactose
most common pathogenic streptococci b-dextrose + maltose
a- group a in emb & mc conkey , salmonella & shigella give
√b- beta-haemolytic the colour of the following :-
c-alpha-haemolytic a-pink
b-green
bordet gengou medium is best for √c-colourless
a- √bordetella retusis d-red
b-moraxella catarrhalis thayer-martin media is the choice for the isolation
c-haemophilus influenzae of the following organism : -
organism soluble in bile :- a-pseudomonas aeroginosa
a-staph b-haemophilus influenzae
b-streptococci √c-nisseria gonorrhoea
c-pneumococci confirmatory test for strept. pneumoniae :-
√ ( streptococcus pneumonia ) a-optochin sensitivity disc
d-haemophilous influenzae b-bacitracin disc sensitivity
best time for collection of blood for malaria :- √c-bile solubility
a-before and after paroxsym d-catalase test
√b-shortly after paroxsym
c-later paroxsym
d-just before paroxsym
elevated serum cortisol may indicate in folic acid deficiency what happens to rbcs :-
cushing syndrome a-enlarged rbcs ( megaloblastic anaemia )
sugar can not be detected in urine using copper b-crenated rbcs
reduction test c-haemolyzed rbcs
a-fructose in iron deficiency anaemia :
b-galactose rbcs are smaller than normal = microcytic
c-arabinose hypochromic anaemia
√d-sucrose specimen suitable for microfilariae
wave length visible to naked eye a-tissue
400-700 nm. √b-blood
organism that exhibits satellitism along with staph c-fluid
aureus :- which of the following organisms is an anaerobic
√a-haemophilus influenzae bacterium :-
b-shigella sp. a-clostiridium spp.
c-clostiridium sp. b-haemophilus
d-s. pneumoniae c-e. coli
d-yersinia enterocolitica
ig ( immunoglobulin ) increased in case of
antibody found inparasitic infection
blood group & allerg :
ab individuals
5
5 ﳕﻮذج، أﺳﺌﻠﺔ اﳍﻴﺌﺔ
a- igg c-alp
b-iga √d-creatinine
c-igm substance present in any agar plate that promotes
√d-ige the bacterial growth :-
the infective stage of ancylostoma duodenale is :- a-water ( h2o )
√a-eggs in stool b-nitrogen
b-larva in stool √c-minerals
c-larva in tissue c-o2
d-cysticercous bovis organisms produce gas gangrene :-
nuitrient agar is :- a-bacillus anthracis
a-selective media √b-clostiridium perfringens
b-differential media c-streptococcus pneuoniae
c-special media d-haemophilos influenzae
√d-basic medium purine associated with
purpose of standard deviation : a-adenine
a-to measure external quality control b-guanine
b-to measure internal quality control √c-uric acid
c-precise & accuracy d-rna
√d-both a & b ig can cause hdn :-
the following organisms are encpsulated except :- a-igm
a-pseudomonas aeroginosa b-iga
b-e. coli c-ige
√c-haemophilous influenzae √d-igg
√d-streptococcus pneumoniae ig not part of acquired immunity :-
which of the following is protected from light :- a-igm
√a-bilirubin √b-iga
b-cholesterol c-ige
c-total protein (tp.) d-igg
d-bun ( blood urea nitrogen ) protozoa that is not motile
to differentiate anti i from anti i a-entamoeba histolytica
a-a1 cells b-e. coli
b-a2 cells c-gardia lamblia
√c-cord cells √d-trypanosoa cruzi
d-none of the above all cells are nucleated except :-
what practical cardiolipin is applicable in a-lymph
laboratory work ? b-monocytes
a-fta √c-rbcs
√b-vdrl & rpr d-neutrophil
c-rpr only
d-vdrl only
vi ag is seen in :- the intermediate host of toxoplasma is :-
√a-capsule a-dog
b-pili √b-cat
c-spore c-mouse
d-flagella d-all
infective stage of ascaris :- e-none
a-fertilized egg cross-matchin
b –rhabditiform larva donour cells +patient seru
viruses resemble living things in that they :-
a-igm (heavier ) 1st a-are motile
b-iga b-are crystalline
c-ige c-grow
√d-reproduce
all of the following can asses the liver function all are true about enterococci except :-
except :- a-have carbohydrate antigen of group d streptococci
a-ast b-positive aesculin hydrolysis
b-alt c-grow in the prescence of bile salts
6
5 ﳕﻮذج، أﺳﺌﻠﺔ اﳍﻴﺌﺔ
d-do not grow in the prescence of 6.5 % nacl nor at 45 c-entamoeba gingivalis
c d-none of the above
the determination of aso titre is used in the the most favourable time to find malarial parasite
laboratory diagnosis of :- in blood is :-
a-toxic shock syndrome a-the period just before or at the beginning of a
b-scarlet fever paroxsym
c-streptococcal pharyngitis and cellulitis b-during the late paroxsymal stage
√e-rheumatic fever c-the period just following paroxsym
significant bacteruria , puria , and alkaline urine d-all of the above
:probably indicate urinary tract infection due to: the diagnostic stage for the identification of giardia
a-staphylococcus epidermidis lamblia in stool sample is :-
b-e. coli a-cyst
c-proteus vulgaris b-trophozoite
√d-pseudomonas aerginosa c-cyst and/ or trophozoite
e-enterococcus faecalis d-all of the above
the only enrichment medium of the following is :- e-none of the above
a-blood agar the malarial sporozoite in man invades:-
b-chocolate agar a-white blood cells
c-cled ( cystine lactose electrolyte deficient ) b-rbcs
√ d-selenite-f-broth. c-reticulo-endothelial cells
d-all of the above
which of the following enlarges rbcs:
a-plasmodium vivax
b-plasmodium malariae
streptococci responsible for the majority of human
c-plasmodium falciprum
infections are :-
d-all of the above
√a-group a
man may acquire toxoplasma from :-
b-beta-haemolytic streptococci
a-mice
c-bacitracin-s and camp ( - )
b-cats
d-all of these
c-dogs
e-none of these
d-pigs
to differentiate between nisseria gonorrhoea and
all leishmanyal infections are transmitted by
nisseria meningitidis :
a-tse tse fly
a-fermentation of dextrose and lactose
b-sand fly
b-fermentation of dextrose and maltose c-house fly
c-fermentation of maltose and lactose
d-horse fly
d-fermentation of maltose and sucrose
which of the following neither lays eggs nor
the best specimen for recovery of poliomyelitis
deposites larvae in the intestinal canal :-
virus for culture is :-
a-hookworms
a-csf
b-pinworm
b-blood clot
c-trichinella spiralis
c-throat swab
d-trichuris trichura
d-buffy coat
identified by finding mainly the rhabditiform
e-stool
larvae in in fresh stool :-
f-none of the above
a-ascaris lumbricoides
g-all of the above
b-entrobius vermicularis
the finding of ingested rbcs in a trophozoite
√c-strongyloides stercoralis
identifies :-
d-trichinella spiralis
a-entamoeba coli
the resolution of the bright field microscope is :-
b-endolimax nana
a-2.0 um
c-entamoeba histolytica
b-0.2 um
d-iodamoeba butschlii
c-0.02um
e-none of the above
d-0.002um
f-all of the above
bacteriological culture media are generally
the chromatoid bodies resemble cigar-shaped or
sterilized using :-
sausage-shaped in the cyst of :-
a-entamoeba coli √a-the autoclave
b-entamoeba histolytica b-the oven
c-filteration
7
5 ﳕﻮذج، أﺳﺌﻠﺔ اﳍﻴﺌﺔ
d-bunsen burner e-fluorescent microscope
serum can be sterilized using membrane filter of which of the following would you use to examine a
porosity :- smear stained with a fluorochrome
a-0.22 um a-brightfield microscope
b-2.3um b-dark field microscope
c-0.6 um c-polarizing microscope
d-0.8 um √d-fluorscent microscope
the temperature-time cycle when using the
autoclave to sterilize is :- quellung test is positive with the following
√a-121 c for 15 - 20 minutes organisms except :-
b-112 c for 30 - 40 minutes a-streptococcus pneumoniae
c-135 c for 25 - 40 minutes b-haemophilous influenzae
d-100 c for15 - 35 minutes c-klebsiella pneummoniae
which of the following statements about d-corynebacterium diphteriae
campylobacter jejuni is false
a-gram negative curved bacilli
√ b-arranged in pairs ( see-gull )
c-slow growth growth of vibrio cholerae on tcbs medium produces
d-grows on xld medium :-
e-incubation temperature at 42 c a-blue colonies
direct gram-staining is routinely performed on the b-yellow colonies
following specimens except :- c-green colonies
a-pus d-orange colonies
b-aspirated fluids and disharges e-white colonies
c-csf the following organisms are lactose fermenters
d-sputum except :-
e-urine a-e. coli
f-stool b-enterobacter colacae
√c-shigella sonnei
√ d-proteus spp.
the invasiveness of streptococcus pneumoniae is due
to the production of :-
blood culture is indicated in the following bacterial a-haemolsins
diseases except b-endotoxins
a-meningitis c-extotoxins
b-endocarditis d-polysaccharide capsule
c-gastroenteritis the following are members of the family
d-pyelonephritis enterobacteriaceae except :-
e-pneumonia a-klebsiella rhinoscleromatis
all are true about both proteus mirabilis and b-serratia liquefaciens
proteus vulgaris c-providencia alcalifaciens
a-swarming on nuitrient agar d-yersinia pseudotuberculosis
b-h2s positive √e-campylobacter fetus
c-urease positive in significant bacteriuria the cfu/ml is :-
d-indole positive √a-more than ten to the power of five
when using a 10 x eye piece and a 10 x objective of a b-less than ten to the power of five
brightfield microscope , the total magnification will c-more than ten to the power of three
be :- d-lessthan ten to the power of three
a-10 the test used to differentiate pathogenic
b-100 staphylococci is
c-1000 a-catalase
d-10000 b-oxidase
which of the following microscope would you use to √c-coagulase
examine a smear of bacteria stained by gram stain d-aso titre
:-
√a-brightfield microscope
b-darkfield microscope
c-dissecting microscope
8
5 ﳕﻮذج، أﺳﺌﻠﺔ اﳍﻴﺌﺔ
9
1) KLEBSIELLA IS 8) SEXUALLY ACTIVE WOMEN, CAME TO
A) AEROBIC THE DERMATOLOGY CLINIC
B) ANAEROBIC COMPLANING FROM PAINLESS ULCER
C) FACULITATIVE AN AROBE IN THE GENITAL AREA, RPR RESULT
D) SRTRICT AEROBIC WAS REACTIVE (1/16), THE CULTRE AND
GRAME STAIN WERE NEGATIVE. THE
2) CAPSULATED ORGANISM CAUSATIVE AGENT IS:
A) KLEBSIELLA A) C. TRACHOMATIS
B) SHIGELLA. B) T. PALIDIUM
C) STAPH. C) H. DUCARY
D) BACILLUS D) R. RICKITSSIA
3)URINE SAMPLE MUST REACH THE LAB 10) CLOSTREDIUM BEST GROW IN:
& PROCEED WITH IN: A) 10 0C
A) 2 MIN. B) 15 0C
B) 24 HOUR C) 25 0C
C) 2 HOUR D) 35 0C
D) 72 HOUR
11) HEMOLYSIS IS OBSERVED IN:
3)WHAT IS THE COMPLEMENT A) C. TETANI
RESPONSIBLE FOR ANAPYLATOXIN: B) C. PERFRINGENS
A) C1 C) C. BOTULINUM
B) C7 D) C.
C) C3
D) C8 12) GAS GANGREN IS CAUSED BY:
A) C. TETANI
4)WHAT IS THE ORGANISM PRODUCING B)C. PERFRENGENS
FOOD POISONING MOST C) C. BOTULINUM
COMMENALLY FROM RICE: D) C. DIFFICILE
A) B.CERUS
B) SALMONEELA TYPHI 13) CULTURE MEDIA FOR
C) EHEC TUBERCULOSIS:
D) STAPH. AUREUS A) MAC CONKY AGAR
B) BLOOD AGAR
5) H. INFLUENZAE REQUIRED : C) L.J MEDIUM
A) X FACTOR D) CHOCOLATE AGAR
B) W FACTOR
C) V FACOR 14) ENRICHMENT MEDIUM FOR FEACAL
D) X & V FACTOR SPECEMIN:
A) S.F BROTH
6) WHICH OF THE FOLLOWING B) MAC CONKY AGAR
ORGANISM REQUIR FACTOR X ONLY C) CHOCOLATE AGAR
FOR GROWTH: D) THAYER MARTIN AGAR
A) H. INFLUENZAE
B) H. PARA INFLUENZAE 15) TIME IS TAKEN FOR Z –N STAIN:
C)H. DEUCARY A) 2 MIN
D) NON B) 5 MIN
C) 20 MIN
7) SOUCE OF ENEREGY: D) 20 HOURS
A) CARBON
B) ATP 16) P. FALCIPARUM IS TRANSMITTED
C) BY:
D) A) FEMALE ANOPHELES
B) MECHANICAL A) K. PNEUMONIA
C) BLOOD TRANSFUSION B) N. ASTREODS
D) A & C C) M. TUBERCULOSIS
D) S. AUREUS
17) FOR THE DIAGNOSIS OF GARDIASIS,
THE SPECIMEN IS: 24) VIRUS PARTICLE:
A) FATTY STOOL A) VIROID
B) GASTRIC ASPIRATION B) VIROIN
D) PREANAL SWAB C) ENVELOPE
D) NON OF THE ABOVE D) MRNA
T055t@hotmail.com
1. Chaga's disease is caused by
__________________ 10. Storate bo----- disease is associated
a- Trypanosoma crusi. with the defect of which
______________
2. In a diagnostic picture of acute a- Glycoprotein IB.
leukemia _______________ [CBC + Bone b- Glycoprotein IB-IIa.
Marrow exam..] c- A granulate.
a- Sudan d- Denst- granulate.
b- Common all Ag GT10. e- Both a + d.
c- T-cell res..
d- More 20% platelet are NBW. 11. Poikilocytosis means _______________
a- Variation of RBCs shape.
3. Medium that inhibits growth of some
organisms and support others is 12. What is the most common type of
__________ anemia ?
a- Selective medium. a- Macrocytic anemia.
b- Normocytic anemia.
4. Which of the following components of c- Microcytic anemia.
ELISA is sensitive to light ? d- Dimorphic anemia.
a- Conjugate only.
b- +ve control. 13. Visceral Leishmaniasis caused by
c- Substrate only. _________________
d- Conjugate + Substrate. a- Trypanosoma cruzi.
b- Leishmania donovani
5. In the fratility of erythrocytes sBH c- Tryp….
erocytic …??? d- Leishmania …….
6. Method of choice for sterilization of e- Plasmodium …..
nutrient agar ?
a- Hot oven. 14. Anisocytosis means ______________
b- Steaming 100 Co. a- Variation of RBCs size.
c- Tantalization.
d- Autoclave. 15. What is the organ that responsible for
producing 90% of body's
7. What is the life spin of RBCs? erythropoietin?
a- 120 days. a- Kidney.
8. Blood donor which is 2 weeks old 16. Which of the following chemical
donation, blood does not contain substance is normal finding in urine?
adequate _______ a- Protein.
a- Protein. b- Chloride.
b- Fibrin. c- Glucose
c- pH. d- Bilirubin.
d- Hb e- Hb.
e- Anticoagulant.
17. Which of these parasites can cause
9. If a serial dilution is prepared in 2 fold cerebral malaria?
dilution final dilution in tube 5 is a- P. falcibarum.
__________ b- P. vivax.
a- 1/32 c- P. oval.
d- P. malaria. 28. Mycobacteria tuberculosis is best
cultured on __________________
18. ___________ is the sample comes from a- L J medium.
emergency or ICUH considerate a(an)
a- Urgent state test. 29. Enterococci are typically arranged
b- General test. and can be differentiated from
c- Specialized test. ____________.
d- Hor… a- Staph. aureus.
b- N. gonorrhea.
19. Double zone haemolysis _________ c- Strep. neumonia.
a- Clostridium perfringens. d- Strep. verdia.
20. Number of light chains in each Ab is 30. In the lab. an individual must wear
_________2_______ ________________
21. When Na concentration is higher than a- a coat.
the normal range this is called b- Eye glasses.
__________ c- Gloves.
a- Hypernatremia. d- All.
22. The pH indicator used in TCBS agar is 31. The etiology of neutropenia includes
______________ __________________
a- Bromo thymol blue. a- Hyper spleenish.
b- Tissue injury.
23. Substance that increased in blood in c- Myelodroliserati.
gout disease is ___________ d- All.
a- Uric acid.
32. Which of the following statements is
24. Which of the following is test used for false regarding Bacillus anthrax ?
average blood sugar measure over 3 a- They are large G+ve bacilli.
months? b- They are non-motile.
a- Hemoglobin A1c blood test. c- They form non-hemolytic
colonies.
25. Which of the following is a true d- They are motile.
statement regarding Bacillus anthrax?
a- ???????????? 33. If a woman is a blood type AB and her
husband is blood type B they can not
26. All of the following are considered have child of blood type
blood parasite EXCEPT ___________ ______________
a- Schistosoma. a- AB.
b- Trypanosoma. b- A.
c- Leishmania. c- B.
d- Plasmodium. d- O.
e- None of the above.
34. Permanent deferral of a donor occur
27. Schistosoma hematobium is caused in ____________
by __________________. a- Diarrhea.
a- Ingestion of oocyst. b- HCV +ve.
b- Penetration of skin by cercaria. c- Iron deficiency anemia.
d- Fever.
a- Alpha hemolytic strep.
35. Another type of adaptive immunity is b- Beta hemolytic strep.
______________ c- Gamma hemolytic strep.
a- Ag immunity. d- All.
b- Acquired immunity.
c- Lymphocyte reactive immunity. 42. Estimation of blood urea is considered
d- Phagocytes. what type of tests ?
a- Heart function.
36. Oocyst of toxoplasma gondii is found b- Liver function.
in __________________ c- Kidney function.
a- Blood sample of patient.
b- Brains of chronic patient. 43. Staph. aureus can a sever food
c- Feces of infected cats. reaction that results from ingestion of
d- Urine sample of patient. _________
e- All. a- Entero-toxin.
b- Exo-toxin.
37. Humeral component of adaptive c- Hemolysin.
immune system include d- Streptolysin.
________________
a- T-lymphocytes. 44. Iodine stool preparation is used to
b- B-lymphocytes. detect which part of E. histolytica cyst ?
c- Ab. a- Nuclei.
d- Saliva. b- Chromatic.
c- Cyst wall.
38. Which of the following is blood sample d- None of the above.
used in biochemistry lab. ? e- All.
a- Na or Li heparin (green stopper)
b- EDTA tube (lavender stopper) 45. Arterial blood sample is usually
c- Citrate tube (blue stopper) collected for the assay of ____________
d- All. a- Lipid.
b- Enzyme.
39. the process of erythropoiesis c- Blood gases.
_______________ d- Bilirubin.
a- Takes place in spleen. e- Glucose.
b- Requires Vit B12 and folic acid.
c- It is inhibited by erythropoietin. 46. The secondary immune response (2nd
d- Stimulated when there is low attack of an Ag) is supported by
oxygen in blood. ______
e- B +D. a- Ig G.
b- Ig D.
40. Black water fever mostly occurs with c- Ig M.
______________ d- Ig A.
a- Plasmodium oval.
b- Plasmodium vivax. 47. Some organism can grow only when
c- Plasmodium falcibarum. another organism is growing on blood
d- Plasmodium malaria. agar this type of growth is known as
_______________
41. Streptococci consists of a- Parasitism.
_______________ b- Antagonism.
c- Synergism. d- All.
d- Satelatism.
e- Synchronism. 54. What is the test performed in the initial
evaluation of anemia after the patient
48. Which of the following is gonadotropin history and physical examination ?
hormone secreted by the anterior a- Bleeding time.
pituitary gland ? b- Platelet count.
a- LH. c- CBC.
b- ACTH. d- PT.
c- TSH. e- PTT.
d- Prolactin.
49. An individual with which of the 55. Hypocalcemia defined when patient
following characteristics can not Ca level is ____________
donate blood ? a- 15 mg/dl.
a- Individual age 17-60 years. b- 12 mg/dl.
b- Individual weight >50 Kgm. c- 10 mg/dl.
c- Individual is pregnant. d- 7.5 mg/dl.
d- Individual is a man with Hb 17.
56. chocolate agar culture
50. Color of blood group Anti-A sera is ________________
___________ a- Beta-hemolytic strep..
a- Yellow. b- Hemolytic staph.
b- Blue. c- Fungi.
c- Colorless. d- Hemophilus influenza.
d- Red. e- Chlamydia.
e- Green.
2. The rhabditiform larva of Strongyloides 10. All those organism belong to nematodes
stercoralis can detected in except
A) stool A) Trichuris trichiura
B) sputum B) Ascaris lumbricoides
C) urine C) Hook worms
D) A&B D) Schistosoma mansoni
3. The laboratory diagnosis of trichuris trichiura is 11. The parasites that may case life threatening
made by finding with AIDS patient are
A) barrel shape egg A) Isospora
B) Larva B) Cryptosporidium
C) Cyst C) G. lambilia
D) Trophozoit D) A&B
4. We can differentiate between Taenia solium 12. Which disease transmitted by Lice?
and Taenia saginata by A) relapsing fever
A) eggs B) typhus
B) gravid segment C) malaria
C) length of worm D) A&B
D) width of worm
13. Taenia solium is belong to
5. Taenia saginata is A) cestodes
A) beef tapworm B) trematodes
B) pork tapworm C) nematodes
C) chicken tapworm D) protozoa
D) fish tapworm
14. All those organism belong to trematodes
except
6. The control of Trichuris trichiura is by A) Schistosoma hematobium
A) sanitary disposal of feses B) Ascaris lumbricoides
B) education C) Fasciolopsis buski
C) treatment D) Schistosoma mansoni
D) all the above
15. G. lambilia moved by
7. The egg of Echinococus granulosis hatch to A) pseudopodia
give B) cilia
A) oncospheres C) flagella
B) adult worm D) non of the above
C) hydatid cyst
D) Cysticercus Larva
1
C) cyst
D) A&B 25. The laboratory diagnosis of G. lambilia done
by finding
17. The infective stage of Enterobius vemicularis A) cyste
is B) trophozoite
A) larva C) oocyst
B) eggs D) a&b
C) cyst
D) non of the above 26. The Trophozoit which contain red blood cell
in its cytoplasm is
18. The infective stage of the Taenia worms is A) Entamoeba coli
A) cysticercus larva B) Entamoeba histolytica
B) cercaria C) Entamoeba gingivalis
C) cyst D) Iodamoeba
D) trophzoite
27. Steatorrhea is associated with
19. The infective stage of the Schistosoma worms A) Trichomam vaginalis
is B) G. lambilia
A) cysticercus larva C) Entamoeba histolytica
B) free living cercaria D) Trichomam homnis
C) cyst
D) Trophozoit 28. Blantidium coli is a
20. All this parasites are pathogenic except A) largest human protozoa
A) Entamoeba histolytica B) tapeworm
B) Isospora C) sexual transimited disease
C) G. lambilia D) non of the above
D) Trichomama tenax
2
33- infection with protozoa can be: 42. Which disease transmitted by Lice?
a- asymptomatic E) relapsing fever
b- life threatening F) typhus
c- a & b G) malaria
d- non of the above H) A&B
34- morphology of protozoa currently classified
into: 43. Taenia solium is belong to
a- 6 phyla A) cestodes
b- 10 phyla B) trematodes
c- 20 phyla C) nematodes
d- 100 phyla D) protozoa
35- actively feed and multiply stage of parasite
called: 14. All those organism belong to trematodes
a- cyst except
b- trophozoites A) Schistosoma hematobium
c- egg B) Ascaris lumbricoides
d- non of the above C) Fasciolopsis buski
36- stage with a protective membrane or thickened D) Schistosoma mansoni
wall called:
a- cyst 45. G. lambilia moved by
b- trophozoites A) pseudopodia
c- egg B) cilia
d- non of the above C) flagella
37- binary fission: D) non of the above
a- most common form of reproduction
b- asexual 45. A diagnostic finding for Diphylobothrium
c- a& b latium
d- non of the above A) ovoid, operculated eggs in stool
38- protozoa can be found in: B) rosette shape segment
a- water C) cyst
b- soil D) A&B
c- air
d- all of the above 46. The infective stage of Enterobius vemicularis
9- carriers: is
a- his defenses able to control but not E) larva
eliminate parasitic F) eggs
b- constitute source of infection for other G) cyst
c- a & b H) non of the above
d- non of the above
40- pneumocystis carinii: 47. The infective stage of the Taenia worms is
a- found in low number in lung of the E) cysticercus larva
healthy people F) cercaria
b- produces frequently fatal pneumonia in G) cyst
AIDS patients H) trophzoite
c- a & b
d- non of the above 48. The infective stage of the Schistosoma worms
is
41. The parasites that may case life threatening A) cysticercus larva
with AIDS patient are B) free living cercaria
A) Isospora E) cyst
B) Cryptosporidium F) Trophozoit
C) G. lambilia
D) A&B 49. Which disease transmitted by Tabanus?
A) malaria
3
B) anthrax C) Entamoeba histolytica
C) leshmania D) Trichomam homnis
D) typhoid fever
58. Blantidium coli is a
A) largest human protozoa
B) tapeworm
50. All this parasites are pathogenic except C) sexual transimited disease
E) Entamoeba histolytica D) non of the above
F) Isospora
G) G. lambilia 59. Amoeba move by
H) Trichomama tenax A) pseudopodia
B) cilia
51. All this parasite are not pathogenic except C) flagella
E) Trichomama tenax D) non of the above
F) Trichomam homnis
G) Chilomastic Mesnil 60. A diagnostic finding for Taenia solium is
H) Trichomam vaginalis A) ova in stool
B) gravid segment
52. To collect feces from patient infected with C) larva in stool
Enterobius vemicularis we used D) A&B
E) syringe 61- actively feed and multiply stage of parasite
F) scotch tape called:
G) pipette a- cyst
H) non of the above b- trophozoites
c- egg
53. Which one is belong to hexapoda? d- non of the above
A) bugs 62- stage with a protective membrane or thickened
B) mites wall called:
C) ticks a- cyst
D) Entamoeba coli b- trophozoites
c- egg
54. Echinococus granulosis is d- non of the above
A) tapeworm 63- binary fission:
B) protozoa a- most common form of reproduction
C) trematodes b- asexual
D) nematodes c- a& b
d- non of the above
55. The laboratory diagnosis of G. lambilia done 64- protozoa can be found in:
by finding a- water
E) cyste b- soil
F) trophozoite c- air
G) oocyst d- all of the above
H) a&b 65- carriers:
a- his defenses able to control but not
56. The Trophozoit which contain red blood cell eliminate parasitic
in its cytoplasm is b- constitute source of infection for other
A) Entamoeba coli c- a & b
B) Entamoeba histolytica d- non of the above
C) Entamoeba gingivalis 66- pneumocystis carinii:
D) Iodamoeba a- found in low number in lung of the
healthy people
57. Steatorrhea is associated with b- produces frequently fatal pneumonia in
A) Trichomam vaginalis AIDS patients
B) G. lambilia c- a & b
4
d- non of the above
67- apicomplexa reproduction by: 76. The laboratory diagnosis of trichuris trichiura
a- sexual only is made by finding
b- asexual only E) barrel shape egg
c- sexual and asexual F) Larva
d- non of the above G) Cyst
68- asexual form of reproduction in toxoplasma is: H) Trophozoit
a- endodyogeny
b- binary fission 77. We can differentiate between Taenia solium
c- schizogony and Taenia saginata by
d- non of the above A) eggs
69- asexual form of apicomplexa reproduction in B) gravid segment
is: C) length of worm
a- endodyogeny D) width of worm
b- binary fission
c- schizogony 78. Taenia saginata is
d- non of the above A) beef tapworm
70- actively feed and multiply stage of B) pork tapworm
heamoflagellates called: C) chicken tapworm
a- amastigote D) fish tapworm
b- promastigote
c- epimastigote
d- all of the above 79. The control of Trichuris trichiura is by
71- actively feed and multiply stage of toxoplasma E) sanitary disposal of feses
called: F) education
a- tachyzoit G) treatment
b- trophozoites H) all the above
c- egg
d- non of the above 80. The egg of Echinococus granulosis hatch to
give
72- All this parasites are pathogenic except A) oncospheres
I) Entamoeba histolytica B) adult worm
J) Isospora C) hydatid cyst
K) G. lambilia D) Cysticercus Larva
L) Trichomama tenax
81. The infective stage of Schistosoma
73- All this parasite are not pathogenic except A) eggs
I) Trichomama tenax B) larva
J) Trichomam homnis C) cercaria
K) Chilomastic Mesnil D) Trophozoit
L) Trichomam vaginalis
82. The following are diagnostic features of
74. The complication of hook worms is Strongyloides stercoralis except
A) iron deficiency anemia E) epigastric pain
B) hyperglycemia F) eosinophlia
C) hypertension G) mucus diarrhea
D) non of the above H) fever
75. The rhabditiform larva of Strongyloides 10. All those organism belong to nematodes
stercoralis can detected in except
E) stool A) Trichuris trichiura
F) sputum B) Ascaris lumbricoides
G) urine C) Hook worms
H) A&B D) Schistosoma mansoni
5
83. The parasites that may case life threatening 90. The infective stage of the Schistosoma worms
with AIDS patient are is
A) Isospora A) cysticercus larva
B) Cryptosporidium B) free living cercaria
C) G. lambilia G) cyst
D) A&B H) Trophozoit
91. All this parasites are pathogenic except
84. Which disease transmitted by Lice? M) Entamoeba histolytica
I) relapsing fever N) Isospora
J) typhus O) G. lambilia
K) malaria P) Trichomama tenax
L) A&B
92. All this parasite are not pathogenic except
85. Taenia solium is belong to M) Trichomama tenax
A) cestodes N) Trichomam homnis
B) trematodes O) Chilomastic Mesnil
C) nematodes P) Trichomam vaginalis
D) protozoa
6
98. Steatorrhea is associated with
A) Trichomam vaginalis
B) G. lambilia
C) Entamoeba histolytica
D) Trichomam homnis
7
[A] Phagocytosis
[B] TL - II
Clinical Pathology Answer [A]
9. Renal impairment may be due to all except
[A] Glactosaemia
1. Malaria does not grow in Answer [A]
[A] Puked RBCs 10. Diffusion in semi solid is used to
[B] EDTA blood [A] Detection amount of Ab. to neutral Ag
[C] Plasma Answer [A]
Answer [C]
11. Goiter is
2. Polio myelitis is transmitted through [A] Enlargement of kidney because oh
[A] Feco-oral high intake of sodium
Answer [A] [B] Enlargement of the prostate gland
[C] Increased levels of calcium in the body
3. serious organism that cause food poisoning [D] Enlargement of thyroid gland due to
[A] Staph. albus iodine deficiency
[B] Salmonella enteritidis [E] Deficiency of iron
[C] Clostridium septica Answer [D]
[D] Salmonella Typhi 12.Cholesterol is present in
Answer [A] [A] Corn oil
[B] Sesame oil
4. Vitamin A deficiency causes [C] Olive oil
[A] Kwashiorkor [D] Palm oil
[B] Night blindness [E] Butter
[C] Goiter Answer [E]
[D] Hepatomegaly 13. Iron containing protein is
[E] Steatorrhea [A} Thyroglbulin
Answer [B] [B] Albumin
[C] Hemoglobin
[D] Globulin
5. For absorption of calcium the body need [E] Insulin
[A] Vitamin C Answer [C]
[B] Vitamin B2 14. Excess carbohydrate in the body
[C] Vitamin D [A] Stored as glycogen and fats
[D] Vitamin A [B] Can be used in repairing damaged
[E] Vitamin B6 tissue and growth
Answer [C] [C] It will increase the motility of the
intestine and facilitates defecation
6. Yaws disease is caused by [D] Can be stored as cellulose
[A] Treponema pallidium [E] Can be stored as casein
[B] Trep. Pseudopallidium Answer [A]
[C] Trep. Peretenu
15. In N.gonorrhea the best growth media is
Answer [C] [A] Thayer martin
[B] Blood agar
7. Action of Strept. Pyogene is through Answer [B]
[A] Hyalurinidase
[B] Streptokinase 16. Vaginal discharge occur with all except
[C] Staf kinase [A] Gardenella
[D] Coagulase [B] Trichomonas vaginalis
Answer [B] [C] Cryptococcus
8. First line of body defense against Staphylococci [D] Candida
is [E] N.gonorrhea
1
Answer [A] [E] Pantothenic acid
17. Hemophilia "A" man married to normal female Answer [A]
the incidence of his children will be
[A] Male carrier 24. Which of the following is rich in cholesterol
[B] Female carrier [A] Egg
[C] Disease male [B] Apple
[D] Disease girls [C] Corn oil
[E] Normal all [D] Bread
Answer [B] [E] Honey
18. Which of the following is an essential fatty Answer [A]
acid
[A] Aspartic acid 25. Which of the following cause U.T.I and it is
[B] Acetic acid indole positive
[C] Alpha Linolenic acid [A] Kleb.
[D] Myristic acid [B] Staph.
[E] Palmitic acid [C] E.Coli
Answer [C] [D] Salmonella
Answer [c]
19. The best useful test to differential between
Hemophilia "A" from Hemophilia "B" 26. Enzyme required to digest milk sugar is
[A] PTT [A] Lipase
[B] PT [B] Lactase
[C] Inheritance studies [C] Amylase
Answer [C] [D]Maltase
[E] Sucrase
20. In electronic coulter the total count was 22 x Answer [B]
10*9 the nucleated cell was
200/100WBCs How much will be the 27. Phenylketonuria is caused by the lack of an
accurate leucocytic count enzyme to metabolize
[A] 7,500 [A] Leucine
[B] 11,00 [B] Tyrosine
[C] 4,00 [C] Alanine
[D] 20,00 [D] Phenylalanine
Answer [A] [E] Histidine
21. Vitamin C deficiency can cause Answer [D]
[A] Anemia
[B] Osteoporosis
[C] Marasmus 28.Rota virus : which is not correct
[D] Goiter [A] Has 4 serotype
[E] Scurvy [B] Cause diarrhea
Answer [E] Answer [B]
22. Beri Beri is caused by the deficiency of 29. Good source of omega 3 fatty acid is
[A] Vitamin B12 [A] Fatty fish
[B] Vitamin D [B] Palm oil
[C] Vitamin B1 (thiamine) [C] Butter
[D] Riboflavin [D] Orange
[E] Biotin [E] Parboiled rice
Answer [C] Answer [A]
23. Vitamin required for blood coagulation 30. Dietary factor blamed to cause Caries is
[A] Vitamin K [A] Simple carbohydrates
[B] Pyridoxine [B] Proteins
[C] Vitamin E [C] Fats
[D] Vitamin D
2
[D] Vitamin C deficiency 38. All the following samples are stained with
[E] Complex carbohydrates Gram stain except
A [A] Sputum
nswe [B] Bacteria
r [A} [C] Urine and stool
31. Chromosomal abnormality of t ( 8 , 21 ) [D] Water cultures
associated with Answer [C]
[A] CML , ALL 39. Sodium chloride percentage in agar culture is
[B] M1 [A] 0.58 %
[C] M2 [B] 0.058 %
[D] M4 with oesonophelia [C] 0.0058 %
[E] M5 b [D] 58.0 %
Answer [B] Answer [A]
40. Agar is characterized by all the following
32. Chromosomal abnormality in M3 is except
[A] t ( 15 , 17 ) [A] Nutritive
Answer [C] [B] Un-nutritive
[C] Freezing point is 42 ° C
33. ITP ( Idiopathic Thrombocytopenic Purpra ) [D] Melting point is 100 ° C
occur in all except Answer [B]
[A] Hyper splenism
[B] Sarcoidosis 41. The normal value of sodium in serum is
[C] S.LE [A] 135 – 145 mmol/ml
[D] Quinidine [B] 135 – 145 mg/dl
Answer [A] [C] 135 – 145 mmol/dl
[D] 135 – 145 mg/ml
34. In factor XIII deficiency what will be affected Answer [C]
[A] PTT 42.Gram stain start with
[B] PT [A] Iodine
[C] Thrombin time [B] Safranine
Answer [C] [C] Methyl violet
[D] Crystal green
35. For absorption of calcium the body need Answer [C]
[A] Vitamin C 43. The causative organism of Toxoplasma is
[B] Vitamin B2 [A} Cats
[C] Vitamin D [B] Dogs
[D] Vitamin A [C] Flees
[E] Vitamin B6 [D] Lice
Answer [C] Answer [A]
3
46. The diameter of micro pore filter used in [B] CSF culture
bacteria filtration is [C] Anal culture
[A] 0.22 microns [D] Blood culture
[B] 0.033 microns Answer [A]
[C] 2.2 microns 54. Dry air oven is used to sterilize
[D] 0.45 microns [A] Sand
Answer [A] [B] Culture media
[C] Water
[D] Micro-pore filters
47. Leishmania is transported by Answer [A]
[A] Sand fly 55. The diabetic patient is going to comma when
[B] Mosquitoes blood glucose is
[C] Flees [A] 75 – 95 mg/dl
[D] Pugs [B] Less than 50 mg/dl
Answer [A] [C] 120 mg/dl
48. To investigate one sample containing floro- [D] 160 mg/dl
carbon we used which microscope Answer [B]
[A] Light microscope 56. To differentiate between the two streptococci
[B] Brilliant microscope group which enzyme is used
[C] Florescent microscope [A] Co-amylase
[D] Electron microscope [B] Catalase
Answer [C] [C] Amylase
49. Virus is similar to live organisms in [D] Kinase
[A] Crystallization Answer [b]
[B] Movement
[C] Growth 57. The microscope which used in investigate
[D] Reproduction syphilis is
Answer [D] [A] Light microscope
[B] Dark field microscope
50. The lowest resolution of a microscope is [C] Brilliant microscope
[A] 0.2 microns [D] Ultra violet microscope
[B] 0.02 microns Answer [B]
[C] 0.002 microns 58.The antibiotic disc which differentiate between
[D]2.0 microns group A streptococci & other groups is
Answer [A] [A] Neomycin
[B ] Bacitracin
51. Which of the following is liver function test [C] Tetracycline
[A] Liver enzyme [D] Erythromycin
[B] Serum bilirubin Answer [B]
[C] Urine bilirubin 59. All of the following is true for salmonella
[D] All of the previous except
Answer [D] [A] Contain cilia
[B] Produce H2 gas
52. Which of the following causing enlargement [C] Oxygen positive
of RBCs [D] Does not ferment lactose
[A] Reticulocytes Answer [C]
[B] Platelets 60. Amylase value is high in the following
[C] Plasmodium disease
[D] Leishmania [A] Liver
Answer [C] [B] Muscles
[C] Salivary glands
53. The best sample for the culture of children [D] Pancreas diseases
paralysis virus is [E] C and D
[A] Stool culture
4
A [B] 121 º C for 15 minutes
nswe [C] 150 º C for 30 minutes
r [E} [D] Non of the above
Answer [B]
61. One jaundice patient has yellow skin and eye 69. Shigella soni color on MacConkey and EMB
led his bilirubin is is
[A] 0.1 mg/dl [A] Red
[B] 2.5 mg/dl [B] Pink
[C] 1.2 mg/dl [C] Colorless
[D] 5.0 mg/dl [D] Black
Answer [B] Answer [C]
62. Acute diabetic patient has 70. The oil emersion lens is
[A] Blood sugar more than 150 mg/dl [A] 1000 º
[B] Blood sugar more than 180 mg/dl [B] 10 º
[C] Glucose and acetone in urine [C] 100 º
[D] Non of the previous [D] 40 º
Answer [C] Answer [C]
63. The normal value of bilirubin is
[A] Less than 1.0 mg/dl
[B] 0.2 – 2.0 mg/dl 71. The dwarf worm is
[C] Less than 2.0 mg/dl [A] Tenia saginata
[D] Non of 2.0 mg/dl [B] Fasciola
Answer [A] [C] H.nana
[D] Schistosoma
64. Diabetic patient has one of the following Answer [C]
symptoms 72.All the following compounds are present in
[A] Acidosis gram stain except
[B] Alkalosis [A] Safranine
[C] Dryness [B] Methyl violet
[D] All of the previous [C] Malachite green
Answer [D] [D] Iodine
65. Insulin is regulating blood sugar by Answer [C]
[A] Increase the influx of glucose into
cells 73. The diagnostic stage of amoeba is
[B] Increase the out flux of glucose from [A} Cyst
cells [B] Trophozoite
[C] Activate glycogensis [C] A and B
[D] A & C [D] Non of the previous
Answer [D] Answer [C]
66. The nutritive substance in culture media is
[A] Sugar 74. To check the intestinal efficacy the following
[B] Agar test is done
[C] Ratings [A] Amylase
[D] Starch [B] Stool fats
Answer [b] [C] Lipase
67. The best media for urine culture is [D] Pepsin
[A] Agar agar Answer [B]
[B] Nutrient agar 75. The worm which cause blood in urine is
[C] Chock let agar [A] Schistosoms haematobian
[D] Clad [B] Fasciola
Answer [E] [C] H.nana
68. The sterilization temperature of autoclave is [D] Ascaris
[A] 85 º C for half an hour Answer [A]
5
76. The significant count of bacteria to be [A] Leucocytes
inflammation is [B] RBCs
[A] More than 10 [C] Platelets
[B] Less than 10³ [D] Reticulo-endothelial
[C] More than 10³ Answer [B]
[D] Less than 10³ 84. Comma of diabetic patient shows
Answer [A] [A] Glucose greater than 200 mg/dl
77. To investigate gram stained sample we used [B] Glucose greater than 200 mg/dl
the following microscope [C] Glucose less than 200 mg/dl
[A] Light microscopy [D] Glucose less than 50 mg/dl
[B] Brilliant microscope Answer [D]
[C] Florescent microscope 85. Blood donor in K.S.A. are all of the following
[D] Double phase microscope except
Answer [A] [A] Hb% 12.5 - 16
78. The most important buffer system in the blood [B] Free from syphilis
is [C] Jundice free
[A] Haemoglobin [D] One year after delivery
[B] Phosphate system Answer [D]
[C] Bicarbonate system 86. Solidifying agent in culture media is
[D] Acetic acid system [A] Wax
Answer [C] [B] Starch
[C] Agar
[D] Non of the above
79. All the following bacteria are interobacter Answer [C]
except
[A] E.coli 87. Agar which used as a solidifying agent in
[B] Klapsiella culture media concentration is
[C] Proteus [A] 1 – 2 %
[D] Non of the previous [B] 4 – 9 %
Answer [B] [C] 5 – 9 %
80. In the microscope when using objective lens [D] Non of the above
10 º and eye lens 10 º , Answer [a]
the magnification power of the microscope is 88.To sterilizing culture media we use
[A] 10 [A] Autoclave
[B] 1000 [B] Oven
[C] 100 [C] Boiling
[D] 10000 [D] Hot plate
Answer [C] Answer [A]
81. All the following parameters affecting Gram 89. Bone matrix can also called
staining except [A] Osteon
[A] Use conc.H2SO4 [B] Fibrous tissue
[B] Add absolute alcohol after washing [C] Vascular tissue
[C] Delaying the dryness of the slide [D] Non of the above
[D] Non of the previous Answer [A]
Answer [A]
82. Glycogen is stored in 90. Unidirectional movement of WBCs directly
[A] Liver to its target is
[B] Muscles [A] Chemotaxis
[C] A & B [B] Phagocytosis
[D] Non of the previous [C] Sliding
Answer [C] [D] Non of the above
6
A [A] S.stercoralis
nswe [B] Hook worm
r [B} [C] E.vermicularis
[D] T.trichura
91. When focusing a stained smear under oil Answer [B]
immersion field the used magnification is
[A] 10 X 99. Enlarged RBCs is common in
[B] 20 X [A] P.vivax
[C] 40 X [B] P.malaria
[D] 100 X [C] P.falciparum
Answer [D] [D] P.ovate
Answer [A]
92. In myocardial infection 100. Which of the following is not laying eggs in
[A] Level of LDH is high small intestine
[B] Level of Alkaline phosphatase is high [A] Hook worm
[C] Level of CK-MB is high [B] Pin worm
[D] Level of GOT is high [C] T.trichura
Answer [C] [D] T.saginata
93. Variation in RBCs size is Answer [C]
[A] Macrocytosis 101. Blood culture is used to diagnose
[B] Amisocytosis [A] C.tetani
[C] Microcytosis [B] C.diphteria
[D] Polychromasia [C] M.tuberculosis
Answer [B] [D] Non of the above
94. pretransfusion test that is performed using the Answer [A]
patient red cells and donor plasma 102.How much of water should be added to 500
[A] Major x-matching ml of a solution of 10 % of NaOH to
[B] Minor x-matching bring it to 7.5%
[C] Antibody screen [A] 666 ml
[D] Non of the above [B] 125 ml
Answer [b] [C] 166 ml
95. Serum LDH is elevated in [D] 250 ml
[A] Cardiac disease Answer [D]
[B] Hepatic disease 103. Ten micro liters are
[C] Renal disease [A} 0.01 L
[D] Skeletal disease [B] 0.001 L
Answer [A] [C] 0.0001 L
96. Elevated sodium is increased in [D] Non of the above
[A] Severe dehydration Answer [D]
[B] Shock 104. While using the pregnancy test we are
[C] A & B measuring
[D] Non of the above [A] Beta HCG
Answer [C] [B] Total HCG
[C] Beta HCG and LH
97. Which test is better to diagnose chronic [D] Beta HCG and FSH
common bile duct Answer [A]
[A] SGPT
[B] SGOT 105. Abnormal constitutes of urine include
[C] Total bilirubin [A] Urea
[D] ALP [B] Glucose
Answer [C] [C] Cholesterol
[D] Proteins
98. Generally diagnosed by recovery and Answer [B]
identification of larva in stool 106. With age the renal threshold for glucose
7
[A] Increased [D] Non of the above
[B] Decreased Answer [A]
[C] Does not changed
[D] Non of the above 114. The label in ELISA tests is
Answer [D] [A] Enzyme
107. Most of the concentrations are calculated [B] Antibody
using a factor this factor is [C] Antigen
[A] Standard absorption / standard [D] Radio active substance
concentration Answer [A]
[B] Standard concentration / standard
absorption 115. The difference between plasma and serum is
[C] Standard concentration x standard that plasma
absorption [A] Contains fibrinogen
[D] Non of the above [B] Does not contain fibrinogen
Answer [D] [C] Has more water
[D] Has less water
108. Calibrator sera are Answer [A]
[A] Primary standards
[B] Secondary standards 116. Five ml of colored solution has an
[C] Tertiary standards absorbance of 0.500 nm , the absorbance of 10 ml
[D] Internal standards of the
Answer [B] same solution is
109. A buffer made of [A] 1.000 nm
[A] A strong acid with a strong salt [B] 0.500 nm
[B] A strong acid with a weak salt [C] 0.250 nm
[C] A weak acid with a weak salt [D]0.250 nm
[D] A weak acid with a strong salt Answer [B]
Answer [C] 117. Plasma or serum should be separated at the
110. A standard micro plates in ELISA test has earliest for estimation of glucose because
[A] 96 wells [A] The glucose value decreases with time
[B] 98 wells [B] Glucose value increases with time
[C] 92 wells [C] Lysis of blood will occur
[D] 94 wells [D] Non of the above
Answer [A] Answer [A]
118. Sensitivity and specificity are
[A] Directly related
111. The enzyme in ELISA testing is present in [B] Reversely related
the [C] They mean the same
[A] Conjugate [D] Non of the above
[B] Micro plate Answer [B]
[C] Buffer 119. A dichromatic analysis is carried to increase
[D] Non of the above [A] Specificity
Answer [A] [B] Sensitivity
112. Antigen antibody complex are [C] Linearity
[A] Weak bound [D] Non of the above
[B] Strong bound Answer [ ]
[C] Not bound at all 120. Cause of high serum bilirubin are
[D] Non of the above [A] Overload on liver
Answer [B] [B] Cholestasis
113. The washing is a must in all heterogeneous [C] Haemolysis
ELISA technique because [D] All of the above
[A] It removes the excess binding A
[B] Increase the specificity nswe
[C] Increase the sensitivity r [D]
8
121. Polio myeletis is transmitted through 129. Glycosylated hemoglobin of diabetic patient
[A] Feco-oral is important for
[B] Respiration [A] Long term follow up
[C] Skin [B] Short follow up
[D] All of the above [C] Patient has to come fasting
Answer [A] [D] Non of the above
Answer [A]
122. Malaria does not grow in 130. For glucose tolerance test
[A] Packed RBCs [A] You have collect 5 blood samples only
[B] EDTA blood [B] You have collect 5 urine samples only
[C] Plasma [C] You have collect 5 blood samples and
[D] Heparinized blood 5 urine samples
Answer [C] [D] You have collect 4 blood samples and
4 urine samples
123. Serious organism that causes food poisoning Answer [C]
[A] Staph. albus
[B] Salmonella entreritidis 131. One of the following heart enzymes is
[C] Clostridium spelica measured after 4 – 8 hours of chest pain
[D] Salmonella typhi [A] GPT
Answer [B] [B] GOT
124. Vaginal discharge occur with except [C] CPK
[A] Gardenella [D] LDH
[B] Trichomonous vaginalis Answer [C]
[C] Candida 132.Cardiac LDH can be substituted by one of the
[D] Gonorrhea following
Answer [C] [A] GOT
125. Haemophilia man married to normal woman [B] GPT
the incidence of his children is [C] HBDH
[A] Carried male [D] CPK
[B] Carried female Answer [D]
[C] Diseased male 133. Light affects one of the following
[D] Diseased female [A} Glucose
[E] Normal [B] Bilirubin
Answer [B] [C] Urea
126. Which of the following cause UTI and it is [D] All of the above
indole positive [E] Non of the above
[A] Klebsiella Answer [B]
[B] Staphilococcus 134. One of the following is specific diagnostic
[C] E.coli liver enzyme
[D] Salmonella [A] GPT
Answer [C] [B] GOT
127. Blood transfusion can transmit [C] LDH
[A] HIV [D] CPK
[B] CMV [E] Alkaline phosphatase
[C] Hepatitis B virus Answer [A]
[D] All of the above 135. One of the following is specific diagnostic
Answer [D] enzyme
128. ADH is secreted from [A] GGT
[A] Posterior pituitary [B] GOT
[B] Anterior pituitary [C] LDH
[C] Hypothalamus [D] CPK
[D] Thyroid gland Answer [C]
Answer [C]
9
136. Alkaline phosphatase is 144. All the following biochemical tests are
[A] Liver enzyme affected by meal except
[B] Bone enzyme [A] Uric acid
[C] Placental enzyme [B] Creatinine
[D] All of the above [C] Albumin
[E] Non of the above [D] Glucose
Answer [D] Answer [B]
145. Sodium is the main
137. One of the following is pancreatic enzyme [A] Intracellular anion
[A] CPK [B] Extracellular cation
[B] Lipase [C] Intracellular cation
[C] GOT [D] Extracellular anion
[D] Acid phophatase Answer [B]
Answer [B]
138. One of the following is pancreatic enzyme 146. Potassium is the main
[A] Amylase [A] Intracellular anion
[B] GOT [B] Extracellular cation
[C] LDH [C] Intracellular cation
[D] CPK [D] Extracellular anion
Answer [A] Answer [C]
139. Salive is rich in
[A] LDH 147. One of the following electrolyte is more
[B] GPT affected by hemolysis
[C] Amylase [A] Calcium
[D] Alkaline phosphatase [B] Sodium
Answer [C] [C] Magnesium
140. The following enzyme is important before [D] Potassium
anesthesia Answer [D]
[A] Alkaline phosphatase 148.In blood glucose estimation the following is
[B] LDH required
[C] Acid phosphatase [A] Fasting blood glucose
[D] Pseudocholine esterrase [B] Glycosylated Hb
Answer [ d ] [C] Post prandial blood glucose
[D] Fructoseamine
141. Acid phosphatase is [E] All of the above
[A] Liver enzyme Answer [E]
[B] Prostatic enzyme 149. The best kidney function test is
[C] Heart enzyme [A] Total protein
[D] All of the above [B] Urea
Answer [B] [C] Creatinine
142. In uric acid estimation [D] Creatinine clearance
[A] Patient has to come fasting Answer [D]
[B] Uric acid is affected by carbohydrate 150. For GGT in a child , the dose of glucose is
meal [A] 50 gm
[C] Non need for fasting [B] 100 mg
[D] Non of the above [C] 75 gm
Answer [A] [D] Non of the above
143. Metabolic gout is different from renal gout in A
[A] Serum uric acid level nswe
[B] Blood urea level r [D]
[C] Urine uric acid level
[D] Plasma total protein level 151. For GGT in a child , the dose of glucose is
Answer [A] [A] 30 mg
[B] 15 gm
10
[C] 30 gm [B] GOT
[D] 75 gm [C] Total CPK
Answer [ ] [D] Alkaline phosphatase
152. Random blood glucose Answer [A]
[A] Is used to justify blood glucose
[B] Give an idea about blood glucose in 160. For lipid investigation patient has to come
urgent cases fasting for
[C] Patient to fast [A] 4 – 6 hours
[D] Non of the above [B] 12 – 14 hours
Answer [A] [C] 6 – 8 hours
[D] No need for fasting
153. Immunoglobulin is Answer [B]
[A] Synthesized in liver 161. Chylomicron is
[B] γ - globulin [A] The diameter of RBCs
[C] α - globulin [B] Size of one lipid molecule
[D] β - globulin [C] One of lipoproteins
Answer [A] [D] All of the above
Answer [C]
154. Ig-M is 162.Glucose-6-phosphatase dehydrogenase is
[A] Acute immunoglobulin [A] Cardiac enzyme
[B] Immunoglobulin in allergic condition [B] Pancreatic enzyme
[C] Chronic immunoglobulin [C] AMB pathway enzyme
[D] α - globulin [D] Prostatic enzyme
Answer [A] Answer [C]
163. Estimation of G6PDH is a test to
155. Exogenous triglyceride is carried on [A} Measure blood glucose
[A] VLDL [B] To diagnose hemolytic anemia
[B] Chylomicron [C] To diagnostic myocardial infraction
[C] LDL [D] To diagnostic pancreatic disease
[D] HDL Answer [B]
Answer [A] 164. To measure G6PDH we use
156. Harmful cholesterol is carried on [A] Plasma
[A] VLDL [B] Whole blood
[B] Chylomicron [C] Serum
[C] LDL [D] All of the above
[D] HDL Answer [B]
Answer [C]
165. At what temperature degree blood is stored in
157. Useful cholesterol is carried on blood bank
[A] VLDL [A] 2 – 4 º C
[B] Chylomicron [B] 4 – 8 º C
[C] LDL [C] 8 – 12 º C
[D] HDL [D] Non of the above
Answer [D] Answer [A]
158. Intramuscular injection increase the activity
of the following enzyme 166. Amoeba move by
[A] GPT [A] Pseudopodia
[B] CPK [B] Cilia
[C] CPK-MB [C] Flagella
[D] LDH [D] Non of the above
Answer [C] Answer [A]
159. Muscular exercise increase the activity of the
following enzyme 167. Trypanosoma move by
[A] CPK-MB [A] Pseudopodia
11
[B] Cilia [B] Filaria
[C] Flagella [C] Trypanosoma
[D] Non of the above [D] Lishmania
Answer [C] Answer [A]
168. Giarda move by
[A] Pseudopodia 176. Female anopheles transmits which disease
[B] Cilia [A] Lishmaniasis
[C] Flagella [B] Filariasis
[D] Non of the above [C] Amoebaiasis
Answer [B] [D]Malaria
169. Entamoeba histolytica cyst is appear in Answer [D]
which part of gastrointestinal tract
[A] Stomach 177. Imric reaction of E.coli is
[B] Small intestine [A] + + - -
[C] Large intestine [B] - - + +
[D] Non of the above [C] + - + -
Answer [B] [D] + - - +
Answer [A]
170. Sand fly transmits which disease 178.Trophozoite of amoeba which engulfs RBCs
[A] Lishmaniasis is
[B] Filariasis [A] E.coli
[C] Amoebaiasis [B] H.nana
[D] Non of the above [C] E.histolytica
Answer [A] [D] Giardia lamblia
Answer [C]
171. By eating uncooked meet a person can 179. Diagnosis of G.lambilia is by
infected with [A] Cyst
[A] Tap worm [B] Trophozoite
[B] Hook worm [C] A & B
[C] Round worm [D] Non of the above
[D] Non of the above Answer [C]
Answer [A] 180. Tuberculosis is acid fast because
172. One of the following is capsulated bacteria [A] Stained in acid media
[A] Klibsiella [B] Can not be discolored in acid media
[B] E.coli [C] A & B
[C] Streptococcus [D] Non of the above
[D] Staphylococcus aureus A
Answer [C] nswe
r [C]
173. One of the following is Gram positive bacilli
[A] Anthrax 181. Na , K and CL are best measures with
[B] Niesseriae [A] Spectrophotometer
[C] E.coli [B] Flame photometer
[D] Non of the above [C] Elisa
Answer [A] [D] RIA
174. The following parasite can seen in the blood Answer [B]
[A] Malaria
[B] Filaria 182. When using normal saline that is mean the
[C] Trypanosoma concentration of sodium chloride is
[D] Lishmania [A] 0.85 gm %
[E] All of the above [B] 0.95 gm %
Answer [E] [C] 1.0 GM %
175. The following parasite can seen in urine [D] Non of the above
[A] Schistosoma hematobium Answer [A]
12
- non motile protozoa .
Parasitology - this organism multiply intracellular parasite.
- parasite in blood :- - can cause fetal cerebral infection .
1.Trypanosoma . - the definitive host is animal.
2.Malaria . - human is not definitive host .
3.Leishmania .
4.Toxoplasmosis . - parasite in urine :-
- parasite in blood :-
1.Trypanosoma :-.
- trypanosome habitat blood . 1. schistosoma haematobium :-
- Intermediate = the bite tse tse flay . - habitat pelvic plexus .
- infection stage = stum by trypanosome . - infection stage = cercaria .
- Diagnostic by = trypanosome in blood . - Diagnostic stage = egg in urine .
- trypanosome move by flagella . - mode of infection = cercaria penetrates skin .
- trypanosome type :- - cause Egyption haematuria .
1. trypanosome cruzi : cause chagas disease .
2. trypanosome gambienes : cause sleeping sickness .
3. trypanosome rhodesienes : cause sleeping sickness . 2.Trichomonas vaginalis :-
- habitat = vagina , urethra , prostate .
- infection stage = trophozoite .
2.Malaria :- - diagnosis by = trophozoite in vagina , prostatic
- Malaria habitat blood . secretion , and urine .
- Intermediate = female mosquito . - can be detected in vaginal and urethral discharge .
- infection stage = sporozoites . - protozoa in sexual reproduction .
- in malaria RBC are lysis .
- malaria detection by Thick blood film .
- type of malaria :- - parasite in stool :-
1. plasmodium vivax = cause Enlarges RBC .
2. plasmodium falciparum = cause malignant malaria . is 1. schistosoma masoni :-
most abundant prevalence. - habitat = Mesernteric plexus .
3. plasmodium malariae . - infection stage = cerecaria .
4. plasmodium ovale. - mode of infection = cercaria penetrates skin .
- diagnostic stage = Egg in Faeces .
3.Leishmania :-
- Leishmania is intercellular parasite .
- Leishmania cause tow disease :- Visceral Leishmania 2. Taenia saginta :-
and cutaenous Leishmania . - habitat = small intestine .
- transmits by = sand flay . - infection stage = cysticercus bovies .
- infection stage = larva . - mode of infection = ingestion under****ed beef .
- use stain fields stain and gimsa stain . - diagnostic stage = Egg in Faeces .
- Leishmania tropica cause oriental sore disease.
- Leishmania donovani { Visceral Leishmania } cause
kala-azar and black fever . 3. Giardia lamblia :-
- habitat = duodenum .
- infection stage = cyst .
4.Toxoplasmosis :- - diagnostic stage = trophozopte and cyst in faeces .
- diagnosis by = serology test .
- intermedia host = human .
- man may acquire from cats . 4. hymenolepis nana { dworf worm } :-
- habitat = small intestine .
- infection stage = cysticercoid .
* - Toxoplasma gondii :- - mode of infection = ingestion of egg or inseet .
- diagnostic stage = Egg in Faeces . - infection stage = Embryonated egg .
- mode of infection = swallowing water or vegetables .
- diagnostic stage = Egg in Faeces .
5. Entamoeba histplytica :-
- habitat = large intestine .
- infection stage = mature cyst . 10. Hookworms :-
- mode of infection = ingestion of mature cyst . - habitat = small intestine .
- diagnostic stage = trophozopte and cyst in faeces . - infection stage = filariform larva .
- mode of infection = when the filaiform larva
penetrates his intact skin or mucous membrane of the
mouth .
- diagnostic stage = Egg in Faeces .
8.Diphylobthrium latum :-
- habitat = small intestine . 3. taenia saginate diagnosis by ?
- infection stage = plerocercoid larva in fish muscle . Egg in stool .
- mode of infection = ingestion of under****ed fish .
- diagnostic stage = Egg in Faeces .
4. Ascaris lumbricoides infection stage ?
Embeyonated egg .
8. fasciola :-
- habitat = bile duct of man .
- infection stage = encysted ****cercaria on grass or in 5. Rice water stool can cused by ?
water . Vibrreo cholera .
- mode of infection = ingestion of raw vegetation or
water .
- diagnostic stage = Egg in Faeces . 6. lactobacilli isolated in ?
Stool .
Microbiology MCQs
General
1. ****The difference between plasma and serum is 1. (a) Plasma contains fibrinogen which is
that plasma: consumed during the clot formation to
a. Contains fibrinogen. separate serum.
b. Doesn’t contain fibrinogen.
c. Has more water.
d. Has less water.
2. ******Best way to separate the serum? 2. (a) leave the blood to clot at R.T for I hr,
a. leave the blood to clot at R.T for I hr, then then centrifuge
centrifuge
b. by adding citrate.
c. by adding EDTA
6. Hemolysed blood is unsuitable for performing which 6. Hemolysis is visible at Hb> 3.1 μmol/L
tests? It increases LDH, K, ACP, cholesterol, ALT
and AST.
Hemolysis don’t increase serum albumin,
bilirubin, ALP, amylase, lipase, Ca, Cl, P,
Mg, Na, creatinine, glucose, UA or urea.
7. ****Hemolysis causes? 7. a.
a. Increased serum K
b. Increased serum Na
c. Increased HCO3-
d. Decreased K
8. After hemolysis: 8.
a. Sodium leaks out of RBCs.
b. K leaks into cells.
c. Bicarbonate gets into RBCs.
12. **Changes in blood stored more than 5 hrs at room 13. (a) Storage of blood has the following
temp. include? effects:
a. Decreased glucose & increased lactate. 1- ↓CO2, ACP & Glucose
b. Increased glucose & decreased lactate 2- ↑pH & ammonia
c. Failure of Na & K pump, 3- Changes in RBC permeability →↑K,P
&Mg
4- Na-K pump is inhibited at 4 °c but not at
25°c. leading to ↑K in refrigerated samples.
5- Phosphorylation→↑P released from
organic P.
6- Loss of enzyme activity.
7- Light→↓ bilirubin, δALA and
porphyrins.
14. Plasma or serum should be separated at the earliest 14. a. Continued glycolysis cause glucose
for the estimation of glucose because: values to decreases with time unless cells
a. The glucose values decreases with time. are separated.
b. Glucose value increases with time.
c. Lysis of blood occurs.
Best place to put a needle for blood collection is puncture proof container.
Immunology
Immunology
1. **Antigen & antibody reaction is? 1. b. Immunodiffusion is the process of
a. Agglutination diffusion in semisolid media to detect
b. precipitation amount of antibody to neutralize antigen.
c. immunodiffusion, Agglutination necessitates an indicator
system e.g. RBCs or latex particles.
2. **Hook effect in immune assay occurs because the 2. b. The hook effect is the result of very high
concentration of antibodies in the well is? antigen levels giving lower than expected
a. Too low result in a double antibody sandwich assay.
b. Too high
c. Optimum
6. **Lysis in complement fixation test means the test 6. b. In CFT, absence of hemolysis indicates
is? that complement was fixed in antigen
a. Positive antibody reaction so specific antibody was
b. negative present.
c. invalid.
7. **All tube for serial dilution for CRP test contain 7. None (something missed in the question).
0.5ml of saline & 0.5ml of serum is added to Tube 1 The titer in the 7th tube = 27 = 128
& 0.5ml is transferred through the row of tubes & So, the concentration of CRP= 128x6=
agglutination is demonstrate in tube 7, If sensitivity 768mg.
of the test is 6mg/l the concentration of CRP in
serum is?
a. 36mg
b. 42mg
c. 6mg
d. 48mg
e. 384mg..
Immunology
8. **CRP is tested because it is increased in? 8. b. CRP is a sensitive non specific indicator
a. Bacterial infection of acute injury, bacterial infection or
b. viral infection inflammation.
c. other infection.
10. ******Which of the following reagin test for 10. a. Reagin = Antibody against cardiolipin.
syphilis? Reagenic tests are VDRL, RPR and
a. VDRL Wassermann (CFT).
b. TPHA
c. TPT
12. **Autoimmune disease contain all except? 12. d. In AI diseases there is ↑ autoantibodies →
a. Lesion in B/M immune complex formation → complement
b. low complement level in serum fixation → ↓ complement.
c. immune complex in serum Also there is cell death or altered function.
d. low Ig in serum.
Microbiology
.4 The best chemical disinfectant in a TB lab? 4. a. Phenol, although effective against TB,
a. Gluteraldehyde is rarely used being too caustic. Ethanol is
b. ethanol not effective (TB are alcohol resistant).
c. phenol Glutaraldehyde is used to sterilize
d. hypochlorate, respiratory equips and is effective against
TB.
.5 ***What is lab safety level you will employ for the 5. d. Biosafety levels are designed according
culture of brucella? to risk group of the lab;
a. Routine precaution Risk Description Biosafety
b. bio safety level 1, grou level
p
c. bio safety level 2 1 Organisms are low risk to 1
d. bio safety level 3 lab workers and
e. no specific measure community (common
organisms)
2 Moderate risk to lab 2
workers limited risk to
community e.g. staph,
strept., vibrio
3 High risk to labo workers, 3
low risk to community
(don’t spread rapidly) e.g.
brucella, TB, Salmonella
4 Viruses, high risk to lab 4
and community
.6 β-lactamase resistant penicillin for staph 6. Cloxacillin.
.12 Cephalosporin resistant bacteria producing beta 12. a. β lactamases are produced by;
lactamase is: B. fragilis.
a. E.coli. N. gonorrhoea.
b. Y. Enterocolitica H. influenza.
Legionella
Enterobactereceae
.17 ***- Which is the best way to sterilize a 17. a. Autoclave.is used for heat resistant
bronchoscompe? parts but ethylene-oxide may be used for
a. Autoclave. heat labile parts.
b. Ethylene-oxide.
c. Gamma rays.
d. None
Microbiology
BASIC TECHNIQUES
.18 **Castanida medium for blood culture contain? 18. Both liquid & solid media in same bottle.
.28 ***In ZN staining used for M. leprae, the 28. d. None of the above.
decolorizing agent used is: 1% acid alcohol.for dec. M. labrae
a. 5% acetone. 3% acid alchol is used for M.
b. 5% acid alcohol. Tuberculosis
c. 5% hydrochloric a.
d. None of the above
.30 ****When urine is preserved for culture it should 30. e. (check also for b.) If a delay > 1-2
be: hours is unavoidable multiplication of
a. preserved at room temperature. bacteria can be prevented by;
b. Preserved in refrigerator. - Storage in refrigerator at 4°c
c. preserved with nitric acid. - Collected and transported in a container
d. Preserved with sulfuric acid. of boric acid at a concentration of 1.8%
e. Preserved with boric acid.
31. Suitable medium for many pathogenic bacteria 31. Brain heart infusion.
.32 Blood culture is indicated in the following: 32. ??d. None of the above
a. Mycobacterium ?? c. Staph. aureus may cause septicemia.
b. Diphtheria
c. Staph. Aureus
d. None of the above
BASIC BACTERIOLOGY
.34 **Cell wall is absent in? 34. a. Mycoplasma is the smallest organism
a. mycoplasma capable of self replication. It possesses
b. bacteria cell constituents of bacteria except cell
c. fungi wall. Instead, there is a triple layer
c. viruses cytoplasmic membrane.
Microbiology
.35 **Sterol is the main constituent of cell wall of: 35. a. Unlike the cell wall of bacteria,
a. Mycoplasma. mycoplasma cell membrane contains
b. Rickettsia. cholesterol or carotenol in addition to the
c. Chlamydia. usual mural and phospholipids.
d. Leptospira.
e. Staph.
.36 ***Which of the following contains more 36. a. The peptidoglycan layer is much thicker
peptidoglycan? in Gram positive than in Gram negative
a. G+ve bacilli. bacteria. Richetsia cell wall similar to that
b. G-ve bacilli. of Gram negative bacteria. Chalmydia cell
c. Chlamydia. wall is similar to that of Gram negative
d. Richetsiae. bacteria but no muramic acid.
.38 ***Endotoxins are chemically: 38. c. Endotoxins are integral part of G-ve
a. Mucopeptides. bacteria. They are LPS whereas exotoxins
b. Proteins. are polypeptides.
c. Lipopolysaccharides.
d. Polysaccharides.
.39 ***L forms differ from parent cells in all of the 39. c.
following except:
a. Lack rigid cell wall.
b. Lack regular shape.
c. Cannot grow and multiply on nutrient medium.
d. Lack regular size.
40 ***Bacterial genes are transferred by all of the 40 c. The transfere of genetic information
following means except: between bacterial cells can occur by 3
a. Transformation. methods: conjugation, transduction and
b. Transduction. transformation (see table p16 Jawetz
c. Mutation. review).
d. Conjugation.
.45 ***Differentiate between pathogenic & non 45. coagulase test. Pathogenic staph is aureus
pathogenic staphylococci use species.
.47 ***To differentiate A & B hemolytic streptococci we 47. a. Group A strept is bacitracin sensitive
use while group B is bacetracin resistant.
a. bacitracin Optochin is used to differentiate
b. optochin αhemolytic strept (pneumococci are
c. ampicillin sensitive and strept viridans is resistant)
.49 **Food poisoning symptom [vomiting] 4 hrs after 49. b. staph aureus enterotoxin
ingestion of food seen in?
a. E.coli
b. staph aureus enterotoxin
c. salmonella typhi
d. vibrio cholera
.50 ***Strept pyogenes cause all except: 50. Toxic shock syndrome (check this answer
118. Streptococcus cause all except: because pyrogenic exotoxin A of strept
pyogenes is similar to TSST of staph).
.51 Pneumococci are typed by 51. Optochin, bile solubility, Quellung test
Pneumococci are optichin sensitive, bile
soluble and Guellung test positive.
.56 **All of the following species of streptococcus are B 56. b. Strept. pyogenes is β hemolytic, Strept.
hemolytic except: avium is α hemolytic, Strept. salivarius is
a. Strept. Pyogenes. non-hemlytic.
b. Strept infrequens.
c. Strept. avium
d. Strept. salivarius
.59 Test used to differentiate staph. aureus 59. b. Coagulase is used to diagnose staph
a. Catalase aureus (positive) from other staph and
b. Coagulase strept. Catalase is used to differentiate
c. Dnase staph from strept., Dnase and ASOT are
d. ASOT used to diagnose strept.
.64 Neisseria gonorrhoea can cause which of the 64. b. N. gonorrhoea may cause septicemia
following? and suppurativeartheritis and hemorrhagic
a. Osteomyelitis. skin papules.
b. Artheritis.
c. Septicemia.
.67 *******Which test is used to ascertain toxigenicity of 67. b. Elick's test is in vitro plate test for toxin
C. 12iphtheria? production. Schick test in an ID test for
a. Dick test. susceptibility to diphtheria, if immune →-
b. Elick's test. ve (no reaction).
c. Schick test.
d. None of the above.
.69 ***A CSF culture revealed an organism that is G+ve 69. Listeria.
at 37◌ْ c and no growth at room temperature. This is Something missed in this question;
most likely to be: Listeria is motile at 25°c not at 37°c. It
grows on a wide range of temperature (3-
43°c)
.72 **Growth of actinomyces israeli on gram stain shows 72. gm +ve branching rods with club ends.
.78 **IMViC reaction of E.coli & klebsella are? 78. E. coli is ++-- Klebsiella is --++
.79 **Example of NLF colonies on MacConkey agar ? 79. NLF (produce pale colored colonies):
28. Examples of LF colonis on MacConkey agar? Salmonella, shegella, 13seudomonas,
proteus
LF (produce pink colored colonies):E.coli,
Klebsiella.
.80 **The following proteous are indole +ive except 80. P. mirabilis
While M. morganii, P. vulgaris, and
13seudomonas13 are all positive.
.85 **Which strain of E. coli cause HUS? 85. a. EHEC 157 = VTEC 157
a. VTEC O157, H7
b. EPEC O157:H7
.92 **An abscess with bluish green discharge caused by? 92. c.
a. Staphlococcus
b. proteus
c. 14seudomonas.
.93 ****Hospital fluids are usually contaminated by: 93. a. Pseudomonas are able to grow in water
****120. Organism of medical fluids is: with traces of nutrients.
a. Pseudomonas.
b. Staph.
c. Strept.
.95 **Widal test used in the diagnosis of? 95. a. Typhoid fever
a. Typhoid fever
b. malaria
c. malta fever
d. brucellosis
.97 **On Wilson Blair media salmonella produce? 97. S.typhi large black colonies with metallic
sheen after 24hours, S.paratyphi produce
green colonies after 48hours.
.98 **Media used for the isolation of salmonella are? 98. MacConkey, DCA, Wilson blair,
Also XLD and selenite broth.
.99 ***Culture of choice in the first week of typhoid 99. c. Blood culture are usually positive 90%
fever? in the first week of fever, thereafter rate of
a. Feces. posistivity decreases. Stool culture are
b. urine. positive throughout the course of disease.
c. blood. However, it is of less significant being
d. CSF positive in carriers and dignose
gastroenteritis not enteric fever.
.104 Differentiate between E. coli and salmonella 104. Salmonella is NLF and E.coli is LF
.105 ****All of the following is correct regarding enteric 105. Localized gut disease.
fever except:
.107 ******Dog bite G-ve bacilli isolated is propably: 107. a. Pasteurella multucida
a. Pasteurella multucida
b. H. influenza.
c. B. Abortus
d. toxocara cannis
.109 ***Enriched media for V.cholera is ? 109. Alkaline peptone water [pH8.6],
.110 ****Loss of fluid in cholera is due to? 110. Adenyl cyclase system activation
This leads to ++cAMP → Chloride and
water loss.
SPIROCHETES
.118 **Specific or non specific test for syphilis? 118. Non-specific- RPR, VDRL
Specific- TPI, FTA-ABS, TPHA, MHA-
TP
.121 ***Bejel is characterized by all except? 121. Both are OK. Bejel is non venereal
a. Non veneral transmission disease caused by T. pallidum
b. Caused by 16ariant of Treponema pallidum. endemicum. It is a highly infectious skin
in fection.
.122 *****Which of the following accurately don't 122. a. Ulcerative skin lesions.
describe 3ry syphilis:
a. Ulcerative skin lesions.
b. Gummas in internal organs.
c. Rare spirochetes in lesions with limited tissue
damage..
HEMOPHILUS
.124 **Hemophilus grows 16uxuriantly on? 124. Chocolate media.
.126 **Hemophelus influenza require? 126. X & V factors for their growth
.129 **Factor V & X are essential for growth of. 129. H. Influenza
Microbiology
.130 H. influenza meningitis occurs most frequently in : 130. children.
1/2 to 4 years old.
.134 ***What type of fever caused by borrelia? 134. a. B. recurrentis and duttoni casue
a. Relapsing fever. replapsing fever. B. burgdorferi cause
b. Q fever lyme disease and Q fever is caused by
c. Rheumatic fever. coxiella burnetti.
d. enteric fever.
ANEROBIC BACTERIA
.135 **Gm +ve bacilli with terminal round spores 135. Clostridium welchii,
resembling match stick are Also called perfrengins.
.139 **Stormy fermentation is seen in? 139. b. Cl. Perfringens in litumus milk medium
a. Cl. Histolyticum produces A&G, the acid clots milk and the
b. Cl.prefrenges gas breaks the clot producing stormy
c. Cl.septicum. fermentation.
Microbiology
.140 **Bacteria that can be best identified best by direct 140. a. Vincent bacillus
Gram's film is?
a. Vincent bacillus
b. campylobacter
.141 *****The following combination is isolated from pus 141. a. B. fragilis.and streptococcus.
from deep pyonidal sinus:
a. B. fragilis.and streptococcus milits.
b. B. fragilis and B. abortus.
c. Strept B.hymolitic and streptococcus.
.143 **Which one has non clostridium crepitation? 143. Cl. perfrengens (X)
Clostridia producing gas gangarene are;
- .Cl. perfringens (mainly).
- Cl. Novyi.
- Cl. septicum
- Cl. histolyticum.
BRUCELLA
.145 **Malta fever is caused by? 145. Brucella species
Also called undulant fever.
.146 A young Saudi male came with fever & myalgia your 146. a. Other symptoms and signs include;
diagnosis is? - Arthralgia
a. Brucella - Sweating
b. staphylococcus - Heptatosplenomegally.
c. streptococcus
d. gonorrhea
.147 **Bacteremia is seen in: 147. a. Both tetanus and shigellosis are
a. Brucella. localized infections. Brucella enters
b. Tetanus. through the mouth, lung or skin to local
c. shigellosis lymph nodes to blood to liver, spleen and
bone marrow to cause type IV
hypersensitivity.
MYCOBACTERIA
.148 **Mycobacterium Leprae 148. can not be culture artificially in the
laboratory
.149 **L.J medium is used for culturing? 149. T.B,
Microbiology
.150 **Mycobacterium Leprae are? 150. Acid fast [5% H2SO4]
.151 **Mycobacterium .T.B is? 151. Acid fast [20% H2SO4], alcohol fast,
.154 **Mycobacteria are acid-alcohol fast because 154. they resist to decolorized by acid &
alcohol.
.155 **In lepromatous leprosy immunity is 155. very low.
Almost nil
.156 *******Which of the following mycobacteria is 156. a. MTB complex include TB, M.
related to MTB complex? africanum, M. bovis, BCG and M.
a. Mycobacterium Africanum. microtti..
b. M. leprae
.158 *****Diagnosis by direct staining: 158. a. Acid fast smear is number one rapid test
a. TB for mycobacterium TB. Positive smear has
b. Hemophylus a predictive value of 96%.
.159 Which of the following belongs to PTB family? 159. a. MOTT (mycobacteria other than TB)
a. M. Kanasasi. are classified into;
b. M. Bovis. - Photochromogens: M. kansasii, M.
c. M. intracellulare. marinum.
d. M. africanum. - Scotochromogens: M.scrofulucian, M.
szulgai.
- Nonpigmented:
M. avium cellular complex (MAC)
M. phlei, M. fortuitum
MISCELLANEOUS
.160 **Malignant pustule is caused by. 160. Bacillus anthracis
.162 ****Vaginal discharge is absent in? 162. d. G.vaginalis produce fishy smelling
a. Gardnerella infection discharge, TV produce thin bubbly fishy
b. trichomonas vaginalis smelling discharge, Chlamydia produce
c. Chlamydia thin discharge. Cryptococcus is a lung
d. 19ryptococcus. infection.
Microbiology
.163 **Sterile pyuria not seen in? 163. c. Causes of sterile pyuria;
a. TB TB
b. non specific urithritis Mycoplasma
c. urine collection by suprepubic puncture Leptospirosis
d. prior treatment with antibiotic Vaginal contamination
Antibiotics, L forms
Abacterial cystitis
Non infectious disease e.g. tumour, FB
MYCOLOGY
.168 ******Candida is identified by 168. germ tube test.
.171 *****Tenia capitis is caused by: 171. a. Microsporum ausdonii cause tenia
a. Microsporum. capitis. Trychophyton causes tenia pedis
b. Trichophyton. or unguium.
c. Candida
.178 **A parasite can ingest RBC & present in stool- 178. E.Histolytica.
.185 The following parasite doesn’t not involve GIT in 185. b. cysticercosis
man?
a. Ascaris
b. cysticercosis
c. H.nana
d. Tenia
.186 The cigar glycogen is in 186. I. buchlii, but if cigar shaped chromatoid
it is E. histolytica (immature cyst)
Microbiology
.187 **The arthropod vector of malaria is: 187. a. Female anopheles mosquito.
a. Female anopheles mosquito.
b. Culex mosquito.
c. Tsetse fly.
d. None of the above
.189 A warm that infects man and pass eggs around the 189. Oxyurius vermicularis.
anus is
.190 Giardia lamblia is diagnosed in stool by the presence 190. Cysts or trophozoit
of
.191 **Which is caused by skin penetration: 191. Schistosoma hematobium.
Also ankylostoma duodenal, strongyloides
and N. americanus.
VIROLOGY
.194 *******HAV all are correct except: 194. b. There is chronic carrier state in young
a. Infection in adults is more severe than children, children.
b. There is chronic carrier state in young children.
c. Vaccination is recommended for high risk group.
.195 **Best sample for the diagnosis for recovery of polio 195. feaces.
is Also from throuat and spinal fluid.
.197 **Latent infection seen in all except? 197. a. Herpes virus (?? HS causes latent
a. Herpes virus infection)
b. adeno virus
c. coxsackie virus
d. retorvirus.
.198 **Which of the following virus causes systemic 198. There may be a missing "except" in this
effect? question because adeno cause RTI and
a. Poliovirus hemorrhagic cystitis and GE. Influenza
b. adenovirus and polio also cause systemic effect.
c. rhinovirus Rhino is an exception.
d. Influenzea virus.
.202 ***Who of the following is supposed to transmit 202. d. Neonate with congenital defect due to
CMV infection to hospital staff? CMV infection.
a. pregnant woman having a skin rash in second
trimester.
b. HIV patient
c. HCV patient.
d. Neonate with congenital defect due to CMV infection
Microbiology
.203 **All diagnose viral infection except: 203. a. IgM Ab is one serum only.
**Which diagnose viral infection? A high IgG titre in serum in acute and
a. IgM Ab is one serum only. convalescent stage may be due to
b. High IgG titre in serum in acute and convalescent immunization. 2 fold increase in IgG ??.
stage. IgE is regain of allerty not infection.
c. 2 fold increase in IgG
d. 4 fold increase in viral specific IgE in acute and
convalescent stage.
e. All of the above
.204 ****RSV all correct except: 204. a. RSV is a paramyxovirus. It is the most
a. Rectal sample gives the highest yield of the virus. important cause of pneumonia and
b. Form a syncetium in tissue. bronchiolitis in infants.
c. Causes lower respiratory illness in children.
d. Related to paramyxoviruses.
.205 **In a patient with rabies infection, the main 205. c. Negri bodies.
histological characteristic in the brain is:
a. Lewi bodies.
b. Durel bodies.
c. Negri bodies.
d. Amyloid plague
.206 Enteroviruses cannot be isolated from which of the 206. d. enteroviruses isolated from throat e.g.
following specimens? polio, from feces e.g. polio and hepatitis,
a. Throat swab. from CSF e.g. coxsachie virus.
b. Fecal specimens. Enteroviruses resist gastric acidity.
c. Gastric fluid.
d. Urine.
e. CSF.
53. Disinfectant for superficial fungal 61. The functions of cell wall is all of the
infection following except:
a. Phenol a. Giving the shape to the bacteria
b. Potassium permanganate b. Carrying somatic antigen
c. Chlorine c. Selective permeability and transport of
d. Hypochlorite compounds solutes
d. Protect the bacteria from plasmolysis
54. Rifampin
a. inhibit cell wall synthesis 62. Atrichous Bacteria are:
b. inhibit protein synthesis a. Bacteria contain one flagellum
c. inhibit folic acid pathway b. Bacteria contain 2 flagella
d. inhibit mRNA synthesis c. Bacteria without flagella
d. Bacteria with a tuft of flagella
55. Transacetylase inactivate
a. aminoglycosides 63. ________________ are essential for host
b. chloramphenicol cell attachment:
c. penicillin a. Flagella
d. cephalosporins b. Fimbria
c. Spores
56. The color of gram positive bacteria is d. Capsules
a. Yellow
b. Black. 64. Irregular clusters of spherical cells:
c. Pink a. Streptococcus
d. Violet b. Staphylococcus
c. Lactobacillus
57. Selective media for fungi d. Escherichia
b. blood agar
b. Mac Conkey agar 65. Clostridium Botulinum is:
c. Nutrient agar a. Obligatory Aerobic Bacteria
d. Sabourand’s dextrose agar b. Facultative Anaerobic Bacteria
c. Obligatory Anaerobic Bacteria
58. Histoplasma is a : d. Micro- aerophilic Bacteria
a. Systemic mycosis 66. Basophilic Bacteria grow well at:
b. Sub – Cutaneous mycosis a. pH 8.5 – 9.0
b. pH 7.2 – 7.4 75. Acetylase inactivates:
c. pH 5.0 – 5.5 a. B – Lactam antibiotics
d. None of the above b. Aminoglycosides
c. Cloramphenicol
67. Cells are divided at high & constant rate: d. All of the above
a. Decline Phase
b. Stationary Phase 76. Ringworm disease is caused by
c. Log Exponential Phase a. Zygomycetes
d. Adaptation Phase b. Ascomycetes
c. Blastomycosis
68. The dominant bacterial species in dental d. None of the above
plaque are:
a. Coagulase Negative Staphylococci 17. Histoplasm is one of
b. Lactobacillus a. Superficial Mycosis
c. Bacteroides b. Cutaneous Mycosis
d. Streptococcus Sanguis c. Sub – Cutaneous Mycosis
d. Systemic Mycosis
69. The spread of Pyogenic Bacteria in blood
stream to different organs & produce
multiple abscess is: 78. For wet – mount technique we add:
a. Septicemia a. NaoH
b. Bacteremia b. K oH
c. Toxemia c. H2 O2
d. Pyaemia d. All of the above
71. To sterilize fluid damaged by heat: 80. All of these about viruses is correct except:
a. Gaseous Sterilization a. Obligatory intracellular parasites
b. Heat Sterilization b. Did not contain ribosomes.
c. Filtration c. Contain DNA and RNA
d. Ionizing Radiation d. Can pass through bacterial filter
72. For water disinfection we use: 81. They are transmitted by arthropods
a. Hydrogen peroxide a. Chlamydia
b. Formaldehyde b. Spirochetes
c. Chlorine c. Mycoplasma
d. Hypochlorite compounds d. All of the above
73. Mechanism of action of penicillin: 82. In the past they were listed as large viruses
a. Block peptidoglycan synthesis4 a. Richettsia
b. Inhibit peptidyglycan cross – linking b. Mycoplasma
c. inhibit folic acid pathway c. Chlamydia
d. inhibit protein synthesis d. None of the above
85. It protects bacteria from antibiotics 94- function of bacterial capsule is:
a. Capsule a- essential for bacterial virulence
b. Cell membrane b- help in diagnosis of bacteria
c. Flagella c- protection bacteria
d. Fimbria d- all of the above
87. Short rods, motile by peritrichous flagella 96- bacteria classification according to bacterial
a. Spirochaeta flagella:
b. Lactobacillus a- atrichous
c. Escherichia coli b- mono-trichous
d. Vibrio c- amphi- atrichous
d- all of the above
88. To take up soluble DNA fragments
derived from other, closely related species
is:
a. Mutation
b. Transformation 97- types of bacterial motility:
c. Transduction 1- motility by flagella
d. Conjugation 2- motility by cell body
3- giliding motility
89. Tuberculosis are 4- all of the above
a. micro-airophilic
b. Facultative anaerobic 98- fimbriae are differing from flagella in the:
c. Obligatory anaerobic a- shorter
d. Obligatory aerobic b- more number
c- present in motile and non-motile bacteria
90. According to pH, Lactobacillusis d- all of the above
a. Neutrophlic bacteria
b. Acidophilic bacteria 99- function of fimbriae:
c. Basophilic bacteria a- essential for host cell attachment
d. None of the above b- responsible for heamagglutination
91- function of the cell wall is: c- a & b
a- support plasma membrane d- non of the above
b- cell division
c- Replication 100- bacterial endospores use to resistant of:
d- Non of the above a- disinfection
e- b- dryness
92 - function of cytoplasmic membrane is: c- heat
a- transport of solutes into the cell d- all of the above
b- excretion of hydrolytic
c- a & c
d- all of the above
Lab 1 – Gram Reactions 4) In the hemolysis test on a blood agar plate, an
1) Which of the following is NOT Gram-positive? incomplete hemolysis will show streaks of what
a) Listeria monocytogenes color?
b) Streptococcus pneumoniae a) Blue
c) Staphylococcus saprophyticus b) Clear
d) Klebsiella pneumonia c) Green
e) Streptococcus pyogenes d) Yellow
e) Black
2) Which of the following is rod shaped?
a) Staphylococcus aureus 5) Which of the following Gram-positive cocci is
b) Niesseria gonorrhoeae catalase positive and coagulase positive?
c) Bacillus anthracis a) Staphylococci epidermidis
d) Borrelia burgdorferi b) Staphylococci saprophyticus
e) Moraxella catarrhalis c) Staphylococci aureus
d) Streptococci pyogenes
3) Which of the following is the best description of e) Streptococci agalactiae
listeria monocytogenes?
a) Gram-negative spirals 6) Which of the following Gram-positive cocci is _
b) Gram-negative cocci (gamma) hemolytic?
c) Gram-negative rods a) Streptococci pneumonia
d) Gram-positive cocci b) Viridans strep
e) Gram-positive rods c) Streptococci pyogenes
d) Streptococci agalactiae
4) Which of the following would be the best e) Enterococcus
magnification power for viewing bacteria such as
Echerichia coli with an oil immersion microscope? Lab 3 – Gram-negative Bacteria
a) 1x 1) Which of the following Gram-negative rods does
b) 10x not ferment glucose and is oxidase positive?
c) 100x a) E. coli
d) 1,000x b) P. vulgaris
e) 10,000x c) P. aeruginosa
d) Salmonella
Lab 2 – Gram-positive Cocci e) Shigella
1) Which of the following tests would involve
looking for “bubbling” after application of the test 2) In the lactose fermentation MacConkey test,
agent? what color would indicate a positive test?
a) Catalase a) Black
b) Coagulase b) Pink
c) Bile esculin c) Blue
d) Bacitracin d) Purple
e) Optochin e) Green
2) If a bacteria ferments mannitol salt, which is a 3) Which of the following Gram-negative rods
peachy red color, what color will it change to if the ferments glucose, is oxidase negative, ferments
test is positive? lactose, and is indole positive (tryptophan
a) Blue metabolizing)?
b) Red a) E. coli
c) Green b) Shigella
d) Yellow c) K. pneumoniae
e) Black d) Salmonella
e) P. vulgaris
3) Streptococci pneumoniae is the number one
cause of all of the following EXCEPT: 4) A child presents with vomiting and bloody stools.
a) Adult meningitis A bacterial culture yields Gram negative rods that
b) Neonatal meningitis are H2S negative. Which of the following is most
c) Community acquired pneumonia likely?
d) Otitis media in children a) E. coli
b) Shigella
c) K. pneumoniae
d) Salmonella
e) P. vulgaris c) Heme and NAD (X and V)
d) Cysteine
5) Which of the following can swarm on a plate, e) Cysteine and heme (X)
making it difficult to distinguish colonies? 5) Which of the following describes Moraxella
a) E. coli catarrhalis and Neisseria gonorrhoeae in regards to
b) Shigella Trio-tube (CHO) fermentation, where yellow is
c) K. pneumoniae positive and peach is negative?
d) Salmonella a) Yellow for dextrose, peach for maltose, peach for
e) P. vulgaris sucrose
b) Yellow for dextrose, yellow for maltose, peach for
6) What is the primary virulence factor for E. coli? sucrose
a) Inflammatory response c) Yellow for dextrose, yellow for maltose, yellow for
b) cAMP inducing toxin sucrose
c) Toxin inhibits protein synthesis d) Peach for dextrose, yellow for maltose, yellow for
d) LPS sucrose
e) Superantigen e) Peach for dextrose, peach for maltose, yellow for
7) What is the primary virulence factor for P. sucrose
aeruginosa?
a) cAMP inducing toxin 6) What is the primary virulence factor for N.
b) Capsule gonorrhea?
c) Spore a) Capsule
d) Teichoic acid b) Teichoic acic
e) Type III secretion system c) Pili
d) Toxin
Lab 4 – Chocolate Agar and CHO Fermenters e) M protein
1) Bacteria are cultured and found to be Gram-
negative diplococci that grow on chocolate agar but 7) What is the primary virulence factor for H.
not blood agar. Which of the following is the most influenza?
likely? a) Capsule
a) Staphylococci b) Teichoic acic
b) Streptococci c) Pili
c) Mycoplasma d) Toxin
d) Haemophilus e) M protein
e) Neisseria
8) A 1-year-old infants presents with a fever after
2) Which of the following is a dextrose (glucose) her parents noticed she was unusually drowsy. The
fermenter and is a maltose and sucrose non- physician notices neck rigidity and occasional
fermenter? seizures. Bacterial culture reveals Gram-negative
a) H. influenza coccobacilli that grow on chocolate agar but not
b) H. parainfluenza blood agar.
c) S. pyogenes a) H. parainfluenza
d) N. gonorrhea b) H. influenza
e) N. meningitis c) N. gonorrhea
d) S. pyogenes
3) A sexually active male presents with a painful e) N. meningitis
sore (ulcer on his penis) and inguinal
lymphadenopathy. Culture reveals Gram-negative 9) What is the required growth factor associated
coccobacilli that grow on chocolate agar but not with the bacteria in the previous question?
blood agar. Which of the following is the most a) Heme (X)
likely? b) NAD (V)
a) C. trachomatis c) Heme and NAD (X and V)
b) T. pallidum d) Cysteine
c) N. gonorrhea e) Cysteine and heme (X)
d) H. ducreyi
e) H. influenza 1 – Introduction to Medical Microbiology
1.1) Which of the following is smallest in physical
4) What is the required growth factor associated size?
with the bacteria in the previous question? a) Viruses
a) Heme (X) b) Bacteria
b) NAD (V) c) Fungi
d) Parasites
1.2) The bacterial cell wall is complex, consisting of 1.2) Which of the following uses antibodies to detect
one of two basic forms: a Gram positive cell wall bacterial antigens?
with a ____ peptidoglycan layer, and a Gram-____ a) Serotyping
cell wall with a ____ peptidoglycan layer and an b) Biotyping
overlying outer membrane. c) Phage typing
a) Thick; Neutral; Thin d) DNA hybridization
b) Thin; Negative; Thin e) Antibiogram patterning
c) Thick; Negative; Thick
d) Thin; Negative; Thick 1.3) Which of the following is NOT a use for
e) Thick; Negative; Thin serotyping?
a) Identify organisms that are inert in biochemical
1.3) Bacteria is ____ and fungi is ____. testing
a) Prokaryotic; Prokaryotic b) Identify organisms that are difficult or impossible to
b) Prokaryotic; Eukaryotic grow
c) Eukaryotic; Eukaryotic c) Identify organisms that are associated with specific
d) Eukaryotic; Prokaryotic disease syndromes
d) Identify organisms that need to be identified rapidly
1.4) Which of the following is NOT a virus? e) Identify organisms that are susceptible to viral
a) Common cold infections
b) Ebola
c) Gastroenteritis 2) Which of the following is NOT true regarding
d) Malaria DNA hybridization?
e) Rabies a) It was used initially to determine the relationship
among bacterial isolates
2) Which of the following is NOT considered a b) It can determine whether two isolates are in the
sterile location in which an exogenous infection same genus or species
could take place? c) Molecular probes can be used with it to confirm an
a) Brain organism’s identity
b) Lungs d) It requires growing the organism, even in clinical
c) Mouth specimens
d) Peritoneum e) It can aid in the rapid detection of slow-growing
organisms
3) Which of the following is commonly endogenous as
opposed to exogenous? 3.1) Of the following aerobic, Gram-positive cocci,
a) Clostridium tetani (causes tetanus) which is catalase-positive?
b) Neisseria gonorrhoeae (causes gonorrhoea) a) Aerococcus
c) Coccidioides immitis (causes valley fever) b) Enterococcus
d) Entamoeba histolytica (causes amoebic dysentery) c) Staphylococcus
e) Clostridium perfringens (in normal flora) d) Lactococcus
e) Streptococcus
4) Which of the following does NOT limit the ability
of the laboratory to provide a definitive answer as 3.2) Which of the following is NOT an aerobic
to the cause of a disease? Gram-positive rod?
a) Gram reactivity of specimen a) Bacillus
b) Quality of specimen collected b) Listeria
c) Specimen transport from patient to lab c) Micrococcus
d) Techniques used to demonstrate the microbe in d) Turicella
sample e) Mycobacterium
1.3) Small genetic elements that replicate 4.2) Which of the following does NOT always
independently require homologous recombination to stabilize
e) Plasmid DNA?
a) Conjugation
1.4) Groups of one or more structural genes from b) Transformation
promoter to terminator c) Transduction
a) Operons
1.5) Operons with many structural genes 5) Which of the following best describes a lysogen,
c) Polycistronic such as the E. coli bacteriophage lambda?
a) Causes the host cell to lyse
1.6) Plasmids, such as E. coli F, that can integrate b) Causes the bacteriophage to lyse
into host chromosome c) Integrates into host and lyses the host
g) Episome d) Integrates into the host without killing the host
e) Integrates into the host and starts a programmed
1.7) Mobile genetic elements; jumping genes death cycle
h) Transposons
6 – Viral Classification
1.8) Coding genes
b) Cistrons 1) Which of the following depends on the
biochemical machinery of the host cell for
2) By what mechanism do pathogenicity (virulence) replication and reproduction occurs by assembly of
islands coordinate the expression of a system of the individual components rather than by binary
virulence factors? fission?
a) Replicons a) Bacteria
b) Cistrons b) Fungi
c) Polycistronic c) Viruses
d) Transposons d) Parasites
e) Episomal
2) Which of the following is NOT a property of
3.1) Which of the following is the process by which viruses?
bacteria take up fragments of naked DNA and a) Viruses are filterable agents
incorporate them into their genomes? b) Viruses cannot make energy independently of a host
a) Conjugation cell
b) Transformation c) Viral genomes may be RNA or DNA but not both
c) Generalized transduction d) Viral components must self-assemble
d) Specialized transduction e) Viruses are living organisms
3) Which of the following is NOT a means of c) It has the glycoprotein hemagglutinin (HA)
classification (naming) of viruses? d) It has the glycoprotein neuraminidase (NA)
a) Structure e) Like bunyaviruses, it does not have matrix proteins
b) Color
c) Biochemical characteristics 9.1) What viral replication step takes place after the
d) Disease caused attachment and penetration phase?
e) Means of transmission a) Transcription
4) What consists of a nucleic acid genome packaged b) Uncoating
into a protein coat (capsid) or a membrane c) Replication
(envelope)? d) Protein synthesis
a) Virus e) Assembly
b) Virion
c) Bacteriophage 9.2) The protein synthesis step of viral replication is
d) Capsomere sensitive to which of the following antiviral drugs?
e) Pentamer a) Interferon
b) Amantadine
5.1) Which of the following is NOT solely a c) Arildone
structure of enveloped viruses; being a structure of d) Rimantadine
non-enveloped viruses as well? e) Tromantadine
a) Nucleocapsid
b) Lipid bilayer 10.1) What is the phase in which an extracellular
c) Structural proteins infectious virus is NOT detected?
d) Glycoproteins a) Early phase
b) Late phase
5.2) Viruses with naked capsids (non-enveloped) c) Eclipse period
are generally resistant to drying, acid, and d) Latent period
detergents, including the acid and bile of the enteric e) Infection period
tract. Many of these viruses are transmitted by the
fecal-oral route and can endure transmission even 10.2) Which of the following best describes burst
in sewage. size?
a) True a) Number of viruses entering a cell to cause infection
b) False b) Number of viruses that can enter a cell
c) Neither true nor false c) Yield of infectious viruses per cell
d) Yield of viral particles per cell (including defective
Match the following descriptions with their term: particles)
6.1) Bind to erythrocytes and adenovirus penton e) Maximum physical yield of viruses per cell
c) Hemagglutinin (HA)
10.3) What is the normal process used by the cell
6.2) A long fiber attached to each adenovirus for the uptake of receptor-bound molecules such as
penton to bind to target cells hormones, low-density lipoproteins, and
a) Viral attachment protein (VAP) transferrin?
a) Exocytosis
6.3) Asparagine-linked (N-linked) carbohydrate b) Endocytosis
that extends through the envelope c) Pinocytosis
b) Viral glycoprotein d) Osmosis
e) Viropexis
7) RNA-dependent RNA polymerase (RDRP)
associates with the (____) RNA genome of the 10.4) How do picornaviruses and papovaviruses
orthomyxoviruses, paramyxoviruses, and enter the host cell, in which hydrophobic structures
rhabdoviruses to form helical nucleocapsids and of capsid proteins may be exposed after viral
uses ____ as a template. binding to the cells, and these structures help the
a) +; RNA virus or the viral genome slip through (direct
b) -; RNA penetration) the membrane?
c) +; DNA a) Exocytosis
d) -; DNA b) Endocytosis
c) Pinocytosis
8) Which of the following is NOT true regarding d) Osmosis
Influenza A (orthomyxovirus)? e) Viropexis
a) It is a (-) RNA virus
b) It has a segmented genome
11) Which of the following is true for RNA viruses a) Normal flora
(not DNA viruses)? b) Resident (commensal) flora
a) Not transient or labile (adaptable) c) Transient flora
b) Viral genomes remain in the infected cell
c) Are prone to mutation 1.2) Which of the following describes microbes that
d) Viral genes must interact with host transcriptional are permanent in a particular place in the body,
machinery but may change with stages of life?
e) Viral gene transcription is temporarily regulated a) Normal flora
b) Resident (commensal) flora
12) Viruses can escape antibody detection via ____ c) Transient flora
of the genome and ____ can merge cells into
multinucleated giant cell (syncytia), which become Match the following descriptions with their terms:
huge virus factories. 1.3) Causes most human infections
a) Traversal of cell-cell bridges; Virus-induced cell- a) Opportunistic pathogens
cell fusion
b) Virus-induced cell-cell fusion; Vertical transmission 1.4) Organisms always associated with disease
c) Virus-induced cell-cell fusion; Traversal of cell-cell c) Strict pathogens
bridges
d) Vertical transmission; Traversal of cell-cell bridges 1.5) Avirulent organism replacement in a hospital
e) Vertical transmission; Virus-induced cell-cell fusion b) Nosocomial pathogens
2) Which of the following is NOT considered a
13.1) All of the following are DNA viruses sterile area?
EXCEPT: a) Fetus
a) Parvovirus b) Brain
b) Papovavirus c) Sinuses and middle ear
c) Hepadnavirus d) Larynx, trachea, bronchioles, lower airway
d) Adenovirus e) GU tract including anterior urethra, vagina, and
e) Bunyavirus cervix
13.2) All of the following are RNA viruses 3) Which of the following is NOT a function of
EXCEPT: normal flora to the host?
a) Orthomyxovirus a) Metabolizes food products
b) Paramyxovirus b) Provides essential growth factors
c) Poxvirus c) Protects against infection with highly virulent
d) Rhabdovirus microorganisms
e) Filovirus d) Maintains sterile environments
e) Stimulates immune responses
13.3) Which of the following is enveloped (not a
naked capsid)? 4) Which of the following is defined as what occurs
a) Herpesviridae when the interaction between microbe and human
b) Polyoma viridae leads to a pathologic process characterized by
c) Papilloma viridae damage to the host?
d) Parvoviridae a) Colonization
e) Adenoviridae b) Infection
c) Disease
13.4) Which of the following has a naked capsid d) Microbiology
(not enveloped)? e) Thrush
a) Paramyxoviridae
b) Picornaviridae 10 – Sterile Techniques/Disinfection
c) Togaviridae
d) Flaviviridae 1.1) Which of the following would NOT be a
e) Orthomyxoviridae sterilant, meant to destroy all microbes?
a) Ethylene oxide
9 – Commensal & Pathogenic Microbial Flora b) UV radiation
c) Microwave radiation
1.1) Which of the following describes microbes that d) Glutaraldehyde and peracetic acid
are normally in and on the human body that is in a e) Hydrogen peroxide
continual state of flux determined by age, diet,
hormonal state, health, personal hygiene, and other
factors?
1.2) Which of the following would NOT be an a) Fimbriae
antiseptic agent, meant to safely reduce the number
of microbes on skin surfaces? 2.3) Mycoplasma pneumoniae
a) Alcohol d) Protein P1
b) Iodophors
c) Chlorhexidine 2.4) Vibrio cholerae
d) Plasma gas b) Type 4 pili
e) Triclosan
3) Which of the following cause cell lysis via
2.1) Alcohol (ethyl, isopropyl) at 70%-95% degradative enzymes, cause reactions in specific
b) intermediate target tissues via specific receptor-binding proteins,
and cause system responses via the release of
2.2) Hydrogen peroxide at 3%-25% cytokines?
a) high a) Adhesion
b) Colonization
2.3) Quaternary ammonium compounds at 0.4%- c) Invasion
1.6% d) Immune response inhibitor
c) low level e) Toxins
2.4) Chlorine compounds at 100-1000 ppm of free 4) Which of the following activate T-cells by
chlorine binding simultaneously to a T-cell receptor and a
a) high major histocompatibility complex class II (MHC II)
molecule on another cell, leading to the release of
2.5) Glutaraldehyde, chlorine dioxide, and large amounts of interleukins and an autoimmune-
peracetic acid like response?
a) high a) Degradative enzymes
b) Cytotoxic proteins
19 – Mechanisms of Bacterial Pathogenesis c) Endotoxin
d) Superantigen
1.1) Which bacterial virulence mechanism does e) Capsule
superantigen fall into?
a) Adhesion 5.1) The lipopolysaccharide (LPS) produced by
b) Colonization what kind of organism is an even more powerful
c) Invasion activator of acute phase and inflammatory
d) Immune response inhibitor reactions (endotoxin)?
e) Toxins a) G+ bacteria
b) G- bacteria
1.2) Which bacterial virulence mechanism does c) DNA viruses
capsid fall into? d) RNA viruses
a) Adhesion e) Fungi
b) Colonization
c) Invasion 5.2) An exotoxin can cause damage to the host by
d) Immune response inhibitor destroying cells or disrupting normal cellular
e) Toxins metabolism. An exotoxin is a soluble protein that
can be excreted by all of the following organisms
1.3) Helicobacter pylori is able to survive in the EXCEPT:
acidic environment of the human stomach by a) Viruses
producing the enzyme urease. This is an example of b) Bacteria
which of the following? c) Fungi
a) Adhesion d) Algae
b) Colonization e) Protozoa
c) Invasion
d) Immune response inhibitor 6) Which of the following would be a response to
e) Toxins high concentrations of endotoxin and not just low
concentrations?
Match the following bacteria with their adherence a) Fever
mechanism: b) Vasodilation
2.1) Escherichia coli c) Hypotension
c) Type 1 fimbriae, P fimbriae, CFA fimbriae d) Inflammatory response
2.2) Neisseria gonorrhoeae e) Immune response
a) Antigenic mimicry
7) Dimetric toxins, such as Corynebacterium b) Antigenic masking
diphtheriae, have the ____ subunit binding to a c) Resistance to lysosomal enzymes
specific cell receptor while the ____ subunit is d) Encapsulation
transferred into the cell. C. diphtheriae ____ e) Destruction of phagocyte
elongation factor-2, resulting in cell death.
a) B; A; Inhibits Match the following descriptions with their terms:
b) A; B; Inhibits 11.1) Two different strains of influenza combine to
c) B; A; Activates form a new subtype having a mixture of the surface
d) A; B; Activates antigens of the two original strains
b) Antigenic shift
8.1) What is the gene location for the botulinum
toxin? 11.2) Organisms alters its surface proteins to evade
a) Plasmid a host immune response
b) Chromosomal a) Antigenic variation
c) Phage
11.3) Random accumulation of mutations in viral
8.2) What is the gene location for the tetanus toxin? genes recognized by the immune system
a) Plasmid c) Antigenic drift
b) Chromosomal
c) Phage
49 – Mechanisms of Viral Pathogenesis
8.3) What is the biological effect of the botulinum
toxin? 1) Which of the following best describes tropism?
a) Activation of adenylate cyclase, increase in cAMP a) Tissue preference of a virus
level, secretory diarrhea b) Encoded activities that promote the efficiency of
b) Inhibition of protein synthesis, cell death viral replication
c) Block of signal transduction mediated by target G c) Loss of virulence factors
proteins d) Antiviral immune response
d) Decrease in neurotransmitter release from inhibitory e) Viral disease at the population level
neurons, spastic paralysis
e) Decrease in peripheral, presynaptic acetylcholine 2) In what viral replication phase does secondary
release, flaccid paralysis viremia occur, which can lead to viral delivery to
the liver, brain, skin, and other tissues?
8.4) What is the biological effect of the tetanus a) Contagion
toxin? b) Acquisition
a) Activation of adenylate cyclase, increase in cAMP c) Primary site replication
level, secretory diarrhea d) Secondary site replication
b) Inhibition of protein synthesis, cell death e) Target tissue
c) Block of signal transduction mediated by target G
proteins 3) Which of the viral infection outcomes involves
d) Decrease in neurotransmitter release from inhibitory infection without cell death?
neurons, spastic paralysis a) Abortive infection
e) Decrease in peripheral, presynaptic acetylcholine b) Lytic infection
release, flaccid paralysis c) Persistent infection
9) What is the biological effect of the cholera toxin? Match the following descriptions with their terms:
a) Activation of adenylate cyclase, increase in cAMP 4.1) Restricts the machinery for transcribing all the
level, secretory diarrhea viral DNA genes
b) Inhibition of protein synthesis, cell death c) Latent infection
c) Block of signal transduction mediated by target G
proteins 4.2) Multinucleated giant cells
d) Decrease in neurotransmitter release from inhibitory a) Syncytia
neurons, spastic paralysis
e) Decrease in peripheral, presynaptic acetylcholine 4.3) Makes cells undergo uncontrolled proliferation
release, flaccid paralysis d) Transformation
10) Which of the following functions in shielding 4.4) Immortalization of the cell
the bacteria from immune and phagocytic e) Oncogenic virus
responses via polysaccharides (poor immunogen)?
4.5) Occurs in an infected cell that is not killed by 8) Which of the following is the correct order from
the virus the smaller affected population to the largest?
b) Persistent infection a) Epidemic < Pandemic < Outbreak
b) Pandemic < Epidemic < Outbreak
4.6) Which of the following is NOT a characteristic c) Pandemic < Outbreak < Epidemic
of a transformed cell? d) Outbreak < Pandemic < Epidemic
a) Continued growth without senescence e) Outbreak < Epidemic < Pandemic
b) Alterations in cell morphology and metabolism
c) Decreased sugar transport 68 – Role of Viruses in Disease
d) Increased cell growth rate and ability to grown into
foci in semisolid agar 1.1) Which of the following common sites of viral
e) Lost of cell-contact inhibition of growth infection and disease is mostly involved in
stomatitis?
Match the inclusion bodies formed with the causative a) Eyes
agent: b) Nose
5.1) Negri bodies (intracytoplasmic) c) Mouth
e) Rabies d) Throat
e) Lower respiratory tract
5.2) Owl's eye (intranuclear)
c) Cytomegalovirus 1.2) Which of the following common sites of viral
infection and disease is mostly involved in
5.3) Cowdry type A (intranuclear) conjunctivitis?
f) Herpes simplex virus a) Eyes
b) Brain
5.4) Intranuclear basophilic c) Throat
a) Adenoviruses d) Enteric
e) Liver
5.5) Intracytoplasmic acidophilic
b) Poxviruses 1.3) Which of the following common sites of viral
infection and disease is mostly involved in
5.6) Perinuclear cytoplasmic acidophilic meningitis?
d) Reoviruses a) Eyes
b) Brain
6) Regarding mechanisms of viral cytopathogenesis, c) Throat
____ viruses use glycoprotein insertion and ____ d) Enteric
viruses use disruption of the cytoskeleton and e) Liver
require cell-mediated immunity for lysis of the
target cell. 1.4) Which of the following common sites of viral
a) Enveloped; Enveloped infection and disease is mostly involved in
b) Nonenveloped; Nonenveloped mononucleosis?
c) Enveloped; Nonenveloped a) UG tract
d) Nonenveloped; Enveloped b) Enteric
c) Lymphoid
Match the following descriptions with their terms: d) Liver
7.1) Viral disease shared with animals or insects e) Heart
and humans
c) Zoonoses 1.5) Which of the following common sites of viral
infection and disease is mostly involved in infantile
7.2) Anthropod spreading of viruses such as rotavirus diarrhea?
togavirus and reovirus a) UG tract
d) Arbovirus b) Enteric
c) Lymphoid
7.3) Spreads viral disease to other animals; e.g. d) Liver
mosquitoes e) Skin and mucous membranes
a) Vector
2) Which of the following is NOT a classic flulike
7.4) Maintains and amplifies viruses in the symptom associated with viral infections?
environment a) Fever
b) Reservoir b) Malaise
c) Headache
d) Body aches 2.4) Prevents antibody-mediated immune clearance
e) Binging of organisms
a) Protein A
Match the following descriptions with their terms:
3.1) Large, raised areas of skin 2.5) Dermatitis; scalded skin syndrome
c) Nodules c) Exfoliative toxins
3.2) Slightly raised areas of the skin Match the enzymes and their description:
(immune/inflammatory) 3.1) Converts hydrogen peroxide to water and
b) Papules oxygen
b) Catalase
3.3) Blisters that are likely to contain viruses
d) Vesicular lesions 3.2) Converts fibrinogen to insoluble fibrin,
protects organism
3.4) Flat, colored spots a) Coagulase
a) Macules
3.3) -lactamase, allows for organisms resistance to
4.1) Which of the following is NOT an effective an antibiotic
means to prevent viral transmission? d) Penicillinase
a) Education
b) Universal precautions 3.4) Can dissolve fibrin clots (fibrinolysin)
c) Improved hygiene c) Staphylkinase
d) Antibiotics
e) Ensuring all personnel are immunized against 4) What is the most common reservoir site of S.
common diseases aureus?
a) UG tract
4.2) According to the U.S. Center of Disease b) Enteric
Control and Prevention (CDC), what is the “single c) Lymphoid
most important means of preventing the spread of d) Liver
infection?” e) Skin and mucous membranes
a) Gloves
b) Gown 5.1) A patient undergoes a procedure to implant a
c) Mask cardiac pacemaker and prosthetic heart valve. One
d) Hand washing month later, the patient returns with a high fever.
e) The “five second rule” Infection is found in the pacemaker pocket, along
the pathway of the electrical lead, and near the
22 – Staphylococcus prosthetic valve. Which of the following is the most
likely cause?
1) Which of the following describes the Gram a) Staphylococcus aureus
reaction and morphology of Staphylococcus? b) Staphylococcus epidermidis
a) G- rods c) Staphylococcus saprophyticus
b) G- cocci d) Viridans Streptococci
c) G+ rods e) E. Coli
d) G+ cocci
e) G- spirals 5.2) Which of the following diseases would be
causes by the toxic activity of Staphylococcus
Match the virulence factors with its biological effect: aureus and not the proliferation activity?
2.1) Cytokine release (superantigen), emesis, loss of a) Food poisoning
brush border b) Meningitis
d) Enterotoxins c) Osteomyelitis
d) Septic arthritis
2.2) Toxic for many cells including leukocytes, e) Acute endocarditis
macrophages, and platelets
b) Cytotoxins 5.3) Which of the following is associated with Ritter
syndrome in neonates, where it colonizes the cut
2.3) Vaginal infection, hypovolemia, cytokine umbilicus and releases ET-A,B systematically?
release a) Staphylococcus aureus
e) TSST-1 b) Staphylococcus epidermidis
c) Staphylococcus saprophyticus
d) Viridans Streptococci
e) E. Coli Match the following Streptococcal pathogens with
their hemolytic pattern:
5.4) A sexually active woman develops dysuria, 3.1) S. pyogenes
pyuria, and fever suggestive of urinary tract b)
infection. Urine cultures show G+ bacteria in
clusters that are catalase positive and coagulase 3.2) S. agalactiae
negative. E. Coli is ruled out as a cause of the e) but occasionally
cystitis. Which of the following would be the most
likely cause of the cystitis? 3.3) S. pneumoniae
a) Viridans Streptococci a)
b) Streptococcus pyogenes
c) Staphylococcus aureus 3.4) S. mutans (Viridans)
d) Staphylococcus epidermidis d) or , and very rarely
e) Staphylococcus saprophyticus
3.5) Enterococcus faecalis
Match the following descriptions with their terms: c) but occasionally or
5.5) Coalescence of large, painful, pus-filled
cutaneous nodules Match the following Streptococcal pathogens with
d) Carbuncles their serologic classification:
3.6) S. pyogenes
5.6) Large, painful, pus-filled cutaneous nodules a) A
c) Furncles/Boils
3.7) S. agalactiae
5.7) A pus-filled cutaneous vesicle on an b) B
erythematous base
a) Impetigo 3.8) S. pneumoniae
e) Nongroupable (no antigen)
5.8) Pus-filled cutaneous vesicle involving hair
follicles 3.9) S. mutans (Viridans)
b) Folliculitis e) Nongroupable (no antigen)
6) Which of the following would be the best choice 3.10) Enterococcus faecalis
of antibiotic (currently) for a strain of d) D
Staphylococcus aureus that has acquired the mecA
gene? 4.1) A middle-aged woman presents with low-grade
a) Methicillin fever and general malaise. Physical exam reveals
b) Nafcillin Janeway lesions, Osler nodes, Roth spots, and
c) Oxacillin splinter hemorrhages under her fingernails.
d) Dicloxacillin Echocardiogram indicates vegetations on the mitral
e) Vancomycin valve. In the doctor’s office, she recounts a dentist
appointment a few weeks ago and several bouts of
23 – Streptococci sore throat as a child. Which of the following is the
most likely cause?
1) Which of the following tests would differentiate a) Streptococcus pyogenes
between Staphylococci and Streptococci, where the b) Streptococcus agalactiae
former is positive and the later is negative? c) Enterococcus faecalis
a) Gram reaction d) Streptococcus bovis
b) Bile esculin e) Streptococcus pneumoniae
c) Catalase f) Streptococcus mutans (Viridans Streptococci group)
d) Coagulase
e) Optochin 4.2) A young child presents with fever and a skin
rash localized around the lips on his arms. The rash
2) Which of the following is NOT a classification appears pustular with yellow crusts. Cultures from
schema used to identify Streptococci? the impetigo show Gram-positive cocci in chains
a) Teichoic acids that are -hemolytic. The doctor administers
b) Hemolytic patterns penicillin G and warns the parents that the child
c) Biochemical (physiologic) properties may develop transient smokey-colored urine soon.
d) Serologic properties (Lancefield groupings) Which of the following is the most likely cause?
a) Streptococcus pyogenes
b) Streptococcus agalactiae
c) Enterococcus faecalis f) Streptococcus mutans (Viridans Streptococci group)
d) Streptococcus bovis
e) Streptococcus pneumoniae 4.7) Which of the following is the most common
f) Streptococcus mutans (Viridans Streptococci group) cause of pneumonia in adults (40-65 years), the
most common causes of pneumonia in the elderly (>
4.3) An old man develops a UTI five-days after 65 years), and the most common cause of meningitis
admission to the hospital. His record indicates that in the elderly (> 60 years)?
he is receiving antibiotic treatment including a) Streptococcus pyogenes
cephalosporins for an unrelated infection. In b) Streptococcus agalactiae
treating the patient, physicians check for resistance c) Enterococcus faecalis
to vancomycin. Which of the following is the most d) Streptococcus bovis
likely cause? e) Streptococcus pneumoniae
a) Streptococcus pyogenes f) Streptococcus mutans (Viridans Streptococci group)
b) Streptococcus agalactiae
c) Enterococcus faecalis 4.8) Which of the following is the most common
d) Streptococcus bovis cause of neonatal meningitis?
e) Streptococcus pneumoniae a) Streptococcus pyogenes
f) Streptococcus mutans (Viridans Streptococci group) b) Streptococcus agalactiae
c) Enterococcus faecalis
4.4) An elderly man develops low-grade fever and d) Streptococcus bovis
signs of endocarditis over a period of 2 weeks. e) Streptococcus pneumoniae
Following blood culture, his doctor also becomes f) Streptococcus mutans (Viridans Streptococci group)
concerned about possible colon cancer. Which of
the following is the most likely cause? 4.9) Which of the following is associated with
a) Streptococcus pyogenes glomerulonephritis and rheumatic fever (Jones
b) Streptococcus agalactiae Criteria for Diagnosis)?
c) Enterococcus faecalis a) Streptococcus pyogenes
d) Streptococcus bovis b) Streptococcus agalactiae
e) Streptococcus pneumoniae c) Enterococcus faecalis
f) Streptococcus mutans (Viridans Streptococci group) d) Streptococcus bovis
e) Streptococcus pneumoniae
4.5) An elderly woman presents with a cough f) Streptococcus mutans (Viridans Streptococci group)
producing rusty-colored sputum. She complains of
sharp right-sided chest pains, chills, and fevers. 4.10) Of the following five most common pediatric
Physical exam reveals increased fremitus, dullness diseases with a rash, which one is associated with
to percussion, and bronchial breath sounds on the Streptococcus pyogenes?
lower right side. CXR shows right lower lobe a) Measles (fever of three days with cough, coryza, or
consolidation, and Gram stains of sputum show conjunctivitis)
Grampositive diplococci. Physicians begin b) Rubella (Forchheimer sign, fever, swollen glands)
treatment with cephalosporins. Which of the c) Scarlet fever (“strawberry tongue”, “sandpaper
following is the most likely cause? rash”)
a) Streptococcus pyogenes d) Roseola (high fever, “rose red rash”)
b) Streptococcus agalactiae e) Erythema infectiosum (bright red cheeks)
c) Enterococcus faecalis
d) Streptococcus bovis 5) M Protein is a virulence factor that binds to H
e) Streptococcus pneumoniae factor, causing C3B to be degraded, and protecting
f) Streptococcus mutans (Viridans Streptococci group) the organism from being phagocytized. Which of
the following is associated with M Protein?
4.6) Soon after birth, an infant develops seizures, a a) Streptococcus pyogenes
marked rritability, poor feeding, and fever. The b) Streptococcus agalactiae
infant’s birth records note a prolonged labor with c) Enterococcus faecalis
premature rupture of membranes. A lumbar d) Streptococcus bovis
puncture was done and the infant was started on e) Streptococcus pneumoniae
antibiotics. Which of the following is the most likely f) Streptococcus mutans (Viridans Streptococci group)
cause?
a) Streptococcus pyogenes 6) Streptococcal pyrogenic exotoxins (Spes) act as
b) Streptococcus agalactiae superantigens and are associated with which of the
c) Enterococcus faecalis following?
d) Streptococcus bovis a) Dental caries and brain abscesses
e) Streptococcus pneumoniae b) Subacute Bacterial Endocarditis (SBE)
c) Toxic Shock Syndrome (TSS) and Scarlet fever 10.4) Which of the following is beta-hemolytic,
d) Pharyngitis and impetigo Bacitracin resistant, Optichin resistant, positive for
e) Glomerulonephritis and rheumatic fever Hippurate hydrolysis, and positive for the CAMP
reaction?
7) The measurement of antibodies against a) S. pyogenes
streptolysin O (the ASO test) is useful for b) S. agalactiae
confirming which of the following streptococcal c) S. pneumoniae
infection symptoms, 3 to 4 weeks or more after the d) Enterococcus
initial exposure to the organism?
a) Dental caries and brain abscesses 11) Which of the following groups of people is the
b) Subacute Bacterial Endocarditis (SBE) mostly likely to acquire a Streptococcus agalactiae
c) Toxic Shock Syndrome (TSS) and Scarlet fever infection?
d) Pharyngitis and impetigo a) Elderly men
e) Glomerulonephritis and rheumatic fever b) Elderly women
c) Teenage boys
Match the following biological effects with the d) Teenage girls
virulence factor: e) Neonates
8.1) Reduces viscosity of abscess material; organism
spreads easier 12) Patient at risk for Subacute Bacterial
b) DNase Endocarditis (SBE) from Viridas Streptococci
should be given penicillin G prior to what type of
8.2) Reduces blood clots; organism spreads easier medical procedure?
a) Streptokinase a) Pacemaker implant
b) Renal stenting
8.3) Disrupts the recruiting and activating of c) Dental procedures
phagocytic cells d) Joint surgery
c) C5a peptidase e) Skin abscess lancing
9) What group of streptococci are suppressed by Match the following biological effects with their
antibiotic-like bacteriocins? virulence factor:
a) A 13.1) Prevents ciliated epithelial cell bacterial
b) B removal
c) C c) Secretorey IgA protease (sIgA)
d) D
e) Nongroupable (no antigen) 13.2) Activates classic complement pathway
b) Pneumolysin
10.1) Which of the following is alpha-hemolytic,
Bacitracin resistant, Optochin resistant, and bile 13.3) Antiphagocytic
esculin negative? a) Capsule
a) S. pyogenes
b) S. agalactiae 14) The C-reactive protein (CRP) test is used to test
c) S. pneumoniae for which of the following?
d) Enterococcus a) Decreased white blood cell count
b) Urinary tract infection
10.2) Which of the following is beta-hemolytic, c) Sepsis
Bacitracin sensitive, Optochin resistant, and bile d) Inflammation
soluble? e) Impetigo
a) S. pyogenes
b) S. agalactiae 24 – Enterococcus
c) S. pneumoniae 1.1) Which of the following is NOT a common
d) Enterococcus disease caused by Enterococcus sp.?
a) Bacteremia
10.3) Which of the following is alpha-hemolytic, b) Endocarditis
Bacitracin resistant, Optochin sensitive, and bile c) Breast abscess
esculin negative? d) Urinary tract infection
a) S. pyogenes e) Wound infection
b) S. agalactiae
c) S. pneumoniae 1.2) Which of the following is NOT a common
d) Enterococcus disease caused by Abiotrophia sp.?
a) Eye infection
b) Oral infection 3) In non-industrial countries, what is the most
c) Endocarditis likely place to find B. anthracis?
d) Urinary tract infection a) Skin/fur of carnivores
e) Bacteremia b) Skin/fur of herbivores
c) Fresh water lakes
2) Vancomycin-resistant enterococci (VRE) are d) Desert sand
troublesome because the resistance is mediated by e) Rainforest trees
which of the following, allowing it to be transferred
to other bacteria? 4) Which of the following is NOT a characteristic of
a) Flagellum B. anthracis that makes it a good choice for mass
b) Ribosomes (continental) biological warfare?
c) Cytoplasm a) Can form resistant spores that can remain viable for
d) Plasmid very long periods of time
e) Capsule b) Is very deadly and cannot always be easily
recognized and treated in time
3) Abiotrophia and Granulicatella, formerly called c) It is non-communicable and won’t spread beyond a
nutritionally deficient streptococci, are problematic specific target
because they will initially grow in blood culture d) Spores are easy to isolate worldwide
broths or in mixed cultures but do not grow when e) Spores can easily be prepared from liquid cultures
subcultured onto sheep blood agar media, unless
the media is supplemented with pyridoxal, a Match the following resulting biological effect with
natural form of what vitamin? their form of anthrax:
a) Vitamin A 5.1) Dysentery
b) Vitamin B6 b) Ingestion
c) Vitamin B12
d) Vitamin D 5.2) 100% mortality
e) Vitamin K c) Inhalation
2.2) Which of the following groups of people would 2.1) Which of the following would have diffuse
be the least susceptible to Listeria? infiltration of the skin by multiple nodules of
a) AIDS patients varying size, each with many bacteria? (weak
b) Neonates immune response)
c) Elderly a) Lepromatous leprosy
d) Pregnant women b) Tuberculoid leprosy
e) Immunocompromised patients c) Tuberculosis
d) Herpes simplex virus type 2
3.1) Which of the following is caused by early-onset e) MRSA skin infection
(acquired transplacentally in utero) Listeria
monocytogenes? 2.2) Which of the following would have lesions
a) Disseminated abscesses and granulomas in multiple characterized by anesthetic macules with
organs hypopigmentation? (strong immune response)
b) Meningitis or meningoencephalitis with septicemia a) Lepromatous leprosy
c) Painful, pruritic inflammatory skin lesion b) Tuberculoid leprosy
d) Endocarditis c) Tuberculosis
e) Osteomyelitis d) Herpes simplex virus type 2
e) MRSA skin infection
3.2) Which of the following is caused by late-onset
(acquired shortly after birth) Listeria 3) Which of the following is the natural habitat for
monocytogenes? mycobacteria? (best answer)
a) Disseminated abscesses and granulomas in multiple a) Food
organs b) Plants
b) Meningitis or meningoencephalitis with septicemia c) Infected animals
c) Painful, pruritic inflammatory skin lesion d) Water
d) Endocarditis e) Soil
e) Osteomyelitis
4.1) Which of the following is spread by close
28 – Nocardia person-to-person contact through the inhalation of
infectious aerosols and infects a third of the world’s
1) Which of the following describes clinical population according to the World Health
diagnosis for Nocardiosis? Organization (WHO) in 2002?
a) Weakly Gram-positive, beaded filaments, not acid a) M. leprae
fast, obligate anaerobe b) M. avium-intracellulare
b) Weakly Gram-negative, beaded filaments, weakly c) M. tuberculosis
acid fast, obligate anaerobe
c) Weakly Gram-positive, beaded filaments, weakly 4.2) Which of the following is spread by person-to-
acid fast, obligate anaerobe person contact, has fallen in prevalence by almost
d) Weakly Gram-negative, beaded filaments, weakly 90% since 1985, and is endemic in armadillos?
acid fast, obligate aerobe a) M. leprae
e) Weakly Gram-positive, beaded filaments, weakly b) M. avium-intracellulare
acid fast, obligate aerobe c) M. tuberculosis
2) Which of the following groups of people would
be the least susceptible to Nocardiosis? 4.3) Which of the following primarily affects
a) AIDS patients immunocompromised patients, has not shown
b) HIV infected patients person-to-person transmission, is acquired through
c) Patients implanted with cardiac devices (e.g. Left ingestion of contaminated water or food, is seen
Ventricular Assist Device)
most commonly in countries where tuberculosis is a) Xylose-Lysine-Deoxycholate agar (XLD)
less common? b) MacConkey agar (MAC)
a) M. leprae c) Thayer-Martin (TM)
b) M. avium-intracellulare d) Bile Esculin agar (BEA)
c) M. tuberculosis e) Blood agar plate (BAP)
Match the following clinical diagnosis method with the 2.4) Neisseria grows at 35-37 degrees Celsius in a
Mycobacteria: humid atmosphere, with Neisseria gonorrhea
5.1) Microscopy/culture are sensitive and specific, requiring what additional supplement that
AIDS status Neisseria meningitidis does not need?
b) M. avium-intracellulare a) Fructose
b) Glucose
5.2) Skin/nerve biopsy, Acid-fast stain, skin test c) Oxygen
a) M. leprae d) Carbon monoxide
e) Carbon dioxide
5.3) Acid-fast stain, PPD (Mantoux), Ghon complex
on CXR 3.1) Pili in Neisseria allow for attachment of the
c) M. tuberculosis bacteria to what kind of cells?
a) Non-ciliated epithelial cells
30 – Neisseriae b) Ciliated epithelial cells
c) Cuboidal cells
1.1) Which of the following is NOT true regarding d) Transitional cells
Neisseria meningitidis? e) Simple squamous cells
a) Gram-negative
b) Diplococci 3.2) Pili in Neisseria allow for motility, transfer of
c) Does not oxidized maltose genetic material, and provide resistance to killing of
d) Oxidizes glucose the bacteria by which of the following?
e) Second common cause of community-acquired a) Basophils
meningitis in adults b) Monocytes
c) Lymphocytes
1.2) Which of the following is found as a disease d) Neutrophils
mostly in African Americans, aged 15- 24, with e) Eosinophils
multiple sexual partners, and who live in the
southeastern United States? 3.3) Which of the following cells together form a
a) Neisseria gonorrhea class known as polymorphonuclear cells (PMNs)?
b) Neisseria meningitidis a) Basophils and Neutrophils
c) Staphylococcus aureus b) Neutrophils and Eosinophils
d) Staphylococcus saprophyticus c) Basophils, Neutrophils, and Eosinophils
e) Staphylococcus pyogenes d) Monocytes and Lymphocytes
e) Eosinophils and Basophils
2.1) Which of the following sugar assimilation tests
(production of acid by oxidation) would yield 4) Opa proteins (opacity proteins) are a family of
different results between Neisseria gonorrhea and membrane proteins that mediate intimate binding
Neisseria meningitidis? to epithelial and phagocytic cells and are
a) Glucose important for cell-to-cell signaling. Neisseria
b) Dextrose gonorrhea expressing the Opa proteins appear ____
c) Fructose when grown in culture and Neisseria meningitidis
d) Maltose expressing the Opa proteins appear ____.
e) Galactose a) Transparent; Transparent
b) Opaque; Opaque
2.2) Neisseria are oxidase positive bacteria. What c) Transparent; Opaque
media is used for isolation of Neisseria? d) Opaque; Transparent
a) Chocolate (CHOC)
b) Thayer-Martin (TM) 5) Which of the following virulence factors for
c) Blood agar plate (BAP) Neisseria gonorrhoeae is the reason penicillin is no
d) Bile Esculin agar (BEA) longer used as the drug of choice for gonorrhea?
e) MacConkey agar (MAC) a) Pilin (protein)
b) -lactamase
2.3) Chocolate agar (CHOC) is used to create which c) Opa protein
of the following agars? d) Por protein
e) IgA1 protease 2.3) What is the most prevalent Enterobacteriaceae
found in bloodstream infections?
6) Phase variation along with antigenic variation a) Escherichia
account for the ineffectiveness in treating Neisseria b) Klebsiella
infections. Which of the following virulence factors c) Salmonella
has a variable region at the carboxyl terminus d) Yersinia
(immunodominant portion of the molecule) leading e) Morganella
to antigenic variation?
a) Pilin (protein) 2.4) What is the most prevalent Enterobacteriaceae
b) -lactamase found in gastrointestinal tract infections?
c) Opa protein a) Escherichia
d) Por protein b) Klebsiella
e) IgA1 protease c) Salmonella
d) Yersinia
7) What is the importance of the capsule in the e) Morganella
pathogenesis of Neisseria meningitides infections?
a) Mediates initial attachment to nonciliated human 2.5) What is the most prevalent Enterobacteriaceae
cells found in urinary tract infections?
b) Mediates firm attachment to eukaryotic cells a) Escherichia
c) Mediate acquisition of iron for bacterial metabolism b) Klebsiella
d) Destroys immunoglobulin A1 c) Salmonella
e) Prevents phagocytosis by the host d) Yersinia
e) Morganella
8) The action of which of the following found on the
outer membrane is the most responsible for 3.1) Which of the following is oxidase positive?
disseminated intravascular coagulation (DIC), also a) E. coli
called consumptive coagulopathy, seen in b) P. vulgaris
meningococcal infections? c) K. pneumoniae
a) LOS endotoxin d) Salmonella
b) IgA1 protease e) Shigella
c) Hemoglobin-binding proteins f) P. aeruginosa
d) Por protein
e) Pillin 3.2) Which of the following ferment lactose?
a) P. vulgaris, Salmonella, and Shigella
31 – Enterobacteriaceae b) E. coli and K. pneumoniae
c) P. vulgaris and Salmonella
1) Which of the following describes enteric d) Shigella, E. coli, and P. vulgaris
bacteria? e) P. aeruginosa only
a) Gram-positive cocci
b) Gram-negative cocci 3.3) Which of the following is identified in the
c) Gram-positive rods laboratory based on production of indole?
d) Gram-negative rods a) E. coli
e) Gram-positive spirals b) P. vulgaris
c) K. pneumoniae
2.1) What is the most prevalent Enterobacteriaceae d) Salmonella
found in central nervous system infections? e) Shigella
a) Escherichia
b) Klebsiella 3.4) Which of the following is urease positive,
c) Salmonella produces hydrogen sulfide, and is motile?
d) Yersinia a) E. coli
e) Morganella b) P. vulgaris
c) K. pneumoniae
2.2) What is the most prevalent Enterobacteriaceae d) Salmonella
found in lower respiratory tract infections? e) Shigella
a) Escherichia
b) Klebsiella 3.5) Which of the following is urease negative,
c) Salmonella produces hydrogen sulfide, and is motile?
d) Yersinia a) E. coli
e) Morganella b) P. vulgaris
c) K. pneumoniae
d) Salmonella watery diarrhea and vomiting, and non-bloody
e) Shigella stools?
a) Enteropathogenic E. coli (EPEC)
3.6) Which of the following does not produce b) Enterotoxigenic E. coli (ETEC)
hydrogen sulfide and is motile? c) Enterohemorrhagic E. coli (EHEC)
a) E. coli d) Enteroinvasive E. coli (EIEC)
b) P. vulgaris e) Enteroaggregative E. coli (EAEC)
c) K. pneumoniae
d) Salmonella 6.4) Which of the following is most associated with
e) Shigella Traveler diarrhea; infant diarrhea in developing
countries; watery diarrhea, vomiting, cramps,
4) Which of the following would NOT be caused by nausea, and low-grade fever?
endotoxin? a) Enteropathogenic E. coli (EPEC)
a) Activation of complement b) Enterotoxigenic E. coli (ETEC)
b) Release of cytokines c) Enterohemorrhagic E. coli (EHEC)
c) Phagocytotic inhibition d) Enteroinvasive E. coli (EIEC)
d) Thrombocytopenia e) Enteroaggregative E. coli (EAEC)
e) Fever and leukocytosis
6.5) Which of the following has pathogenesis
5.1) Which of the following is a used by bacteria mediated by cytotoxic Shiga toxins as opposed to
such as Yersinia, Salmonella, Shigella, plasmid-mediated?
enteropathogenic Escherichia, Pseudomonas, and a) Enteropathogenic E. coli (EPEC)
Chlamydia to deliver their virulence factors into b) Enterotoxigenic E. coli (ETEC)
targeted eukaryotic cells, acting like a molecular c) Enterohemorrhagic E. coli (EHEC)
syringe? d) Enteroinvasive E. coli (EIEC)
a) Endotoxin e) Enteroaggregative E. coli (EAEC)
b) Capsule
c) Type III secretion system 6.6) Which of the following is associated with
d) Antigenic phase variation dysentery with leukocytes in stool, similar to
e) Sequestering of growth factors shingellosis?
a) Enteropathogenic E. coli (EPEC)
5.2) In the process of sequestering of growth factors b) Enterotoxigenic E. coli (ETEC)
by bacteria, some bacteria produce chelating c) Enterohemorrhagic E. coli (EHEC)
compounds (e.g., enterobactin, aerobactin) that d) Enteroinvasive E. coli (EIEC)
bind which of the following? e) Enteroaggregative E. coli (EAEC)
a) Magnesium
b) Calcium 7.1) Which of the following toxins disrupts protein
c) Phosphate synthesis causing damage to the intestinal
d) Sodium epithelium, and in a small subset of patients causes
e) Iron damage to the glomerular endothelial cells,
resulting in renal failure?
6.1) Which of the following is an important cause of a) Vibrio cholerae
hemorrhagic colitis (HC) and hemolytic uremic b) EHEC
syndrome (HUS) in the United States? c) Shigella dysenteriae
a) Enteropathogenic E. coli (EPEC) d) ETEC
b) Enterotoxigenic E. coli (ETEC)
c) Enterohemorrhagic E. coli (EHEC) 7.2) Which of the following expresses a Shiga toxin
d) Enteroinvasive E. coli (EIEC) which disrupts protein synthesis, leading to
e) Enteroaggregative E. coli (EAEC) destruction of intestinal villus and decreased
absorption with an increase in fluid secretion?
6.2) Proper cooking of beef products can help a) Vibrio cholerae
reduce the risk of what kind of infections? b) EHEC
a) Enteropathogenic E. coli (EPEC) c) Shigella dysenteriae
b) Enterotoxigenic E. coli (ETEC) d) ETEC
c) Enterohemorrhagic E. coli (EHEC)
d) Enteroinvasive E. coli (EIEC) 7.3) Which of the following produces heat-labile
e) Enteroaggregative E. coli (EAEC) (LT-I and LT-II) and heat-stabile (STa and STb)
6.3) Which of the following is most associated with enterotoxins that stimulate hypersecretion of fluids
infant diarrhea in underdeveloped countries; and electrolytes?
a) Vibrio cholerae
b) EHEC exam reveals that she has an enlarged spleen and a
c) Shigella dysenteriae generally tender abdomen with red
d) ETEC macules. The physician asks for a stool sample to
complete the diagnosis. Which of the options is the
7.4) Which of the following interacts with G most likely cause?
proteins that control adenylate cyclase, leading to a) Salmonella typhi
the catabolic conversion of adenosine triphosphate
(ATP) to cyclic adenosine monophosphate (cAMP), 9.4) A man and his two sons just returned from a
resulting in a hypersecretion of water and vacation on their relative’s farm. All three arrived
electrolytes? complaining of bloody diarrhea. The youngest son
a) Vibrio cholerae becomes well spontaneously. The older son
b) EHEC complains of right flank pain, while the father
c) Shigella dysenteriae starts to notice tenderness in his joints. One
d) ETEC surgeon, worried about appendicitis in the older
son, performs the initial incision and discovers a
8) What virulence factor of E. coli is associated with normal appendix but an inflamed colon. After also
adhesion in the urinary and gastrointestinal tracts observing swollen mesenteric lymph nodes during
and also binds to a blood group antigen? surgery, he makes a diagnosis explaining the
a) Colonizing factor antigens symptoms in all 3 patients. Which of the options is
b) Aggregative adherence fimbriae the most likely cause?
c) P. pili d) Yersinia enterocolitica
d) Intimin
e) Ipa protein 9.5) A veterinary school student complains to the
doctor of diarrhea and abdominal tenderness. He is
Use the following key (a-f) to match the bacteria to certain these symptoms followed nausea and
the illness it causes: vomiting the day before. He admits that he may
a) Salmonella typhi have caused himself this misery by excessively
b) Salmonella enteritidis playing with his turtle.
c) Shigella dysenteriae b) Salmonella enteritidis
d) Yersinia enterocolitica
e) Yersinia pestis 9.6) Which of the following is NOT a route of
transmission for Shigella dysenteriae?
9.1) A photographer for National Geographic a) Fingers
returning from Thailand develops a fever and b) Flies
abdominal cramps on the plane. By the time the c) Farms
plane lands, he suffers from bloody diarrhea. His d) Food
fever peaks at 40ºC. The doctor decides to do an e) Feces
endoscopy exam and makes a diagnosis based on
the hemorrhagic mucosa and ulcerations observed 9.7) Which of the following can be transmitted in
in the distal colon. Which of the options is the most raw milk along with the fecal-oral routh?
likely cause? a) Salmonella typhi
c) Shigella dysenteriae b) Salmonella enteritidis
c) Shigella dysenteriae
9.2) A traveler from New Mexico presents to the d) Yersinia enterocolitica
ER with fever, dark black skin patches, and e) Yersinia pestis
enlarged, painful lymph nodes in his groin. He
maintains an awkward pose with extremities 9.8) Which of the following is commonly
extended, which he says lessens his pain. Doctors transmitted by uncooked chicken?
begin treatment immediately and inquire about a) Salmonella typhi
possible flea bites. They then call local authorities b) Salmonella enteritidis
in New Mexico and ask about similar recent c) Shigella dysenteriae
incidents. Which of the options is the most likely d) Yersinia enterocolitica
cause? e) Yersinia pestis
e) Yersinia pestis
10) After ingestion and passage through the
9.3) A woman who recently returned form a trip to stomach, salmonellae are able to invade and
South America complains of a persistent high fever, replicate in the M (microfold) cells that are located
malaise, and constipation that has lasted for over a in Peyer patches of the terminal portion of the
week. She recalls that the fever began slowly and small intestine. Which of the following mediates the
climbed its way up to the current 41ºC. A physical initial invasion into the intestinal mucosa?
a) cAMP inducing toxin
b) Capsule 32 – Vibrios
c) Spore
d) Teichoic acid 1) Aside from the presence of polar flagella, which
e) Type III secretion system of the following laboratory tests can differentiate
Vibrionaceae from Enterobacteriaceae?
Match the following descriptions with the term: a) Oxidase reaction
a) Gastroenteritis b) Septicemia c) Enteric fever b) Urease reaction
c) Glucose/Dextrose fermentation
11.1) Gradually increasing fever 10-14 days from d) Sucrose fermentation
ingestion with nonspecific complaints such as e) Lactose reaction
headache, myalgias, malaise, and anorexia.
c) Enteric fever 2) Cholera toxin causes an increase in which of the
following, leading to severe “ricewater” diarrhea?
11.2) Nausea, vomiting, and non-bloody diarrhea 6- a) [cGMP]
48 hours after consumption. b) [cAMP]
a) Gastroenteritis c) [GTP]
d) [ADP]
11.3) From Salmonella and risk is higher in e) [NADH]
pediatric, geriatric, and AIDS patients
b) Septicemia 3) V. cholerae O1 and 0139 produce cholera toxin
and are associated with epidemics of cholera. The
12) Which of the following is NOT true regarding O1 serogroup is divided into ____ (Inaba, Ogawa,
the epidemiology of bacillary dysentery (Shigella)? and Hikojima) and ____ (classical and el tor).
a) Primarily a pediatric disease a) Phenotypes; Serotypes
b) Endemic in adult homosexual males b) Serotypes; Phenotypes
c) Epidemic outbreaks can occur in daycare centers c) Biotypes; Serotypes
and nurseries d) Serotypes; Biotypes
d) Primary transmission is by people with e) Phenotypes; Biotypes
contaminated hands
e) Spreads rapidly even in communities where sanitary 4) Which of the following is the natural
standards are high environment where V. cholerae grows?
a) Fresh water lakes and streams
13.1) Which of the following is the natural reservoir b) Saltwater marine and estaurine
for urban plague (Y. pestis)? c) Soil, especially in underdeveloped countries
a) Cows d) Naturally flora in human GI tract
b) Rabbits e) Livestock skin and fur
c) Turtles
d) Rats Match the following clinical descriptions with the
e) Mosquitoes bacteria that causes them:
a) V. parahaemolyticus b) V. vulnificus c) V. cholerae
13.2) Which of the following is NOT a natural
reservoir for sylvatic plague (Y. pestis)? 5.1) Begins with an abrupt onset of watery diarrhea
a) Squirrels and vomiting and can progress to severe
b) Rabbits dehydration, metabolic acidosis and hypokalemia,
c) Livestock and hypovolemic shock.
d) Rats c) V. cholerae
e) Domestic cats
5.2) Self-limited gastroenteritis (explosive onset of
14) Bubonic plagues (Y. pestis) is characterized by watery diarrhea) with low-grade fever or wound
____ and pneumonic plague (Y. pestis) is infection associated with exposure to contaminated
characterized by ____. water.
a) A 7-day incubation period; A 3-day incubation a) V. parahaemolyticus
period
b) A > 90% mortality rate; A >75% mortality rate 5.3) Severe, potentially fatal wound infections
c) Pulmonary disease; A painful bubo (inflammation characterized by erythema, pain, bullae formation,
of the lymph nodes) tissue necrosis, and septicemia.
d) Aerosol spreading from person-to-person; Flea bites b) V. vulnificus
e) Septicemia; Cutaneous hemorrhagic necrosis
6) In epidemiology, this term refers to an infection b) C. jejuni
in a population where that infection is maintained c) Rotovirus
in the population without the need for external d) H. pylori
inputs (e.g. V. cholerae and chickenpox). Each e) S. aureus
person who becomes infected with the disease must
pass it on to exactly one other person, on average. 3.3) What disease may be confused with C. jejuni
a) Outbreak because Campylobacter is difficult to detect?
b) Epidemic a) Crohn disease
c) Pandemic b) Kawasaki disease
d) Syndemic c) Hodgkin disease
e) Endemic d) Huntington disease
e) Alzheimer disease
33 – Campylobacter and Helicobacter
4.1) Multiple factors contribute to the gastric
1.1) Which of the following can help differentiate inflammation, alteration of gastric acid production,
Campylobacter jejuni from Helicobacter pylori in and tissue destruction that are characteristic of H.
the laboratory? pylori disease. The virulence factor Heat shock
a) Gram reaction protein (HspB) enhances the expression of which of
b) Oxidase reaction the following?
c) Catalase reaction a) Mucinase
d) Urease reaction b) Phospholipase
e) Nitrate reduction c) Catalase
d) Superoxide dismutase
1.2) Which of the following is NOT true regarding e) Urease
Campylobacter?
a) Gram-negative rods 4.2) Which of the following H. pylori virulence
b) Low DNA guanosine plus cytosine base ration factors induces hypochlorhydria during acute
c) Inability to ferment or oxidize carbohydreates infection by blocking secretion from parietal cells?
d) Microaerophilic growth requirements a) Urease
e) Inability to grown on Campy agar b) Heat shock protein
c) Acid-inhibitory protein
2) Which of the following is NOT true regarding d) Flagella
the epidemiology of C. jejuni? e) Adhesins
a) It is a zoonotic infection (cattle, dogs, domestic
animals, etc.) 4.3) Which of the following H. pylori virulence
b) Improperly prepared poultry is a common source of factors disrupt gastric mucus?
human infections a) Urease
c) Person-to-person spread is very common b) Mucinase
d) The dose required to establish infection is high c) Phospholipase
e) Enteric infections most commonly seen in warm d) Mucinase and phospholipase
months e) Mucinase and urease
3.1) Which of the following is NOT one of the most 4.4) Which of the following H. pylori virulence
common causes of diarrhea in the world? factors prevent phagocytosis?
a) ETEC a) Superoxide dismutase
b) C. jejuni b) Phospholipase
c) Rotovirus c) Catalase
d) H. pylori d) Phospholipase and catalase
e) Catalase and superoxide dismutase
3.2) A man with fever, muscle pains, and headache
feels no need to go to the doctor until about 1 day 4.5 ) Which of the following H. pylori virulence
later, when he develops bloody diarrhea and factors neutralizes gastric acids and stimulates
abdominal pain as well. The abdominal pain is so production of inflammatory cytokines?
severe that his physician fears appendicitis until a) Acid-inhibitory protein
learning that the man may have had unpasteurized b) Urease
milk in the past week. A definitive diagnosis is c) Adhesins
made by growth on stool cultures at 42ºC, d) Mucinase
microaerophilic conditions. Which of the following e) Catalase
is the most likely cause?
a) ETEC
5) Which of the following is the etiologic agent in 3) Which of the following is a health care associated
virtually all cases of type B gastritis, accounting for infection that is typically more virulent and drug
up to 80% of gastic ulcers and more than 90% of resistant?
duodenal ulcers? a) Opportunistic
a) ETEC b) Nosocomial
b) C. jejuni c) Strict
c) Rotovirus d) Endogenous
d) H. pylori e) Exogenous
e) S. aureus
4.1) Which of the following P. aeruginosa virulence
6.1) Which of the following laboratory test for H. factors impairs ciliary function, stimulates
pylori is the diagnostic test of choice and measures inflammatory response, and mediates tissue
antibody titers to document exposure to the damage through toxic oxygen radicals?
bacteria? a) Capsule
a) Microscopy b) Pili
b) Urease test c) Lipopolysaccharide
c) Antigen detection d) Pyocyanin
d) Culture e) Cytotoxin (leukocidin)
e) Serology
4.2) Which of the following P. aeruginosa virulence
6.2) Which of the following laboratory test for H. factors is toxic to eukaryotic membranes, which
pylori requires a biopsy and identifies the bacteria disrupts leukocyte function and produces
if the result is positive? pulmonary microvascular injury?
a) Microscopy a) Endotoxin A
b) Urease test b) Endotoxin S
c) Antigen detection c) Cytotoxin
d) Culture d) Elastase
e) Serology e) Pyocyanin
7) The greatest success in curing gastritis or peptic 4.3) P. aeruginosa is inherently resistant to many
ulcer disease has been accomplished with the antibiotics and can mutate (porin proteins) to even
combination of antibiotics and which of the more resistant strains during therapy.
following? a) True
a) Proton pump inhibitor (PPI) b) False
b) Cyclooxygenase (COX) blocker
c) Angiotensin converting enzyme (ACE) inhibitor 4.4) The P. aeruginosa virulence factor ____ is a
d) Selective serotonin reuptake inhibitor (SSRI) heat-labile hemolysin and the virulence factor ____
e) Protease inhibitor is a heat-stable hemolysin.
a) Phospholipase C; Rhamnolipid
34 – Pseudomonas b) Rhamnolipid; Cytotoxin
c) Cytotoxin; Pyocyanin
1) Which of the following locations is the least likely d) Pyocyanin; Elastase
for non-fermenters to exist? e) Elastase; Alkaline protease
a) High oxygen
b) Low oxygen 5.1) In beta hemolysis, a green pigmentation grows
c) Plants in red blood agar. This is due to the ____ pyocyanin
d) Soil and the ____ fluorescein.
e) High moisture a) Green; Green
b) Green; Red
2) Pseudomonas are ubiquitous organisms found in c) Red; Green
soil, decaying organic matter, vegetation, and d) Blue; Yellow
water. Which of the following locations within the e) Yellow; Blue
hospital environment would Pseudomonas likely
NOT be found? 5.2) Which of the following is NOT a featured used
a) Disinfectant solutions to identify P. aeruginosa?
b) Cut flowers a) Lactose non-fermenter
c) Oxygen tanks b) Oxidase negative
d) Floor mops c) Glucose non-fermenter
e) Respiratory therapy equipment d) Sweet grape-like odor
e) Beta hemolysis
c) Heme and NAD (X and V)
5.3) Which of the following is NOT oxidase d) Cysteine
positive? e) Cysteine and heme (X)
a) Vibrio
b) Psudomonas 3) The “type B” in Haemophilus influenzae refers
c) Campylobacter to which of the following, which identifies them by
d) Heliobacter their surface antigens?
e) Enterobacteriaceae a) Biotype
b) Phenotype
6) Which of the following treatment plans would be c) Serogroup
used for P. aeruginosa infection? d) Serotype
a) Penicillin throughout treatment e) Organism
b) A single mix of active antibiotics throughout
treatment 4) Which of the following was NOT a result of the
c) Multiple mixes of active antibiotics changed conjugated Haemophilus influenzae type B
throughout treatment vaccine?
d) A single protease inhibitor throughout treatment a) Systemic disease in children younger than 5 years
e) Multiple protease inhibitors changed throughout has been virtually eliminated in the United States
treatment b) Most of the H. influenzae type B infections now
occur in children who had incomplete vaccination or
7) Which of the following patient populations is at poor response to the vaccine
high risk for Burkholderia cepacia infections of the c) Outside of the United States, influenza type B
respiratory tract? remains the most significant pediatric pathogen in
a) AIDS patients many countries of the world
b) Catheterized patients d) Elderly patients in the United States are unlikely to
c) Cystic fibrosis patients get influenza type B because they are vaccinated
d) Elderly patients e) Ear and sinus infections caused by these organisms
e) Neonates are primarily pediatric diseases
8.1) Stenotrophomonas maltophilia is resistant to 5) Which of the following is NOT true for
which of the following? Pasteurella multocida?
a) -lactam antibiotics a) Oxidase positive
b) Aminoglycoside antibiotics b) Catalase positive
c) Trimethoprim-sulfamethoxazole c) Gram-negative
d) Chloramphenicol and ceftazidime d) Coccobacilli
e) -lactam and aminoglycoside e) Non-fermentive
8.2) Which of the following patient populations is at 6) How would a person typically acquire a P.
high risk for opportunistic Acinetobacter multocida infection?
infections? a) Mosquitoes bite
a) AIDS patients b) Cat bite
b) Catheterized patients c) Unpasteurized milk
c) Patients receiving penicillin d) Person-to-person via aerosols
d) Patients receiving broad-spectrum antibiotics e) Sexual contact
e) Patients receiving aminoglycoside antibiotics
36 & 37 – Bordetella, Francisella and Brucella
35 – Haemophilus and Related Bacteria
1.1) Which of the following describes laboratory
1) Which of the following best describes characteristics of Bordetella pertussis?
Haemophilus? a) Oxidase positive, urease positive, non-motile,
a) Gram-positive cocci growth on sheep blood agar, no growth on MacConkey
b) Gram-positive rods agar
c) Gram-negative cocci b) Oxidase negative, urease negative, motile, no
d) Gram-negative rods growth on sheep blood agar, no growth on MacConkey
e) Gram-negative spirals agar
c) Oxidase positive, urease negative, non-motile, no
2) What are the growth factor requirements for growth on sheep blood agar, no growth on MacConkey
Haemophilus on chocolate agar? agar
a) Hemin (Heme, X) d) Oxidase positive, urease negative, motile, growth on
b) Nicotinamide adenine dinucleotide (NAD, V) sheep blood agar, growth on MacConkey agar
e) Oxidase negative, urease negative, non-motile, expiration followed by a deep inspiration. The
growth on sheep blood agar, growth on MacConkey cough produces copious greenish phlegm. Further
agar history reveals that the infant has not been
vaccinated. The physician fears that erythromycin
1.2) Which of the following differentiates B. therapy will not be helpful at this stage of the
pertussis from both B. parapertussis and B. illness. Which of the following is the most likely
bronchiseptica? cause?
a) Oxidase and urease a) S. pneumoniae
b) Urease and motility b) P. aeruginosa
c) Motility and growth on sheep blood agar c) B. pertussis
d) Urease and growth on sheep blood agar d) F. tularensis
e) Oxidase and motility e) L. pneumophila
Match the following biological effects with the
virulence factors for B. pertussis: 4) The ____ version of the pertussis vaccine is
a) Filamentous hemagglutinin associated with unacceptable levels of
b) Pertussis toxin complications. The ____ version of the vaccine
c) Adenylate cyclase/hemolysin toxin contains inactivated bacteria and the ____ version
d) Tracheal cytotoxin of the vaccine contains the pertussis toxin and one
(or more) bacterial components, which mediate
2.1) Increases intracellular level of adenylate immune response in the host.
cyclase and inhibits phagocytic killing and a) Whole cell; Whole cell; Acellular
monocyte migration Microbiology Quiz
c) Adenylate cyclase/hemolysin toxin Version: 03Jun2008 Page 47 of 66
b) Whole cell; Acellular; Whole cell
2.2) A peptidoglycan fragment that kills ciliated c) Acellular; Whole cell; Acellular
respiratory cells and stimulates the release of d) Acellular; Acellular; Whole cell
interleukin-1 (fever)
d) Tracheal cytotoxin 5) Brucella and Francisella are examples of what
kind of disease, where they can be transmitted from
2.3) Binds to sulfated glycoproteins on ciliated cell animal to human?
membranes; binds to CR3 surface of a) Nosocomial
polymorphonuclear leukocytes and initiates b) Water-borne
phagocytosis c) Blood-borne
a) Filamentous hemagglutinin d) Zoonosis
e) Opportunistic
2.4) S2 subunit binds to glycolipid on surface of
ciliated respiratory cells; S3 subunit binds to 6) What is the primary virulence factor of the
ganglioside on surface of phagocytic cells intracellular parasite F. tularensis?
b) Pertussis toxin a) cAMP inducing toxin
b) Capsule
3.1) In the clinical presentation of B. pertussis c) Spore
disease, at what state does the characteristic d) Teichoic acid
whopping cough develop? e) Type III secretion system
a) Incubation (7-10 days)
b) Catarrhal (1-2 weeks) 7.1) Which of the following carriers of F. tularensis
c) Paroxysmal (2-4 weeks) is the most common for transmission to a human
d) Convalescent (3-4 weeks or longer) host?
a) Domestic cats
3.2) In B. pertussis infection, where is the number b) Birds
of organisms the highest? c) Ticks
a) CSF d) Domestic cats and dogs
b) GI tract e) Rabbits and ticks
c) UG tract
d) Respiratory tract 7.2) Which of the following locations is the least
e) Skin likely for F. tularensis (tularemia) to be found?
a) Arkansas
3.3) An infant born in a rural area is brought to the b) Oklahoma
ER with severe bouts of coughing throughout the c) Missouri
day. During the visit, the baby appears cyanotic d) Pennsylvania
and suffers an attack of many coughs on a single e) Australia
a) Chocolate (CHOC)
7.3) What growth factors are required for F. b) Blood agar plate (BAP)
tularensis? c) Bile Esculin agar (BEA)
a) Heme (X) d) MacConkey agar (MAC)
b) NAD (V) e) Buffered charcoal yeast extract agar (BCYE)
c) Heme and NAD (X and V)
d) Cysteine 2.2) What growth factors are required for
e) Cysteine and heme (X) Legionella?
a) Heme (X)
Match the clinical presentation with the species of b) NAD (V)
Brucella: c) Heme and NAD (X and V)
d) Cysteine and iron
8.1) Severe, acute disease with complications e) Cysteine and heme (X)
common a) B. canis (dogs)
d) Francisella tularensis 2.3) Which of the following laboratory tests for
Legionella uses indirect fluorescent antibody
8.2) Mild disease with animal loss of fetus b) B. suis (IFA)?
(hogs) a) Culture
c) Bordetella pertussis b) Urine antigen test
c) Nucleic acid amplification assay
8.3) Chronic, suppurative, destructive disease c) B. d) Serology
abortus (cattle) e) Identification (microscopy)
b) Pseudomonas aeruginosa
Match the following clinical illness with the
8.4) Mild disease with suppurative complications d) organism:
B. melitensis (goats/sheep)
a) Streptococcus pneumoniae 3.1) Periodontitis, endocarditis, bacteremia from
dog or cat bites
8.5) A doctor is struggling to diagnose a woman’s b) Capnocytophagia
flulike illness. She complains of a fever that rises 3.2) Rat-bite fever (irregular fever)
during the day and peaks after dinner (undulant a) Streptobacillus
fever), fatigue, spinal tenderness, and loss of
appetite. Her lymph nodes are enlarged in physical 3.3) Subacute endocarditis
exam. The doctor has trouble narrowing down the c) Cardiobacterium
possible etiologies until he hears that the woman
tasted goat cheese at a French village a month 3.4) Trench fever (severe headache), cat-scratch
before the onset of her symptoms. Which of the disease, angiomatosis
following is the most likely cause? d) Bartonella
e) Brucella species
40 – Anaerobic, Spore Forming, Gram-positive
38 – Miscellaneous Gram-Negative Bacilli Rods
1.1) Which of the following is most likely caused by 1) Which of the following is NOT true (in general)
Legionella? for Clostridium?
a) Bloody diarrhea a) Gram-negative
b) Fever lasting less than 24 hours b) Bacilli shaped
c) Atypical pneumonia c) Spore-forming
d) UTI d) Obligate anaerobes
e) Meningitis e) Unable to reduce sulfate to sulfite
1.2) Which of the following is the most likely 2.1) A teenage girl enters the emergency room
location to find Legionella pneumophila? suffering painful muscle spasms. Throughout her
a) Water examination, she sustains a facial sneer, a stiff
b) Soil arched back, and clamped palms. Her father is
c) Food anxious about the fact that she has also experienced
d) Plants difficulty eating, probably due to a stiff jaw. The
e) Desert father affirms that her daughter is usually quite
active and boasts how, a week ago, she continued a
2.1) What kind of media is most commonly used to soccer game even after falling on a nail in the field.
grow Legionella? Which of the following is the most likely cause?
a) C. difficile patients with occult colon cancer, acute leukemia,
b) C. perfingens or diabetes?
c) C. septicum a) C. difficile
d) C. botulinum b) C. perfingens
e) C. tetani c) C. septicum
d) C. botulinum
2.2) A woman straggles into the emergency room e) C. tetani
with a marked paralysis of her upper body. She
describes the paralysis as a weakness that began in 2.6) Which of the following is associated with
her neck and spread to her arms. She also Floppy Baby Syndrome?
complains of blurred double vision and requests a) C. difficile
water to soothe her dry throat. Though she has no b) C. perfingens
fever, she appears quite dizzy and her eyelids are c) C. septicum
drooping. The day before, she returned from a d) C. botulinum
camping trip where she insists she maintained good e) C. tetani
hygiene, limiting her diet to canned food only.
Which of the following is the most likely cause? 2.7) Which of the following is associated with
a) C. difficile Pseudomembrane Colitis (PMC)?
b) C. perfingens a) C. difficile
c) C. septicum b) C. perfingens
d) C. botulinum c) C. septicum
e) C. tetani d) C. botulinum
e) C. tetani
2.3) An old woman comes to the doctor with a fever
and loose bowels. Her diarrhea occurs in 3.1) Which of the following describes the effect of
tremendous volumes, she complains, though she tetanus toxin?
doesn’t remember seeing blood. She has an a) Unregulated excitatory synaptic activity in the
unremarkable recent past medical history, except motor neurons
for an infection a few weeks earlier that was treated b) Blocks neurotransmission at peripheral cholinergic
with clindamycin. Sigmoidoscopy of her colon synapses
reveals c) Induces depolymerization of actin with loss of
yellow-white plaques which the doctor predicted cellular cytoskeleton
after analyzing her stools for toxins. Which of the d) Produces chemotaxis; induces cytokine production
following is the most likely cause? with hypersecretion of fluid; produces hemorrhagic
a) C. difficile necrosis
b) C. perfingens e) C and D
c) C. septicum
d) C. botulinum 3.2) Which of the following describes the effect of
e) C. tetani botulinum toxin?
a) Unregulated excitatory synaptic activity in the
2.4) A man enters the emergency room claiming to motor neurons
have been stabbed two days earlier. Muscles in his b) Blocks neurotransmission at peripheral cholinergic
arm hurt, and on palpation small air bubbles are synapses
felt below the skin. The wound area exudes a c) Induces depolymerization of actin with loss of
blackish, ill-smelling fluid that generates a cellular cytoskeleton
crackling sound when touched. The patient has a d) Produces chemotaxis; induces cytokine production
fever, a low blood pressure, marked tachycardia, with hypersecretion of fluid; produces hemorrhagic
and urinated very little since his injury. The doctor necrosis
decides to amputate the arm, as well as monitor the e) C and D
patient for shock and renal failure Which of the
following is the most likely cause? 3.3) Which of the following describes the effect of
a) C. difficile C. difficile toxin?
b) C. perfingens a) Unregulated excitatory synaptic activity in the
c) C. septicum motor neurons
d) C. botulinum b) Blocks neurotransmission at peripheral cholinergic
e) C. tetani synapses
c) Induces depolymerization of actin with loss of
2.5) Which of the following is a cause of cellular cytoskeleton
nontraumatic myonecrosis and often exists in
d) Produces chemotaxis; induces cytokine production Match the following descriptions with the
with hypersecretion of fluid; produces hemorrhagic anaerobic gram-negative bacilli:
necrosis
e) C and D 1.1) Small, spindle-shaped rod
d) Fusobacterium
41 – Anaerobic, Non Spore Forming, Gram-positive
Rods 1.2) Pigmented, asaccharlytic (carbohydrate
metabolizing) rods
1.1) What is the best description of the shape of b) Porphyromonas
Actinomyces?
a) Coccus 1.3) Pigmented and non-pigmented saccharolytic
b) Bacillus rods
c) Spirillum c) Prevotella
d) Diplococcus
e) Filamentous 1.4) Rod-shaped, growth in 20% bile
a) Bacteroides
1.2) Actinomyces grow ____ in culture and are
facultatively anaerobic or strictly ____. 2) Which of the following is NOT a virulence factor
a) Quickly; Aerobic of Bacteroides fragilis?
b) Quickly; Anaerobic a) Polysaccharide capsule allow for adhesion
c) Slowly; Aerobic b) Capsule protects from phagocytosis
d) Slowly; Anaerobic c) Superoxide dismutase prevent oxygen toxicity
d) Diarrheal disease caused by heat-labile toxin
2) Comparing the two, Acinomyces ____ sulfur e) LPS causes shock
granules and Nocardia is ____.
a) Form; Acid-fast 3) Which of the following is NOT a difficulty
b) Form; Not acid-fast associated with laboratory diagnosis of anaerobic
c) Does not form; Acid-fast bacteria?
d) Does not form; Not acid-fast a) Contamination of sample with normal bacterial
population
3) Which of the following would lead to a clinical b) Drying of the sample causes significant bacterial
diagnosis for Actinomyces? loss
a) Gram-negative, beaded filaments, not acid fast, c) Slow growth of over two weeks causes delay
obligate anaerobe d) Staining is faint and irregular
b) Gram-positive, beaded filaments, not acid fast, e) Transport must be in oxygen free environment
obligate anaerobe
c) Gram-negative, rods, acid fast, obligate anaerobe 4.1) Which of the following is NOT one of the most
d) Gram-positive, rods, acid fast, obligate aerobe common anaerobes found in brain abscess
e) Gram-negative, cocci, not acid fast, obligate infections?
anaerobe a) B. fagillis
b) Prevotella
4.1) Which of the following forms of actinomycosis c) Porphyromonas
(painful abscesses, growing larger as the disease d) Fusobacterium
progresses) is the most common? e) Peptostreptococcus
a) Cervicofacial
b) Thoracic 4.2) Which of the following is most commonly seen
c) Abdominal in intraabdominal infections and bacteremia?
d) Pelvic a) B. fagillis
e) Central nervous system b) Prevotella
c) Porphyromonas
4.2) Which of the following disease is often confused d) Fusobacterium
with actinomycosis? e) Peptostreptococcus
a) Endocarditis
b) Herpes 5.1) What growth media is used to help
c) Neoplasms differentiate B. fragilis?
d) Osteomyelitis a) Chocolate (CHOC)
e) Chagas disease b) Thayer-Martin (TM)
c) Blood agar plate (BAP)
42 – Anaerobic Gram-Negative Bacilli d) Bile Esculin agar (BEA)
e) MacConkey agar (MAC)
d) Congenital
5.2 Bacteroides are the only Gram-negative
bacteria without typical: 4.2) Children born with congenital syphilis often
a) Capsule exhibit Hutchinson Triad, which includes deafness,
b) Endotoxin blindness, and centrally notched teeth. If the
c) Adhesins mother has been exposed to Chlamydia, syphilis, or
d) Catalase gonorrhea, the newborn may receive a prophylactic
e) Fimbriae antibiotic for their:
a) Ears
43 – Treponema, Borrelia and Leptospira b) Eyes
c) Nose
Match the spirochetal bacteria and the disease d) Mouth
caused by each: e) Systemic antibiotic (via IV)
1.3) Borrelia burgdorferi 4.4) Of the following organisms that can cross the
c) Lyme disease placenta, which of the following is associated with
congenital CN VIII deafness, mulberry molars,
1.4) Borrelia recurrentis saddle nose, blindness, deafness, and
b) Endemic relapsing fever cardiovascular problems?
a) Toxoplasma gondii
2) Which of the following is true for visualizing b) Rubella
spirochete? c) Cytomegalovirus
a) They can be viewed without significant d) Herpes, HIV
magnification (e.g. 10x) e) Syphilis
b) They can be viewed with Gram stain
c) They can be viewed with Giemsa stain 5) Which of the following is/are used to confirm
d) They require special analysis such as dark field nontreponemal assays?
illumination or silver stain a) Venereal Disease Research Laboratory (VDRL) test
b) Rapid Plasma Reagin (RPR) test
3.1) Which of the following groups of people is most c) Fluorescent treponemal antibody-absorption (FTA-
at risk for contracting T. pallidum? ABS) test
a) Pregnant mothers d) Treponema pallidum particle agglutination (TP-PA)
b) Cystic fibrosis patients test
c) Sexually active patients e) C & D
d) Elderly patients
e) Anyone (spread through contact with inanimate Match the modes of transmission with the
objects, such as toilet seats) spirochete:
6.1) Sexual contact
3.2) The tissue destruction and lesions observed in a) Treponema pallidum
syphilis are primarily a consequence of which of the
following? 6.2) Ticks
a) Bacterial capsule c) Borrelia burgdorferi
b) Bacterial endoflagellum
c) Bacterial overgrowth 6.3) Rodents, Dogs, Fish, Birds
d) Bacterial hyaluronidase d) Leptospiras interrogans
e) Host immune response
6.4) Human-to-human louse
4.1) What stage of syphilis is characterized by b) Borrelia recurrentis
disseminating rash, alopecia, lymphadenopathy,
and flulike symptoms. 7) Which of the following is an early clinical sign of
a) Primary Lyme Disease and not a late sign?
b) Secondary a) Musculoskeletal disease (e.g. migratory myalgias,
c) Tertiary transient arthritis)
b) Nervous system disease (e.g. Bell palsy, b) Middle-aged adults
encephalopathy) c) School-age children
c) Cardiovascular involvement (e.g. AV nodal block) d) Neonates
d) Erythema chronicum migrans (ECM) e) Pregnant mothers
e) Acrodermatitis chronicum atrophicans (ACA)
4) Which of the following tests is the most useful
8.1) Which of the following locations within the currently as an initial laboratory test, has about
United States has the highest reported cases of 65% sensitivity, and has specificity that cross-reacts
Leptospira infection each year? to other organisms (e.g., Epstein-Barr virus,
a) Minnesota cytomegalovirus, adenovirus)?
b) Pennsylvania a) Microscopy
c) New York b) Molecular diagnosis
d) Wisconsin c) Complement fixation
e) Hawaii d) Enzyme immunoassays
e) Cold hemagglutination
8.2) A farmer comes to the ER with a 1-week
history of flu-like symptoms with photophobia. His 45 – Rickettsia
severe headache, cough, and myalgias suggest to the
physician some kind of respiratory infection. 1.1) Which of the following is an organism that
However, more careful physical exam reveals prefers to live inside a host cell but may live outside
conjunctival suffusion and macular rash. Lab a host cell?
findings include elevated serum bilirubin, alkaline a) Extracellular pathogen
phosphatase, aminotransferase, and creatine b) Intracellular pathogen
phosphokinase. With this clinical picture and lab c) Obligate intracellular parasite
results, the physician prescribes penicillin G d) Obligate extracellular parasite
immediately. His suspicions are confirmed later e) Facultative intracellular parasite
when a spirochete is isolated from the patient’s
blood. Which of the following is the most likely 1.2) Rickettsia, an aerobic Gram-negative rod, is
cause? which of the following?
a) Treponema pallidum a) Extracellular pathogen
b) Leptospira interrogans b) Obligate intracellular parasite
c) Borrelia burgdorferi c) Obligate extracellular parasite
d) Borrelia recurrentis d) Facultative intracellular parasite
44 – Mycoplasma and Ureaplasma Match the following Rickettsia with the disease and
location:
1) Mycoplasma pneumoniae (Eaton agent) are
unique among bacteria because their cell 2.1) Rocky Mountain spotted fever (Western
membrane contains sterols and they do not have hemisphere)
which of the following? c) Rickettsia rickettsii
a) -lactam antibiotic resistance
b) Flagella 2.2) Epidemic typhus (Worldwide)
c) Endotoxin d) Rickettsia prowazekii
d) Capsule
e) Cell wall 2.3) Scrub typhus (Asia, Oceania)
a) Orientia tsutsugamushi
2) Which of the following is associated with
Ureaplasma? 2.4) Q fever (Worldwide)
a) Genitourinary tract infection b) Coxiella burnetii
b) Atypical pneumonia
c) Tracheobronchitis Match the following Rickettsia with the vector:
d) Influenza-like illness 2.5) Cattle, sheep, goats
e) Upper respiratory tract infection b) Coxiella burnetii
Match the site of latency with the virus: 2.14) Which of the following has spurious
2.1) Sacral ganglia production of an IgM antibody to the Paul- Bunnell
b) Herpes simplex type 2 (HSV-2) antigen (heterophile antibody)?
a) Epstein-Barr virus (EBV)
2.2) Dorsal root ganglia b) Varicella-zoster virus (VZV)
c) Varicella-zoster virus (VZV) c) Cytomegalovirus (CMV)
d) Herpes simplex type 1 (HSV-1)
2.3) B cells e) Herpes simplex type 2 (HSV-2)
d) Epstein-Barr virus (EBV)
2.15) A vaccine (live attenuated) only currently
2.4) Trigeminal ganglia exists for which of the following?
a) Herpes simplex type 1 (HSV-1) a) Herpes simplex type 1 (HSV-1)
b) Herpes simplex type 2 (HSV-2)
2.5) Mononuclear cells c) Varicella-zoster virus (VZV)
e) Cytomegalovirus (CMV) & HHV-6 d) Epstein-Barr virus (EBV)
e) Cytomegalovirus (CMV)
Match the clinical presentation of recurrent
infection with the virus: 2.16) Cancer (Burkitt lymphoma, nasopharyngeal
2.6) Genital herpes, neonatal herpes carcinoma, Hodgkin disease) is only associated with
c) HSV-2 which of the following?
a) Herpes simplex type 1 (HSV-1)
2.7) Shingles, chickenpox b) Herpes simplex type 2 (HSV-2)
c) Varicella-zoster virus (VZV) elevated lymphocytes, elevated proteins, and
d) Epstein-Barr virus (EBV) normal glucose. A CT image confirms encephalitis
e) Cytomegalovirus (CMV) localized to the temporal lobes. A diagnosis is
confirmed by PCR of the CSF. The physician
3.1) A 2-year-old child experiences a rapid onset of begins treatment with acyclovir and informs the
high fever that lasts for 3 days and then suddenly patient that he may suffer permanent neurological
returns to normal. Two days later, a abnormalities from the infection. Which of the
maculopapular rash appears on the trunk and following is the mostly likely cause?
spreads to other parts of the body. Which of the a) Herpes simplex type 1 (HSV-1)
following is the most likely cause? b) Herpes simplex type 2 (HSV-2)
a) Herpes simplex type 1 (HSV-1) c) Varicella-zoster virus (VZV)
b) Herpes simplex type 2 (HSV-2) d) Epstein-Barr virus (EBV)
c) Varicella-zoster virus (VZV) e) Cytomegalovirus (CMV)
d) Epstein-Barr virus (EBV) f) Herpes lymphotropic virus (HHV-6) and Human
e) Cytomegalovirus (CMV) herpesvirus 7 (HHV-7)
f) Herpes lymphotropic virus (HHV-6) and Human g) Kaposi sarcoma-related virus (HHV-8)
herpesvirus 7 (HHV- 7)
g) Kaposi sarcoma-related virus (HHV-8) 60 – Orthomyxoviruses
3.2) A Jewish AIDS patient from Isreal presents to 1.1) Which of the following is NOT true for
the ER with red-brown raised nodules on the lower influenza viruses?
limbs, face, and genitalia. Lymphodema is found a) Envelope contains hemagglutinin (HA)
upon palpation. The patient complains about b) Envelope contains neuraminidase (NA)
difficulty eating and dark growths are found along c) Envelope lined with two M proteins
the gum line. d) Capsid symmetry is pleomorphic (spherical or
Which of the following is the mostly likely cause? tubular)
a) Herpes simplex type 1 (HSV-1) e) Influenza A, B, and C have 8 genomic segments
b) Herpes simplex type 2 (HSV-2)
c) Varicella-zoster virus (VZV) 1.2) Which of the following is true for influenza
d) Epstein-Barr virus (EBV) viruses?
e) Cytomegalovirus (CMV) a) Double-stranded DNA
f) Herpes lymphotropic virus (HHV-6) and Human b) Double-stranded RNA
herpesvirus 7 (HHV-7) c) Single-stranded positive-sense RNA
g) Kaposi sarcoma-related virus (HHV-8) d) Single-stranded negative-sense RNA
e) Not a DNA or RNA virus
3.3) A 34-year-old kidney transplant patient
currently on immunosuppressants complains of 2) Which of the following is true in comparing
shortness of breath and coughing. Physical exam influenza A to influenza B?
reveals fever and abnormal lung sounds while chest a) A has antigenic drift and shift, affects a mixture of
x-ray indicates interstitial infiltrates in the lungs. animal and human
No cysts are detected on silver stain of b) A has antigenic shift, affects only humans
bronchoalveolar lavage fluid, ruling out c) B has antigenic drift and shift, affects a mixture of
Pneumocysitic carinii infection. The doctor makes a animal and human
diagnosis after viewing a sample of the patient’s d) B has antigenic shift, affects only humans
lung tissue, which shows abnormal giant cells. e) A has antigenic drift, affects only humans
Which of the following is the mostly likely cause?
a) Herpes simplex type 1 (HSV-1) 3.1) Given an influenza virus
b) Herpes simplex type 2 (HSV-2) A/Bangkok/1/79/(H3N2), what does 1/79 stand for?
c) Varicella-zoster virus (VZV) a) The type of influenza virus
d) Epstein-Barr virus (EBV) b) The location it was originally isolated
e) Cytomegalovirus (CMV) c) The date it was originally isolated (January, 1979)
f) Herpes lymphotropic virus (HHV-6) and Human d) The virulence ration (one person can infect 79
herpesvirus 7 (HHV-7) others)
g) Kaposi sarcoma-related virus (HHV-8) e) The antigens present
3.4) A 55-year-old man is hospitalized for a recent 3.2) Given an influenza virus
onset of high fever, headaches, and sporadic A/Bangkok/1/79/(H3N2), what does (H3N2) stand
sensations of smelling sausages. Physical exam for?
reveals neck stiffness, prompting the physician to a) The type of influenza virus
perform a lumbar puncture. CSF values indicate
b) The location it was originally isolated (latitude, 7.2) Which of the following is true regarding the
longitude) drugs zanamivir and oseltmivir?
Microbiology Quiz a) Inhibit an uncoating step of the influenza A virus
Version: 03Jun2008 Page 61 of 66 but do not affect the influenza B and C viruses
c) The date it was originally isolated (January, 1979) b) Inhibit influenza A as enzyme inhibitors of the
d) The virulence ration (one person can infect 79 neuraminidase, preventing virus release but does not
others) affect the influenza B and C viruses
e) The antigens present c) Inhibit an uncoating step of both influenza A and B
virus but do not affect the influenza B and C viruses
4) Influenza virus B ____ accomplish antigenic shift d) Inhibit both influenza A and B as enzyme inhibitors
and therefore ____ cause pandemics, unlike of the neuraminidase, preventing virus release
Influenza virus A.
a) Can; Can 8.1) The influenza vaccine (killed, formulin-
b) Can; Cannot inactived) is available annually and contains the
c) Cannot; Cannot most likely strain(s) to be present for the upcoming
d) Cannot; Can season. How many strains of influenza are included
in common vaccinations?
5) How is influenza transmitted? a) 1
a) Aerosols from cold, dry air such as outdoors in the b) 3
winter c) 5
b) Aerosols from person-to-person such as from d) Tens
coughing e) Hundreds
c) Fecal-oral such as from a cook that does not wash
their hands 8.2) Due to the growth process of the influenza
d) Vector-borne such as from lice vaccine, people allergic to which of the following
e) Water-borne such as from drinking contaminated should avoid the vaccine due to possible allergic
fluids reaction?
a) Peanuts
6.1) Which of the following is the least likely clinical b) Shellfish
syndrome associated with influenza viral c) Wheat
infections? d) Soy
a) “Seal bark” cough in children (croup) e) Eggs
b) Fever persisting for 3-8 days
c) Otitis media in children
d) Malaise, headache, and myalgia
e) Secondary bacterial pneumonia
(2) all the following samples are stained using (12) virus is similar to live organisms in?
gram stain except? *growth
*water culture *movement
*sputum *reproduction
*stool
(13) the largest resolution of the microscope is?
(3) the percentage of sodium chloride in agar *0.02microns
culture is? *2.0microns
*0.058% *0.2microns
*58.0%
*0.58% (14) which of the following causing enlargement
of RBCs?
(4) agar is characterized by all the following *reticulocytes
except? *leishmania
*freezing point is 42c & melting point is 100c *plasmodium
*nutritive
*un-nutritive (15) the best sample for the culture of children
paralysis virus is?
(5) gram stain starts with? *anal swab
*iodine *blood culture
*crystal green *stool culture
*methyl violet /
(16) dry air oven is used to sterilize?
(6) the causative of toxoplasma is? *water
*flees *culture media
*dogs *sand
*cats
(17) to differentiate between the two streptococci
(7) gram negative samples are stained with? group which enzyme is used?
*yellow color *coagulase
*blue color *kinase
*red color *catalase
(8) the color of cholera when cultured on TCBS? (18) the microscope which used in investigate
*blue syphilis is?
*green *light microscope
*yellow *ultra-violet microscope
*dark field microscope
(9) the diameter of micro pore filter used in
bacteria filtration is? (19) the antibiotic disc which differentiate
*0.033microns between group A streptococci and other groups is?
*2.2microns *neomycin
*0.22microns *tetracycline
*bacitracin
(10) leishmania is transported by?
*mosquitoes (20) all of the following is true for salmonella
except? *schistosoma haematobium
*motile
*produces H2S (31) the significant count of bacteria to be
*oxidase positive inflammation is?
*less than 10^5
(21) the nutritive substance in culture media is? *more than 10^3
*sugar *more than 10^5
*starch
*agar (32) to investigate gram stained samples we use
the following microscope?
(22) the best media for urin culture is? *double phase microscope
*blood agar *florescent microscope
*chocolate agar *light microscope
*cled agar
(33) all the following bacteria are interobacter
(23) the sterilization of autoclave is? except?
*85c for 30min *E.coli
*150c for 30min *proteus
*121c for 15min *non of the previous
(24) shigella soni colored in maconkey & EMB? (34) in the microscope when using objective lens
*colorless 10 & eye lens 10 the magnification power of the
*red microscope is?
*pink *10
*1000
(25) the oil emertion lens is *100
*10
*40 (35) all the following parameters affecting gram
*100 staning except?
*use H2SO4
(26) the dwarf worm is? *add absolute alcohol after washing
*schistosoma *delaying the dryness of the slide
*tenia saginata
*H.nana (36) malaria chizonts are present in?
*reticulo-endothelial
(27) all of the following are present in gram stain *leukocyte
except? *RBCs
*safranine
*iodine (37) solidifying agent in culture media is?
*malachite green *wax
*starch
(28) the diagnostic stage of amoeba is? *agar
*cyst
*trophozoite (38) agar which used as a solidifying agent in
*all previous culture media concentration is?
*5-9%
(29) to check the intestinal efficacy the following *4-9%
test is done? *1-2%
*pepsin
*lipase (39) to sterilize culture media we use?
*stool fats *boiling
*hot oven
(30) the worm that causes blood in urin? *autoclave
*ascaris
*fasciola (40) when focusing a stained smear under oil
immersion field the magnification is? (50) the label in ELISA tests is?
*10 *radio active substance
*40 *antibody
*100 *enzyme
(51) polio myeletis is transmitted through?
(41) generally diagnosed by recovery & *skin
identification of typical larva in stool? *respiration
*hook worms *feco-oral
*t.trichura
*s.stercoralis (52) malaria does not grow in?
*EDTA blood
(42) enlarged RBCs are common in? *heparin zed blood
*p.malaria *plasma
*p.falciparum
*p.vivax (53) serious that causes food poisoning?
*staph albus
(43) which of the following is not laying eggs in *salmonella typhi
small intestine? *salmonella enteritidis
*hook worm
*t.saginata (54) which of the following causes UTI & INDOL
*pin worm positive?
*klebsiella
(44) blood sample is used to diagnose? *staphylococci
*C.tetani *E.coli
*C.diphteria
*non from them (55) blood transfusion can transmit?
*HIV
(45) how much water should we add to 500ml of a *CMV
solution of 10% of NAOH to bring it to 7.5%? *all of the previous
*666
*250 (56) amoeba moves by?
*166 *cilia
*flagella
(46) a standard micro plates in ELISA test has? *pseudopodia
*98 wells
*94 wells (57) one of the following is capsulated bacteria?
*96 wells *streptococci
*E.coli
(47) the enzyme in ELISA testing is present in *klebsiella
the?
*buffer
*micro plate
*conjugate
269. In the formol-ether technique the parasite found 342. All of the following bacteria cell components
in: except
a. ether layer a. Cell wall
b. formol layer b. Cell membrane
c. sediment c. Cytoplasm
d. Fecal deprise d. Pilli
e. Mitochondria
ﺟﺎﻧﻲ ﺑﻧﻔس اﻟﺻﯾﻐﺔ ﺗﻣﺎﻣﺎ304 ﺳؤال
304. Pathogen should do:- 345. Eye swab cultur in
a. Infect-transmitted-Reproduce a. MaCconky
b. Reproduce- Infect-Tans b. CLED
c. transmitted – Infect – Reproduce c. Chocolate
d. ALL d. XLD
e. Non above
350. Heprenized syringe use to collect __________
ھذا اﻟﺳؤال ﺟﺎﻧﻲ ﺑﺎﻟﺗﻣﺎم sample
307. In chemistry lab use:- a. Synovial
a. Green tube b. CSF
b. Red tube c. Venous
c. Blue tube d. Arterial
d. Lavender
400. The (u) unit use to evaluation?
315. We done the following exam for donor except:- a. Protein in serum
a. HIV b. Hemoglobin
b. HCV c. Hormone assay
c. H BV d. Enzymatic activity
d. H AV
403. Non streptococci:
335. To differentiate between hemophilia A and B a. S.pyogenes
a. Leukocyte count b. S.agalatiate
b. Factor assay c. S.aureus
c. PT and PTT assay d. S.pneumonia
d. All of the above
Poxvirus Carcinogens
Feedback
Orthomyxovirus Corrosives are any liquid or solid that causes visible
Feedback destruction or irreversible alteration in human skin
Paramyxovirus: RNA tissue at the site of contact, or a liquid that has a severe
Rhabdovirus: RNA corrosion rate on steel. The term “corrosive” includes
Poxvirus: DNA all items commonly referred to as acids and most strong
Orthomyxovirus: RNA bases as well.
---------------------------------------------------------- Sheep blood agar contains inhibitors to which of the
Hemophilia B or Christmas disease is the result of a following organisms:
hereditary deficiency in which coagulation factor: √√
Haemophilus Alpha-fetoprotein
The RBCs seen in this illustration are indicative of: Standard crossmatch
√√ √√
Normal cells Lymphocyte cytotoxicity
Blood cells and platelets are counted utilizing a type of Thorn cell
defraction gradient technique.
Sickle cell
Blood cells and platelets are counted by measuring the
drop in transmitted light as they pass through a series Target cell
of apertures. Feedback
√√ Elliptocytes are seen in large numbers in hereditary
Blood cells or other particles are counted and sized elliptocytosis. They are also seen in lesser numbers in
based on changes in electrical resistance as they pass iron deficiency anemia, and other conditions.
between two electrodes. ----------------------------------------------------------
Feedback Which of the following options gives in order from most
The impedance principle has been the basis for most to least important, the factors you would use to select
blood cell counters for more than 25 years. blood for a transfusion:
----------------------------------------------------------
Which of the following Rh antigens is found the highest Major Crossmatch Compatibility, ABO Type Specific
frequency in the Caucasian population: Blood, Antigen Negative Blood for Patient with antibody
The correct answer is highlighted below reacting only at room temperature
√√
C ABO Type Specific Blood, Major Crossmatch
Compatibility, Antigen Negative Blood for Patient with hexagonal plates in acid urine. They may be confused
antibody reacting only at room temperature with hexagonal uric acid crystals. They can be
Antigen Negative Blood for Patient with antibody differentiated from uric acid by their solubility in dilute
reacting only at room temperature, Major Crossmatch hydrochloric acid versus crystalline uric acid, which is
Compatibility, ABO Type Specific Blood not soluble in dilute hydrochloric acid. The cyanide-
---------------------------------------------------------- nitroprusside test can be used to confirm the presence
Hemoglobin (g/100ml) x 10 / RBC count (millions/mm3) of cystine in urine. Cystine crystals are not present in
is the formula for calculating: normal urine.
----------------------------------------------------------
MCHC
MCV ----------------------------------------------------------
√√
MCH ----------------------------------------------------------
RDW ----------------------------------------------------------
Feedback
MCH is the average weight of hemoglobin in the ----------------------------------------------------------
average red blood cell. The value is expressed in
picograms (10-12 grams). ----------------------------------------------------------
----------------------------------------------------------
Aplastic anemia may be caused by all of the following ----------------------------------------------------------
except:
Infections ----------------------------------------------------------
Section 5: Parasitology
Q1: Giardia lablia is the same of (watery stool-diarrhea):
A) Shigella 19- a 17 yrs. old school boy was playing foot ball and he
B) Salmonella was kicked in his Rt. eye .. few hours later he started to
C) ECT complain of : double vision & echymoses around the
D) V. Cholera eye .. the most likely Dx. Is :
a full term baby boy brought by his mother weighing 3.8
kg. developed jaundice at 2nd day of life .. coomb's test
a- cellulites e- chronic active Hep. B
b- orbital bone fracture
c- global eye ball rupture
e- subconguctival hemorrhage
23- 25 yrs. old man presented to ur clinic with one
month HX of aching pain in the elbow , radiates down to
the lateral forearm ..the pt. frequently plays squash …
20- a 35 yrs old female pt. C/O : acute inflammation and O/E:
pain in her Lt. eye since 2 days .. she gave Hx of visual Pain increases with dorsiflexion of the wrist performed
blurring and use of contact lens as well … O/E : under resistance specially with elbow extended … the
fluorescence stain shows dentritic ulcer at the center of most likely diagnosis :
the cornea .. the most likely diagnosis is :
a- Vaginitis
- 28-17 year old male while play football felt on his knee b- Cystitis
“tern over “ what do think the injury happened c- CA of vagina
d- Urithritis ( non gonococal )
a- CBC
b- ESR
- 29-For health education programme to be effective all c- U/S of the pelvis
true except : d- Plain X-ray
- e- Vaginal swab for C/S
a- Human behaviour should be well understood.
b- Procedures used include illustration & picture.
c- Doctors should be the only educator. - 34-Pt had arthritis in tow large joint & pansystolic
d- Community member should be involved in early murmur ( carditis )
stage. Hx of URTI the most important next step:
e- ………….
__________________ a- ESR
b- ASO titre
c- Blood culture
- 30-Placenta previa excludes :
a- Pain less vaginal bleeding - 35-35 years prime 16 wk gestation PMH coming for
b- Tone increased of uterus her 1st cheek up she is excited about her pregnancy no
c- Lower segmental abnormality hx of any previous disease.
d- Early 3rd trimester Her B/P after since rest 160/100 after one wk her B/P is
154/96
- 31-Pregnancy test +ve after : Most likely diagnosis :
a- Pre eclempsia a- orthostatic hypotension
b- Chronic HTN b-
c- Lable HTN
d- Chronic HPT with superimposed pre eclampsia 40- what is the most appropriate treatment for the
e- Transit HPT?? above patient :
a- antiemetic
b- antihistamine
- 36-women complain of non fluctuated tender cyst for c- change the antidepressant to SSRI
the vulva . came pain in coitus & walking , diagnosed d- thiazide diuretics
Bartholin cyst . what is the ttt: e- audiometry
6- a 24 yrs old pt. came for check up after a 10- a 58 yrs. old male pt. came with HX of fever, cough
promiscuous relation 1 month ago .. he was clinically with purulent foul smelling sputum and CXR showed :
unremarkable, VDRL : 1/128 … he was allergic 2 fluid filled cavity … the most likely diagnosis is :
penicillin other line of management is : a- abscess
a- ampicillin b- TB
b- amoxicillin c- bronchieactesis
c- trimethoprim
d- doxycyclin
11- a 28 yrs. old lady , C/O: chest pain, breathlessness
and feeling that she'll die soon .. O/E : just slight
tachycardia .. otherwise unremarkable .. the most likely
diagnosis is:
7- a 24 years old female pt. C/O : gray – greenish a- panic disorder
discharge , itching .. microscopic examination of
discharge showed : flagellated organism … most likely
diagnosis is :
a- trichomoniasis ( trichomonas vaganalis )
12- a patient ( known case of DM ) presented to u with
diabetic foot ( infection) the antibiotic combination is :
a- ciprofloxacin & metronedazole
8- a 43 yrs. old female pt. presented to ER with H/O :
paralysis of both lower limbs and parasthesia in both
upper limbs since 2 hours ago .. she was seen lying on
stretcher & unable to move her lower limbs (neurologist 13- a young pregnant lady (Primigravida) , 32 weeks of
was called but he couldn't relate her clinical findings 2 gestation came to you C/O : lower limbs swelling for
any medical disease !!! ) when history was taken , she two weeks duration .. she went to another hospital and
was beaten by her husband … the most likely diagnosis she was prescribed ( thiazide & loop diuretic ) .. O/E : BP
is : : 120/70 , mild edema , urine dipstick : -ve and
a- complicated anxiety disorde otherwise normal…. The best action is :
b- somatization disorder a- continue thiazide & stop loop diuretic
c- conversion disorder b- cont. loop diuretic & stop thiazide
d- psychogenic paralysis c- stop both
e- hypochondriasis d- continue both and add potassium sparing diuretic
e- cont. both & add potassium supplement
9-how we can differenite from gram(-)and gram (+) by:
cell wall.
14- a 17 yrs. old football player gave HX of Lt. knee
giving off .. the most likely diagnosis is : 10-the color of gram (+) is:
a- Lat. Menisceal injury blue light.
b- medial menisceal injury
c- lateral collateral ligament 11-the cell wall of gram(+) contain :
d- medial collateral ligament ﻣﻊ ﻣﺎده ﺛﺎﻧﯾﮫ ﻧﺳﯾت اﺳﻣﮭﺎpeptedo glycogen
e ant. Curciate ligament 12-pemenant defferal :
A-iron deffeciancy animea.
B-diarreha.
15- a 10 yrs. old boy presented to clinic with 3 weeks HX اﻧﺎ اﺧﺗرت ذيC-hepatitis C positive.
of limping that worsen in the morning .. this suggests D-fever.
which of the following :
a- septic arthritis 12-the immuonoglubin which contain five chain in the
b-leg calve parthes disease heavy chain is:
c- RA A-IG g.
d- a tumor ھذا اﻟﻲ اﻧﺎ اﺧﺗرﺗوB-IG A.
e- slipped capital femoral epiphysis C-IG D.
D-IG E.
2010 -4 -25 اﺳﺌﻠﺔ اﺧﺘﺒﺎري
ﻋﺷﺎنig m وﷲ ﻣﺎ ﺟﺎﻧﻲigm ھذي اﻻﺧﺗﯾﺎرات اﻟﻲ ﺟﺎﺗﻧﻲ ﺑﺎﻟﺗﺣدﯾد ﻣﺎﻓﻲ
1-in theplain tube what will happen to the sample: ﻣﺎ ﺗﻘوﻟو اﻧﻲ اﻛذب او اﻧﻲ ﻧﺳﯾت اﻻﺧﺗﯾﺎر
13-the foundmental of erythrocyte production is:
clotting.
A-ERTHROPIOTEIN.
2-the unit of measurment of E.S.R:
14-leucocyte increase incase:
millimeter.
A-BACTERIAL infection .
B-chemotherapy.
3-the HB which found in 96% is:
C-radiation.
alpha2 beta2.
D-ALL OF ABOVE.
E-NON OF ABOVE.
4-the most common blood group is:
O blood group.
15-the triple granule which is the most aboundent in
leucocyte is:
5-the antibody of blood group is:
netrophil.
antiA and B.
22-the following related to immunassay except: turbiduty sample:ﺟﺑﻠﻲ اﺳم ﻧظرﯾﮫ ﺑﻌدﯾن ﻣﻛﺗوب36-
IMMUNORECIPENT. ھذا اﻟﻲ اﻧﺎ اﺧﺗرﺗو ﺟﺎﺗﻧﻲ اﺧﺗﯾﺎرات ﻛﺛﯾره ﺑسrefraction of light
ﻧﺳﯾﺗﮭﺎ
23-heamophilus influenza cause:
ھذا اﻟﻲ اﻧﺎ اﺧﺗرﺗوN.meningitis in infant and cheldren. ﺣﺎطط ﻓﻲ اﻟﺳؤال اﺳم وﺑﻌد اﻻﺳم ﻛﺎﺗب ﻣﺎدة اﻟﻔورﻣﺎﻟﯾن ﯾﻘول اﻧﺎ37-
sedment stool because:اﺣﺳن طرﯾﻘﺔ ﻓﻲ ال
24-the following microorganism will not take the gram maintain the ﻣﻌﻠﯾش وﷲ ﻧﺎﺳﻲ اﻻﺧﺗﯾﺎرات ﺑس ﻣﺗذﻛر وﺣده اﻟﻲ ھﻲ
stain: parasite
mycobactrium specius.
38-the agar of C.diphtheria:
25-the following parasite will not take the gimsa stain: اﻧﺎ اﺧﺗرت ذيA-Ss agar.
A-lishmenai. B-TCBS.
B-TRYPONSOM. ﺑس واﺣد ﻣن اﻟﺷﺑﺎب ﻗﻠﻲ ذيC-BLOOD MONITOL AGAR.
اﻟﺗراﯾﺑﻧوﺳوﻣﺎ ﺑس ﻣﺎﻧﻲ ﻣﺗﺎﻛدB اﻟﺷﺳﺗوﺳوﻣﺎ وﷲ اﻧﺎ اﺧﺗرتC- D-XLD
26-plasmodium will transfare by: ﺗرو ذي ﻧﻔس اﻻﺧﺗﯾﺎرات اﻟﻲ ﺟﺎﺗﻧﻲ واﻟﻠﻠﻠﻠﻠﮫ ﺣﻠﻔﺗﻠﻛم ﻣو ﻋﺷﺎن ﺗﻘوﻟو ﺗﯾﻛر
اﻧﺎ اﺧﺗرت ذيA-MOSIQUTE. ﻛذاب وﻻ واﺣد ﯾﺟﻲ ﯾﻘﻠك ﻻ ﺑﺎﺿﯾف اﺧﺗﯾﺎر ﻣن ﻋﻧدي
B-FLY.
C-ALL OF ABOVE 39-THE nutrent media is:
basic media.
27-when the micro invade the body B-cell will secret
and it will transfer to : 40-the following tests we doing in emergency cases
plasma cell. except:
A-electrolight.
28-B-plasma cell will immuture by : B-GLUCOSE.
ھذا اﻟﻲ اﻧﺎ اﺧﺗرﺗو ﻣﺎﻧﻲ ﻣﺗﺎﻛدthyroid gland C-BLOOD GAS.
29-T-lymphcyte will immuture by: ھذا اﻟﻲ اﻧﺎ اﺧﺗرﺗوD-ALBUMIN.
اﻧﺎ اﺧﺗرت ذي ﺑس ﻣﺎﻧﻲ ﻣﺗﺎﻛدlymph node
30-glycogene will formation in: 41-anti diaurtic hormone will secret from postirior
liver. :ﯾﻌﻧﻲ ﻛﺎﻧو ﯾﻘﻠك اش وظﯾﻔﺔ ھذا اﻟﮭرﻣونpitutary gland:
وھذا اﻟﻲ اﻧﺎ اﺧﺗرﺗوA-DECREASE urine volume .
B-DECREASE SUGAR VOLUME. وھذا اﻟﻲ اﻧﺎ اﺧﺗرﺗوA-S.AUREUS.
ﺑﺎﻗﻲ اﻻﺧﺗﯾﺎرات ﻧﺳﯾﺗﮭﺎ B-STREPTO.
Z ﻓﻲ اﻟﺳؤال ذا ﺟﺑﻠﻲ ﻧوع ﻣن اﻟﺳﯾدﻣوﻧس ﺑس ﻧﮭﺎﯾﺗﮭﺎ ﺑﺣرف ال47- WHICH OF THE FOLLOWING SOFT DRINK WILL GIVE THE
THE FOLLOWING ﺳﺎﻣﺣوﻧﻲ ﻧﺳﯾت اﺳﻣﮭﺎ اﻟﺳؤال ﯾﻘول GUT:
CHARACTER IS TRUE:
A-MOTILE-OXIDASE (+)-LACTOSE FERMENTER-GRAM(- A- PEPSI.
)ھذا اﻟﻲ اﻧﺎ اﺧﺗرﺗو ﻣﺎﻧﻲ ﻣﺗﺎﻛدRODS. B-7 UP.
ﯾﺎﻗﻲ اﻻﺧﺗﯾﺎرت ﺑس ﻋﻛس C-7 DOWN.
D- DEW
48-factor of erythropiosis: اﻟﺷﺎطر ﯾﻘﻠﻲ اﻻﺟﺎﺑﮫ
:وﷲ ﻧﺎﺳﻲ اﻻﺧﺗﯾﺎرات ھذا اﻟﻲ اﻧﺎ ﻣﺗذﻛرو
A-NEEDS FOLIC ACIDS AND VITB12. اﺧﺻﺎﺋﻲ ﻣﺧﺗﺑر25-9-2012
وﻋﻠﻰ ﻣﺎ اﻋﺗﻘدB-STIMULUS IN CASE OF HYPOOXYGENEMIA.
ھذا اﻟﻲ اﻧﺎ ﺣطﯾﺗو
1- acute pancreatitis is BEST diagnosed by:
A-ALT
49-RETENTION OF URIC ACID:
B-AST
KIDNEY.
C-Amylase
D-Lipase
50-estimation of acid in heredetary:
2-Albinism is a lack in this enzyme:
A-AMINO ACID.
A- carboxylase
ھذا اﻟﻲ اﻧﺎ اﺧﺗرﺗو ﻣﺎﻧﻲ ﻣﺗﺎك ﻣﻧوB-FATTY.
B- tyrosinase
C-phenylalanine hydroxylase
ھذا اﻟﺳؤال51-eneterococci can be diffrentiated from :
ﻋﻛس اﻟﻲ ﺣطﺑو دﻛﺗور اﺑو رﺷﺎد
3- hormone that stimulate secretion of free fatty acids D-HAV
is:
A-estrdiol 13-function of NK cells with T-cytotoxic is:
B-GH
C-ACTH 14- sickle cell anaemia trait is:
A-recessive heterozygous
4-hormone responsible of women infertility: B- recessive homozygous
A-estradiol C- dominant heterozygous
B-estrogen D- dominant homozygous
C-testosteron
15-Rh antigens are:
5-in case od DM we must monitor: A- D, C, c, E, and e
A- K B- D, d , C, c, E and e
B- Ca C- d,C,c,E and e
C- Na D- D,d,C,c and e
D- Mg
16-stool spp with dehydrous form appear solid because:
6-in neonatal meningitides with E.coli the BEST A- neomerous eggs and little of trophozoites
diagnosis is: B- neomerous trophozoites and little of eggs
A- vaginal swab of mother C- neomerous trophozoites
B-vaginal swab of neonate D-neomerous eggs
C- CSF swab of mother
D- CSF swab of neonate واﻋطﺎﻧﻲ اﻟوزن واﻟوزن اﻟﺟزﯾﺋﻲ طﺑﻌﺎ17-Calculate the molarity
اﻗﺳﻣﮭم ﻋﻠﻰ ﺑﻌض
7- what is this pipette called:
18- in PCR sterilize all of these true except:
واﻟﺑﻛﺗﯾرﯾﺎ ﻟوﻧﮭﺎ اﺻﻔر وﺻورة ﺛﺎﻧﯾﺔblood agar ﺻورة ﻟﻠـ8- A-PCR buffer
S.aureusاﻟﻣطﻠوب ﻧوع اﻟﺑﻛﺗﯾرﯾﺎ واﻛﯾدcoagulase +ve ﻟﻠـ B- dH2O
C- for glasses
9- picture of trichomonas vaginalis D-for Mg
12-all of the following can assayed by ELISA before 21-gram staining bacteria cause food poisoning
donating blood EXCEPT: A-gram +ve spore forming bacilli
A-HIV B-gram +ve non spore forming bacilli
B-HBV-Ag C-gram –ve capsulated diplococcic
C-HCV
22- in blood bag after incubation for 14 days which of
the following not fond :
A-RBCs
B- PLTs
Micro organism arranged in group cluster : 29- Degree of DNA denaturation is :94 Alnaling 52-42
2 - (G+Staphylocci) Extation 72
3- Anoxemia is : (Absence of O2 from arterial blood) 30- Different between serm and plasma :(plasma contain
fibrinogen)
4- Karyorrhex is : (Swelling of nucelic acid =Rupture of
cell nucler) 31- Virus causes diarrhea in chelidrn (6m to
2y)characterized by :( Non enveloped therefore stable in
5- Latency characteristic of : (Herpes simplex virus) food and hard solid)
6- Biharizias : (Cause lesion in submucosal) 32- Thin blood film staning by write stain is for :( WBC
count)
7- Leukoplakia : presence of leukocyte (polymorphnucler
leukocyte ) 33- TO differentite between major sickle and minor :(
Electophorisise)
8- Adenovirus is : (DNA virus duble strand)
34- LDH used in :(In many clinical chemistry test
9- Antibody produced from : ( plasma cell)
35- Familial hypercholestremia is present in (1:500)
10- Gardia lambia associated with : (Steatorrhea)
36- Best diagnosis of typhoid fever in 1weak is(Blood
11- Use of chemical on skin (hand) : (Antisptic) culture) 2weak(stool culture )
12- Megaloplastic anima found in : (Chronic bleeding) 37- E.Coli:(motile aerogeneus K\A g+ H2S (-- ++)
13- Found in children with pyuria that not specific and G+ve 38- Non motile gm _ve bacteria:(Klebsellia ++ --)
bactria : (Chlamydia tracoma)
39- Micro organism exhibitis –ve bacteria :(Red stain)
14- Green tap tube the heparin can use for : (sugar analysis)
40- Group A streptoccois :(B heamylitc clear zone)
15- DNA strand that : (5 prim-3 prim)
41- Increase target cell :(Thalassmia –Hbc –Iron
16- Jaundice on yellow skin and eye mean (bilirubin is deffiency a.)
3mg\dl)
42- G_ve N\F causes blood diarrhoea in children
17- Which one of the following is not true about salmonella is(Shigellesis)
: (Dose not produce H2S)
43- What antibiotic giving to B-lactamase resistance
18- In electrophoresis we prepare :( 1g agarose in 100ml :(Vanacmycin)
TAE)
44- Virus causes nasopharayngeal carcinoma is (EBV)
19- Diagnostic stage for strongyloides in stool :( Larve)
45- HBV ,HCV .HAV Transmetted by (parental)
20- Plasmodium Falciparm transmted by (Anopheles)
46- NO of netrophil and epithial in lower respiratory
21- Gentic information of bacteria is carried on : (MRNA) infection :(Netrophil more than 25 Epithial lese than 10)
22- Hormon used to prepare the uteruse for pregnancy 47- Patient with little amount of bleeding and repeatly
:(Progesteron) :(noromocyte normochromic)
23- Cause food poisoning with flaccid paralysis : 48- Actinomycese disease is in (Skin)
(Clostridium botulinin)
49- ATG : (Alanine)
24- Which of the following shoud go imiditly to the lab:
(CSF) 50- Most sample use in biochemistry is (Serum)
25- How many day dose the calure and AB test take :(72 h) 51- Midia which add some substance like salat and
antibiotic :(Selective media)
26- Short arm chromosome is :(P arm) long(Q)
52End product of glucose anaerobic pathway :(Lactate)
1
53- Competitive enzyme to acytyle coA is (Propionyle 80- Macc used to differentiate : ( _ve rods)
coA)
81- N-gonorhea diagnosed by : ( Theyer matrin culture)
54- Specific test for Syphlis is :(TPHA)
82- Kidney membrane show irregular in : ( Chronic
55- Smallest RNAvirus :( Picoran virus) glumeronephitites)
57- High AST seen in :( viral hepatitis) 84- Chromosome abnormalities diagnostic by :( FISH-
CGS- PCR )
58- Most human infection come from :(gp A-B
Streptoccoi) 85- HCV-HBV diagnosis by( ELLISA. SPRIA, RPHA )
59- Ab cause HDN :( Anti D) 86- Pre basal cell not found in ( Woman age 60 y)
60- Qulling test used for all exept :( C.dipheteria) 87- Micro organism resistance of penicillin because ( B-
Lactomase)
61- Blood sample taken in all exept : ( Entraitis=
Gastoention) 88- Sickle cell anemia in KSA distributed in ( South)
62- Asot done in : ( Rhomatic fever –Acute 89- E.Coli in clad ( Yellow to orange)
glomerulonepherties
90- ESR elevated in all expet ( Polythycemia vera)
63- The first copy of PCR is :( 4)
91- Viral infection increase :( Lymphocytosis)
64- mRNA to cDNA by :( RT-PCR)
92- PT prolong defecated of :( F2)
65- PCR use for : ( Neuclic acid analysis)
93- Organism skin leiosn +ve brines : ( Actinomycese)
66- RSV : ( Bronchiotis in young children)
94- Chronic myeloid leukemia not found :( high platelets)
67-HIV instay of AIDS diseses lympocytosis reduce to:
(200) 95- Error of G stain effect :( Dicolrization by alcohol)
68- Different between artery and capillary : ( Thikness) 96- Trisory 21 : ( KFILLER syndrome)
69- Salmonella serotype : ( O 9.12- H 1.2 ) 97- Agrose gel stain by :( Golden)
70- In stool culture the organism is : ( Salmonella) 98- One of this virus can died during transport to lab :(
Synovial virus)
71- Media of Bordella (Whoopig chouch) is : ( Blood with
cancolceplaxin (Ab CCBA) 99- Duodenal aspiration find in :( Gardia)
72- Herpis virus recover : ( Spinal fluid ,Saliva,Skin ) 100- In tow fold evelance the :( IGg titer very high)
73- Neonatal Toxoplasma diagnosis by : ( Serology) 101- Epstein virus :( DNA virus)
74- Cascan reaction used in : ( Hypersenstivity )(Hydate 102- Poile virus and Influenza virus :( RNA)
disese)
103- Synthecial virus cause :( Upper respiratory infection)
75- If the SP. Is vary larg in PCR : ( not affected)
104- Salmonella and cirrobacter can be differited:( ONPG
76- CSF in TB menigitites : ( lymph increase and glucose test)
decrese)
105- Acute pancreatitis increase in :( Serum amylase)
77- Proteus Vulgaris different from P.M :( Indol +ve and
Orhthine) 106- Campylobaction :( _ve cocci)
78- Lipmic sample : ( presence of Triglycrid) 107- Listeria monocytogenessis is :( +ve Rod)
79- Cytopathic effect of virus to cell :( Shrinking 108- Difference between staph.aruse and other staph .: (
.Vaculation .Lysis. Syncytic) Coagulase test)
2
109- Which of the following organism can be isolated from 135- TIBC is inversely proportion with ( Iron level)
CSF ( TB)
136- Indol consist of ( Alkaline peptone water ) (enriched
110- Malaria is best diagnosis by ( Blood film) media for V. Cholera)
111- Oxides +ve organism is ( Pesudomonse) 137- Substance used in indol test ( Tryptophan)
112- Shiglla sp. In XID media is :( Pink color) 138- Band in electrophoresis measure by ( electrophoresis
marker ladder)
113- Neisseria sp is ( _ve diplococci)
139- Megaloblastic anemia seen in ( B12 deficiency)
114- Different ion strepto. Pygone and other strepto.: (
Bactricin sensitive) 140- Carcinoma common in ( R –Colon)
115- Hemophlia A defiency in :( factor 8) 141- Anticoagulant not used in blood bank ( Heparin)
116- Diagnosis of multiple myeloma by :( Bone marrow 142- MCV :Mean cell value =PCV\L *10/RBC (FL)
aspiration)
143- MCH =HB g/dl *10/RBC (Pg)
117- In cross matching we use :( Donor cell + Patient
serum ) 144- MCHC = HB g/dl *100/PCV (%)
118- Nucleated cell RBC are seen :( Thalathamia major) 145- Carcinoma in respiratory system associated with
(CMV)
119- B-lactan ring found in ( Penicillin)
146- Decreased of megakaryocytic in ( Thrombocytopenia)
120- Blood cast can be found in :( Acute
glomolonepheties) 147- Worm difficult seen in stool ( Hydatia cyst)
121- Which following cause subcutaneous disease ( 148- Family hypercholesterolemia due to defect in ( LDLR
Actinomysese) gene = defect in chromosome 19)
122- Indian Ink used in ( capsules demonstration) 149- Polynephrititius caused by ( E.Coli )
123- Crystal violet used in the media as ( Inhibitor) 150- Lance filed used to (Streptococcus gp according to
type of polysaccharide in its cell wall)
124- LAP is low in ( CML AML)
151- Hydrolysis of starch in intestine ( Maltose)
125- To fix smear of pleural and Asiatic fluid use ( 95%
ethanol) 152- Time to grow aerobic bacteria is ( 24 h)
126- Cryptococcus is associated with ( HIV patient) 153- Diffraction between staph and strepto is ( Catalase)
127- Common tumor in intestine found in ( Descending 154- Cell secreted mucus in stomach is (Goblet cell)
part)
155- Part of body contain lymphocytic germinate center (
128- Normal flora in sort all except ( Streptococcus) Lymph node)
129- Cancer sprat when ( Needle penetrate the center of 156- Percent of wrong in DNA extraction ( 15%)
tumor)
157- Plasma cell from ( B cell)
130- Connective tissue is composed of ( Loosely collagen
fiber) 158- Good method to take sputum sample ( 3 morning
sample for 3 day successively)
131- Connective tissue produce bone is called (
Osteoblastic cell) 159- Cause of cresentation necrotic ( bacterial action)
132- Which wrong about campylobacter jejumi ( Grow in 160- Cause of hypoxia injury (enter water inside the cell)
XID)
3
1. Which of the following blood smears these illustrations would be best suited for
performing a differential count:
Top Photo
Bottom
Photo
Feedback
2. Choose the term that describes the most prominent finding in this peripheral
smear:
Rouleaux
Normal
RBCs
Anisocytosi
s
Feedback
Anisocytosis is a variation in the size of the red blood cells. This slide shows
poikilocytosis, but anisocytosis is more prominent here.
Dohle bodies
Heinz bodies
May-Hegglin
anomaly
Reticulocytes
Feedback
Heinz bodies occur as the result of denaturation and precipitation of hemoglobin, and
are often attached to the red cell membrane. They require staining with crystal violet
or methyl violet to be visible. They may be seen in thalassemia, with unstable
hemoglobins, or during a hemolytic episode in G6PD deficiency.
4. The growth seen here on PPLO agar is most likely caused by:
Streptococcus
pneumoniae
Klebsiella pneumoniae
Mycobacterium
Mycoplasma
Feedback
PPLO agar is used for the isolation and cultivation of Mycoplasma species.
Serological testing
Culture techniques
Demonstration of the organisms in peripheral
blood
Biochemical reactions
Feedback
Diagnosis of malaria may require thick smears as well as conventional thin blood
smears.
Myelocyte
Monocyte
Metamyelocyte
Lymphocyte
K, L
C,
D
F, G
A, B
Feedback
The scolex of Taenia solium may be distinguished from the other cestode scolices by
its four distinct suckers and the presence of a rostellum armed with hooklets.
9. Based on the phenotype of the RBC screening cells, and patient results given
below, which of the following antibodies cannot be ruled out:
Anti-C
Anti-Jka
Anti-M
Anti-
Fya
Feedback
10. Identify the urine sediment elements indicated by the arrow in the illustration:
Cholesterol crystals
Triple phosphate crystals
Amorphous urate crystals
Ammonium biurate
crystals
Feedback
Triple phosphate crystals appear as colorless prisms with 3 to 6 sides and oblique
ends, or as "feathery sleeves". The have been described as "coffin lid shaped", and
can occur normally in alkaline urine. They may indicate the presence of an infection.
Feedback
Mucus thread appear as long, thin ribbon like threads that are generally transparent.
They are normal in small numbers in the urine.
Feedback
B, E
G,
D
A, K
J, F
14. The elements indicated by the arrows are more likely to be seen in patients with
which condition:
Bacterial infection
Nephrotic
syndrome
Diabetes
Renal failure
Feedback
Yeast cells as a cause of infection are more commonly found in patients with diabetes
mellitus, but can also represent contaminants with no clinical significance. They
should not be confused with erythrocytes. The presence of budding helps with the
identification.
Eosinophi
l
Monocyte
Basophil
Neutrophi
l
Feedback
WBC casts
RBC casts
Waxy casts
Granular
casts
Feedback
RBC casts may appear as brown to almost colorless. Red cells can clearly be seen
within the cast. This type of cast is diagnostic of glomerular disease or intrarenal
bleeding.
Pseudoparasite
Hookworm rhabditiform larva
Strongyloides rhabditiform
larva
Strongyloides filariform larva
Feedback
Although this suspicious form resembles an intestinal nematode larva, internal
structures necessary for it to function as well as to identify it as a parasite are
lacking. Numerous such pseudoparasites may be present in stool samples.
Pseudoparasite
Hookworm rhabditiform larva
Strongyloides rhabditiform
larva
Strongyloides filariform larva
Feedback
19. The most likely organism to be cultured on the Lowenstein-Jensen agar slant
illustrated here would be:
Crytococcus
Chlamydia
Mycobacteria
Listeria
20. This suspicious form, shown below at both low (10X) and high dry (40X) power,
measures 90 micro meters by 42 micro meters. It was seen in a stool sample.
Hookworm egg
Pseudoparasite
Ascaris lumbricoides egg
Diphyllobothrium latum
egg
Feedback
The mature eggs of Ascaris lumbricoides are readily visible at both 10X and 40X dry.
The organism size as well as the presence of an outer albuminous coating help to
identify the egg.
21. Which of the following conditions is frequently associated with these cells?
Hemolytic anemia
Chronic blood loss
Megaloblastic anemia
Sickle cell anemia
Feedback
Hair cell
Smudge cell
Megakaryocyte
Blast
Feedback
Smudge Cells (bare nuclei) are commonly seen in blood smears from patients with
chronic lymphocytic leukemia.
Cholesterol crystals
Uric acid crystals
Amorphous urate
crystals
Cystine crystals
Feedback
Feedback
Starch crystals often contaminate normal urine. They appear round to oval, are
highly refractile, with an irregular indentation in the center. They may exhibit the
"Maltese cross" appearance under polarized light.
Normal cells
Microcytic cells
Macrocytic cells
Hypochromic
cells
Feedback
Normal red cells are uniformly shaped and sized with 2-3mm of central pallor.
26. The McFarland Comparison Card shown in the illustration is used to:
Dohle bodies
Hypersegmentation
Degranulation
Pelger-Huet
anomaly
Feedback
Image courtesy and copyright of the Clinical Chemistry and Hematology Laboratory, Wadsworth
Center, NY State Department of Health (http://www.wadsworth.org)
Sickle cell
Thorn cell
Fragmented
cell
Crenated cell
Feedback
Crenated red cells usually occur as an artifact during the preparation of blood
smears.
Acknowledgement
And also I thank full my friend Mr. Sami Khan he help me in down load, Thanks,
Muhammad Younis
Lab. Technician
NNP, Rabigh, KSA
00966-591-342865
Unis_memon85@yahoo.com
1. Which of the following is a confirmatory test for syphilis:
RPR
FTA-ABS
VDRL
Wasserman
Test
Feedback
The FTA-ABS is not intended for use as a screening test. It should only be used to differentiate
between true positives, false positives, and in late or latent syphilis.
2. The most likely cause of an elevated potassium level in an apparently normal individual is:
Contamination
Hemolysis
Acute renal failure
Interfering
substances
Feedback
Hemolysis could result from improper specimen collection technique, or improper storage.
Increased pCO2
Hypoventilation
Low pH
High pH
Feedback
Metabolic acidosis is the result of either: 1) accumulation of abnormal levels of organic acids,
often secondary to diabetic ketoacidosis, or lactic acidosis, 2) excessive loss of bicarbonate as
in severe diarrhea, or 3) reduced excretion of acids as in renal failure. All these conditions
result in a decrease in pH. The body compensates by hyperventilating, and lowering pCO2, in
an attempt to restore normal pH, resulting in a compensated or partially compensated
metabolic acidosis.
Feedback
Capsular swelling results from the addition of specific capsular antibody to an isolate of the
organism. This test is generally not required for routine diagnosis.
1
5. The relative centrifugal force of a centrifuge may be affected by all except the following:
Time
Radius of
head
RPM
Feedback
The amount of time a sample is spun does not affect the relative centrifugal force
Variability of RBC
volume
Poikilocytosis
Macrocytosis
Microcytosis
Feedback
Red Cell Distribution Width (RDW) is a mathematical expression of size variation used to
quantify anisocytosis. The higher the RDW, the greater the anisocytosis. RDW is increased in
iron deficiency, and tends to be normal in thalassemia. Increased RDW may be an early
indication of iron deficiency, where it may precede the onset of microcytosis.
Feedback
2
0.5 McFarland
Standard
1.0 McFarland
Standard
2.0 McFarland
Standard
10. Which of the following is not a common support medium used in electrophoresis
techniques:
Cellulose acetate
Agarose gel
Polyacrylamide
gel
Dextrose
Feedback
Cellulose acetate and agarose gels are most commonly used in the clinical laboratory
Fibrin split
products
Heparin
Aspirin
Dysfibrinogenemi
a
Feedback
13. What is the eight hour occupational exposure limit for a chemical called?
Threshold limit
value
Threshold time
limit
Time limit value
Short term limit
14. Spherocytes are associated with which two of the following conditions:
Hereditary spherocytosis
3
Autoimmune hemolytic
anemia
Thalassemia
Iron deficiency
Feedback
Spherocytes result from removal of small amounts of erythrocyte membrane, with resultant
reduction in surface to volume ratio. This may occur in the reticuloendothelial system, as in
hereditary sherocytosis and autoimmune hemolytic anemia, or may be due to direct injury of
red cells, as in patients with severe burns.
15. The generally accepted age range for homologous blood donation is:
21 – 65 years
17 – 65 years
15 – 65 years
Over the age of 14
years
Feedback
Prospective donors over 65 may be accepted at the discretion of the blood bank physician.
Many donor centers safely involve elderly donors in their collection programs.
16. Which of the following organisms in most frequently associated with endocarditis:
Viruses
Neisseria
Staphlyococci
Streptococci
Feedback
Various Streptococci are the most common causes of endocarditis, although many other
organisms have been implicated.
17. Ionized calcium is most commonly measured using which of the following method:
Flame photometry
Color complex formation between calcium and o-
cresolphthalein
Atomic absorption
Calcium ion selective electrodes
18. Match the clotting factor with its commonly associated name:
Factor II Prothrombi
n
4
Factor I Fibrinogen
Factor V Proacceleri
n
19. The prozone effect ( when performing a screening titer) is most likely to result in:
False positive
False negative
No reaction at all
Mixed field
reaction
Feedback
Prozone effect (due to antibody excess) will result in an initial false negative in spite of the
large amount of antibody in the serum, followed by a positive result as the specimen is diluted.
20. Which of the following tests on amniotic fluid would be included when assessing fetal
maturity:
Alpha fetoprotein and
bilirubin
L/S ratio and bilirubin
Alpha fetoprotein and L/S
ratio
Creatinine and L/S ratio
21. Therapeutic hemapheresis may be used to treat all of the following except:
Acute Guillian-Barre
syndrome
Paraproteinemia
HIV infections
Cryoglobulinemia
Feedback
22. A smear that is prepared from equal parts of methylene blue and whole blood will be used
for:
WBC differential
Platelet estimates, RBC
count
Reticulocyte count
Feedback
Remaining nuclear fragments found in reticulocytes take up the methylene blue dye.
5
resist acetone-alcohol de colorization
are always decolorized by acetone-
alcohol
resist staining by crystal violet
readily stain with safranin in the Gram
stain
Feedback
Gram positive organisms resist decolorization with acetone-alcohol. Gram negative organisms
are decolorized, and subsequently stain with safranin.
24. Which of the following are not appropriate indications for the use of fresh frozen plasma:
Volume expansion
Severe bleeding in the presence of significantly elevated PT secondary to vitamin K
deficiency
Replacement component after plasma exchange in patients with TTP or HUS
Dilutional coagulopathy with significant active bleeding, and PT and PTT twice normal
Feedback
Since each unit of fresh frozen plasma (FFP) carries with it the risk of transmitting blood borne
pathogens, and other products which do not carry this risk are available, FFP should not be
used as a volume expander.
25. If a pipette is labeled (TC) " to contain " you would do the following:
Feedback
"TC" means the total volume contained in the pipette - you must blow out to remove total
contents.
8.5 %
0.85 %
0.08 %
1
molar
Feedback
27. The positive square root of the variance of a set of values is called:
6
Median value
Mean value
Standard deviation
Coefficient of
variation
28. Patients with antibody to the following antigen are immune to Hepatitis B:
Core antigen
Surface
antigen
e antigen
Delta antigen
29. Which one of the following is not a true statement about Chlamydia:
Requires tissue culture for
growth
Is a true bacterium
Is an obligate intracellular
parasite
Has the nuclear structure of a
virus
30. Which of the following species are gram positive:
Streptococcu
s
Neisseria
Listeria
Lactobacillus
31. Which of the following media is commonly used when performing the Kirby-Bauer disk
diffusion
Chocolate agar
Mueller-Hinton
agar
Thayer-Martin
agar
MacConkey agar
32. Which of the following best defines "sensitivity":
The percentage of patients with a disease who will have a positive test
The percentage of patients without a disease who will have a negative
test
The percentage of patients with a disease who will have a negative test
The percentage of patients without a disease who will have a positive
test
Feedback
Sensitivity refers to the percentage or fraction of patients with a given disease in a given
population who will have a positive test.
Healthy condition
Uncompensated metabolic
acidosis
Compensated metabolic acidosis
Uncompensated respiratory
acidosis
Feedback
The normal pH of blood is 7.40. In order for most metabolic processes to take place, the pH
must remain within a narrow range close to this value. The range is usually defined in adults as
7.35-7.45. If blood pH falls below 7.35, the blood becomes too acidic (acidosis). If blood rises
above 7.45, the blood is too alkaline (alkalosis).
As blood pH decreases, the kidneys will retain bicarbonate (HCO 3-) from the glomerular filtrate;
therefore, bicarbonate is increased. However, in this case, the increased HCO 3- could not
compensate for the markedly elevated pCO2 (the respiratory component) and the condition that
results is uncompensated respiratory acidosis.
37. In a normal CSF the protein concentration as compared to that in the serum is generally:
Less than
50%
Less than
30%
Less than
10%
Less than
8
1%
Feedback
Normal ratio of serum to CSF Protein is about 200 to 1, or less than 1%. Elevation of CSF total
protein is a nonspecific finding, but usually indicates some type of disease involving the brain
or meninges.
Feedback
Hepatitis A is spread through the fecal-oral route. Hepatitis B is most commonly spread through
parenteral means, but nonparenteral routes such as transmission through pregnancy, sexual
contact, and exposure to infected body fluids are also important. Hepatitis C is spread through
parenteral routes; pregnancy, sexual contact, and in households is possible, but much less
likely than with hepatitis B.
39. Which of the following staining methods would you use to demonstrate the metachromatic
granules of Corynebacterium diphtheriae:
Acid fast
Gram
Trichrome
Methylene
blue
Feedback
Methylene blue stain can be used to visualize the metachromatic granules that are
characteristic of C. diphtheriae.
40. Which of the following are not considered normal flora of the gastrointestinal tract:
Lactobacillus
Clostridium
Peptostreptococcu
s
Shigella
Feedback
Shigella and Salmonella are not found as normal flora in the gastrointestinal tract.
41. All of the following cellular antigens are important to an immunohematologist except:
9
Blood group antigens
Histocompatibility
antigens
Haptens
Autoantigens
Feedback
Feedback
43. Which one of the following organisms do not usually stain with an acid-fast stain, or one of
its variants:
Mycobacterium
Cryptosporidium
Actinomyces
israelii
Nocardia
44. Which of the following would be the most appropriate temperature for long term storage of
viral cultures:
4° C
-20° C,
-70° C
Room
temperature
Feedback
Cultures can be stored at either -20° or -70°, but -70° is preferred for long term storage.
45. Which of the following would be the most appropriate method to confirm a positive protein
from a urine dipstick:
Immunoelectropheresis
Heat precipitation
Sulfosalicylic acid
10
precipitation
Protein electrophoresis
46. Circulating organic iodine is found primarily in the form of:
Triiodothyronine
Parathyroid
hormone
Thyroglobulin
Thyroxine
Feedback
Iodine circulates as thyroxine (T4) and to and to a lesser extent as Triiodothyronine (T3).
47. Which of the following conditions would be suggested by a marked rise in alkaline
phosphatase, jaundice, and a moderate rise in ALT:
Cardiovascular disease
Hemolytic anemia
Post-hepatic
obstruction
Renal failure
Feedback
48. Which of the following organisms is the most common cause of acute cystitis:
Escherichia coli
Klebsiella pneumoniae
Chlamydia trachomatis
Staphylococcus
epidermidis
49. A fluorometer operates on which of the following principles:
11
Fab fragment of
IgM
Fab fragment of
IgG
Fc fragment of IgG
52. Gamma irradiation of cellular blood components is required in which of the following
situations:
Feedback
53. Patients with which of the following conditions would benefit most from washed red cells:
Feedback
Washing not only reduces the number of leukocytes and platelets that are often responsible for
febrile reactions, but also eliminates anticoagulants, ammonia, lactic acid, and potassium.
Feedback
Cryoglobulin is an abnormal serum protein with a unique ability to precipitate when exposed to
cold temperatures. Cryoglobulin is present in Raynaud's syndrome.
12
Stem Cell, Promyelocyte, Metamyelocyte, Neutrophil, Myeloblast, Myelocyte,
Band
Neutrophil, Band, Metamyelocyte, Myelocyte, Promyelocyte, Myeloblast, Stem
Cell
56. The measurement of total glycosylated hemoglobin A1c is an effective means of assessing
the average blood glucose levels:
Feedback
The concentration of hemoglobin A1c is directly proportional to the average plasma glucose
level that the RBCs are exposed to during their 120 day life span. The glycosylated
hemoglobins result from glycosylation of serine, asparagine, and hydroxylysine residues in
hemoglobin. There are three glycosylated hemoglobins: Hb A1a, Hb A1b, and Hb A1c, of which
Hb A1c constitutes 80%. Most methods measure total gycosylated hemoglobin, which has a
high degree of correlation to Hb A1c, and may be reported as such after making the
appropriate conversion.
Feedback
Staphylococci are resistant to bacitracin while micrococcus are sensitive. Group A beta-
hemolytic Streptococci are sensitive to bacitracin, while most other Groups are resistant.
58. Which of the following is the proper temperature to use when crossmatching in the
presence of a cold antibody:
37 degrees
Celsius
25 degrees
Celsius
15 degrees
Celsius
4 degrees Celsius
Feedback
Most antibodies that are inactive at 37 degrees Celsius, and active only below 37 degrees
Celsius (i.e. cold reactive antibodies), are of little clinical significance.
13
59. Match the virus with its disease:
Hepadnavirus Hepatitis
Arbovirus Encephalitis
Paramyxovirus Measles-
Mumps
60. When a urine specimen cannot be cultured immediately it may be:
Stored at room temperature for up to 8
hours
Stored in freezer for up to 24 hours
Neisseria
Stored at 4° C for up to 24 hours
61. Platelet should be stored at what temperature:
Feedback
Platelets should be stored at 20-24 degrees Celsius with continuous gentle agitation. They
should be infused within 4 hours after the seal on a platelet unit is broken.
62. The recommended temperature/time/pressure for routine steam sterilization of media is:
121° C for 8-10 minutes @ 10
psi
121° C for 12-15 minutes @
15 psi
220° C for 8-10 minutes @ 10
psi
220° C for 12-15 minutes @
15 psi
63. Which of the following casts might be found in the urine of a healthy individual after
strenuous exercise:
Epithelial cell
casts
Hyaline casts
Granular casts
Waxy casts
Feedback
64. If a laboratory 's control range (using a 99.7 confidence interval) for a given assay is 20.0 to
50.0, what would its means and one standard deviation be:
14
Mean = 35.0 SD =
15.0
Mean = 35.0 SD =
10.0
Mean = 40.0 SD =
7.5
Mean = 35.0 SD =
5.0
Feedback
The mean would be halfway between 20 and 50, or 35. The range for the assay is within 15
units of the mean, representing 3 SD (equal to 99.7% confidence interval). Therefore, 1 SD =
15/3 or 5.
65. If a potential donor has been transfused blood products, he must be deferred from blood
donation for:
1 month
3
months
6
months
1 year
66. An urticarial reaction is characterized by:
Rapid rise in
temperature
Difficulty breathing
Rash and hives
Blood in the urine
Feedback
67. Which of the following cells when found upon microscopic examination of the urine would
be most indicative of kidney disease:
Feedback
68. Which of the following statistical methods would be employed to determine how closely two
different methods compare with each other:
15
Linear regression
Standard deviation
Coefficient of variation
Percent difference of
means
Feedback
69. Elevation in CSF total protein may be seen in all of the following conditions except:
Brain tumors
Bacterial
meningitis
Parkinson's
disease
CVA
70. Which one of the following is not a system for incubation of anaerobic bacteria:
Candle jar
Glove box anaerobic chamber
Anaerobic jar - gaspak
Anaerobic jar - evacuation
replacement
71. A plastic anemia may be caused by all of the following except:
Infections
Chemical agent
Enzyme
deficiencies
Ionizing radiation
Feedback
72. Which of the following types of whole blood would be the least satisfactory to transfuse to a
type AB patient:
Group O
Group A
Group B
Group
AB
Feedback
Group O whole blood contains both anti-A and anti-B which could react with the recipient's
RBCs.
73. Bence-Jones proteinuria is associated with all of the following conditions except:
16
Macroglobulinemi
a
Pernicious anemia
Multiple myeloma
Amyloidosis
Feedback
Macroglobulinemia, Multiple Myeloma, and Amyloidosis are all associated with abnormal
protein production and/or accumulation which can result in Bence-Jones proteins being
excreted in the urine.
74. The slide coagulase test is a rapid method for identifying which of the following organisms.
Staphylococcus hominis
Staphylococcus
pneumoniae
Staphylococcus aureus
Neisseria gonorrhoeae
Feedback
Since not all isolates of S. aureus are detected by the slide coagulase test, suspicious
organisms negative by the slide test must be confirmed by the tube coagulase test.
75. Which of the following streptococcus exhibits a positive bile solubility test:
S. pyogenes
S.
pneumoniae
S. agalactiae
S. mutans
Feedback
Streptococcus pneumoniae colonies dissolve with the additon of sodium deoxycholate (positive
bile sensitivity test) and are sensitive to Optochin- unlike other species of Streptococci.
76. Which of the following red blood cells contain the most H antigen:
Group A cells
Group B cells
Group O cells
Bombay
phenotype
Feedback
O cells contain only H antigen, while cells of the other ABO groups contain varying amount of H
antigen in addition to their group specific antigen(s). The classic Bombay phenotype is
characterized by the absence of A, B, and H antigens.
Irregular A
Entire B
Crenated C
Mendelson
Morgan
Wiener
Landsteine
r
Feedback
Landsteiner first identified the presence of the separate red cell antigens A and B in the early
1900's.
80. Which of the following parasites is not commonly found in the peripheral blood:
Loa loa
Brugia malayi
Dipetalonema
perstans
Onchocerca volvulus
Feedback
The microfiliariae of Onchocerca do not generally circulate in the peripheral blood. The
diagnosis is made by demonstrating the microfiliariae in teased skin snips.
81. If an Rh negative patient is administered a unit of R1R1 packed red cells, which one of the
following antibodies would be most likely to develop:
Anti-c,
Anti-E
Anti-D
Anti-e
Feedback
R1R1 (DCe/DCe) cells are positive for the D antigen, which is the most immunogenic antigen of
the Rh system, followed by c and E.
18
82. A decrease in which of the following in AIDS patients results in increased susceptibility to
infection:
CD 4+ cells
CD 8+ cells
HIV
antibodies
HIV antigens
Feedback
It is the CD 4+ cells that help aid our immune system in attacking foreign antigens by initiating
the body's response. CD 8+ also helps in the role of immunity by attaching to infected cells to
initiate cell destruction. A decrease in HIV antibodies would not leave the host more suseptible
to infection since the antibody is directed at the HIV virus only. Finally, a decrease in HIV
antigens will also not cause a host to become more suseptible to infections.
Feedback
MCV = Hematocrit X 1000/RBC (in millions per microliter). The MCV is expressed in femtoliters
(cubic micrometers, 10-15 liters).
86. Which of the following would not be considered a normal part of a routine electrolyte panel:
Sodium
Potassium
Magnesiu
m
Chloride
19
Feedback
87. Which of the following conditions is associated with elevated serum uric acid levels:
Cushing's
syndrome
Pancreatitis
Hyperthyroidism
Gout
Feedback
Gout is a disease manifested by the deposition of crystalline uric acid in joints and soft tissues,
with secondary inflammation and pain.
88. Which of the following additives should be used for the collection of a sample for blood gas
analysis:
Sodium citrate
EDTA
Sodium
oxalate
Heparin
89. What is the site used most frequently in the adult patient when performing a bone marrow
biopsy:
Vertebra
e
Sternum
Clavicle
Iliac crest
Feedback
Bone marrow specimens are usually obtained in adults from the posterior iliac crest. They may
also be obtained from the sternum.
90. The precursor of the platelet which is commonly only found in the bone marrow is:
Myeloblast
Metakarocyte
Megakaryocyte
Erythroblast
Feedback
20
91. Which of the following set of conditions would preclude HDN as a result of Rh
incompatibility:
Feedback
Bone
marrow
Liver
Lymphocyte
s
Kidneys
Feedback
Erythropoietin, which is produced in the kidneys, stimulates the production of red blood cells.
93. The Rh nomenclature which uses the letters DCE is found in which of the following genetic
models:
Landsteine
r
Wiener
Fisher
-Race
Rhesus
Feedback
Fisher and Race first proposed the existence of the three closely linked genes, and used the
DCE terminology to describe their theory.
21
3000
ml
1500
ml
750 ml
250 ml
Feedback
Normal adult urine volume is 800 to 1800 ml/24hours for males, and 600 to 1600 ml/24 hours
for females.
96. What minimum level of specific resistance (megohms@25o C) is required for a Type I water
system:
10.
0
5.0
2.0
0.1
Feedback
Specific resistance is the resistance in Ohms of a 1 cm long by 1 cm2 cross sectional column of
solution. Type I water is the purest, and therefore has the highest resistance. Type II water is
used for most routine laboratory determinations, and must have a specific resistance of at least
2.0. Type III water is the least pure; it must have a specific resistance of at least 0.1.
97. Which of the following group B antigens is generally associated with a mixed field reaction:
B
B3
B
m
Bx
Feedback
B3 is characterized by a weaker than usual reaction with anti-B and by a mixed field reaction
with the same reagent.
98. The most common rapid slide test (MONOSPOTâ) for infectious mononucleosis employs:
Horse erythrocytes
Sheep erythrocytes
Intact beef
erythrocytes
None of the above
Feedback
22
A positive spot test shows agglutination of horse erythrocytes when added to patient serum
previously absorbed with guinea pig kidney, but not when added to patient serum previously
absorbed with beef erythrocyte stroma. The test is generally simple, sensitive, and specific, but
false negative are common in young children with mononucleosis.
99. Disseminated intravascular coagulation (DIC) is associated with all of the following clinical
conditions except:
Septicemia
Obstetric
emergencies
Intravascular
hemolysis
Thrombocytosis
Feedback
100. Which of the following organisms is most likely to be associated with gas gangrene:
Clostridia histolyticum
Pseudomonas
aeruginosa
Clostridium perfringens
Escherichia coli
101. Which of the following would most likely occur as the result of hemodilution:
Feedback
A dilutional effect caused by the sample being hemodiluted, would not cause high serum
electrolytes since they have been diluted out. The anion gap could remain the same or
become decreased. Finally, the electrolyte concentrations could not remain the same, since
there will be a smaller amount in the sample to test due to the diluent.
102. Following a myocardial infarction which of the following enzymes will be the first to
become elevated:
CK
LDH
GG
T
AST
Feedback
23
GGT is elevated in liver disorders. CK rises before LDH. However myoglobin is the earliest
serum cardiac marker to rise after an infarction; it may be positive within two hours post MI. It
is not cardiac specific, and can be elevated in skeletal muscle trauma or rhabdomyolysis.
Visualize flagella
Visualize shape
Visualize capsule
Visualize
cytoplasm
Feedback
India ink can aid in the visualization of the polysacchride capsules of yeast such as
Cryptococcus neoformans.
104. Match the organisms on the right with their appropriate type from the drop down box:
Protozoa Trypansoma,
Leischmania
Helminths Trichinella, Schistosoma
Protozoa Plasmodium
105. The most frequent genotype among Rho (D) -negative persons is:
r'
r
r'
r"
rr
r'r'
106. Which one tests should be used to monitor a patient's response to treatment for
syphilis:
Feedback
RPR titer should be performed every three months for one year; a fourfold increase in titer
indicates infection, reinfection, or failed treatment; a fourfold decrease in titer indicates
adequate treatment.
107. Which of the following anticoagulants will not produce a significant effect on calcium
levels in plasma:
EDTA
Heparin
24
Oxalate
s
Citrates
Feedback
EDTA, Oxalates, and Citrates remove calcium from the blood, while heparin acts by forming a
complex with antithrombin III.
108. Which of the following kappa / lambda ratios is found in normal serum:
4 :
1
3 :
1
2 :
1
1 :
1
109. The A1 subgroup represents approximately what percentage of group A individuals:
25
%
55
%
75
%
95
%
Feedback
Approximately 80% of all people typed as group A or AB are agglutinated by anti- A1 sera.
110. The infective stage for all of the intestinal amoebae is the:
Trophozoit
e
Cyst
Larva
Egg
Feedback
The majority of the amoebae pass through two life cycle stages: a delicate feeding stage call a
trophozoite, and a nonfeeding infective cyst. Recovery of either form is considered diagnostic.
25
Feedback
Troponin is potentially more specific for myocardial damage than CK-MB and stays elevated
longer. It may eventually replace CK-MB as the standard marker of myocardial damage.
Troponin and CK-MB both tend to rise approximately 3 hours after a MI; however, troponins can
stay elevated up to 2 weeks as CK-MB tends to return to baseline around 36 hours.
112. What is the purpose of using methyl alcohol in the gram stain procedure:
Feedback
113. Match the differential/ selective enteric medium with its characteristic indicator,
fermentable, and bacteriostatic.
Eosin methylene blue eosin Y and methylene blue, lactose, eosin Y and methylene
blue
Bismuth sulfite bismuth sulfite, glucose, brilliant green
Feedback
XLD has a yellow fermenter and a red nonfermenter. MacConkey has a red fermenter and a
colorless nonfermenter. EMB has a black/red fermenter and a colorless nonfermenter. HE has a
yellow fermenter and a green nonfermenter. BS has a Salmonella fermenter and a black
nonfermenter. SS has a red fermenter and a colorless nonfermenter.
Light absorption
Light
transmission
Light scatter
Atomic
absorption
Feedback
Nephelometry is used to measure the light scattered by particles in a solution. It is useful for
measuring protein levels in fluids, and antigen-antibody complexes.
115. Which of the following procedures would you employ to monitor the precision of an
assay:
26
Run assayed controls
Run blinded samples
Run by alternative
method
Run samples in duplicate
Feedback
Precision is a measure of reproducibility of a test when it is repeated several times under the
same conditions. It could be monitored by running samples in duplicate or triplicate.
116. Which of the following immunoglobulin classes is chiefly responsible for the
degranulation of mast cells and basophils:
IgG
IgA
IgM
IgE
Feedback
IgE levels are often increased in patients with allergic disease. IgE binds to the membranes of
mast cells and basophils, and if specific antigen is present to react with the IgE molecule,
degranulation of these cells occurs, releasing histamines, and other substances into the blood
or tissues.
Fetal neurological
development
Fetal lung maturity
Fetal viability
Fetal liver development
Feedback
An L/S ratio above 2:1 indicates mature lung development, whereas a ratio below 1.5:1
indicates pulmonary immaturity.
118. What additional fraction would be seen if plasma rather than serum was subjected to
electrophoresis:
Feedback
Fibrinogen present in plasma would form a band between the beta and gamma globulins.
119. Which of the following is a routine staining technique used in the clinical laboratory:
Wright-Giemsa
27
Gram
Romanowsky
All of the
above
120. Match the description with the appropriate illustration of colony elevations:
High Convex A
Flat B
Low Convex C
Plateau D
121. Which of the following is most commonly associated with febrile non-hemolytic
transfusion reactions:
Bacterial contamination of the
blood
I.V. tubing contaminants
Reaction to plasma proteins
Immune response to leukocytes
122. Which of the following is not a structural component of a typical virion:
Nucleoprotein core
Capsid shell
Lipid envelope
Icosahedral
symmetry
Feedback
An intact viral particle typically consists of a nucleoprotein core, capsomeres making up the
capsid, and a lipid envelope (absent in some viruses). The symmetry of a virus is usually
icosahedral, or helical.
123. Match urine color with substance that might have been responsible:
Phosphates Porphobilinogen Red to
White
brown
Bilirubin Yellow
Pseudomonas Blue to
green
124. The renal threshold is best described as:
Feedback
28
The renal threshold is the maximum amount of a substance that the kidney can prevent from
entering into the urine.
Rapid rise in
temperature
Difficulty breathing
Rash and hives
Blood in the urine
Feedback
126. On sheep blood agar Haemophilus influenzae may exhibit satellite formation around all
but which of the following organisms:
Pseudomonas
Neisseria
Staphylococcu
s
Pneumococcus
Feedback
Vertebrae
Skull
Proximal ends of long
bones
All of the above
Feedback
By the age of 18-20 years, active hematopoiesis is limited to the sternum, ribs, pelvis,
vertebrae, and skull.
128. A simple check which can be employed to verify that hemoglobin and hematocrit values
match would be:
Hematocrit X 3 =
hemoglobin
29
Hemoglobin X 3 =
hematocrit
Hemoglobin / hematocrit =
3
Hemoglobin + hematocrit =
3
Feedback
129. How close the assayed value of an analyte is to its actual value is a reflection of:
Feedback
Accuracy is defined as how close an assayed value is to the actual value of an analyte.
Osmotic gradient
Concentration of blood components
Rate of blood flow through the kidneys
Hydrostatic differential in glomerular
tufts
Feedback
The hydrostatic pressure in the capillaries of the glomerular tuft drives the filtrate across their
semipermeable membrane. The normal glomerular filtrate is similar in composition to the
plasma, with the exception that molecules with a molecular weight of greater than about
15,000 are not filtered.
C
E
c
e
Feedback
T-lymphocyte
Reactive
lymphocyte
Large lymphocyte
Plasma cell
Feedback
Plasma cells are the end stage of B lymphocyte maturation; they are not normally seen in
peripheral blood.
Feedback
Serum calcitonin is normally produced by the C cells of the thyroid. It functions to reduce
serum calcium by inhibiting release of calcium from bone. It is a peptide with a molecular
weight of 3400, and has a half life of approximately 12 minutes. It is characteristically elevated
in medullary carcinoma of the thyroid. Since medullary carcinoma often occurs as an
autosomal disorder, family members of patients with this condition should be screened for
serum calcitonin.
Factor II
Factor IX
31
Factor
VII
Factor XI
Feedback
Warfarin only inhibits vitamin K dependent factors; Factor XI is not vitamin K dependent.
138. Match the organism names from the drop down box to the name of the associated
condition listed below.
Plasmodium ovale Malaria
Cestodes Tapeworms
Trypanosoma rhodesienseSleeping
Sickness
139. Serum proteins can be separated by cellulose acetate electrophoresis into how many
basic fractions:
4
fractions
5
fractions
6
fractions
7
fractions
Feedback
The five basic fractions are albumin, alpha-1, alpha-2, beta, and gamma globulins.
140. Which of the following specimens would not be considered suitable for anaerobic
culture:
Feedback
Anaerobes are predominant in the colon. Anaerobic habitats have reduced oxygen tension
usually resulting from the metabolic activity of aerobic organisms. Thus, anaerobic infections
are usually polymicrobial, with aerobes, facultative anaerobes, and obligate anaerobes all
contributing to the infection.
141. Which band on the following serum protein electrophoresis scan is not made up of a
mixture of proteins:
Beta
32
Alpha -
1
Alpha -
2
Albumin
142. Which of the following is not necessary for bacteria to grow successfully on artificial
media:
Pure isolate
Proper
temperature
Proper Ph
Proper moisture
Feedback
A mixture of bacteria can easily grow together on media as long as the other factors are all
maintained correctly.
143. Why would a unit of group O blood never be administered to a Bombay patient:
Anti-A in donor
Anti-B in donor
Anti-H in donor
Anti-H in
recipient
Feedback
The classic Bombay phenotype (Oh) is characterized by the absence of A, B and H antigens, and
the presence of anti-H, which will react from 4o to 37o C. Bombay patients must therefore be
transfused only with blood from donors of the Bombay phenotype.
Francisella
Bacteroides
Pseudomona
s
Neisseria
Feedback
Feedback
Various Rickettsial species cause typhus, Rocky Mountain spotted fever, Rickettsialpox, and Q
fever. Rickettsial organisms are cultured only by research and reference laboratories, and the
diagnosis is usually achieved by a combination of clinical findings, and acute and convalescent
serology. Early diagnosis of Rocky Mountain spotted fever can also be made by
immunoflourescence testing of a skin biopsy, where Rickettsia can often be found within
endothelial cells of capillary vessels.
Megaloblastic
anemias
Thalassemias
Lead poisoning
Hemolytic anemia
Feedback
34
Hemolytic anemia may be associated with fine basophilic stippling due to precipitated RNA in
polychromatophilic erythrocytes. It is not usually associated with coarse stippling. The other
conditions above have coarse stippling in the setting of abnormal hemoglobin synthesis.
Liver
function
Fetal
maturity
Pregnancy
Steroid
levels
151. Estrogen and progesterone markers are most commonly used to provide prognostic
information about:
Breast cancer
Uterine cancer
Menopause
Cervical cancer
Feedback
Patients with tumors positive for both estrogen and progesterone receptors tend to respond
favorably to hormonal therapy, whereas those without generally do not. Patients with positive
estrogen and progesterone receptors also have a somewhat better prognosis.
152. Materials such as strong acids and bases are classified as:
Corrosives
Chemical
irritants
Flammable
liquids
Carcinogens
153. Elevation in conjugated bilirubin is most likely to be found in which of the following
conditions:
Transfusion
reactions
Erythroblastosis
fetalis
Cirrhosis of the liver
Biliary obstruction
Feedback
Posthepatic jaundice is the result of bile duct obstruction, not impaired hepatic function. It will
result in elevation of direct (conjugated) bilirubin.
154. Pluripotential stem cells are capable of producing which of the following:
35
Only T-lymphocyte and B-lymphocyte subsets
Erythropoietin, thrombopoietin and
leukopoietin
Lymphoid and myeloid stem cells
Daughter cells from only a single cell line
Feedback
Pluripotential stem cells are ultimately capable of differentiating into all types of leukocytes.
155. Match the differential/ selective enteric medium with its characteristic indicator,
fermentable, and bacteriostatic.
Feedback
XLD has a yellow fermenter and a red nonfermenter. MacConkey has a red fermenter and a
colorless nonfermenter. EMB has a black/red fermenter and a colorless nonfermenter. HE has a
yellow fermenter and a green nonfermenter. BS has a Salmonella fermenter and a black
nonfermenter. SS has a red fermenter and a colorless nonfermenter.
Ammonia
Creatinin
e
Ketones
Urea
Defraction gradients
Impedance
Defraction gradients and impedance
Flourescent antibody tagging and light
scatter
Feedback
Flow cytometry employs a combination of fluorescent antibody tagging of cells and analysis
with laser light scatter.
36
158. Which is arranged from least mature to most mature:
Stem Cell, Rubriblast, Prorubricyte, Rubricyte, Metarubricyte, Reticulocyte,
Erythrocyte
Stem Cell, Prorubricyte, Metarubricyte, Erythrocyte, Rubriblast, Rubricyte,
Reticulocyte
Erythrocyte, Reticulocyte, Metarubricyte, Rubricyte, Prorubricyte, Rubriblast,
Stem Cell
Rubricyte, Rubriblast, Stem Cell, Prorubricyte, Erythrocyte, Reticulocyte,
Metarubrictye
159. The term used to describe patients with absence of Rh antigens is:
Rhd
Rhnull
Rhmod
Rho
Feedback
Rhnull individuals have no Rh antigens. Rhmod individuals show reduced and varied reactivity with
Rh antigens.
Phase contrast
Darkfield microscopy
Brightfield
microscopy
Polarized light
Feedback
A polarizing microscope with a first order red compensator is used to identify identify crystals
in synovial fluid: Needle shaped monosodium urate crystals are strongly negatively
birefringent, while rhomboid calcium pyrophosphate crystals are weakly positively birefringent.
161. Which of the following antibodies is the most common cause of hemolytic disease of the
newborn:
Anti-
A
Anti-
B
Anti-
E
Anti-
D
162. Which of the following is not true about members of the Enterobacteriaceae:
Gram-negative
Oxidase positive
37
Reduce nitrate to
nitrite
Ferment glucose
Feedback
Any oxidase-positive organism can be excluded from the Enterobacteriaceae. The other
characteristics are as a rule present in these organisms.
163. Match these autoimmune diseases with their corresponding serological markers:
Antimitochondrial
antibodies
Anticentromere antibodies
Antineutrophilic antibodies
Antimyocardial antibodies
164. Match each virus with its appropriate nucleic acid content:
Togavirus
Coronaviru
s
Herpesviru
s
Adenovirus
165. Which one of the following is not a benefit of using packed RBCs:
Decreasing the load of potential donor antibodies
Decreasing the risk of transfusion associated
infection
Decreasing plasma volume
More efficient use of the whole blood unit
166. Match the following terms with the statement that best describes each:
Membrane covering the brain under the skull
Fluid accumulation due to a malfunction of ability to form and
reabsorb fluid
Inflammation of the pleural membranes
Excess accumulation of fluid within any of the body's serous
cavities
167. The adult worms of which of the following reside in the intestine or its blood vessels:
Heterophyes heterophyes
Schistosoma mansoni
Clonorchis sinensis
Schistosoma
haematobium
168. Match the illustrations with the corresponding classification of bacteria:
38
B
D
F
Feedback
A sensitivity of 95% means that 5 results out of a possible 100 that should have been detected
as positive by a method will have been reported as negative. These results are termed false
negatives.
170. Which one of the following are not associated with a polyclonal (broadbased) increase in
gamma globulins?
Liver disease
Chronic
inflammation
Immune reaction
Immunodeficiency
Feedback
171. Which of the following tests would be used to directly document the presence of a
specific organism in a clinical specimen:
ELISA test
Hemagglutination test
Hemagglutination inhibition
test
Direct fluorescent antibody
test
Feedback
A direct fluorescent antibody test (DFA) can be used, for example, to detect antigens of
Legionella, Bordetella, Neisseria, and Treponema in appropriate clinical specimens. However
DFA can detect only antigens, not antibodies.
39
172. That portion of an enzyme which is separated from its cofactor is called a(n):
Partial
enzyme
Isoenzyme
Coenzyme
Apoenzyme
Feedback
A partial enzyme is not an actual term used in the laboratory. An isoenzyme is a related
enzyme with a different chemical structure. Finally, a coenzyme is a non-protein molecule
(often a vitamin) that helps an enzyme become active.
Liver disease
Bone disease
Muscle trauma
Mycardial
infarction
Feedback
The isoenzyme CK-MB is fairly cardiac specific. It is elevated within 6 to 8 hours of a myocardial
infarction, and remains elevated for about 2 to 3 days post infarction.
Feedback
175. A delayed hemolytic transfusion reaction is most likely to be the result of which of the
following antibodies:
Lea
A
Jka
40
B
Feedback
Jka (Kidd) antibodies are very dangerous; they disappear from circulation quickly and can cause
severe delayed transfusion reactions.
176. Increased excretion of creatinine would be expected in which of the following groups:
Elderly
males/females
Adult males
Adult females
Children/infants
Feedback
Diets high in meats, and extreme exercise will cause a significant increase in creatinine
excretion.
177. Pheochromocytoma is a tumor of the adrenal medulla that results in elevated urinary
levels of all but which of the following:
Cortisol
Free catecholamines
Metanephrines
Vanillylmandelic
acid
Feedback
Acknowledgement
And also I thank full my friend Mr. Sami Khan he help me in down load, Thanks,
Muhammad Younis
41
Lab. Technician
NNP, Rabigh, KSA
00966-591-342865
Unis_memon85@yahoo.com
42
1. Leukocytes involved in anaphylactic hypersensitivity and
inflammatory reaction
a. Basophiles
b. Monocyts
c. Lymphocytes
d. Neutrophils
e. Eosinophils.
2.The person should not have donated blood within the previous
a. 3 month.
b. 5month.
c. 2 month.
d. 1year.
3.OOcysts found in
a. Entamoeba histolytica
b. Giardia lamblia
c. Trypanosoma sp.
d. Plasmodium malaria
e. Toxoplasma gondii
40.TORCH means
a- Toxoplasma , Roubella , Cytomegalovirus,AIDS
b- Toxoplasma ,Roubella , Cytomegalovirus , Hepatitis
c- Toxoplasma ,Cytomegalovirus , Herps virus
d- ALL
41.Arterial blood for
a. Blood chemical
b. Hormones
c. Blood gases
d. Enzyme
42.All of the following bacteria cell components except
a. Cell wall
b. Cell membrane
c. Cytoplasm
d. Pilli
e. Mitochondria
43.Eye swab cultur in
a. MaCconky
b. CLED
c. Chocolate
d. Blood + chocolate agar
52.Amoeba stained by
a. Gram stain
b. Geisma
c. Iodine eosin stain
d. Leishman
53.False in OGGT because
وهللا ما اذكر الخيارات النها كانت طويلة ..لكن كان اغلبها صحيح واللي كانت خطأو اضحه هذي ..
a. The patient restrict carbohydrate intake in the days or weeks before the test
.الي معىاها ان المزيض يحزم وفسه مه الكزبىهيدرات قبل االختبار بأيام ..
54.Monospot test is done to diagnose
a. Infectious mononucleosis
b. Scarlet fever
c. Reumatic fever
d. AIDs
هذي االسئلة اللي جاتني في اختبار الهيئة ..وان شاء هللا فالكم
النجاح والتوفيق ..
االختبار يبي له شوية تركيز فقط ..وبإذن هللا تحل اللي ينجحك
وزيادة بإذن هللا ..
دعواتكم لي بالتوفيق
مختبرات العرب
".سبعٌن استغفارة نستغفر باألسحار
:وقال أبو سعٌد الخدري رضً هللا عنه
السالم سؤل جبرٌل علٌه السالم فقالٌ :ا جبرٌل أي بلغنا أن داوود علٌه
.أدري ،إال أن العرش ٌهتز فً السحر اللٌل أفضل؟ فقالٌ :ا داوود ما
المستغفرٌن ،واكتب لنا عز الدنٌا اللهم اجعلنا من التوابٌن ،واجعلنا من
.واآلخرة ،وبلغنا مما تحب آمالنا
على سٌدنا محمد وعلى آله وصحبه وسلم وصلى هللا
a. Mg/dl.
b. Gm/dl.
c. Ml/min.
d. mmHg
e. Mmol/l.
ف٘ ٟزا اٌغؤاي ٠غأي ِب٘١ب اٌٛؽذح اٌز ٟأعزط١غ ل١بط األوغغ ٓ١ف ٟاٌذَ األخز١بس
اٌقؾ١ؼ ٍِِ ٟزش ٌىً صئجك
ٌىٓ ف ٟأخز١بسد اٌ١ٙئخ اٌغذ٠ذح ِّىٓ رزغ١ش ٚثذي ِ١غ١ت ٌه ٍِِ ٟزش ٌىً صئجك
٠kpaغ١ت
٠ؼٕ٠ ٟغ١ت ٔفظ اٌغؤاي ٌىٓ ٠غ١ش ف ٟاألخز١بساد
mmHg=kpa
ٔفظ اٌؾً
3
3. Pituitary gland called
a. Sweet gland
b. Mammary gland
c. Master gland
d. Purity gland
٠مٛي اٌغذح إٌخبِ١خ ٌٙب ػذح اعّبء ِب٘١ب األعُ األخشٌٙ ٜب ٔخزبس ِبعزش لالٔذ
ٌىٓ ِّىٓ ف ٟاخزجبساد اٌ١ٙئخ اٌغذ٠ذح ٠غ١ت ٔفظ اٌغؤاي ٌىٓ ٠غ١ش ف ٟاألخز١بساد
٠pituitary gland=master gland=mother glandؼٕٟ
٠ؼٕ ٟاٌغذح إٌخبِ١خ ٌٙب صالس اعّبء ِّىٓ ٠غ١ش ٌه ف٘ ٟزا اٌغؤاي اُ٘ ؽٟء ٔؾفع
اْ اٌغذح إٌخبِ١خ ٌٙب صالس اعّبء
ٚاٌ١ٙئخ او١ذ ساػ رغ١ت ٌه ٚاؽذ ِٓ ٘زح األعّبء ِشاػ رغ١ت وٍٙب
4. The Symbol ( ST) in the Lab means
a. Blank
b. Test
c. Standard
d. Control
e. Non
٘زا اٌغؤاي عذا ع٠ٚ ًٙمٛي ٌه األخزقبس اط رِ ٟبرا ٠ؼٕ ٟاو١ذ ٔخزبس اٚي ؽشفٓ١
ص ٞثؼل
B=blank
T=test
ِّىٓ ٠غ١ت ٌه ٘زح األخزقبسد ٠ٚمٛي ٌ ٟا٠ؼ ٘١ب
4
الْ وٍٕب ٔؼٍُ اْ صبٔ ٟاوغ١ذ اٌىشث٠ ْٛؼزجش غبص عبَ ٌزٌه الٕ٠زمً ف ٟاٌغغُ وضبٟٔ
اوغ١ذ اٌىشث٘ٚ ْٛزح ِٓ اٌؾىّخ األٌ١ٙخ ٌٕب ٌزٌه ٕ٠زمً ػٍ١٘ ٝئخ أٛ٠بد اٌج١ىشٚثٕبد
ٌه ال٠ى ْٛمبس ػٍ ٝاٌغغُ
5
ُ اٌغغٟ اٌغغُ ساػ رؾزغً فٟت إٌّبػخ ف٠خ عغُ غش١ ارا عغّٕب دخً فٟٕؼ٠
َك اٌذ٠ ػٓ هشٚك األٔغغخ أ٠ػٓ هش
وزاٚ ًّؼ٠ ؼ٠ي اٛٔمٚ ٓ ّٔغه وً عضء١اٌؾ
ٛ٘ ٌٍٟ عضء اّٚٔغه أhumoral
humoral blood bone marrow B-Cell ٚ أB-
lymphocytes antibody
ٞ ثذٞ رٕزظ األٔزذٟب اٌج٠خالٚ ٟب اٌج٠سي رٕزظ خالّٛ١ٌٙب ا٠ خالٟٕؼ٠
ٞ اعّه ٘زٞب صٙالصَ رؾفظ
اؽذٚ ُٙ عُٜ رشٙاٌغ
6
)DAT(direct agglutination test
٠مٛي ٠مٌٛه ٘زا األخز١بس ٠ؾذس ف٠ ٓ١ؾذس ف ٟعّ١غ ِبعجك
٘زا اٌغؤاي عذا ِ ُٙف ٟاٌ١ٙئخ ٠ٚغ ٟثؼذح هشق ٚػذح أعئٍخ
ؽٛف أٚي ِزؾٛف ف ٟاٌغؤاي وٍّخ ٌٛثظ اٌٍِ ٟؾذدح ثبألؽّش ػٍ ٝهٛي رخزبس
ٔ١زش ٚف٠ ً١ؼٕ ٟأ ٞؽٟء ف ٟاٌغؤاي ػٍ ٝهٛي
Lopes= Neutrophils
اٌؾ ٓ١ساػ اوزت خقبئـ إٌ١زش ٚف ً١ػؾبْ ارا عبء أ ٞاؽذ ِٓ ٘زح اٌخقبئـ رؼشف
أه ساػ رخزبس ٔ١زش ٚفِّٚ ً١ىٓ ٠غ١ش ػٍ ٝ١و١فخ ف ٟف١غخ اٌغؤاي اُ٘ ؽٟء أٔذ رىْٛ
ؽبفع ٚفبُ٘
neutrophils:خقبئـ
ٔ40%--75%غجخ ٚعٛد٘ب أػٍ ٝؽٟء إٌغجخ الصَ رؾفظٙب1-
acute bacteria infectionرض٠ذ ٘زح اٌخال٠ب ف ٟؽبٌخ اٌؼذ ٜٚثبٌجىز١ش٠ب2-
٠ؼٕ ٟفٙ١ب اٌؼذ٠ذ ِٓ اٌٍٛثظ صِ ٞمٍٕب فٛق3-multible lopes
أٔذ اؽفظٙب األْ ٚثؼذ ٓ٠ساػ اؽشؽٙب ساػ رغ ٟف ٟعؤاي 4-granule circulation
اخش
أُ٘ ؽٟء رؼشف ٘زح اٌخقبئـ أ ٞؽٟء ٠غ١ه ِٓ ٘زح اٌخقبئـ ٠مٌٛه ٔٛع اٌخال٠ب
neutrophilsػٍ ٝهٛي ٔخزبس
7
10.Leukocytes involved in anaphylactic hypersensitivity and
inflammatory reaction
a. Basophiles
b. Monocyts
c. Lymphocytes
d. Neutrophils
e. Eosinophils.
ؽبٌخٟ رشرفغ فٟنبء اٌز١ب اٌج٠ش١ع اٌجىزٛٔ ب١ٌ٘ه ِبٛم٠ ُِٙ ٘زا اٌغؤاي عذاٟف
ً١ فٛغ١ي اٌجٛبة اػ رمٙ األٌزٚ خ١اٌؾغبع
%1 ٌٝا%0ِٓ عٌٕٛدح ٘زح اٛعٚ ٔغجخٚ
حٛٔدح أػشف اٛعِٛ دح ٌىٓ ارا وبٔذٛعِٛ ش١ْ غٛ رىٟؼ١ع ِٓ اٌطجٌٕٛ ٘زح اٟٕؼ٠
بةٙ اٌزٚخ أ١خ ؽغبع١ف
ً١ فٛغ١ي اٌجٛد رمٛعِٛ ش١ْ غٛى٠ ٟؼ١ هجٌٍٟع إٌٛ اٛ٘ ارا لٍه ِبٟٕؼ٠
ّخِٙ ػشفٕب خقبئـٟٕؼ٠
Basophils:
1-بةٙ ؽبٌخ األٌزٟفٚ خ١ ؽبٌخ اٌؾغبعٟرشرفغ ف
2-%1ٌٝا%0 ِٓ دحٛعٚ ٔغجخ
3- دحٛعِٛ ش١ْ غٛ رىٟؼ١ِٓ اٌطج
خالؿ فّٙزٛ
ٚف١خ ؽٟء اعّخ غشاَ ِٛعت ٚغشاَ عبٌت
ِٓ خقبئـ غشاَ ِٛعت اٌغذاس ؽمٗ صمً١
ٚاٌغشاَ عبٌت اٌغذاس ؽمٙب خف١ف ٠ؼٕٟ
Gram positive=thick
Gram negative=thin
اٌؾ ٓ١ساػ ٔزىٍُ ا٠ؼ ٠ق١ش ٌّٓ ٔقجغ غشاَ ِٛعت ِٓ خقبئقٙب أٙب صم ً١اٌغذاس ٠ؼٕ ٟأٚي
ِٕقجغ اٌقجغخ األٚي ساػ ّ٠غه فٙ١ب اٌ٠ٚ ْٛق١ش ٌٙٔٛب ِٛف
10
ٌّٓ غشاَ عبٌت اٌغذاس ؽمٙب خف١ف ِٚشاػ رّغه فٙ١ب اٌقجغخ األٌٝٚ
ٚارا عٕ١ب ٔقجغ اٌقجغخ اٌضبٔ١خ
غشاَ ِٛعت خالؿ ِغىذ فٙ١ب اٌقجغخ األٚ ٌٝٚفبس ٌٙٔٛب ِٛف
ٌٚىٓ اٌغشاَ عبٌت ساػ رّغه فٙ١ب اٌقجغخ اٌضبٔ١خ ٠ٚق١ش ٌٙٔٛب أؽّش
٠ؼٕٟ
Gram positive=thick=violet color or blue color
Gram negative-thin=red color
25.HAV transmission
a. Blood
b. Body fluid
c. Sexual contact
d. Fecal oral
26.HBV transmission
a. Blood
b. Body fluid
c. Sexual contact
d. ALL
27.HCV transmission
a. Blood
b. Body fluid
c. Sexual contact
d. Fecal oral
٠ؼٕ ٟاٌزٙبة اٌىجذ اٌٛثبئ ٟػٕذ ٞصالس أٔٛاع ٚوٍٙب ٚاؽذ ِٕٙب ٕ٠زمً ػٓ هش٠ك e.
ؽٟء ِؼٓ١
ػٓ هش٠ك األوً=f. A
ػٓ هش٠ك اٌذَ ٚػٓ هش٠ك عٛائً اٌغغُ ٚػٓ اٌطش٠ك اٌغٕظ=g. B
14
h. C=َك اٌذ٠ػٓ هش
28. Enterobacter is
a. Gram-negative cocobacillus
b. The large negative rod
c. The small negative rod
بء١ّ١ وٟ وبْ رخققٚىش٠ الٔخ ِذسعذ ِبٚىش٠ عضء اٌّبٍٝفشاؽخ اعفخ ػ
بٙ ثظ وٕذ أؽفظٚىش٠ اٌّبٟفخ عذا ف١خ فنؼ٠ٛ١ؽ
ٚة اٚئخ لش١٘ ٍٝب رزشرت ػ٠ش١ثىزٚ ئخ عجؾخ١٘ ٍٝب رزشرت ػ٠ش١ب ثىز٠ٓ ِٓ اٌجىزش١ػٛٔ ٞأب ػٕذٚ
اٌؼٕتٞخ ص٠دٛػٕم
Strepto=chain اٌغجؾخ ػؾبْ وزا أخشٔب٘بٞجخ ِٓ اٌجؼل ص٠لشٚ ئخ عٍغٍخ١٘ ٍْٝ ِشرجخ ػٛرى
اٌغؤايٟف
ٟٔع اٌضبٌٕٛا
Staph=group or cluster ةٚئخ لش١٘ ٍٝ ػٚخ أ٠دٛئخ اٌؼٕت ػٕم١٘ ٍْٝ ِشرجخ ػٛرى
30. Patient comes to the lab. After take meal since two hours the
normal level of his glucose is
a. 100 – 150 mg/dl.
b. 70 – 110 mg/dl.
c. 50 – 90 mg/dl.
d. 100 – 150 gm/l.
15
ٟؼ١ فطجٝ ِزؼؾٚ اٜ ِزغذٟٕؼ٠ عجخٚ ثؼذ ِىبْ ِبخزٝل عبء ٌٍّغزؾف٠ٌه ِشٛم٠ ٕ٘ب
ْ وبٛ٘ٚ لبط اٌغىشٚ ثظ عبءٟؼ١ أغبْ هجٛ٘ ٟٕؼ٠ ْٞٛ ػٕذح ِشرفغ ؽٛى٠ ساػ
ؽذحٌٍٛ ء ٕٔزجخٟاُ٘ ؽٚ 150ًٌ جب٠فً رمشٚ ْٛى٠ عجخ ساػٚ ِأخز
31.Infective stage of Taenia:
a. Larva
b. Cercaria
c. Embryonated egg
d. Cysticercus
e. Metacercaria
ّخ ِشح ِشحِٙ بٙاؽفظ
32.Which is most abundant (prevalence)?
a. Plasmodium falciparum. =ت١غ٠ٚ ش ٘زح األعبثخ١غ٠ ِّٓىcerebral
malaria =خ١ٔؽذح صبٚ ٚأmalignant malari
b. P.ovali.
c. P.malari.
d. P.vivax.
ُ اؽفع اٌضالسِٕٙ ؽذحٚ ٞت أ١غ٠ ٓي ِّىٍٛ ٘زا اٌغؤاي ٌخ صالس ؽٟٕؼ٠
ب خبفخ١٘ٚ ؽذحٚ يٚ األٔزؾبس ساػ ٔخزبس أٟء فٟ اوضش ؽٌٍٟؼ ا٠ٌه أٛم٠ ٕ٘ب
ب٠ثّشك اٌّالس
35.The person should not have donated blood within the previous
a. 3 month.
b. 5month.
c. 2 month.
d. 1year.
َب ثبٌذَ الص٠ٛزجشع وً ع٠ مذس١ِ زجشع ثبٌذَ اٌؾخـ٠ مذس اٌؾخـ٠ ٌٝه ِزٛم٠ ٕ٘ب
َخ ثبٌذ١ٔزجشع ِشح صب٠ خ ٌه١س وبفٛٙصالس ؽٚ ٓ وً رجشع١أخز فزشح ث٠
36.Blood grouping antibodies are
a. IgG
b. IgM
c. IgE
d. IgD
e. IgA
Blood grouping=igm
39.OOcysts found in
a. Entamoeba histolytica
b. Giardia lamblia
c. Trypanosoma sp.
d. Plasmodium malaria
e. Toxoplasma gondii
دحٛعِٛ ٓ٠زظ ا٠عبٌٚٚه اٛم٠
42.Tissue Nematodes
a. Entamoeba histolytica
b. Echinococcus granulosis
c. Trypanosoma sp.
d. Trichinella spiralis
e. Toxoplasma gondii
18
45.In emergency treatment of cuts and bleeding if cut is small. We do
a. Wash with area with soap and water
b. Apply pressure with apiece of cotton wool
c. Disinfected the area with skin antiseptic
d. Cove with a water proof dressing
e. ALL.
ءٟ وً ؽٜٛذ ثٕغ١ف ٔؼبٌغخ او١ٕضف و٠ٚ عٛ وبْ ِمطٜاسٌٛه ؽبٌخ هٛم٠ ٕ٘ب
ساػ ٔخزبس وٍخٟٔغطٚ ُٔؼمٚ اٌغشػٍٝٔنغو ػٚ ًٔغغ
47. The first aid you do if chemical injury to the eye
a. Wash the affected eye quickly
b. Seek medical attention
c. Trans to other place
d. Call the physician
e. Immediately rinse the mouth well with water.
خ١بئ١ّ١ اٌؾخـ أغشػ ثّبدح وٌٛ اٌٍش ساػ رؼٍّخٌٝٚ األعؼبف األٌٛ٘ه ِبٛم٠ ٕ٘ب
ٌٝٚ األعؼبف األٟٕؼ٠ ذ٠غذ ا٠ٌه وٍّخ فشٛم٠ٚ غخ١ه ثٕفظ ٘زح اٌق١غ٠ عؤايٞأ
ػٚٚ ي اخزبس وٍّخٛ هٍٝػ
بٙف ٔؼبٌغ١خ و٠ٍٛب ِبدح لٙ١ٍٓ عبء ػ١ٌه اٌؼٛم٠ ٓ األعئٍخ ِّىٟف
خ١ّي ساػ ٔؾفو ِبدح ؽبمٛساػ ٔم
اؽفعٚ ُٙأذ اف
ٓ١اٌؼ
Acidic====5%sodium bicarbionate
Alkaline or basic==5%acetic acid
20
ب ِبدحٙ١ٍارا أىت ػٚ ؼ ٔؾو٠ب ِذح لبػذح اٙ١ٍٓ أىت ػ١ب وزا ارا اٌؼٙخالؿ اؽفظ
ؼ ٔؾو٠خ ا١ؽبِن
اٌغٍذ
ًّؼ ٔؼ٠خ ا١ ِبدح ؽبِنٚخ أ٠ش ؽبٌخ اثزالع ٌّبدح لبػذ١ق٠ ِّٓىٚ
ؽبٌخ األثزالعٟف
Acidic== ٔؾشةmilk+magnesium hydroxide
Alkaline or basic= ٔؾشةlemon+acetic acid
امؼ اٌؾشػٚ ْٛى٠ بسة٠
21
ي ٔخزبسٛ هٍٝذ ػ٠زخوٍّخ فشعذ ا٠ ثذاٟ ؽُٞ عذا أب لجً لٍزه ٌىُ أِٙ ٘زا عؤاي
ٍٝصخ الصَ ٔزقً ػٍِٛ ٘زح اٌؾبٌخ الصَ ؽقً اثزالع ٌّبدحٟػ فؼ ٌىٓ فٚٚ
ؼ ِٕمذس ٔؾشة ِبء١ٌ ٌُىٛأب الٚ خ١خ اٌقؾ٠اٌشػب
ثظٟٕؼ٠ ذ اٌؾبٌخ٠رضٚ ب٠ش١ اٌجىزّٕٛب ارا ؽشثٕب ِبء ساػ ر٠ش١ب ثىزٙ١صخ فٍِٛ الْ ِبدح
خ١خ اٌقؾ٠ اٌشػبٟصخ ٔزقً فٍِٛ ؽبٌخ اثزالع ِبدحٟف
55. If acid has been Swallowed neutralize by
a. 5% acetic acid
b. Boric acid powder
c. Drinking 8 %Magnesium hydroxide
d. Milk
e. C or D.
قٛؽشؽزخ ف
23
61. Balantidum coli in
a. Stomach
b. Large intestin
c. Small intestin
d. Liver
ُ رؼشفِٙ شح١ االِؼبء اٌىجٟؼ ف١ح رؼٚدٚؼ ٘زح اٌذ١ٓ رؼ٠ٌه اٛم٠ ٘زا اٌغؤايٟف
شح١ب اٌىجٙٔا
24
64. Fasciola Diagnostic by
a. Ova in stool
b. Larva in stool
c. Cyst in stool
d. Trophozoite
66. Naturally occurring stable bacteria that lack a rigid cell wall
a. Mycobacterium tuberculosis
b. E.coli
c. Mycoplasma
d. Enterobacteriacae
ب عذاسٙعذ ثٛ٠ٌىٓ الٚ ب صبثزخ٠ش١ اْ ٘زح اٌجىزٟؼ١ي ٌٕب ِٓ اٌطجٛم٠ ٘زا اٌغؤايٟف
ٍٜٛخ
فٛي ِزؾٚ أٟٕؼ٠
Lack cell wall=mycoplasm
25
68. Gram negative bacteria may appear as gram positive when
a.Smear is tool thick شٙظ٠ ظ ساػ٠ِٛفشدٔب وٚ ٍخ١ؾخ ِشح صم٠ٕب اٌؾش١ٍ خٟٕؼ٠
عتِٛ َ اٌغشاًٞ ص١ف وأٔخ صم١اٌغشاَ عبٌت اٌخف
b. Cell wall damage by antibiotic therapy
c.Over decolorization
d. Use old iodine
e.Smear from old culture
عتِٛ َب غشاٙٔش وبٙ رظٝي اٌغشاَ عبٌت ِزٛم٠ ٕ٘ب
ذ٠ اٌغالٍٝظ ػ٠ٛب و٠ش١صع اٌجىزٛٔ َؾخ الص٠ اٌؾشٍٝ ٔفشد ػٟاؽٕب ٌّٓ ٔغ
ب١٘ٚ ٍخ١ب صمٙٔش وأٙب رؾذ اٌّغٙفٛٔؾٚ ظ ساػ رزغّغ٠ٛب و٠ش١ٌىٓ ارا ِفشدٔب اٌجىز
فخ١افال خف
ظ٠ٛ الصَ ٔفشد وٟٕؼ٠
82. Media selected for culturing the blood to isolate aerobic organism
a. Columbia agar
b. Blood agar
c. Chocolate agar
d. Nutrient agar
يٛٓ ل١د األوغغٛعٚ ٟ فٟٕؼ٠ ب١ائٛ٘ ٌخٚخ اٌغؤاي ِؼض٠بٙٔ ٟء فٟاؽفع اُ٘ ؽ
ب١ائٛ٘ ٌخٚب ِؼض١الِجٌٛخ وٚ دٟٕؼ٠ ب اعبس١الِجٛو
30
86. Normal range of ASO test
a. Up to 200 Iu/ml.
b. Up to 100 Iu/ml.
c. Less than 50 mg/dl
d. 70 – 110 mg/dl.
33
96. Hypoglycemic hormones
a. Amylase
b. Insulin
c. Lipase
d. Glycogene
e. Trypsin
99. A cervical not a vaginal swab is required for the most successful
isolation from women’s
a. Trichomonas vaginalis
b. N.gonorrhoea
c. S.hematobium
d. Ascaris lumbercoid
ِخٍُٛ اػشف ٘بٌّؼِٙ سؽُ اٌّشأحٟؼ ف١ب رؼ٠٘زح اٌجىزش
34
100. The nature of Antibodies
a. Glycoprotein
b. Polysaccharide
c. Lipids
d. Cardiolipin
ِب٘١ب هج١ؼخ األعغبَ اٌّنبدح ساػ رى ْٛعٍٛوٛص+ثشٚرٓ١
٠ؼٕ ٟعال٠ىٛثشٚرٓ١
Blood grouping=IgM
102. Heparin tube color
a. Red
b. Blue
c. Green
d. Yellow
أو١ذ وٍٕب ٔززوش اٌغٙبص ؽك اٌىّ١غزش ٞاألٔبث١ت اٌٍ ٟوٕب ٔغزخذِٙب ٌٙٔٛب أخنش
٘١ب اٌٍ ٟفٙ١ب اٌ١ٙجبسٓ٠
خالؿ
35
103. In the beta HCG test the result is
a. MIu/ml
b. U/L
c. Mu/L
d. MIu/dl.
39
ِّٓىٚ ٍٟزخ ث١خ دَ فق١ ِّىٓ رؼطٍٟخ دِخ ث١ل فق٠ عبة ٌٕب ِشٌٛ ٟٕؼ٠
ٍٚزخأ١خدَ فق١رؼط
امؼٚ ْٛى٠ بسة٠
40
122. Philadelphia chromosome is a specific chromosomal
abnormality that is associated with.
a. ALL
b. AML
c. CML=مخ ٌٍؾفع٠عًّ هش
d. None.
خالؿٚ ًّب عٙب ِؼ١ب فالدٌفٙي ػؾبْ اؽفظٛوٕذ أل
ًّب=ع١الدٌف١ف
ب ؽبدح١ّ١ٔي اٛغجت ٔم٠ ؼ٠ؽذح اٌٛ 12ٟٓ ث١ِزب١لٍه ٔمـ فٚ عبة عؤايٌٛ ٌٓى
ٟٕؼ٠ رغجت
Deficiency of B12 cause prenicius
49
َ اٟ عٞ خّظ اعضاء ٔخزبس أٍٝ ػٟؾز٠ لٍهٌٛ لً لجٍٕب
َ اٟ عٞ أٞ لٍه اسثغ اعضاء ٔخزبسٌٛ ْ وّبٝؽزٚ
ٟٕؼ٠
4 or 5 parts=IgM
ٓ ِّىٞش دَ عبٌت ػبد١ِؾقٍذ غٚ عتِٛ ٍخ دِخ١ل فق٠ ِشٞ وبْ ػٕذٌٛ
خ عبٌت١اػط
عتِٛ خ١غ اْ اػط١غ ال أعزط١ل دِخ عبٌت ال أعزط٠ ِشٞ وبْ ػٕذٌٛ ٌٓى
ّٕبٙف
بخز دِخ عبٌت٠ مذس٠ عتٌّٛ اٟٕؼ٠
عتِٛ َأخز د٠ مذس١ِ ثظ اٌغبٌت
مؾذٚ بسة٠
56
183. Factor I of blood clotting is:
a. Christmas factor
b. Fibrinogen
c. Prothrombin
d. Thromboplastin
ٓ١عٛٔجش٠ اٌفبٛ٘ يٚ اٌؼبًِ األٟٕؼ٠
ٓ١ِجٚصشٚ اٌجشٛ٘ ٟٔاٌؼبًِ اٌضبٚ
184. One of the intrinsic pathways
a. Factor XI
b. Factor XIII
c. Factor I
d. Factor VII
11 سلّخٍٟاٌؼبًِ اٌذاخ
X=َِؼٕب٘ب ػؾش أسلب
11 اؽذ فبسدٚ بٙ١ٍف ػ١ٔنٚ
11 ٍٟ اٌؼبًِ اٌذاخٟٕؼ٠
209. Gram positive stained more easy than gram negative because
a. Gram -ve cell wall is thin while gram +ve is thick
b. Gram +ve cell wall is thin while gram -ve is thick
c. Gram -ve cell wall Contain more peptidoglycan
d. ALL
ف١اْ اٌغشاَ عبٌت خفٚ ً١عت صمِٛ َلٍٕب لجً اْ اٌغشا
63
c. 4-6 Weeks
d. 6- 8 Weeks
219. One test in the following can diagnose anemia :
a. CBC
b. PT
c. PTT
d. Platelets
e. Leukocyte
ايش اسم األختبار اللي نحدد عن طريقة هل المريض عندة انيميا أو ال
راح نقول اكيد السي بي سي
64
a. Blood transfusion
b. Sexual
c. Ingestion contaminated food
d. Inhalation
ًك األو٠ٔال رٕزمً ػٓ هشٌّٛاٌغب
65
a.
Cell wall
b.
Cell membrane
c.
Cytoplasm
d.
Mitochondria
ب٠ٔذسٛوٛز١ٌّب ا١٘ ٕزظ اٌطبلخ٠ ْأوضش ِىب
229. Lactobacilli isolated in
a. Throat swab
b. Ear
c. Urine
d. Stool
66
c. Shigella
d. T.palidium
e. Haemophillus
67
238. A pheresis is the collection of
a. CSF
b. Bone marrow aspiration
c. Blood component
d. 24 h. urine
75
274. The blood cells that play a major role in preventing infection of
the body are
a. Erythrocyte
b. Leukocyte=WBC
c. Platelets
d. Blast Cells
ُ رذافغ ػٓ اٌغغٌٍٟب ا٠ب اٌخال١٘ ؼ٠ اٜٚخ ػذ١هجؼب وٍٕب ٔؼشف ٌّٓ عغّٕب رغ
نبء١بد اٌذَ اٌج٠ذ وش١او
77
ًكٌف نعرف ان المرٌض عندة نقص حدٌد فً الدم اكٌد عن طرٌق جهاز السً ب
ًس
79
c. Parathyroid gland
d. Adrenal gland
ٕ٘ب ٠مٍه ٘شِ ْٛإٌّ ِٓ ٛا٠ ٓ٠فشص
٘شِ ْٛإٌّ٠ ٛفشص ِٓ اٌغذح إٌخبِ١خ خالؿ ؽفع
290. All the following estimation can be done on plasma EDTA blood
except:
a. Glucose
b. Cholesterol
c. Urea
d. Calcium
فً هذا السإال ٌقولك جمٌع انواع هذة التحالٌل نقدر نعملها باأنبوب اللً لونة
موف ماعدا الكالسٌوم الن المادة المانعة للتجلط اللً فً األنبوب حقت األدتا اللً
لونها موف تسحب الكالسٌوم ومراح نحصل على كالسٌوم اذا جٌنا نحللة
80
b. Clostridium tetani
c. Clostridium prefringers
ٕب٠غجت ِشك اٌغشغش٠ ٌٍٟؼ ا٠ٌه اٛم٠ ٕ٘ب
296. It’s function is to transport oxygen from the lung to the tissue:
a. Haptoglobin
b. Hemoglobin
c. Bilirubin
d. Myoglobin
ٌقولك اٌش اللً ٌنقل األكسجٌن من الرئى الى االنجسة اكٌد الهٌموجلوبٌن
ٌعنً هذة وظٌفة الهٌموجلوبٌن
83
c. A.B.H
انذٍُ هزا انغؤال يهى يشح
شىف كهًخ اَتجٍُ فٍ انغؤال
ارا شفت هزح انكهًخ فٍ انغؤال اػشف اَك ساح تختبس
ABH
الٌ قجم قهُب فصُهخ انذو انتٍ التذتىٌ ػهً اَتجٍُ هُب او
نزنك نًٍ قبل كهًخ اَتجٍُ اختشَب
ABH
نكٍ نى جبة َفظ هزا انغؤال وغُش فٍ وجبة كهًخ قشوة ساح َختبس
ABO
الَخ فؼال ادُب ػُذَب فصبئم انذو هزٌ انثالثخ
َؼٍُ ارا جبء عؤال
وقبل
Ag in ABO=ABH
ونى قبل
Group in ABO=ABO
َبسة وضذكت انفكشح
84
307. In chemistry lab use:-
a. Green tube
b. Red tube
c. Blue tube
d. Lavender
85
312. Hot air oven temp.
a. 121 C° for 15 min
b. 180 C° for 30 min
c. 160 C° for 30 min
d. ALL
86
هنا فً هذا السإال ٌقولك اٌش هو التحلٌل اللً مٌتحتاج المتبرع للدم انا نسوٌة
لةٌعنً منعملة لة
اكٌد هو التهاب الكبد الوبائً أي
النة ٌنتقل عن طرٌق األكل ومالة دخل فً الدم
87
b. A.B.O
c. A.B.H
d. A.B.D
ًؽشؽزخ لج
88
زغٍو٠ ذ اٌذَ ساػ١ب دَ اوٙ١ٕب ف١ ؽطٌٛ ش١ق٠ ؼ٠اٚ خ١ثخ فبمٌٛه ػٕذٔب أجٛم٠ ٕ٘ب
ِبدح ِبٔؼخ ٌٍزغٍوٍٝ ػٞٛثخ الرؾزٛالْ األٔج
ذ١زغٍو اٌذَ او٠ ساػٚ
ًؽشػ ِٓ لج
325. The most common blood group is:
a. O blood group
b. A blood group
c. B blood group
d. AB blood group
اعؼخ األٔزؾبسٚ ٍخ١أوضش فق
89
وغرام سالب جدارها خفٌف
ٌعنً األختالف فً الجدار الخلوي
331. The triple granule, which is the most aboundent in leucocyte, is:
a. Netrophil
b. Eosinophil
c. Basophil
90
d. Lymphocyte
خ١ٌب ػبٙٔغجزٚ ءًٟ اوضش ؽ١ فٚزش١ٌٕلجً لٍٕب اْ ا
%55 ٌٝا%40 ِٓ بٙٔغجز
ءٟ ؽٍٝب اػ١٘ خالؿٟٕؼ٠
334. The following index sensitive and will measure the total of iron
deficiency anemia
a. Transferrin
b. Fereitin
91
c. TIBC
d. Hb electrophoresis
e. All of the above
الٚذ أ٠خ ٔمـ ؽذ١ٌٕب ارا فًٛ ِّىٓ رم١ٌوً ٘زح اٌزؾب
336. The following microorganism will not take the gram stain:
a. E.coli
b. Streptococcus
c. Staphylococci
d. Mycobacterium sp=ب رٕقجغ ثقجغخٙٔ لٍٕب ِٓ لجً اzile nelssine
337. The following parasite will not take the gimsa stain:
a. leishmanai.
b. Trypanosoma
c. Schistosoma
d. Malaria
e. Filaria
ب١ّغ١بد الرٕقجغ ثقجغخ ل١ٍ١ؼ ِٓ اٌطف٠ٌه اٛم٠ ٘زا اٌغؤايٟف
ِبٛب اٌؾغزغ١٘
92
338. Plasmodium will transfer by:
a. Mosquito
b. Fly
c. Mite
d. All of the above
ك٠ٕزمً ػٓ هش٠ٚ َ اٌذٟٔفؾقخ فٚ ب٠غجت ِشك اٌّالس٠ ً١لٍٕب لجً اْ ٘زا اٌطف
ٓ١ء ِؼٟؽ
يٛلٚ ِبرهٍٛ عّغ ِؼٟؼ٠
خزٚ بٕٙب ػٙشح اؽفظ١بء وض١ اؽٞب ػٕذ٠اٌّالس
Infected malaria=sportozess
Transfer=female mosquito
ٝب األٔضٙٔ ثظ أب خٍه ػبسف اٛز١ى١ىزت ٌه ِغ٠ ِّىٓ ثظٚ
مؾذٚ بسة٠ٚ
339. When the micro invades, the body B-cell will secret and it will
transfer to
a. Memory cell
b. Plasma cell
c. Phygocytic cell
d. Cytotoxic
93
341. Which of the following parasite will cause abscess in liver?
a. E.hostolytica
b. Malaria
c. Ascaris lumbrcoid
d. Tricurus tricura
ذ ِٓ اٌىجذ٠ط فذٚغجت خش٠ ًٌٍٟ ا١ؼ اعُ اٌطف٠ي اٛم٠ ٕ٘ب
350. Anti diuretic hormone will secret from posterior pituitary gland
a. Decrease urine volum
b. Increase urine volum
c. Decrease sugar volum
d. Decrease protein volum
ًّؼ٠ ؼ٠خ ا١ِ ِٓ اٌغذِخ إٌخبٌٟه اٌغضء اٌخٍفٛم٠ ٕ٘ب
يٛمًٍ ؽغُ اٌج٠
َظ غبصاد اٌذ١ ٔمٟ ؽبٌخ ٔجٟبْ ٔغؾت ِٕخ فمو ف٠ اٌؾشٟٕؼ٠
98
337. N.gonorrehea
a. Gram-negative rods only
b. Oxidase positive only
c. Gram-negative rods and oxdase positive
d. Gram-negative cocci and oxidase positive
100
345. Eye swab cultur in
a. MaCconky
b. CLED
c. Chocolate
d. XLD
الرخٛوٛعو اٌؾٌٛ اٍٝب ػٙٓ ٔضسػ٠ٓ أ١ٌه اٌّغؾخ ِٓ اٌؼٛم٠ ٕ٘ب
يٛأذ ل
خالؿٚ الرخٛوٛٓ رؾت اٌؾ١اٌؼ
349. B hemolytic
a. S.pyogens
b. S.agalactia
c. S.pneumonia
101
d. A and B
102
354. Test performs in blood banking lab.
a. HBVc Ab
b. HBVs Ag
c. HBVs Ab
d. ALL
اٌغؤاي
اٌؾِ ٓ١ضال ارا عبٔ ٟرؾٍ ً١اٌزٙبة اٌىجذ اٌٛثبئ ٟثٟ
ه١ت
ِضال ص ٞاٌؼّبي
ف١خ ٔبط ٠بخز ْٚرطؼ ُ١مذ اٌزٙبة اٌىجذ اٌٛثبئ ٟثٟ
٠ؼٕ ٟعغّ ُٙخالؿ ف١خ أز ٟثذٞ
٠ؼٕ ٟارا ػٍّٕب ٌ ُٙرؾٍ ً١اٌزٙبة اٌىجذ اٌٛثبئ٠ ٟطٍغ ػٕذُ٘ أز ٟثذٞ
٠ؼٕ ٟغ١ش دل١ك ف ٟوؾف اٌّشك
ٌىٓ ػؾبْ أرأوذ ٍِ ْٛ١ثبٌّ١خ اْ اٌّش٠ل ِقبة ثبٌزٙبة اٌىجذ اٌٛثبئٝ
الصَ اػٍّخ رؾٍ ً١االٔز١غٓ١
ارا هٍغ اٌزؾٍِٛ ً١عت ٠ؼِٕ ٟقبة
ٚارا عبٌت ٠ؼٕ ٟغ١ش ِقبة
٠بسة ٚامؼ
365. Which of the following will give the best overall picture of a
patient's iron stores:
a. Albumin
b. Transferrin
c. Haptoglobin
d. Ferritin
105
ُ اٌغغٟذ اٌّخضْ ف٠خ اٌؾذ١ افنً ٌٕغٟبء رؼط١ؼ ِٓ ٘زح األؽ٠ٌه اٛم٠ ٕ٘ب
ٓ١ اٌفشرٛ٘
ًؽشؽزخ ِٓ لج
370. Different between Entamoba histolytica اسثغ اَىَخand
Entamobia coliثًبٌ اَىَخ
a. Cytoplasm
b. Cell wall
c. Number of nucleus
d. Color
106
ُٕٙ١ؼ األخزالف ث٠ٌه ٕ٘ب اٛم٠
خ٠ٛٔ ػذد األٟاألخزالف ف
113
403. Non streptococci:
a. S.pyogenes
b. S.agalatiate
c. S.aureus
d. S.pneumonia
114
408. Lactos (+ ) , Indol (+) , MR (+ ) , VP (-) , citrate (-) are
a. Escherichia
b. Klebsiella
c. Salmonella
d. Nessiria
414. The media can growth some bacteria and inhibition another
bacteria is
a. Basic media
b. Diffrentioal media
c. Sellective media
d. Enriched media,
ٜب أخش٠ ثىزشّٕٛغّؼ ث٠ٌىٓ الٚ ب٠ش١ ثؼل اٌجىزّٕٛغّؼ ث٠ ٌٟعو اٌٌٛه اٛم٠ ٕ٘ب
بس١خ األخز١ ٘زح خبفٟٕؼ٠
دّٛخ ر١ٔاٌضبٚ ّٕٛؽذح رٚ ٍٟخ٠ ٟٕؼ٠
415. Viruses is
a. Can live by their own
b. Can not see by light microscope
c. Can not affected by antibiotic
d. Can not transport by communicable diseases
417. We can different gram –ve bacteria and gram +ve bacteria by
a. Capsule
b. Cytoplasm
c. Cell wall
d. Cell membrain
431. E-coli
a. Motile
b. indole +ve
c. lactose fermetive
d. produce gas and acid
e. All above
120
5 اط2 ٍ تذط3 ارا جبكٍ عؤال يثال
3 اط2 ٍ تذط6 ٍوارا جبك
6 اط2 ٍ تذط7 ٍوارا جبك
7 اط2 ٍ تقىن8 ٍوارا جبك
وهكزا َبسة تكىٍَ فهًتٍ ػهُب
ٍاَب ػًهت َفظ هزح انطشَقخ وَطهغ انذم صخ انذًذهلل وتقذسٌ تتأكذٌ اَتٍ كًبٌ ػشبٌ تشتبد
اَخ انذم صخ وأَت اػًهى انطشَقه هزٌ وساح َطهغ انذم انصذُخ ثبرٌ هللا
121
441. Lamp used in spectrophotometer
a. Halogen
b. Laser
c. Ions
d. Light
452. Vi Ag related to
a. Capsul
b. Somatic
c. Flagella
453. Which of the following enzyme detect in the condition liver and
bone disease:
a. Alkaline phosphatase(ALP)
b. AST
c. ALT
d. GGT
455. Test to detect whether red blood cells are more likely to break
down.
a. Spherocytosis
b. Osmatic fragility
c. CBC
d. Coombs test
456. Which of the following enzyme detect in the condition liver and
heart disease:
a. Alkaline phosphatase(ALP)
b. AST
c. ALT
d. GGT
124
خبفخ ثبٌىجذ ٚاٌمٍت =AST
خبفخ ثبٌىجذ ٚاٌؼظبَ=ALP
خبفخ ثبٌىجذ فمو=ALT
125