Shared Flashcard Set

Details

NEW MT AAB Study Guide
NEW MT AAB Study Guide
724
Medical
Not Applicable
03/12/2016

Additional Medical Flashcards

 


 

Cards

Term

Colony morphology: Smooth, opaque colonies that adhere to the agar on sheep blood agar-- No growth on MacConkey agar

Gram negative bacilli

Biochemical identificationCatalase +, Oxidase +, Lactose –, Glucose +, Indole +

Clinical significanceEndocarditis


A. Aeromonas hydrophilia   B. Plesiomonas shigelloides   C. Cardiobacterium hominis   D. Eikenella corrodens

Definition
C. Cardiobacterium hominis
Term

Colony morphologyTiny, pinpoint colorless with slight pinkish tint on MacConkey agar

Gram negative coccobacilli

Biochemical identificationOxidase +, Motility +, ONPG +, Lysine decarboxylase +, Penicillin resistant

Clinical significance: Respiratory tract infection, Pneumonia in patients with cystic fibrosis


A. Pseudomonas aeruginosa   B. Stenotrophomonas maltophilia   C. Burkholderia cepacia   D. Burkholderia mallei

Definition
C. Burkholderia cepacia
Term

Colony morphologyBrown-black colonies on KVLB agar that fluoresce brick red under UV light- No growth on BBE agar

Pleomorphic gram-negative cocconacilli (may have bipolar staining)

Biochemical identificationInhibited by 20% bile, Esculin hydrolysis negative, Kanamycin resistant, Vancomyvin, Susceptible to rifampin

Clinical significance: Respiratory tract infections


A. Bacteroides fragilis   B. Provotella melaninogenica   C. Porphyromonas asaccharolyticus   D. Fusobacterium nucleatum

Definition
B. Provotella melaninogenica
Term

Colony morphologyBrown-black colonies on KVLB agar that fluoresce brick red under UV light-- No growth on BBE agar

Pleomorphic gram-negative cocconacilli (may have bipolar staining)

Biochemical identificationInhibited by 20% bile, Esculin hydrolysis negative, Kanamycin resistant, Vancomyvin, Susceptible to rifampin

Clinical significance: Respiratory tract infections


A.Fusobacterium nucleatum   B. Provotella melaninogenica   C.Porphyromonas asaccharolyticus   D. Clostridium perfringens

 

Definition
B. Provotella melaninogenica 
Term

Colony morphology: Buff-colored, smooth & rough colonies on LJ media-- Slow grower; 6-12 weeks on LJ media when grows at 30-33°C

Nonphotochromogen

Biochemical identificationNiacin –, Nitrate –, Catalase +

Clinical significanceBuruli ulcer


a. Myocobacterium tuberculosis   b. Mycobacterium leprae   c. Mycobacterium ulcerans   d.Mycobacterium bovis

Definition
 Mycobacterium ulcerans
Term

Colony morphology: Colonies corrode or pit the surface of the agar and produce a bleach-like odor

Gram negative bacilli

Biochemical identificationCatalase –, Oxidase +, Lactose –, Glucose –

Clinical significance: Wound infection from human bites


A. Aeromonas hydrophilia   B. Plesiomonas shigelloides   C. Cardiobacterium hominis   D. Eikenella corrodens

Definition
D. Eikenella corrodens
Term

Colony morphologyLarge, translucent gray to white, convex colonies on blood agar-- Peach-to-pink colonies on MacConkey agar

 Gram negative coccobacilli

Biochemical identificationOxidase –, Motility-, Nitrate –, Catalase +

Clinical significance: Urinary tract infection, Pneumonia, Septicemia, Nosocomial infection


A. Burkholderia pseudomallei   B. Acinetobacter baumannii   C.   Burkholderia mallei

 

Definition
B. Acinetobacter baumannii
Term

Colony morphologyLarte, flat, beta-hemolytoc colonies with metallic sheen on sheep blood agar-- Clear, colorless colonies on MacConkey agar-- Blue- green colonies on MacConkey agar

 Gram negative bacilli

Biochemical identificationOxidase +, Motile, Lactose –, Growth at 42°C

Clinical SignificanceSwimmer’s ear, Eye infections, Respiratory tract infections, especially in parents with cyctic fibrosis, Burn wound infections, Nosocomial infections


A. Pseudomonas aeruginosa   B.  Stenotrophomonas maltophilia   C.  Burkholderia cepacia   D.  Burkholderia mallei

 

 

 

Definition
A. Pseudomonas aeruginosa
Term

Colony morphology: Opalescent (ground-glass) or breadcrumb like colonies on KVLB agar, No growth on BBE agar

Long, thin, filamentous, gram-negative bacilli with tapered ends

Biochemical identificationSpot indole +, Lipase +, Catalase-, Kanamycin susceptible, Vancomycin resistant, Colistin susceptible

Clinical significance: Septicemia, Respiratory infections


A.Fusobacterium nucleatum B. Provotella melaninogenica   C.Porphyromonas asaccharolyticus   D. Clostridium perfringens

Definition
A.Fusobacterium nucleatum
Term

Colony morphologySmall, gray-white colonies on sheep blood agar-- Colorless to faint pink colonies on MacConkey agar

Gram negative coccobacilli

Biochemical identificationOxidase –,  Motility –, TSI reaction K/K, Oxidizes glucose

Clinical significanceGlanders


A. Pseudomonas aeruginosa   B. Stenotrophomonas maltophilia   C. Burkholderia cepacia   D. Burkholderia mallei

Definition
D. Burkholderia mallei
Term

Colony morphology: produces brownish black colonies on BBE agar

Pleomorphic, gram negative coccobacilli—may have bipolar staining

Biochemical identificationMotility –, Growth in 20% bile +, Esculin hydrolysis +, Catalase +, Lipase –, Kanamycin resistant, Vancomycin resistant, Celistin resistant, Rifamptin susceptible

Clinical significance: abscesses


A. Bacteroides fragilisninogenica   B. Provotella mela   C. Porphyromonas asaccharolyticus   D. Fusobacterium nucleatum

 

 

 

 

 

Definition
A. Bacteroides fragilis
Term

Gray-white irregular raised opaque colonies after 48 hour incubation

Large, gram positive bacilli with oval subertminal spores

Biochemical identificationLecthinase –, Lipase -, Spot indole –

Clinical significance: Pseudomembranous colitis


A.Closteridium tetani   B.Closteriduim botulinum   C.Actinomyces israelii   D. Clostriduim difficile

Definition
D. Clostriduim difficile
Term

colony morphologyno growth on macConkey agar-- grayish colonies on sheep blood agar and chocolate agar

gram stain reactionpleomorphic gram-negative coccobacilli showing bipolar staining

 biochemical identificationcatalase +, oxidase +, indole +, nitrate +, non-motile

clinical significance: cellulitis from animal bites


a. Haemophilus ducrey   b. Haemophilus influenza biotype aegyptius   C. Haemophilus influenzae type B   D. Pasteurella multocida

Definition
D. Pasteurella multocida
Term

Gram Positive, Aerobic Cocci

colony morphology: creamy, white raised colony on blood agar
may be beta hemolytic on blood agar
biochemical identification: catalase +, coagulase -
antimicrobial susceptability: may contain the gene mecA that encodes for oxacillin resistance
clinical significance: endocarditis, septicemia, meningitis, UTI

A. Staphylococcus epidermidis   B. Staphylococcus aureaus   c. staphylococcus saprophyticus    d. staphylococcus lugdunensis
Definition
d. staphylococcus lugdunensis
Term

increased glucose in blood

 

a. hyperglycemia   b. glucosuria   c. ketonemia   d. ketonuria

 

Definition
hyperglycemia
Term

Boutonneuse Fever 


A. Rickettsia rickettsii   B. Rickettsia akari   C. Rickettsia conorii   D. Rickettsia typhi   E. Rickettsia prowazekii

 

Definition
C. Rickettsia conorii
Term

Brill-Zinsser disease


A. Rickettsia rickettsii   B. Rickettsia akari   C. Rickettsia conorii   D. Rickettsia typhi   E. Rickettsia prowazekii

Definition
E. Rickettsia prowazekii
Term

Murine typhus


A. Rickettsia rickettsii   B. Rickettsia akari   C. Rickettsia conorii   D. Rickettsia typhi   E. Rickettsia prowazekii

Definition
D. Rickettsia typhi
Term

>500 CD4 Tcells in HIV


A. Category A   B. Category B   C. Category C

Definition
a
Term
2 more more alleles at the same loci
Definition
polymorphic
Term

200-499 CD4 T Cells in HIV infection


A. Category A   B. Category B   C. Category C

Definition
b
Term

A 2 month old infant presented with history of chronic diarrhea and failure to thrive. The child's mother also revealed that the baby has suffered from thrush (Candida infections) since birth. Preliminary findings showed lymphopenia (<2,000), hypogammaglobulinemia, and physical findings showed a small thymus, no tonsils or lymph nodes. Which of the following immune deficiencies DOES the patient present?

Please select the single best answer

Definition
severe combined immunodeficiency syndrome, or SCID is a very serious human immunodeficiency disorder. It is actually a group of congenital disorders in which both the humoral and cell-mediated portions of a patient's immune system are dysfunctional. Children with SCID are vulnerable to recurrent severe infections, retarded growth, and early death.
Term

A 5-year-old African American child with hepato-splenomegaly and skeletal abnormalities has the following lab results:

WBC = 4,800/cu.mm
20 NRBC/100 WBC
RBC = 2.70 X 106
HGB = 6.2 g/dL
Many target cells
Marked hypochromasia, anisocytosis & poikilocytosis
Serum Iron = 200 µg/dL (elevated) 
Sickle Solubility = negative
Hemoglobin F = elevated

What is the PROBABLE cause of these findings?

Definition
Beta-thalassemia major, also known as Cooley's anemia, has inherited two genes for beta thalassemia without a normal beta-chain gene. This disease is assoicated with a marked deficiency in beta chain production and in the production of normal Hb A. These patients exhibit increased amounts of iron due to the mutliple transfusions that keep them alive. There is also a striking increase in hemoglobin F and an elevation in hemoglobin A2.
Term

A decrease in which of the following in AIDS patients results in increased susceptibility to infection:

Definition

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 help 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.


Term

A defect in which of the following factors causes impaired platelet adhesion and aggregation?

Definition

In hemostasis, the adhesion of platelets to the collagen exposed on subendothelial cell surfaces is mediated by von Willebrand factor (vWF). vWF acts as a bridge between a specific glycoprotein complex on the surface of platelets and collagen on the subendothelial surface.


Term

A deficiency in which of the following coagulation factors will produce an abnormal prothrombin time (PT) test result, but will not affect the activated partial thromboplastin time (APTT) test result?

Definition

Factor VII is only involved in the extrinsic pathway so a deficiency will not be detected by the APTT test.

Factors X, V, and II are all factors in the common pathway. Deficiencies in any of these will affect both the APTT and the PT test results.

Term

A federal agency that is responsible for enforcing employment discrimination laws


TSCA     ADA     RCRA     EEOC

Definition

EE0C

equal employment opportunity commission

Term

A hapten can BEST be described as

Definition

A determinant capable of stimulating an immune response only when bound to a carrier protein'

A hapten is a low molecular weight molecule that can elicit an immune response only when attached to a large carrier such as a protein.

Term

A hapten is only antigenic when it is coupled with which of the following:

Definition
The molecular weight of a hapten is by itself not sufficient to elicit an antibody response alone, but requires a protein to do so.
Term

A kidney graft would have the BEST chance of survival post-transplantation if it were:

Definition

HLA identical, mixed lymphocyte culture (-), ABO identical

A graft which is matched based on HLA and ABO typing is ideal. The mixed lymphocyte culture, or MLC, should be negative also to prevent graft vs. host disease in transplant procedures.

Term

A laboratory professional is going to perform a mixing study to differentiate between a factor deficiency and a coagulation inhibitor as the cause of a prolonged prothrombin time (PT) or activated partial thromboplastin time (aPTT) test result. The mixing study should be performed within what time frame following collection of the specimen?

Definition

Performing a mixing study will help to differentiate between a factor deficiency and a coagulation inhibitor as the cause of a prolonged prothrombin time (PT) or activated partial thromboplastin time (aPTT) test result.

A mixing study is performed by mixing the patient plasma that has a prolonged PT or aPTT with normal pooled plasma. A PT and/or aPTT is then retested on the mixed sample. 

If the cause of the prolonged PT and/or aPTT is a factor deficiency, or multiple factor deficiencies, the normal pooled plasma will increase the factor levels to the point of correcting the prolonged test result. However, the addition of normal pooled plasma will not correct the prolonged test result if the cause is a coagulation inhibitor.

Term
A lymphokine can BEST be described as: A soluble mediator produced by granulocytes and affecting lymphocytes A soluble mediator produced by lymphocytes A soluble mediator produced by plasma cells An antibody that reacts with lymphocytes
Definition
Lymphokines are a type of cytokine that are produced by lymphocytes, usually T cells, to direct the immune system response by signaling between its cells. Lymphokines attract immune cells to an infected area and helps activate them to attack the foreign pathogens.
Term

A lymphokine can BEST be described as:

Definition

A soluble mediator produced by lymphocytes

Lymphokines are a type of cytokine that are produced by lymphocytes, usually T cells, to direct the immune system response by signaling between its cells. Lymphokines attract immune cells to an infected area and helps activate them to attack the foreign pathogens.

Term

A manual white blood cell count was performed by the hematology technologist. The cell counts for both sides were 99 and 164 respectively. All nine large squares were counted on each side. The dilution for this kit was pre-measured at 1:100. What should the technologist report as the white cell count?

Definition

cannot report

The white cell counts from one side of the hemacytometer to the other are too discrepant to report.

Term

A normal hemoglobin molecule is comprised of the following:

Definition
Four heme and four globin chains
Term

A small clot in a tube drawn for a CBC would have the MOST effect on which one of the following tests?

Definition

platelet count

Small clots are actually platelet clumps and fibrin strands.  Therefore, the platelet count will be falsely decreased as hematology analyzers would not be able to count the individual platelets in the clump.

Term
A thick peptidoglycan is MOST often associated with which of the following types of bacteria? Gram-negative bacteria Gram-positive bacteria Both gram-negative and gram-positive bacteria
Definition
Gram-positive bacteria retain the primary crystal violet stain that is applied in the Gram stain because of the cross-linking of the thick peptidoglycan layer in their cell walls. Their cell walls contain less lipids than that of a gram-negative bacteria, and this reduces the permeability of their cell wall to the organic solvents that are used as a decolorizer. When the counterstain is added, it may enter the gram-positive cell, but does not change the color of the cells.
Term

A traveler is being evaluated at a local hospital for gastrointestinal pain, fever and diarrhea. The patient has recently returned from a month-long visit to Southeast Asia. The patient has no recent history of sexual activity or IV drug use but did describe conditions of poor sanitation where they were visiting. If liver function test results were elevated and bilirubinuria was noted, which of the following would be the next logical test to order?

Definition

ELISA testing for Hepatitis A antigens in the stool

The correct response is option D: ELISA testing for Hepatitis A antigens in the stool. Hepatitis B, C and HIV are spread primarily through sexual contact or IV drug use and needle sharing. While it is possible to contract these viruses through other means, the patient history of visiting areas of low sanitation in Asia is more indicative of an enterically (fecal-oral) transmitted organism like Hepatitis A. The earliest detectable marker for Hepatitis A is the presence of viral antigens in the stool, which are most often tested for using ELISA methodology.

Term
ACP
Definition
Acid Phosphatase
Term
ACP is primarily found in
Definition
erythrocytes & prostate
Term
According to the 2010 ADA guidelines, HbA1C percent can be used as an assay to diagnose diabetes. true or false
Definition
true The 2010 ADA Clinical Practice Recommendations added measurement of HbA1C as a diagnostic assay for diagnosis of diabetes.
Term

Acute idiopathic thrombocytopenic purpura (ITP) is MOST OFTEN associated with which of these populations?

Definition
Children 1 - 7 years of age
Term
Alanine aminotransferase
Definition
ALT
Term
All of the following may cause systemic mycoses EXCEPT: Actinomyces Israeli Nocardia brasiliensis Coccidioides immitis Nocardia asteroides Piedraia hortai
Definition
Piedraia hortai does not cause systemic mycosis, instead it causes a condition known as black piedra. This disease is characterized by formation of brown/black nodules which are attached to the hair shaft. Scalp hair is the most frequently infected area.
Term
All proteins are composed of amino acids linked by ________.
Definition
peptide bonds
Term
Ammonia is dependent of (renal/ liver) function
Definition
liver
Term
Amplifies tiny quantities of nucleic acid so that it can be detected by hybridization with nucleic acid probes
Definition
PCR
Term

An MCV is reported by the instrument as 82 fL. The MCV is flagged with a delta check alert as the previous MCV reported on this patient 12 hours earlier was 97 fL. What is a possible cause for this discrepancy?

Definition

Both specimens not from the same patient

When a significant change is observed in the MCV within a short period of time (eg, 24 hours), one possible explanation is that the specimens did not come from the same person. Delta checks are used in part to detect pre-analytical errors such as patient misidentification or specimen mix-ups.
A unit of transfused blood would not have caused the MCV to be lower. 
Acute hemorrhage will not change the MCV significantly within a 24-hour period, even though other red cell parameters may change.
Term
An electrolyte panel (lytes, chem-4) consists of: Potassium, Sodium, Chloride, Carbon dioxide Potassium, Sodium, Chloride, Glucose Potassium, Sodium, Chloride, Creatinine Potassium, Sodium, Chloride, BUN
Definition
The electrolyte panel consists of potassium, sodium, chloride, carbon dioxide. These analytes are also typically ordered within other panels as well, including the basic metabolic and complete metabolic panels.
Term
An exchange transfusion has been ordered for a low birth weight infant. The physician has ordered irradiated Red Blood Cells for this purpose. Why is it necessary to irradiate the blood products for this patient? To prevent alloimmunization of the patient To prevent transfusion-associated graft-versus-host disease (TA-GVHD) To kill bacteria and viruses present in the Red Blood Cells To allow the cells to have a longer half-life
Definition
The correct answer is to prevent TA-GVHD. This occurs when donor lymphocytes from transfused blood engraft in the recipient and cause disease. Usually TA-GVHD occurs 10-14 days post transfusion with clinical features of fever, skin rash, hepatitis, diarrhea and pancytopenia. It is fatal in more than 90% of cases. Irradiation is indicated for patients who are at high-risk for TA-GVHD, including low birth weight infants, hematopoietic progenitor cell (HPC) transplant recipients, patients receiving immunosuppressive therapies, and other immunocompromised patients.
Term
An osmometer can use any of the following principles except: Freezing point depression Vapor pressure Colloid osmotic pressure Electrostatic charge
Definition
The most common type of osmometer uses freezing point depression. It is also known as a cryoscope. Other types of osmometers can use either vapor pressure, or colloid osmotic pressure.
Term
Antenatal RhIg (1500 IU dose) is typically given at how many weeks gestation? 20 24 28 32 36
Definition
A 1500 IU dose of RhIg is typically given at 28 weeks gestation.
Term
Antibodies to which of the following are the most frequent cause of febrile transfusion reactions:
Platelets
Red cells
Granulocytes
Plasma proteins
Definition
granulocytes
The most common type of febrile reaction occurs as the result of cytotoxic antibodies or leukoagglutinins (leukocyte antibodies).
Term
Apo B 48 is the major structural protein in
Definition
cholymicrons
Term
Apo-Al is the major structural protein of
Definition
HDL
Term
Apo-B 100 is the major structural protein of
Definition
LDL or VDL
Term

Asses the genome for mutational envents and confirm or implu drug resistance-- methods used for this is sequencing assays, nucleic acid amplification assays, nucleic acid hybridization assays, melting curve assays

A.NAAT     B. FAT    C. GAT     D.  PAT

Definition
GAT
Term

B lymphocytes and T lymphocytes are derived from:

Please select the single best answer

Definition
All lymphocytes originate, and are therefore derived from, hematopoietic stem cells via hematopoiesis. The stem cells eventually mature into common lymphoid progenitor cells. The progenitor cells then differentiate into their distinct lymphocyte types. B cells mature into B lymphocytes in the bone marrow, while T cells migrate to and mature in the thymus.
Term
Below is a urinalysis report on a 37-year-old woman seen in the ER with headache, hypertension, weight loss and mild edema:

Color: red

Clarity: cloudy

Sp. Gravity 1.010

pH 5.0

Glucose: negative

Protein: 3+

Ketones: negative

Nitrite: negative

Blood: moderate

Urobilinogen: normal

Microscopic:

25-50 RBC
2-4 WBC
2-5 granular casts
2-5 hyaline casts
0-2 RBC casts
few epithelial cells

Based on the urinalysis report above, the MOST probable diagnosis of this patient's condition is:
Definition
Both the clinical symptoms and laboratory findings point to acute glomerulonephritis. Acute glomerulonephritis is active inflammation in the glomeruli. In the chemical and microscopic urinalysis, signs of acute glomerulonephritis include red blood cells, white blood cells, proteinuria and casts. The casts are commonly cellular and are composed of cells that have leaked through the glomeruli where they develop into cylindrical forms inside of the tubule.
Term

Biosaftey #3 

Colony morphologyNo growth on culture media-- Specimen with these obligate intracellular parasites require tissue cultures

Gram negative coccobacilli

Biochemical identification: serological titers

Clinical significanceQ fever transmitted by ticks and aerosols

A. Orientia tsutsugamushi   B. Coxiella burnettii   C. Ehrlichia chaffeensis   D. Anaplasma phayocytophilum

Definition
B. Coxiella burnettii
Term

Blackwater fever is associated with Chilomastic mesnili


Trichomanas vaginalis    Plasmodium vivax    Leishmania    Plasmodium falciparum

Definition
Plasmodium falciparum
Term
Bordet-Gengou potato infusion agar has been the time-honored medium for the recovery of which one of the following organisms?
Bordetella pertussis
Corynebacterium diphtheriae
Haemophilus influenzae
Moraxella catarrhalis
Neisseria meningitidis
Definition
Bordet-Gengou potato infusion agar has been the time-honored medium for the recovery of Bordetella pertussis. This bacterium requires media supplemented with charcoal, blood (20%), potato (starch) to absorb toxic substances in agar.
Term
Borrelia burdorferi
Definition
Lyme Disease
Term

Cancroid


a. Haemophilus ducrey   b. Haemophilus influenza biotype aegyptius   C. Haemophilus influenzae type B   D. Pasteurella multocida

Definition
C. Haemophilus influenzae type B
Term

Chaga's disease is associated with Chilomastic mesnili


Trichomanas vaginalis   Trypanosoma   Naegleria floweri

Definition
Trypanosoma
Term
Chinese liver fluke
Definition
clonorchis sinensis
Term

Cholera


A. Vibrio cholerae    B. Vibrio parahaemolyticu   C. Vibrio vulnificus   D. Vibrio alginolyticus

Definition
A. Vibrio cholerae
Term

Coarse basophilic stippling can be found in in all of the following conditions EXCEPT:

Please select the single best answer

Definition
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.
Term

Colony morphology-- clarge, round, raised, opaque colonies on sheep blood agar-- lactose fermenter on MacConkey agar

gram negative bacilli

biochemical Identification oxidase +, Indole +

Clinical Significance: Gastroenteritis/ diarrhea, Wound infections, Cellulitis


A. Aeromonas hydrophilia   B. Plesiomonas shigelloides   C. Cardiobacterium hominis   D. Eikenella corrodens

 

Definition
A. Aeromonas hydrophilia
Term

Colony morphology: No growth on LJ media—nonphotochromogen

Identification: detection of AFB in skin lesions

Clinical significance: Hansen disease


a. Myocobacterium tuberculosis   b. Mycobacterium leprae   c. Mycobacterium ulcerans   d.Mycobacterium bovis

 

Definition
b. Mycobacterium leprae
Term

Colony morphologyDouble zone of beta hemolysis on anaerobic blood agar-- Opaque zone around colonies on egg yolk agar

Large, square, boxcar, gram-positive bacilli; rarely produces subterminal spores

Biochemical identificationReverse CAMP test +, Motility –

Clinical significanceGas gangrene, Food poisoning


A.Fusobacterium nucleatum   B. Provotella melaninogenica    C.Porphyromonas asaccharolyticus   D. Clostridium perfringens

Definition
D. Clostridium perfringens
Term

Colony morphologyNo growth on culture media

Gram stain reaction-- Intracellular morulae in granulocytes

Biochemical identificationDirect antigen detection, Nucleic acid amplification tests, Isolation in cell culture, Indirect fluorescent assays

Clinical significance: Anaplasmosis is transmitted by ticks


A. Orientia tsutsugamushi   B. Coxiella burnettii   C. Ehrlichia chaffeensis   D. Anaplasma phayocytophilum

Definition
D. Anaplasma phayocytophilum
Term

Colony morphologyNo growth on culture media

Wright stain: intracellular morulae within monocytes and neutrophils

IdentificationIndirect fluorescent adday, Nucleic acid techniques

Clinical significanceEhrilichiosis transmitted by ticks


A. Orientia tsutsugamushi   B. Coxiella burnettii   C. Ehrlichia chaffeensis   D. Anaplasma phayocytophilum

Definition
C. Ehrlichia chaffeensis
Term

Colony morphology: No growth on culture media, Specimen with these obligate intracellular parasites require tissue cultures

Short gram negative bacilli

Biological identification: Serological titers, PCR

Clinical significance: Scrub typhus transmitter by chiggers (Leptotrombidium delense)


A. Orientia tsutsugamushi   B. Coxiella burnettii   C. Ehrlichia chaffeensis   D. Anaplasma phayocytophilum

 

Definition

Orientia tsutsugamushi

Term

Colony morphology: Pigmented colonies on KVLB agar that fluoresces brick red under UV light-- No growth on BBE agar

Gram negative bacilli

Biochemical identification20% bile –, spot indole +, kanamycin resistant, vancomycin susceptible

clinical significance:: urogenital tract infections, upper respiratory infection


A.Fusobacterium nucleatum   B. Provotella melaninogenica    C.Porphyromonas asaccharolyticus   D. Clostridium perfringens

Definition
C.Porphyromonas asaccharolyticus
Term

Colony morphologyShiny, opaque, non-hemolytic colonies on sheep blood agar-- Slow lactose fermenter on MacConkey agar

Gram negative bacilli that occur singly, in pairs, in short chains, or in filamentous forms

Biochemical identificationOxidase +

Clinical significance: Gasteroenteritis from eating undercooked seafood.


A. Aeromonas hydrophilia   B. Plesiomonas shigelloides   C. Cardiobacterium hominis   D. Eikenella corrodens

Definition
B. Plesiomonas shigelloides
Term

Colony morphology: Small granular, rounded, white, colonies with irregular margins on LJ media-- Slow grower; 3 weeks on LJ media with grown at 35-37°C-- Nonphotochromogen

Biochemical identification: Niacin-, Nitrate –, Urease +

Clinical significance: Turberculosis-like infection


a. Myocobacterium tuberculosis   b. Mycobacterium leprae   c. Mycobacterium ulcerans   d.Mycobacterium bovis

Definition
d.Mycobacterium bovis
Term

Colony morphologySmooth, creamy, white colonies on sheep blood agar-- Colorless to light pink colonies on MacConkey agar

Gram negative bacilli with bipolar staining

Biochemical identificationOxidase +, Motility +, TSI reaction K/K or A/K

Clinical Significance: Melioidosis


A. Burkholderia pseudomallei   B. Acinetobacter baumannii   C.   Burkholderia mallei

Definition
 Burkholderia pseudomallei
Term

Colony morphology: Tan to buff, rough colonies exhibiting a cording pattern on LJ media-- Slow grower, 2-3 weeks on LJ media when grown at 35°C-37°C

Nonphotochromagen Identification

Biochemical identification: Niacin +, Nitrate +, NAP susceptible-- P-nitroacetylamino-b-hydroxypropiophenone

Other

Nucleic acid probes targeting mycobacterial rRNA

Polymerase chain reaction with targets the 16S-23S rRNA spacer region

Restriction fragment length polymorphism amplifying hsp65 by PCR

DNA sequencing targeting the gene coding for 16S rRNA Direct nucleic acid amplification tests


a. Myocobacterium tuberculosis   b. Mycobacterium leprae   c. Mycobacterium ulcerans   d.Mycobacterium bovis

 

Definition
a. Myocobacterium tuberculosis
Term

Colony morphology: The colonies are smooth, glistening, and white to pale yellow in color

Gram negative bacilli

Biochemical Identification:: Oxidase -, Maltose +, Lysine decarboxylase +, Catalase +, SXT susceptible

Clinical Significance: Nosocomial infections, Urinary tract infections, Pneumonia, Wound infections


A. Pseudomonas aeruginosa   B. Stenotrophomonas maltophilia   C. Burkholderia cepacia   D. Burkholderia mallei

Definition
B. Stenotrophomonas maltophilia
Term

Cryotosporidiosis is associated with 


Trichomanas vaginalis   Plasmodium vivax   cryptosporidium parvum    Plasmodium falciparum

Definition
cryptosporidium parvum 
Term

Cystine-tellurite blood agar is recommended for the isolation of which organism?


Yersinia enterocolitica   Legionella pneumophilia   Corynebacterium diphtheriae   Francisella tularensis   Streptrococcus pneumoniae

Definition
Cystine-tellurite blood agar is recommended for the isolation of Corynebacterium diphtheriae. Cystine-tellurite blood agar is a differential and selective medium for the isolation of Corynebacterium diphtheriae. On this media, Corynebacterium diphtheriae produces black/gray colonies since the tellurite is reduced intracellularly to tellurium. The cystine-tellurite culture plates should be observed after 18 to 24 hours of incubation at 37 degrees Celsius in a 5% carbon dioxide-enriched atmosphere.
Term

Determining viral load is how one determines a positive diagnosis for HIV infection.

Definition

false

Determining viral load is a way to monitor already infected individuals with HIV and other viral diseases. The viral load can show how well treatments are working, show potential medication resistance, and also indicate relapses. 

Term

Diseases associated with dysfunctions of polymorphonuclear neutrophils (PMNs) include all of the following EXCEPT:

Definition

Gaucher 's Disease

Chediak-Higashi, chronic granulomatous disease, and myeloperoxidase deficiency are all dysfunctional neutrophil disorders.  Gaucher's disease the most common lysosomal storage disease caused by insufficient activity of the lysosomal enzyme glucocerebrosidase that  leads to the deposition of glucocerebroside in cells of the macrophage-monocyte system.

Term

During phagocytosis the neutrophilic granules release digestive enzymes into the vacuole to kill or destroy the phagocytized particle.

Definition

true

Neutrophils are phagocytes, which means they ingest harmful microorganisms or other foreign particles that enter the body. When these foreign bodies are engulfed, granules containing digestive enzymes and cytotoxic proteins are released into the phagocytic vacuole, and the foreign body is destroyed.

Term
Dwarf Tapeworm
Definition
Hemenolepis nana
Term

Each of the following has been shown to induce platelet aggregation except:

Please select the single best answer

Definition
Aspirin has been shown to inhibit platelet function.
Term
Enzyme panel reactions cannot be used as the only source of rule-outs during antibody identification. Why is this?
Enzyme panels only detect warm autoantibodies
Enzyme panels only detect IgM antibodies
All antigens on the panel cells are destroyed by enzymes
Some antigens are destroyed and may not detect an antibody that is present
Definition
Some antigens are destroyed and may not detect an antibody that is present

Treating cells with enzymes will denature some of the antigens present on a panel. The antigens can no longer bind with the corresponding antibody once denatured. If antibodies to those denatured antigens are present, in the sample being tested, the panel will not detect the antibody.
Term
For the ANA test to be positive what must be present in the nucleus of the interphase cell?
Strong staining
Centromeres
dsDNA
A clearly discernible pattern
Definition
A clearly discernible pattern is correct.

The strength of the reaction doesn't matter, only that it is clearly discernible. Centromere and dsDNA are just some of the many different antigens, however, without the corresponding (cognate) antibodies from the patient sample there is no ANA pattern. Remember, to be ANA positive there must be a clearly discernible pattern in the nucleus of the interphase cells.
Term
Fresh Frozen Plasma is plasma frozen within _____ hours of collection and contains all coagulation factors.
Definition
8 hours
Term

Gram Negative, fastidious bacilli

colony morphology: circular, convex, and translucent grayish colonies on blood agar

gram stain info: gram negative bacilli

biochemical identification: catalase +, oxidase +, urease +

fecal antigen detection, urea breath test, CLO rapid urease test

clinical significance:  peptic ulcers, duodenal ulcers, chronic gastritis 


A. Francisella tularensis   B. Campylobacter jejuni   C. Helicobacter pylori  

Definition
C. Helicobacter pylori  
Term

Gram Negative, fastidious bacilli

colony morphology: colonies may appear gray in color and slightly mucoid on campy blood agar at 42oC in a microaerophilic atmosphere containing 5% O2, 10% CO2, 85% N2

gram stain info: slender, gram negative curved bacilli that may appear S shaped or spiral

biochemical identification: catalase +, oxidase +, urease-, nitrate +, motile

clinical significance: food poisoning by undercooked meat, gasteroenteritis, diarrhea

 

A. Francisella tularensis   B. Campylobacter jejuni   C. Helicobacter pylori  

Definition
B. Campylobacter jejuni
Term

Gram Negative, fastidious bacilli

colony morphology: small, grayish colonies on blood agar-- no growth on MacConkey agar-- grey- white, raised colonies with smooth appearence on chocolate agar-- small, grayish colonies on glucose-cystine blood agar

gram stain info: faintly staining gram negative coccobacilli

biochemical identification: catalase +, oxidase +, urease -

clinical significance: Tularemia, rabbit fever, water rabbit trappers' disease

 

A. Francisella tularensis   B. Campylobacter jejuni   C. Helicobacter pylori  

Definition
A. Francisella tularensis
Term

Gram Positive, Aerobic Bacilli

colony morphology: 

nonselective media: small white, dry nonhemolytic colonies on sheep blood agar

selective media enhances metacorhmic (babes-ernst) granules formation

 grey to black colonies on cysteine-- tellurite agar

brownish black colonies with halos on tinsdale agar

small, white to grey colonies on loeffler agar

gram stain info: gram positive pleomorphic bacilli, diptheroid, chinese letters, picket fences

biochemical identification: catalase +, nitrate +, urease +, non motile

A. Bacillus anthracis   B. Bacillus cereus   C. Listeria monocytogenes   D. corynebacterium diptheriae   E. Erysipelothrix rhusiopathiae   F. Nocardia asteroids    G. Arcanobacterium haemolyticum

 

Definition
D. corynebacterium diptheriae
Term

Gram Positive, Aerobic Cocci

Colony Morphology: white, creamy, raised colony on blood agar/ non hemolytic on blood agar

appear as grape like clusters

Biochemical identification: coagulase -, catalase +

Antimicrobial identification: novobiocin susceptable

clinical significance: blood culture contaminant, endocarditis, UTI


A. Staphylococcus epidermidis   B. Staphylococcus aureaus   c. staphylococcus saprophyticus   d. staphylococcus lugdunensis

Definition
A. Staphylococcus epidermidis
Term

Gram Positive, Aerobic Cocci

Colony Morphology: white, creamy, raised colony on blood agar/ non-hemolytic on blood agar

gram positive cocci appear as grape like clusters

biochemical identification: calatase +, coagulase -

antimicrobial susceptibility: novobiocin resistant

clinical significance: UTI, Cystitis, pyelonephritis


A. Staphylococcus epidermidis   B. Staphylococcus aureaus   c. staphylococcus saprophyticus    d. staphylococcus lugdunensis

Definition
staphylococcus saprophyticus
Term

Gram Positive, Aerobic Cocci

colony morphology: white or golden colony on BAP

beta hemolytic on BAP

Gram positive cocci are aranged in tetrads or clusters

biochemical identification: Catalase +, coagulase +, growth on 7.5%, PYR -,

antimicrobial suceptibility: susceptable lysostrapin, resistant bacitracin, MRSA, VISA, VRSA

clinical significance: skin & wound infections (absesses, impetigo, fruncles), scalded skin syndrome, toxic shock syndrome, food poisoning


A. Staphylococcus epidermidis   B. Staphylococcus aureaus   c. staphylococcus saprophyticus   d. staphylococcus lugdunensis

Definition
B. Staphylococcus aureaus
Term

Gram Positive, Aerobic Cocci

sterotyped based on the cell wall component known as the M protein

lancefield groups are based upon carbohydrate

colonies have antiphatocitic properties

colony morphology colonies are pinpoint & translucent-- wide, large zone of beta hemolysis

appear in pairs or chains

biochemical identification: PYR +, catalase -

clinical significance: pharyngitis (Strep throat), scarlet fever, impetigo, cellulitis, erysipelas, otitis media, pneumonia, bacteremia, acute rheumatic fever, acute glomerulonephritis


A. Streptococcus pyogenes   B. Streptococcus agalaciae   C.  Streptococcus pnemoniae   D. Streptococcus equinis

Definition
A. Streptococcus pyogenes
Term

Gram Positive, Aerobic bacilli

colony morphology: beta hemolytic on blood arar, wrinkled dry, chalky white, pigmented

gram stain info: pleomorphic, beaded, branching gram positive bacilli in chains

biochemical identification: catalase +, non motile, partially acid fast

clinical significance: pulmonary infection- cutaneous infection (the pus may be pigmented and contain yellow to orange sulfur granules) 


A. Bacillus anthracis   B. Bacillus cereus   C. Listeria monocytogenes   D. corynebacterium diptheriae   E. Erysipelothrix rhusiopathiae   F. Nocardia asteroids    G. Arcanobacterium haemolyticum

Definition
F. Nocardia asteroids 
Term

Gram Positive, Aerobic bacilli

colony morphology: large, flat grayish to lavender colonies producing a wide zone of beta hemolysis

Gram stain info: gram positive bacilli with spores

biochemical identification: catalase +, + motility

clinical significance: anthrax, food poisoning


A. Bacillus anthracis   B. Bacillus cereus   C. Listeria monocytogenes   D. corynebacterium diptheriae   E. Erysipelothrix rhusiopathiae   F. Nocardia asteroids   G. Arcanobacterium haemolyticum

Definition
B. Bacillus cereus
Term

Gram Positive, Aerobic bacilli

colony morphology: pinpoint, nonhemolytic colonies on sheep blood agar at 24 hours-- older colonies may appear alpha hemolytic

gram stain info: thin, gram positive bacilli that may form long filaments arranged in short chains

biochemical identification: catalase -, nitrate -, indole -, H2S+

clinical significance: cellulitis 


A. Bacillus anthracis   B. Bacillus cereus   C. Listeria monocytogenes   D. corynebacterium diptheriae   E. Erysipelothrix rhusiopathiae   F. Nocardia asteroids    G. Arcanobacterium haemolyticum

Definition
E. Erysipelothrix rhusiopathiae
Term

Gram Positive, Aerobic bacilli

colony morphology: small colonies on sheep blood agar that show a narrow zone of beta hemolysis

gram stain info: gram positive pleomorphic bacilli that may demonstrate rudimentary branching

biochemical identification: catalase +, nitrate -, H2S -, urease -, non motile, reverse CAMP test +

clinical significance: pharyngitis, sepsis, endocarditis


A. Bacillus anthracis   B. Bacillus cereus   C. Listeria monocytogenes   D. corynebacterium diptheriae   E. Erysipelothrix rhusiopathiae   F. Nocardia asteroids    G. Arcanobacterium haemolyticum

Definition
G. Arcanobacterium haemolyticum
Term

Gram- Negative, Aerobic cocci

colony morphology: colonies are grey to tan, flat, and smooth

gram stain: gram negative intracellular or sxtracellular diplococci

biochemical identification: oxidase +, beta lactimase +, produces acid from glucose in CTA sugars

clinical significance: opthalamia neomatorum in newborns

A. Neisseria gonorrhoeae   B. Neisseria meningitidis   C. Maraxella catarrhalis

 

Definition
A. Neisseria gonorrhoeae
Term

Gram- Negative, Aerobic cocci

colony morphology: colonies are nonpigmented or grey to white, smooth and transparent

gram stain: gram negatice diplococci with adjacent end flattened resembling coffee beans

biochemical identification: oxidase +, produces acid from glucose and maltose in CTA sugars


A. Neisseria gonorrhoeae   B. Neisseria meningitidis   C. Maraxella catarrhalis

 

Definition
B. Neisseria meningitidis
Term

Gram- Negative, Aerobic cocci

colony morphology: colonies are small, round, white to gray, opaque, and smooth

gram stain: gram negatice diplococci appearing kidney bean shaped

biochemical identification: oxidase +, DNase +, butyrate esterase +, nitrate +, catalase +, asaccharolytic

clinical significance: otitis media, sinusitis, respiratory indection

A. Neisseria gonorrhoeae   B. Neisseria meningitidis   C. Maraxella catarrhalis

 

Definition
C. Maraxella catarrhalis
Term

Gram- Positive, Aerobic Bacilli

colony formation: large, non hemolytic colonies on sheep blood agar "medusa head" colonies

gram stain info: gram positive bacilli with spores that stain in bamboo pole arrangement

biochemical idenfitication:  catalase +

clinical significance: anthrax


A. Bacillus anthracis   B. Bacillus cereus   C. Listeria monocytogenes   D. corynebacterium diptheriae   E. Erysipelothrix rhusiopathiae    F. Nocardia asteroids   G. Arcanobacterium haemolyticum

Definition
A. Bacillus anthracis
Term
HBIG injections, blood transfusions, and transplants are reasons for a 3 day deferral, 2 week deferral, 4 week deferral, 6 week deferral, 8 week deferral, 6 month deferral, 12 month deferral, permanent deferral, 3 year deferral in regards to blood donation
Definition
12 month
Term

HDL is an _________ and is referred to as "good"  cholesterol

A. allpha-fetoprotein

B. Alpha 1 Glycoprotein

C. Alpha- lipoprotein

D. Ceruloplasmin

Definition
C. Alpha- lipoprotein
Term
HDL is an alpha-liprotrotein and is referred to as (good or bad) cholesterol
Definition
good
Term

HDL is composed of what (two answers)

a. potassium

b. albumin

c. protein

d. cholesterol

Definition
protein & cholesterol
Term
HDL is referred to as (good or bad) cholesterol
Definition
good
Term
HHV 5
Definition
cytomegalovirus
Term
HHV3
Definition
chicken pox
Varicella-zoster virus
Term
HHV6, HHV7, HHV8
Definition
herpes vital
Term
HSV-1
Definition
fever blisters
Term
HSV-2
Definition
genital herpes
Term
HTLV I predominantly infects the ______ lymphocytes
Definition
CD+4
Term
HTLV II predominantly infects the ______ lymphocytes
Definition
CD+4
Term

Hantavirises are generally transmitted by _____________.

A. Mosquito

B. kitty litter

C. ticks

D. aerosolized rodent

Definition
aerosolized rodent
Term

Hemoglobin H bodies can directly alter the:

Please select the single best answer

Definition

integrity of the RBC membrane

When unstable hemoglobin is formed, such as Hemoglobin H in alpha thalassemia intermedia, it precipitates close to the RBC membrane. The integrity of the membrane is compromised when macrophages remove the precipitated tetramers out of the cell, cells appearing "bitten" (schiztocytes).


Term
Hemoglobinuria and hemoglobinemia will be present in reactions where there is extravascular hemolysis.
true or false
Definition
false
In extravascular hemolysis, there is no release of free hemoglobin, and therefore no hemoglobinemia or hemoglobinuria. Sensitized red cells are removed from circulation by the monocytes and macrophages in reticuloendothelial system.
Term
Hemopexin is synthesized in
Definition
the liver
Term
Hemophilia B or Christmas disease is the result of a hereditary deficiency in which coagulation factor:
Factor X
Factor VIII
Factor VII
Factor IX
Definition
Hemophilia B is a sex-linked recessive disorder characterized by deficiency of Factor IX. It is much less common that Factor VIII deficiency.
Term

Hepatatis virus that is NOT parenteral

A

B

C

D

Definition

A

e is also an enteric transmission virus

Term

Hepatoglobin and ceruloplasmin is classified as 

A. Alpha 1 glycoprotein

B. Alpha 2 globulin

C. Alpha 1 globulin

D. Alpha 2 macroglobulin

E. Beta globulin

F. gamma Globulin

Definition
B. Alpha 2 globulin
Term

How does the secondary immune response differ from the primary immune response?

Please select the single best answer

Definition

All of the above choices are correct when differentiating the secondary immune response differ from the primary immune response. In the secondary immune response:

  • IgG is the predominant antibody class produced in the secondary immune response
  • The antibody levels produced are higher in the secondary immune response
  • The lag phase (the time between exposure to antigen and production of antibody) is shorter in the secondary
  • The primary immune response typically does not involve specific IgG antibody
Term

How many types of HIV virus exist

A. 1

B. 2

C. 3

D. 4

Definition
2
Term

Humsn immunodeficiency virus lymphocytes have what kind of receptors

A. gp120

B.CD2

C. CD4

D. CD8

Definition
CD4
Term

If a cocktail that includes detergents, enzymes, and salts is used for DNA isolation, which one of these ingredients will pull the DNA out from the sample?

Please select the single best answer

Definition

salts

If a cocktail that includes detergents, enzymes, and salts is used for DNA isolation, the salts will pull the DNA out from the sample. The detergents break down the membrane lipids and the enzymes remove the proteins.

Term

If a patient has Wilson's disease then they have decreased values of

A. hepatoglobin

b. ceruloplasmin

C. HDL

D. hemopexin

Definition
ceruloplasmin
Term

If a sodium citrate sample drawn for coagulation is noted to be filled an inch below the fill line (black line), then the specimen is considered:

Please select the single best answer

Definition

unacceptable for coagulation studies

In coagulation tesing, the sodium citrate tubes MUST be filled to the black line, meaning properly filled, to ensure the proper ratio of blood to anticoagulant inside of the tube; which should be 9:1. If the tube is not filled adequately, the specimen must be not be used for testing and a redraw should be requested.

Term

If an antinuclear antibody indirect immunofluorescence test shows a positive, speckled pattern, which would be the MOST appropriate additional test to perform?

Please select the single best answer

Definition

Screen for Sm and RNP antibodies

In systemic lupus erythematosis, a speckled ANA pattern is noted. To help confirm this diagnosis, often anti-Sm and anti-RNP antibody tests are ordered; this detects immune response against extractable nuclear antigens.


Term

If the dilution is 1:100, and the average platelet count from both sides of the hemacytometer counting chamber in 2 mm2 is 68, what is the calculated platelet count?

Please select the single best answer

Definition
68,000/mm3
Term
IgG is a (monomer/ dimer/ pentamer)
Definition
monomer
Term

IgG, IgA, IgM are classified as 

A. Alpha 1 glycoprotein

B. Alpha 2 globulin

C. Alpha 1 globulin

D. Alpha 2 macroglobulin

E. Beta globulin

F. gamma Globulin

 

Definition
F. gamma Globulin
Term

In real-time PCR procedures, fluorescence resonance energy transfer (FRET) is the process that allows for probes to emit fluorescence only after hybridization. 

Select true or false

Definition
true
Term
In regards to HIV the Gag gene codes for what
Definition
p24
Term
In regards to HIV the Pol gene codes for what
Definition
p66
Term

In skin tests for allergy, a wheal and flare development is indicative of:

Please select the single best answer

Definition

immediate hypersensitivity

In skin tests for allergies, a skin eruption can follow an injection of an antigen. It is characterized by redness and swelling; this is caused by a release of histamine. This type of reaction typically occurs in stages. First, the appearance of an erythematous area at the site of injury. Next, the development of a flare surrounding the site. Third, a wheal forms at the site when fluid leaks under the skin.

Term

In which disorder may a mild anemia be present even with an increased red blood cell (RBC) count and normal adult hemoglobin electrophoresis?

Please select the single best answer

Definition
Alpha thalassemia minor may show an increased RBC count and normal adult hemoglobin electrophoresis, even though the hemoglobin is decreased and anemia is present.
Term
Iron is stored as ____ in the blood
Definition
ferritin
Term

Irregular margin; opaque, raised, center; narrow hemolysis

Large, gram positive bacilli with oval, subterminal spores

Biochemical identificationLecithinase +, Lipase +, Spot indole –

Clinical significance: botulism


A.Closteridium tetani   B.Closteriduim botulinum   C.Actinomyces israelii   D. Clostriduim difficile

Definition
B.Closteriduim botulinum
Term
JC Virus is an agent of what disease
Definition
Creutzfeldt- Jacob Disease
Term
LD is a (monomer, dimer, tetramer, pentamer)
Definition
tetramer
Term

LDL  is an _________ and is referred to as "bad"  cholesterol

A. allpha-fetoprotein

B. Alpha 1 Glycoprotein

C. Beta globulin

D. Ceruloplasmin

Definition
Beta globulin
Term
LDL is a (beta/ alpha) -lipoprotein and is referred to as (good/ bad) cholesterol
Definition
beta
bad
Term

Menkes' syndrome is described as

A. excess storage of copper in organs

B. decreased amounts of glucose in blood

c. decreased absorption of copper

Definition
decreased absorption of copper
Term

Monoclonal antibodies are usually manufactured in vitro by using:

Please select the single best answer

Definition

Hybridomas

Monoclonal antibodies are monospecific antibodies that are the same because they are made by one type of immune cell which are all clones of a unique parent cell, also called a hybrid cell line, which usually arise from a hybridoma. The fusion of a specific antibody-producing lymphocyte with a myeloma cell will multiply to become a source of pure monoclonal antibody. This is often used in the manufacturing process for monoclonal antibody reagents.

Term
Most common etiological agents for the common cold are the _______________.
Account for approx. 30%-35% of the colds in adults
Definition
Rhinovirus
Term

Multiplexing is the process of assaying several different genes within the same PCR reaction.

Select true or false

Definition
true
Term
Name the Three alpha viruses (former group A arboviruses) can cause CNS disease in the US
Definition
o Venezulean equine encephalitis (VEE) viruses
o Eastern equine encephalitis (EEE) viruses
o Western Equine encephalitis (WEE) viruses
Term

Nephelometry involves the measurement:

Light absorption

Light transmission

Light scatter

Atomic absorption

Definition
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.
Term
Oliguria is usually correlated with:
Acute glomerulonephritis
Diabetes mellitus
Hepatitis
Tubular damage
Definition
Acute glomerulonephritis is closely associated with oliguria, and occasionally, anuria
Term

Otitis media

A. Vibrio cholerae

         B. Vibrio parahaemolyticus

C. Vibrio vulnificus 

D. Vibrio alginolyticus

Definition
D. Vibrio alginolyticus
Term

Pappenheimer bodies are usually seen in patients who have:

Please select the single best answer

Definition

splenectomies

Pappenheimer bodies can be found in patients who have had a splenectomy since the spleen typically removes these cells from the peripheral blood. Therefore, if the spleen is no longer present, these cells can be found in peripheral smears.

Term

Patients with Waldenstrom's macroglobulinemia demonstrate excessively increased concentrations of which of the following?

Please select the single best answer

Definition
Waldenstrom's macroglobulinemia is the result of lymphoplasmacytic lymphoma typically characterized by the production of a large amount of monoclonal IgM antibody.
Term

Pink Eye is associated with

a. Haemophilus ducrey

b. Haemophilus influenza biotype aegyptius

C. Haemophilus influenzae type B

D. Pasteurella multocida

Definition
b. Haemophilus influenza biotype aegyptius
Term
Pinta
Definition
Treponema carateum
Term
Polyspecific antihuman globulin (AHG) reagent used in antiglobulin testing should react with which one of the following?
IgG and IgA
IgM and IgA
IgG and C3d
IgM and C3d
Definition
Polyspecific antihuman globulin (AHG) reagent contains both anti-IgG and anti-C3d
Term
Prozone is usually found in:
those tubes of titration which contain the least concentration of antibody
the serum of a patient who has more than one antibody
a patient sample in which the serum contains a high titer of antibody
a patient sample in which the serum has been inactivated before titering
the presence of ionic clouds
Definition
Prozone is a phenomenon in which titers of specific antigen and antibody do not agglutinate or precipitate visibly because of an excess in antibody. Therefore the correct answer is "a patient sample in which the serum contains a high titer of antibody".
Term

Prozone is usually found in:

Please select the single best answer

Definition

a patient sample in which the serum contains a high titer of antibody

Prozone is a phenomenon in which titers of specific antigen and antibody do not agglutinate or precipitate visibly because of an excess in antibody. Therefore the correct answer is "a patient sample in which the serum contains a high titer of antibody".

Term
Retroviruses transcribe (RNA/DNA) to (RNA/DNA)
Definition
Retroviruses transcribe RNA to DNA
Term
Reverse typing is done using known antisera to detect ABO antigens present on the patient's red blood cells.
true or false
Definition
false
everse typing is performed using reagent red cells with known antigens to detect ABO antibodies present in the patient's serum
Term

Reye's syndrome is characterized by an increase in

a. monosodium urate

b. creatinine

c. ammonia

d. uria

Definition
ammonia
Term

Rickettsialpox

A. Rickettsia rickettsii

B. Rickettsia akari

C. Rickettsia conorii

D. Rickettsia typhi

E. Rickettsia prowazekii

 

 

Definition
B. Rickettsia akari
Term

Rockey mountain spotted fever

Rickettsia rickettsii

 Rickettsia akari

Rickettsia conorii

Rickettsia typhi

Rickettsia prowazekii

 

Definition
Rickettsia rickettsii
Term

Serotonin is synthesized by

delta cells of pancreas

argentaffin cells

alpha cells of pancreas

beta cells of pancreas

Definition
argentaffin cells
Term

Smoothly swarming but slow growing colonies on anaerobic blood agar

Large, gram- positive bacilli with swollen round terminal spores

Biochemical identification:  Lectithinase –, Lipase –, Spot indole +

Clinical significance: TetanuS, Lock jaw

A.Closteridium tetani

B.Closteriduim botulinum

C.Actinomyces israelii

D. Clostriduim difficile

 

Definition
Closteridium tetani
Term
Strep Group A
Definition
Streptococcus Pyrogenes
Term
Streptococcus group A exotoxins
Definition
Streptolycin O
streptolycin S
Term

The 5' end of a DNA strand ends with a OH group.

Select true or false

Definition

false

The 5' end of a DNA strand is distinguished by a phosphate while the 3' end is distinguished by a OH group

Term

The Epstein-Barr Virus is associated with which of the following conditions:

Please select the single best answer

Definition
Though the Epstein-Barr virus is usually associated with infectious mononucleosis, it can also cause human cancer, including Burkitt's lymphoma. The virus combines with acquired genetic mutations to produce disease.
Term

The M:E ratio represents the ratio of:

Please select the single best answer

Definition
he M:E ratio stands for the Myeloid:Erythroid ratio. This represents the relationship of myeloid cells and erythroid cells.
Term

The antibody MOST frequently present in systemic lupus erythematosus (SLE) is directed against:

Please select the single best answer

Definition

nuclear antigen

The anti-nulear antigen test, or ANA test, is a test used to screen for autoimmune diseases, especially systemic lupus erythematosus. It determines whether auto-antibodies to cell nuclei are present.  In 97% of cases diagnosed as SLE, patients have a positive ANA test.

Term

The antigen marker most closely associated with transmission of HBV infections is:

Please select the single best answer

Definition
The presence of HBeAg connotes infectivity.
Term

The assay which is most helpful in identifying specific allergens is:

Please select the single best answer

Definition


RAST tests, or Radioallergosorbent tests, are used to screen for an allergy to a specific substance or substances if a person presents with allergy-like symptoms

   
   
   
   
Term

The basic unit of proteins are ________ linked by peptide bonds

A. Amino Acids

B. Carbohydrates

C. Lipids

Definition
A. Amino Acids
Term

The best way to evaluate single nucleotide polymorphism (SNP) is by melting curve analysis

Select true or false

Definition
true
Term

The diagnostic value of the reticulocyte count in the evaluation of anemia is that it determines the:

Please select the single best answer

Definition

 

Reticulocytes counts can help determine how well the bone marrow is responding and its potential to make new RBCs. For example, an increased retic count could show the physician that the medication given to a patient to treat his/her anemia is working since the bone marrow is releasing new, young RBCs (reticulocytes).

Term

The greatest risk for the manifestation of anomalies in maternal rubella infection during gestation is the:

Please select the single best answer

Definition

first trimester

Infection early in the pregnancy is the most dangerous time period for the manifestation of anomalies due to rubella. In fact, defects are rare when infection occurs after 20 weeks gestation.

Term

The hepatitis B virus vaccine was administered to MLS students during Orientation.Which type of immunity is expected to develop and provide long-term protection?

Please select the single best answer

Definition

active

The hepatitis B vaccine is a series of immunizations consisting of three injections of the hepatitis B antigen. The antigen causes the recipient of the injection to make antibodies against the antigen, hence why this is an example of active immunity

Term
The incidence of hemolytic disease of the fetus and newborn (HDFN) due to anti-D would be expected to be rarest in which population?
Asians
Australians
Europeans
North Americans
Definition
Recognizing that considerable diversity exists in populations, of those listed, Asians have the highest frequency of being D positive and therefore are unable to produce anti-D.
Term

The mediator cells that bind MOST to IgE antibodies are:

Please select the single best answer

Definition

Basophils

Allergen-specific IgE, synthesized in response to allergens, becomes fixed to receptors on cellular membranes, especially those of basophils. If these receptor-bound IgE molecules are aggregated on re-exposure to specific allergen, both mast cells and basophils produce mediators that result in the allergic response. IgE-antigen interaction at the cell surface causes degranulation of cells and release of substances including: histamine, SRS-A, platelet activator, a kallikrein, and an eosinophil chemotactic factor. Basophils are the principal cells that bind IgE antibody while their number of receptor sites is proportional to serum IgE levels. Eosinophils are drawn to the site by the basophil chemotaxis mechanism, but are not the main cell which binds the IgE antibody.

Term

The most common rapid slide test (MONOSPOT©) for infectious mononucleosis employs:

Please select the single best answer

Definition

horse erythrocytes

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.

Term

The most immature neutrophil found in normal peripheral blood is:

Please select the single best answer

Definition
The band neutrophil is the earliest neutrophil precursor that is found in normal peripheral blood. Other precursor cells such as blasts, promyelocytes, myelocytes, and metamyelocytes should not be found in nornal peripheral blood.
Term

The part of the immunoglobulin molecule that may be kappa or lambda chains is:

Please select the single best answer

Definition

light chains

Light chains must always be either the kappa or lambda types in the formation of an antibody

Term

The part of the molecule responsible for differences among immunoglobulin classes is:

Please select the single best answer

Definition

heavy chains

Antibodies are differentiated based on their heavy chains; different heavy chains create different isotypes. Humans have five different isotypes of immunoglobulins.

Term

The primary purpose of neutrophil granules is to:

Please select the single best answer

Definition

provide microbicidal action

Neutrophil granules provide enzymes for hydrolytic substrate break-down, kill ingested bacteria, and secrete their contents to regulate different physiological and pathological processes, including inflammation

Term

The properties of an antibody class are defined by the:

Please select the single best answer

Definition

Fc end of the molecule

The portion of antibodies where the C terminal region of each glycoprotein chain is located, is called the Fc portion. The Fc portion has a constant amino acid sequence that defines the class and subclass of each antibody. The Fc portion is responsible for the biological activity of the antibody. Depending on the class of antibody, some of the functional activities of the Fc portion of antibodies include activating the complement pathway and binding to natural killer cells, phagocytosis, basophils, etc.

Term

The purpose of C3a, C4a, C5a, the split-products of the complement cascade, is to:

Please select the single best answer

Definition

cause increased vascular permeability, contraction of smooth muscle, and release of histamine from basophils

The purpose of C3a, C4a, C5a, the split-products, of the complement cascade is to cause increased vascular permeability, contraction of smooth muscle, and release of histamine from basophils. C3a, C4a and C5a, bioactive fragments of the complement components C3, C4 and C5, respectively play a key role in mediation of immunologically provoked inflammatory responses. C4a production results from classical pathway activation while, C3a and C5a are produced by the activation of the classical pathway and/or the alternative pathway.

Term
The rate of appearance of NADPH is proportional to the amount of glucose present in the sample
most sensitive enzymatic method; more accurate; less interfering substances
Definition
hexokinase
Term

The rheumatoid factor in rheumatoid arthritis is PRIMARILY which type of immunoglobulin?

Please select the single best answer

Definition

IgM

Rheumatoid Factor (RF) is an antibody against the Fc portion of IgG molecules. It is primarily, of the IgM class and can less commonly be IgG or IgA. These circulating antibody complexes are found in the synovial tissue and synovial fluid and tend to cause systemic problems. In the laboratory, routine latex agglutination test would typically detect only IgM RF since most IgG and IgA antibodies are non-agglutinating.

Term
The shelf-life of whole blood collected in CPDA-1 is:
7 days
28 days
35 days
48 days
Definition
The shelf life of whole blood collected with CPDA-1, or citrate-phosphate-dextrose-adenine, has a storage life of 35 days
Term

The term TITER ( as it applies to the measurement of antibodies) is best defined as:

Please select the single best answer

Definition

Reciprocal of maximum reactive dilution

A specimen with a last reacting tube containing a 1:100 dilution, would be said to have a titer of 100

Term

The use of non-specific fluorescent dyes is the most specific method of measuring amplicons in real-time PCR.

Select true or false

Definition

false

Non-specific fluorescent dyes can bind to both the product and the primers, resulting in lack of specificity. The use of DNA probes is more specific.

Term

This anylitical method uses a reagent to react with peptide bonds in proteins

A. kjeldahl

B. refractometry

C. dye binding

D. biuret 

Definition
D. biuret 
Term

This gamma globulin fixes complement

a. IgG

b. IgA

c. IgM

d. IgE

Definition
IgG
Term

This protein is an acute phase reactant and its function is inhibition of the protease neutrophil elastase

a. alpha 1 antitrypsin

b. albumin

c. hepatoglobin

D. Beta globulins

Definition
alpha 1 antitrypsin
Term
This retrovirus us associated with adult T-Cell leukemia/ lymphoma syndrome (ALT) and the chronic demylenating syndrome tropical spastic parapheresis (TSP)
Definition
HTLV I
Term
Transferrin is a (positive or negative) acute phase reactant
Definition
negative
Term
Treponema is associated with what illness
Definition
syphillis
Term

What element in the body differentiates proteins from carbohydrates and lipids?

A. Carbon

B. Hydrogen

C. Nitrogen

Definition
C. Nitrogen
Term

What is NOT a molecular method for viral diagnosis

LCR

TMA

SDA

GAT

NASBA

Definition
GAT
Term

What is the BEST type of microscopy for performing manual platelet counts?

Please select the single best answer

Definition
Phase contrast microscopy can help to better define the outline of the platelets over regular light microscopy, making them easier to count and allowing for more accurate results.  Dark-field and electron microscopes are not used for platelet counting.
Term

What is the MOST likely cause when clinical signs indicate HIV infection, but antibody tests are negative?

Please select the single best answer

Definition

patient is in the "window phase" before antibody production

When clinical signs indicate HIV infection, but antibody tests are negative, a patient can be in the "window phase" before antibody production. This means that the HIV viral antigens have yet not produced an immune response great enough for laboratory studies to detect anti-HIV antibodies. This window period can last up to 6 months after infection.

Term
What is the MOST likely identity of an acid-fast bacilli that showed buff colored, dry, heaped colonies; niacin, nitrate, and urease positive; and took 23 days at 35ºC to grow?
Mycobacterium avium
Mycobacterium kansasii
Mycobacterium bovis
Mycobacterium tuberculosis
Mycobacterium leprae
Definition
The correct answer which best fits the characteristics in this question is Mycobacterium tuberculosis.
Term

What is the first step of the PCR reaction?

Please select the single best answer

Definition

The steps in the PCR process are:

  • Denaturation (Turning double stranded DNA into single strands.) 
  • Annealing/Hybrization (Attachment of primers to the single DNA strands.) 
  • Extension (Creating the complementary strand to produce new double stranded DNA.)
Term

What is the function of LDL?

A. bind hemoglobin

B. inhibit trypsin, thrombin, and plasmin

c. transport cholesterol from the liver to the tissue

D. transports cholesterol from the tissue back to the liver to be broken down

Definition
c. transport cholesterol from the liver to the tissue
Term

What is the function of hepatoglobin?

A. bind hemoglobin

B. inhibit trypsin, thrombin, and plasmin

c. transport cholesterol from the liver to the tissue

D. transports cholesterol from the tissue back to the liver to be broken down

Definition
A. bind hemoglobin
Term
What is the function of pre albumin?
Definition
it is the transport mechanism for thyroid hormones
Term
What is the mechanism of heparin-induced thrombocytopenia (HIT)?
Antibodies directed against platelet factor 4 (PF-4) and heparin complex
Administration of toxic doses of heparin that destroy platelets
Abrupt cessation of heparin therapy
Definition
HIT is a complication that may occur in some patients receiving heparin therapy. When heparin is administered to these patients, it forms an immune complex with platelet factor 4 (PF-4) that is released from the alpha granules in platelets. The body's immune system recognizes this complex as a foreign substance and forms an antibody against it. The antibody binds to this complex and the platelets are destroyed.

HIT is not the result of administration of toxic doses of heparin. The dosing is correct; the thrombocytopenia is the result of the patient's immune response to the heparin.

Abrupt cessation of heparin therapy will not cause thrombocytopenia. If a patient is diagnosed with HIT, heparin therapy should be stopped immediately and replaced with a different anticoagulant therapy if necessary.
Term
What is the method of analysis for measuring the nitrogen content?
Definition
Kjeldahl
Term
What is the most serious complication of West Nile Virus?
Definition
Encephalitis
Term

What is the protein in the highest concentration?

a. Alpha 1- globulins

b. albumin

c. hepatoglobin

D. Beta globulins

Definition
b. albumin
Term

What is used for antiviral susceptibility testing?

A. flourescent antibody testing

B. ligase chain reaction

C. PAT

D. FAT

Definition
PAT
Term

What may prevent the detection of lupus anticoagulant in a plasma sample if the blood used for testing is not centrifuged for a sufficient time?

 

Please select the single best answer

Definition

Increased platelets in the plasma could prevent the detection of lupus anticoagulant (antiphospholipid antibody). 

Platelet membranes contain a high content of lipids that can cause the antiphospholipid antibody to bind to the platelet membrane, thereby removing it from the plasma so that it is not detected. Blood specimens should be centrifuged for a sufficient time to ensure a residual platelet concentration of less than 10 x 109/L.

Residual red or white blood cells do not contain a high content of lipids in their membranes and would not specifically affect the lupus anticoagulant test.

Term
What other hemoglobin gene loci occur on the same chromosome as the beta chain loci?

More than one answer is correct.
alpha
delta
gamma
zeta
Definition
delta & gamma
Globin chain loci are found on:

chromosome 11 (beta, delta, epsilon, and gamma)
chromosome 16 (alpha, and zeta)
Term

What type of follow-up testing is recommended for a Speckled ANA pattern?

 

Please select the single best answer

Definition

Testing for antibodies to the extractable nuclear antigens (ENA)

Speckled ANA patterns are usually followed-up with testing for antibodies to the extractable nuclear antigens (ENA). Frequently this includes: Sm (Smith), U1-RNP, SSA/Ro, SSB/La, and Scl-70. 

Testing for dsDNA antibodies is usually done on homogeneous ANA patterns. However, some labs will suggest both dsDNA and ENA testing if the speckled pattern is greater than 1:160.

Term
When a group O patient’s serum is not compatible with O cells, and the auto control is negative, what is the MOST likely cause?
the patient is chimera
cold auto-antibodies
the patient is a Bombay phenotype
the patient is an A2
warm auto-antibodies
Definition
he Bombay phenotype occurs when two hh genes (or two inactive alleles of H or FUT1) are inherited at the H locus. These individuals cannot produe fucosyltransferase to produce H, A, or B antigens. Consequently, they produce anti-H, anti-A, and anti-B antibodies. On initial testing, Bombay red cells appear to be group O. However, their serum reacts with antibody screening cells and all normal group O cells because of the presence of anti-H.
Term
Where is T4 produced?
Definition
thyroid gland
Term
Which Hepatits virus involves DNA?
Definition
Hepatitis B
Term

Which anylitical method measures nitrogen content?

A. kjeldahl

B. refractometry

C. dye binding

D. biuret 

Definition
A. kjeldahl
Term

Which anylitical method measures the refractive index?

A. kjeldahl

B. refractometry

C. dye binding

D. biuret 

Definition
B. refractometry
Term
Which branch of the immune system has an immediate response on first exposure to a foreign antigenic stimulus?
Cell Mediated
Specific
Humoral
Innate
Definition
The innate immunity system is inherent and nonspecific; meaning that all pathogens are attacked similarly. The skin, mucus in respiratory tracts, acid pH, and others are all examples of the innate immunity system that the body has to prevent infection upon first exposure.
Term

Which class of antibody is able to agglutinate RBC’s after anti-human globulin is added?

Please select the single best answer

Definition

IgG

Anti-human globulin (AHG) is created to bind with IgG antibodies at the Fc portion of the antibodies. AHG will bind to both bound and unbound IgG antibodies. When IgG is bound to RBCs, the AHG reagent will allow visible agglutination to occur.


Term
Which electrophoresis method first creates a pH gradient across the gel before migration of proteins?
isoelectric focusing
routine serum electrophoresis
capillary electrophoresis
two-dimensional electrophoresis
Definition
In isoelectric focusing, the ampholytes migrate first and create a pH gradient across the gel. Then the proteins migrate to the pH area that matches their isoelectric point.
Term
Which hepatitis viruses are transmitted enteric?
Definition
Hepatits A & E
Term

Which immune elements are involved in a POSITIVE TB skin test?

Please select the single best answer

Definition

T cells and macrophages

When the tuberculosis (TB) skin test is performed, the T-lymphocyte cells with receptor sites for tuberculosis antigens will produce a positive test result. The T-lymphocytes secrete cytokines which attract macrophages to the site of the skin test. Together these cells cause the swelling pattern to occur in the characteristic positive skin test.


Term
Which immunoglobulin class is able to cross the placenta from the mother to the fetus?
IgA
IgD
IgE
IgG
IgM
Definition
Immunoglobulins of the IgG class are able to cross the placenta since they circulate as monomers; thus they are small in size. The other types of immunoglobulins are too large to cross the placental barrier, for example, IgM is a pentamer.
Term
Which infectious disease test is used for the confirmation of syphilis?
Definition
FTA-ABS
Term
Which infectious disease test is used to detect chagas disease
Definition
T.Cruzi
anti-trypsonoma cruz
Term
Which infectious disease test is used to detect exposure to Hepatitis C virus
Definition
Anti-HCV
Term

Which infectious disease test is used to detect for a retrovirus that may cause a rare form of leukemia and nervous system degeneration

A. AIDS

B. HTLV

C. chagas

D. T. Cruzi

Definition
HTLV I/II
Term
Which infectious disease test is used to detect previous exposure to hepatitis B virus and also a "surrogate" test for Non-A, Non-B, Non-C hepatitis for which there is no specific test yet
Definition
Anti-HBc
Term
Which infectious disease test is used to detect syphillis
Definition
PRP
Term
Which infectious disease test is used to detect the virus that causes AIDS
Definition
Anti-HIV 1/2
Term
Which is NOT a parasitic agent transferred through blood
plasmodium spp.
trypsonoma cruz
yersinia enterocoliti
babesia microti
Definition
yersinia enterocoliti
it is a bacterial agent
Term

Which is not an application of real-time PCR?

Please select the single best answer

Definition

 
Term
Which is not an organic cofactor (coenzyme)
NAD, Vitamin, calcium
Definition
Term

Which is the main limitation of standard PCR that is not a limitation of real-time PCR?

Please select the single best answer

Definition

Inability to quantitate DNA product due to endpoint analysis only

The main limitation of standard PCR is the inability to quantitate the DNA product due to reliance on endpoint analysis. The final yield of a product is not always equal to the estimated exponential growth per cycle. Therefore, quantitation is not possible with endpoint analysis. Real-time PCR overcame this limitation

Term

Which method remains the “gold standard” for ANA detection?

Definition

Slide-based immunofluorescent assay (IFA) or Colorzyme®

Slide-based ANA tests using HEp-2 or HEp-2000® cells are the gold standard. Dozens of different antibodies can be detected using slide-based assays. Solid phase assays such as bead and ELISA assays lack sensitivity, resulting in an unacceptable number of false negative results. 

RIAand Lateral flow are not methods used for ANA testing.

Term

Which of the following conditions can produce a normal APTT and a prolonged PT?

Please select the single best answer

Definition
Only the factor VII would cause and increase only in the PT result as factors IX and VIII are tested only in the aPTT test and factor X is tested for in both tests.
Term
Which of the following conditions is associated with elevated serum uric acid levels:
Cushing's syndrome
Pancreatitis
Hyperthyroidism
Gout
Definition
Gout is a disease manifested by the deposition of crystalline uric acid in joints and soft tissues, with secondary inflammation and pain.
Term

Which of the following diseases is NOT associated with autoantibodies?

Please select the single best answer

Definition
HDN is associated with alloantibodies from the mother's bloodstream directed against the baby's red cell antigens.
Term

Which of the following factors is not involved in the initial contact phase of the intrinsic pathway:

Please select the single best answer

Definition

Factor X

Fitzgerald and Fletcher Factors are required to complete activation of Factor XII during the contact phase

Term
Which of the following fungal infections is endemic in the southwestern US desert regions?
Histoplasmosis
Blastomycosis
Coccidioidomycosis
Sporotrichosis
Definition
Coccidioidomycosis is strictly endemic in the southwestern US desert regions.

The geographic distribution of blastomycosis in the United States tends to be centered more in the upper Mississippi river drainage system and adjacent tributaries.

Histoplasmosis is more concentrated in the lower Mississippi river valley and adjacent tributaries and, sporotrichosis has a broad geographic distribution, sparing only the higher western mountainous regions.
Term

Which of the following is NOT true about hybridization in PCR procedures?

 

Please select the single best answer

Definition

 

Hybridization can occur between a strand of DNA and a strand of RNA.

Complementary bases link by hydrogen bonds to create the DNA double helix. The process of complementary single strands of DNA to form into double stranded DNA is called hybridization or annealing.

Term
Which of the following is a common clinical symptom that is directly related to thrombocytopenia?
Shortness of breath
Joint pain
Petechiae
Fever
Definition
If the platelet count reduces to less than 30 x 109/L, petechiae may be observed. Petechiae are small pinpoint hemorrhages that indicate bleeding from subcutaneous blood vessels into intact skin.

The remaining symptoms would not be directly related to thrombocytopenia. Shortness of breath and joint pain may occur with coagulation factor abnormalities where the bleeding is internal into deeper tissues and joints.

Fever may be present, but it would not be directly related to thrombocytopenia.
Term

Which of the following is most responsible for increasing the erythrocyte sedimentation rate (ESR):

Definition
Increase fibrinogen is most responsible for increasing the ESR. Alpha-2, beta, and gamma globulins have a lesser effect. Albumin retards sedimentation. Cholesterol increases sedimentation, but to a lesser extent. Fibrinogen and other similar proteins decrease the zeta potential or negative charge of red cells, allowing them to come closer together, and sediment more rapidly.
Term

Which of the following is responsible for causing graft-versus-host reactions:

Please select the single best answer

Definition

lymphocytes

Graft-versus-Host reactions are caused by the engrafting of immunocompetent T lymphocytes into a severely immunosuppressed recipient. They can be prevented by gamma irradiation of cellular blood components.

Term

Which of the following is the “activation unit” in the classical complement pathway?

Please select the single best answer

Definition
The combination of complement C4, C2 and C3 that binds to the antigen-antibody complex in the initial reaction step in the classical pathway of complement activation is called the activation unit.
Term

Which of the following is true concerning atherosclerosis?

Atherosclerosis is the same as arteriosclerosis.

Atherosclerosis is the deposition of plaques containing cholesterol and lipids on the innermost layer of the walls of large and medium-sized arteries.

Atherosclerosis is the main outcome that is assessed in risk marker studies.

Most humans do not have significant atherosclerosis.

Definition
The deposition of plaques containing cholesterol and lipids on the innermost layer of the walls of large and medium-sized arteries is the defintion of atherosclerosis. Arteriosclerosis is a more general term that describes a thickening and loss of elasticity of the walls of the arteries (hardening of the arteries). Atherosclerosis is a type of arteriosclerosis but is not synonymous with it. Atherosclerosis is not the most common outcome for risk marker studies because it can be hard to measure. Infarcts, cardiac procedures, death, and 'events' are more common. Most humans have visible or measureable atherosclerosis by early middle age.
Term

Which of the following is used as an indicator of inflammation?

Please select the single best answer

Definition

C-Reactive Protein (CRP) is used as an indicator of inflammation.

RPR, or rapid plasma reagin, is a technique utilized for syphilis testing. Complement is not an indicator of inflammation; instead it plays a role in our immune system. Alpha fetoprotein is a protein made by the fetus and is also used for liver cancer screening.

Term

Which of the following kappa / lambda ratios is found in normal serum:

Please select the single best answer

Definition
The normal kappa/lambda ratio in serum is 2:1. A kappa/lambda ratio outside of 2:1 is an indication of monoclonal gammopathies.
Term

Which of the following laboratory tests of hemostatic function is a screening test used to assess the functionality of both the intrinsic and common pathways?

Please select the single best answer

Definition

aPTT

the intrinsic and common pathways can be analyzed by utilizing the aPTT test.

Term
Which of the following proteins has the FASTEST electrophoretic mobility?
albumin
alpha-1 globulins
beta globulins
gamma globulins
alpha-2 globulins
Definition
The serum proteins can be separated into five fractions by serum protein electrophoresis. In order of decreasing electrophoretic mobility these fractions are the: serum albumin, alpha-1 globulins, alpha-2 globulins, beta globulins, and gamma globulins.
Term
Which of the following statements about the HBV vaccine is INCORRECT?
The vaccine is effective in 90% of cases.
Employers may require a fee to administer the vaccine.
Side effects are rare and minimal.
The vaccine is administered over a six-month period.
Definition
Employers must offer the HBV vaccine free of charge to employees.
Term
Which of the following sugars has been fermented by a gram-negative rod that has produced an alkaline slant and an acid butt on triple sugar iron agar (TSI).?
lactose
sucrose
glucose
glucose and sucrose
Definition
glucose
lkaline over acid, or K/A, in TSI reactions is associated with the fermatation of glucose alone and the utilization of peptone.
Term
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
Definition
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.
Term
Which of the following would NOT be included in a hemolytic transfusion reaction investigation?
ABO/Rh check of post-transfusion sample
Leukocyte antigen studies
Direct antiglobulin test (DAT) on post-transfusion sample
Clerical check
Definition
Leukocyte antigen studies would NOT be included in a hemolytic transfusion reaction investigation.

The remaining procedures must be performed as part of the initial reaction investigation. A post-transfusion specimen should be sent to the laboratory for work-up. A clerical check should be performed to investigate possible errors in specimen labeling, blood product issuance, or patient identification. The plasma must be examined for hemolysis. A direct antiglobulin test (DAT) must be performed. The patient's ABO, Rh, and antibody screen should be repeated and confirmed. The blood product ABO/Rh can also be confirmed.
Term

Which of the following would be considered most significant as it relates to serological testing:

Please select the single best answer

Definition

Rise of antibody titers is diagnostic

Serological diagnosis of active or recent infection generally requires the demonstration of IgM antibody, or the demonstration of a fourfold rise in the titer of specific IgG antibody.

Term

Which of the following would best describe what you might observe after a traumatic CSF tap:

Please select the single best answer

Definition
Significantly more RBCs found in tube #1 vs. tube #3
Term

Which of these is NOT a Systemic Autoimmune Rheumatic Disease (SARD)?

 

Please select the single best answer

Definition
While multiple sclerosis is an autoimmune disease it is not one of the SARDs.
Term

Which of these nitrogenous bases is present in deoxyribonucleic acid (DNA), but not in ribonucleic acid (RNA)?

 

Please select the single best answer

Definition
hymine is present in DNA, but not in RNA. Uracil is present in RNA, but not in DNA
Term
Which one of the following blood group antigens is not expressed, or only weakly expressed on cord blood cells?
K
Jka
M
Leb
ABO
Definition
Newborns are phenotypically Le(a-b-).
Term
Which one of the following is not descriptive of the different branches of the immune system?
Cell-Mediated
Extrinsic
Humoral
Innate
Non-specific
Definition
Cell mediated, humoral, innate, and non-specific are all branches of the immune system. Extrinsic is a branch of the coagulation cascade.
Term

Which one of the following statements concerning endocytosis is NOT TRUE?

Please select the single best answer

Definition

Endocytosis is the process by which phagosomes are released by the cell to expel the macromolecules inside

The statement that is not true concerning endocytosis is, "Endocytosis is the process by which phagosomes are released by the cell to expel the macromolecules inside." This is the process known as exocytosis, which is the reverse process of endocytosis. 
Endocytosis is the process by which cells absorb molecules by engulfing them. It is used by all cells of the body because most substances important to them are large polar molecules that cannot pass through the hydrophobic plasma or cell membrane. 
All of the remaining answer choices are true concerning endocytosis:
Cells may employ endocytosis to ingest large polar molecules from extracellular fluid.
In endocytosis, the cell membrane extends outward until it surrounds the material that will be ingested.
Endocytosis is a natural process of intracellular digestion for nutrition.
Term

Which one of the following statements concerning phagocytosis is FALSE?

Please select the single best answer

Definition
Cells do not only phagocytize bacteria, the can phagocytize other cells, cellular remnants, and other waste products as well.
Term

Which one of the following would not be considered an anatomic barrier of the innate immune system?

Please select the single best answer

Definition
T lymphocytes
Term

Which protein migrates ahead of albumin on HRE?

a. Alpha 1- globulins

b. prealbumin

c. hepatoglobin

D. Beta globulins

Definition
b. prealbumin
Term

Which real-time PCR quantification method is only effective if the amplification efficiency of both target and reference samples are equal?

Please select the single best answer

Definition

comparitice threshold method

The comparative threshold method or Ct involves comparing the Cof samples against non-treated RNA samples. The Ct or threshold cycle is the cycle in which the fluorescence crosses the point where enough amplicons have been generated. In order for this method to be effective the amplification efficiency of both target and reference samples needs to be equal, if not the standard curve method should be used.

Term

Which two stages of cell division are the most important for reading ANAs?

Please select the single best answer

Definition

Interphase and metaphase

Interphase and Metaphase is the correct answer.

While it is necessary to recognize all stages of cell division, the two most important are interphase and metaphase. In order for the ANA to be positive there must be a clearly discernible pattern in the nucleus of the interphase cells. Metaphase mitotic cells are used to assist in identification of the ANA pattern.

Term
Which type of electrophoresis is used to separate larger DNA fragments (>50 kb)?
electroimmunoassay electrophoresis
capillary electrophoresis
isoelectric focusing
pulsed field electrophoresis
Definition
Fragments of DNA > 50 kb will not separate in most types of electrophoresis due to their large size. Special techniques are required; pulsed field electrophoresis is one type of electrophoresis that will separate these larger fragments.
Term
Why are ANA positive samples titered?

More than one answer is correct.

To determine just how ill the patient is.
To determine how much antibody is present in the sample.
To look for multiple ANA patterns.
Definition
There are two main reasons for titering ANA samples: to determine the amount of antibody present and to look for multiple ANA patterns.

In the case of ANA testing the titer does not reflect disease severity. The higher the titer the more likely the patient has one of the systemic autoimmune rheumatic diseases (SARDs), however, titer levels do not necessarily change with disease activity or severity.

Often one ANA pattern will mask over, or hide, another pattern. Titering can facilitate the detection of multiple patterns, alerting the clinician to possible disease associations and relevant follow-up testing.
Term

Wilson's Disease is described as

A. excess storage of copper in organs

B. decreased amounts of glucose in blood

c. decreased absorption of copper

Definition
excess storage of copper in organs
Term

Within the kidneys, the _____ reabsorb potassium

a. distal convoluted tubules

b. extra cellular fluid

c. loop of henle

d. proximal convoluted tubules

Definition
d. proximal convoluted tubules
Term

Within the kidneys, the ______ secrete potassium

a. distal convoluted tubules

b. extra cellular fluid

c. loop of henle

d. proximal convoluted tubules

Definition
. distal convoluted tubules
Term
Yaws
Definition
Treponema pertenue
Term
Zollinger-Ellison Syndrome
Definition
excess gastrin excess HCl production
Term

___ is an enzyme that converts soluble fibrinogen into soluble fibrin

a. amylase

b. coagulase

c. DNase

d. catalase

Definition
coagulase
Term
____ is a protein synthesized in the liver and is an acute phase reactant. Its function is to form a fibrin clot
Definition
fibrinogen
Term

____ is an alpha 1-globulin that is synthesized by the yolk sac and liver and protects the fetus from immulogic attack

A. allpha-fetoprotein

B. Alpha 1 Glycoprotein

C. Alpha- lipoprotein

D. Ceruloplasmin

Definition
A. allpha-fetoprotein
Term
____ is the final breakdown product of purine metabolism in humans
Definition
uric acid
Term
____ protein function is to act as a opsonin facilitating phagocytosis
Definition
c-reactive
Term

_____ are products of incomplete fat breakdown

a. cuproc ions

b. ketones

c. creatine

d. glycosylated hemoglobin 

Definition
ketones
Term

_____ cofactors are activators. Calcium, iron, and magnesium are examples.

a. organic

b. inorganic

Definition
inorganic
Term

_____ is NOT an enzyme deficiency. It is caused by an amino acid transport system defect which leads to an accumulation of cysteine

A. Phenylketonuria

B. Tyrosinemia

C. Alkapotonuria

D. cystinuria 

Definition
D. cystinuria
Term

_____ is a copper staining protein that is an acute phase reactanting Alpha 2 globulin.

A. Hepatoglobin

B. Transferrin

C. Ceruloplasmin

 

Definition
Ceruloplasmin
Term

_____ is the final breakdown product of purine metabolism in other mammals

a. ammonia

b. uric acid

c. creatinine

d. allantoin

 

Definition
allantoin
Term

_____ is the only hormone that decreases glucose

a. glucagon

b. epinephrine

c. insulin

d. cortisol

 

Definition
insulin
Term

_____ metabolizes to metanephrine which is metabolized to VMA

a. dopamine

b. norepinephrine

c. epinephrine

d. thyroxine

Definition
epinephrine
Term
_____ migrates ahead of albumin on HRE
Definition
pre albumin
Term

_____ viruses transcribe RNA to DNA

A. Rhinovirus

B. Hantavirus

C. Retrovirus

D. Ocovirnae

Definition
Retrovirus
Term
______ are the breakdown products of nucleic acid catabolism && allantoin is the final breakdown product of ______ metabolism in other mammals
Definition
purine
Term
______ catalyzes the breakdown of starch and glycogen into monosaccharides
Definition
amylase
Term

______ cofactors are coenzymes

a. organic

b. inorganic

Definition
organic
Term
______ is a copper staining, Alpha- 2-globulin protein synthesized in the liver with its function consisting of peroxidase activity
Definition
ceruloplasmin
Term

______ is a glucorticoid hormone produced by the adrenal cortex and regulates glucose

A. Calcitonin

B. glucagon

C. Cortisol

D. Insulin

Definition
cortisol
Term
______ is a hormone that causes secretion of HCl in stomach
Definition
gastrin
Term
______ test is used to detect reducing sugars in the urine
Definition
clintest
Term

_______ is performed to determine the cause of hypoglycemia

 

a. clintest

b. western blot

c. c-peptide testing

d. glucose dehydrogenase enzyme test

Definition
c-peptide testing
Term

_______ is synthesized in the liver during protein catabolism and is a major excretory product of protein metabolism

 

a. monosodium urate     b. creatinine     c. ammonia     d. uria

Definition
urea
Term

_______ reagent is used in clintest copper reduction

a. biuret

b. benedicts 

c. rickets

d. hexokinase

Definition
benedicts
Term
_______ reagent is used in the Clintest test. ________ reagent is an alkaline copper solution
Definition
benedicts
Term

________ Is an enzyme difficiency of tyrosine aminotransferase which leads to ana ccumulation of tyrosine

A. Phenylketonuria

B. Tyrosinemia

C. Alkapotonuria

D. cystinuria 

Definition
B. Tyrosinemia
Term
________ are products of incomplete fat breakdown that has 3 bodies
1. acetone
2. acetoacetic acid
3. B hydroxybutyric acid
sodium nitroprusside is the reagent used to measure this carbohydrate
Definition
ketone
Term
________ is an enzyme deficiency of homogenistic oxidase which leads to an accumulation of homogenistic acid

note: the urine darkens upon standing
Definition
Alkapeonuria
Term

________ is an enzyme deficiency of homogenistic oxidase which leads to an accumulation of homogenistic acid.

Noteworthy: the urine darkens upon standing

A. Phenylketonuria

B. Tyrosinemia

C. Alkapotonuria

D. cystinuria 

Definition
C. Alkapotonuria
Term

________ is an enzyme deficiency of phenylalanine hydrolase which leads to an accumulation of phenylalanine hydrolase in the blood and phenylpyruvic acid in urine.

A. Phenylketonuria

B. Tyrosinemia

C. Alkapotonuria

D. cystinuria 

Definition
A. Phenylketonuria
Term
________ is an enzyme deficiency of tyrosine aminotransferase which leads to an accumulation of tyrosine
Definition
Tyrosinemia
Term
_________ is an enzyme deficiency of phenylalanine hydrolase which leads to an accumulating of phenylalanine hydrolase in the blood & phenylpyruvic acid in urine
Definition
Phenylketonuria
Term
_________ kinetics occurs when the reaction rate is directly proportional to the substrate concentrate
Definition
first- order kinetics
Term
__________ is characterized by increased amounts of ammonia in children that is associated with salicylate ingestion and is frequently preceded by a viral infection
Definition
Reyes Syndrome
Term
___________ kinetics occurs when the reaction rate depends on the enzyme concentration
Definition
zero order kinetics
Term
____________ is a large protein, synthesized in the liver and it inhibits trypsin, thrombin, and plasmin
Definition
Alpha-2-Macroglobulin
Term

a Bilirubin detecting reagent strip utilizes

diazo reaction

biuret

griess's reaction 

p-dimethylaminobenzaldehyde (Ehrlich)

Definition
diazo reaction
Term

a CNS amoeba with a clinical significance of promary ameobic meningoencephalitis

Entamoeba histolytica

Blastocystits hominis

Endolimax nana

Naegleria floweri

Definition
Naegleria floweri
Term

a GI amoeba whose cyst phase consists of a splinter shaped chromatoidal body-- has a clinical significance of amebiasis 

Entamoeba histolytica

Entamoeba coli

Endolimax nana

Entamoeba hartmanni

Definition
Entamoeba coli
Term

a GI amoeba with sausage shaped chromatoidal bodies in cyst's cytoplasm and a clinical significance of amebic dysentery

Entamoeba histolytica

Entamoeba coli

Endolimax nana

Entamoeba hartmanni

Definition
Entamoeba histolytica
Term
a central nervous system amoeba that infects a person when a trophozoite enters through a nasal passage and causes meningoencephalitis
iodamoeba butschii
chilomastic menili
Naegleria floweri
Definition
Naegleria floweri
Term

a dimorphic fungi associated with Darling's disease very common infectious disease spores found in high concentration of chicken houses, caves inhibited by bats, starling roots, and peigon coops

A. blastomyces dermatitidis

B. Paracoccidioides brasiliensis

 

C. Coccidioides immitis

 

D. Histoplasma Capsulatum

Definition
Histoplasma capsulatum
Term

a dimorphic fungi associated with Gilchrist's disease

A. blastomyces dermatitidis

B. Paracoccidioides brasiliensis

C. Coccidioides immitis

D. Histoplasma Capsulatum

Definition
blastomyces dermatitidis
Term

a federal law that defines the minimum wage, over time, and other requirements related to how certain empolyees are to be paid

TSCA

FLSA

RCRA

EEOC

Definition

FLSA

fair labor standards act

Term
a hormone secreted from the adrenal medulla that produces catecholamines-- metabolized to metanephrine which is metabolized to vanillymandelic acid (VMA)
Definition
Epinephrine
Term
a hormone secreted from the adrenal medulla that produces catecholamines-- metabolized to normethanephrine which is metabolized to vanillymandelic acid (VMA)
Definition
norepinephrine
Term

a long chain polyunsaturated fatty acids

a. glycolipids

b. prostaglandins

c. apolipoproteins

d. phospolipids

Definition
prostaglandins
Term
a parasitic flagellate that infects when a cyst is ingested through contaminated water
Giardia lambilia
trichomonad vaginalis
Naegleria floweri
Definition
Giardia lambilia
Term
a parasitic infection obtained when ingestion of oocysts occurs through undercooked pork or cleaning of kitty litter. causes toxoplasmosis but is typically asymptomatic
cryptosporidium parvum
Naegleria floweri
Taxoplasma gondii
Definition
Taxoplasma gondii
Term

a plasmodium parasite that is spread through ingestion of oocysts in fecal contaminated food or water and causes cryptosporidiosis

 

Guardia lambilia

cryptosporidium parvum

Naegleria floweri

Definition
cryptosporidium parvum
Term

a single complete infectious unit

a. viron

b. dna

c. rna

d. illness

Definition
viron
Term
a single complete infectious unit (particle
Definition
viron
Term
achlorhydria
Definition
excess gastrin
no HCl production
Term

adrenocorticotropic hormone (ACTH) is produced by

a. beta cells of islets of langerhans

b. alpha cell of the pancreas

c. adrenal medulla

d. adrenal cortex

e. anterior pituitary

f. thyroid gland

g. delta cells of the pancreas

Definition
anterior pituitary
Term
advantages of ______ donation:
decrease in transfusion- transmitted infectious agents
prevention of alloimmunization
provides comparable blood for patients with rare blood groups or antibodies
disadvantages:
contamination during processing
preoperative anemia
inconvenience, waster, and increased cost
blood may be transfused unnecessarily
Definition
autologous
Term
alpha-1- antitrypsin is an __________ reactant
Definition
acute phase reactant
Term
alpha-fetoprotein is synthesized in
Definition
the liver & by the yolk sac
Term
amphitrichous
Definition
single flagella at each pole
Term

amplifies tiny quantities of nucleic acid so that is can be detected by hybridization with nucleic acid probes

A. PCR

B. ELISA

C. EIA

D. RPR

Definition
PCR
Term

anerobes that grown in the presence of limited oxygen

anarobes

obligate

facultative

aerotolerant

capnophile

Definition

 

facultative

 

Term

are filled and allowed to drain by gravity. 

A. Transfer/ Volumetric pipette

B. Measuring/ graduated pipette

C. To Contain pipette

D. To deliver pipette

E. Blow out pipette

Definition

 

D. To deliver pipette

Term

are high speed centrifuges (up to 150,000 rpm). a small air deiven________ has been used to separate cholymicrons from serum. 

A. Tabletop centrifuges

B. Microcentrifuges

C. high-speed centrifuges

D. Ultracentrifuges

Definition
ultracentrifuges
Term

are primarily used in the clinical laboratory to separate cells from serum or plasma

A. Tabletop centrifuges

B. Microcentrifuges

C. high-speed centrifuges

D. Ultracentrifuges

Definition
tabletop centrifuges
Term

are small centrifuges used to centrifuges small, plastic, conical-shaped containeds with an intergral snap cap

A. Tabletop centrifuges

B. Microcentrifuges

C. high-speed centrifuges

D. Ultracentrifuges

Definition
microcentrifuges
Term

are uniform in diameter with a tapered delivery tip

A. Transfer/ Volumetric pipette

B. Measuring/ graduated pipette

C. To Contain pipette

D. To deliver pipette

E. Blow out pipette

Definition
measuring/ graduated pipette
Term
aspirin ingestion is a reason for a
3 day deferral, 2 week deferral, 4 week deferral, 6 week deferral, 8 week deferral, 6 month deferral, 12 month deferral, permanent deferral, 3 year deferral
Definition
3 day
Term

asymptomatic HIV infection

A. Category A

B. Category B

C. Category C

Definition
a
Term
asymptomatic after diagnosis of malaria
soeiatane are reasons for
3 day deferral, 2 week deferral, 4 week deferral, 6 week deferral, 8 week deferral, 6 month deferral, 12 month deferral, permanent deferral, 3 year deferral
in regards to blood donation
Definition
3 year
Term
at pH 8.6, all proteins carry a net (positive or negative) charge
Definition
negative
Term
atrichous
Definition
NO FLAGELLA
Term

babesiosis is associated with 

Trichomanas vaginalis

Babesia microti

cryptosporidium parvum 

Plasmodium falciparum

Definition
Babesia microti
Term
beef tapeworm
Definition
Taenia saginata
Term

beef tapeworm

Schistosoma japonicum

Diphyllobothrium latum

Taenia saginata

Fasciola buski

Definition
Taenia saginata
Term

bicarbonate is regulated by 

a. lungs

b. kidneys

c. heart

d. thyroid

Definition
kidneys
Term

bile duct obstruction is an example of 

pre-hepatic jaundice

hepatic jaundice

post-hepatic jaundice

Definition
post hepatic jaundice
Term

broad fish tapeworm

Schistosoma japonicum

Diphyllobothrium latum

Fasciola hepatica

Fasciola buski

Definition
Diphyllobothrium latum
Term
calcium and ______ are inversely proportional
Definition
phosphorous
Term

cannot grow in the presence of atmospheric oxygen

anarobes

obligate

facultative

aerotolerant

capnophile

Definition
obligate
Term

carbon dioxide is regulated by

a. kidneys

b. lungs

c. heart

d. adrenal medulla

Definition
lungs
Term
caused by "true yeast" spread via inhalation of spores into solid from bird droppings-- pneumonia like sickness. specimen obtained from CSF
cryptococcus neoformans
cancidia albicans
pseudallescheria boydii
Definition
cryptococcus neoformans
Term

caused by dimorphic fungi associated with southern american blastomycosis

A.  Microsporum canis

B. Piedra hortae

C. paracoccididioides brastiliensis

D.Tricophyton Verrucosum

 

 

 

 

Definition
paracoccididioides brastiliensis
Term
caused by yeast like fungi
cryptococcus neoformans
cancidia albicans
pseudallescheria boydii
Definition
cancidia albicans
Term

caused by yeast like fungi-- possess characteristic "hockey stick" germ tubes that project from corner

cancidia albicans

cryptococcus neoformans

geotrichum candidum

pseudallescheria boydii

Definition

Geotrichumcandidum

Term
chicken pox
Definition
varicella-zoster virus
Term

chineese liver fluke

Schistosoma japonicum

paragonimus westermani

clonorchis sinensis

Fasciola buski

Definition
clonorchis sinensis
Term

cholesterol is synthesized in the

a. kidney

b. liver

c. lung

d. ear

Definition
liver
Term

cold loving organism

optimum

psychrophilic

mesophilic

thermophilic

Definition
psychrophilic
Term
cold-- is used to stain acid fast organisms in tissue
Definition
Kinyoun acid fast stain
Term

colony morphology: colonies are grey to white, translucent, round and convex-- either alpha-hemolytic or non hemolytic

gram stain: gram positive cocci that appear in chains

biochemical identification: calatase -, bile esculin +, PYR -, 

Clinical significance: normal oral and fecal flora, wound infections, UTI, absesses


A. Streptococcus pyogenes   B. Streptococcus agalaciae   C.  Streptococcus pnemoniae   D. Streptococcus equinis

Definition
D. Streptococcus equinis
Term

colony morphology: colonies are medium-size, flat and creamy-- pinpoint zone of beta hemolysis

gram stain: gram positive cocci appears in chains or pairs

biochemical identification: catalase -, CAMP +, hippurate hydrolysis +, PYR -

bacitracin resistant

clinical significance: normal GI, pharynx, and vaginal flora, neonatal meningitis, neonatal sepsis, pneumonia, skin infection, bacteremia, UTI


A. Streptococcus pyogenes   B. Streptococcus agalaciae   C.  Streptococcus pnemoniae   D. Streptococcus equinis

Definition
B. Streptococcus agalaciae
Term

colony morphology: colonies are mucoid and show a zone of alpha hemolysis

gram stain: gram+ diplococcic that appear lancet or bullet shaped

biochemical identification: catalase -, bile solubility +

antimicrobial susceptibility: optochin susceptable

clinical significance: puenomonia, otitis media, meningitis


A. Streptococcus pyogenes   B. Streptococcus agalaciae   C.  Streptococcus pnemoniae   D. Streptococcus equinis

Definition
C.  Streptococcus pnemoniae
Term
composed of three fat acids & glycerol-- broken down by lipase
Definition
triglycerides
Term
conclusion of pregnancy is reason for a 3 day deferral, 2 week deferral, 4 week deferral, 6 week deferral, 8 week deferral, 6 month deferral, 12 month deferral, permanent deferral, 3 year deferral in regards to blood donation
Definition
6 week
Term
congenital syphillis
Definition
Treponema pallidum
Term

contain a polar hydrophillic and a nonpolar hydrophobic fatty acid


a. glycolipids

b. prostaglandins

c. apolipoproteins

d. phospolipids

Definition
phospolipids
Term

conversion of glucose to glycogen

 

glycogenesis

glycolysis

glucogenesis

glycogenolysis

Definition
glycogenesis
Term

cortisol is produced by

a. beta cells of islets of langerhans

b. alpha cell of the pancreas

c. adrenal medulla

d. adrenal cortex

e. anterior pituitary

f. thyroid gland

g. delta cells of the pancreas

Definition
adrenal cortex
Term

costs that change with production vaule is defined as

prime costs

fixed costs

conversion costs

variable costs

Definition
variable cost
Term

costs that must be incurred jjust to keep the lab operational is defined as

prime costs

ready to serve costs

conversion costs

variable costs

Definition
ready to serve costs
Term

creatinine is proportional to the infividuals

a. body mass

b. muscle mass

c. blood pressure

Definition
muscle mass
Term

decreased amounts of glucose in blood is a characteristic of

a. Gierke's disease

b. Reye's syndrome

c. tanger disease

d. griess's reaction

Definition
Gierke's disease
Term
deferral period mandated between donations 3 day deferral, 2 week deferral, 4 week deferral, 6 week deferral, 8 week deferral, 6 month deferral, 12 month deferral, permanent deferral, 3 year deferral in regards to blood donation
Definition
8 week
Term
delta cells of the pancreatic islets produce
Definition
somatostatin
Term

dimorphic fungi associated with San Joaquin Valley Fever

Nocardia brasiliensis
Coccidioides immitis
Nocardia asteroides
Piedraia hortai

Definition
Coccidioides immitis
Term

dog tapeworm

Hemenolepis nana

Hemenolepis diminuta

Taenia saginata

Echinoococcus granulosus

Definition

Echinoococcus granulosus

    

Term
donation for a specific patient
Definition
directed donor
Term
donation for self use
Definition
autologous
Term
donation that is separated into several components
Definition
aphaeresis
Term

dwarf tapeworm

 Hemenolepis nana

Diphyllobothrium latum

Taenia saginata

Taneia solium

Definition
Hemenolepis nana
Term

electrons illuminate a specimen and create an enlarged image.

A. Bright field microscopy

B. Dark-field microscopy

C. electron microscopy

D. Flouresncet microscopy

E. Phase contrast microscopy

F. Polorized microscopy

Definition
electron microscope
Term

epinephrine is produced by 

a. beta cells of islets of langerhans

b. alpha cell of the pancreas

c. adrenal medulla

d. adrenal cortex

e. anterior pituitary

f. thyroid gland

g. delta cells of the pancreas

Definition
adrenal medulla
Term
estrogen (lowers/ elevates) LDL
Definition
lowers
Term
eye worm
Definition
loa loa
Term

flagella all over

atrichous

monotrichious

amphitrichious

lophotrichious

peritrichious

Definition

 

peritrichious

Term

flagellate responsible for African Sleeping sickness

Chilomastic mesnili

Trichomanas vaginalis

Trypanosoma

Naegleria floweri

Definition
Trypanosoma
Term

flagellate that infects through sandflies and other insect vectors

Chilomastic mesnili

Trichomanas vaginalis

Trypanosoma

Leishmania

Definition
Leishmania
Term
fluorochrome -- acid fast bacilli appear yellow orange
Definition
Auramine-Rhodamine
Term

food poisoning

A. Vibrio cholerae

         B. Vibrio parahaemolyticus

C. Vibrio vulnificus 

D. Vibrio alginolyticus

Definition
B. Vibrio parahaemolyticus
Term

full blown aids

A. Category A

B. Category B

C. Category C

Definition
c
Term
gamma-globulin involved in primary response what is a cold reacting antibody
Definition
IgM
Term
gamma-globulin that is a pentamer
Definition
IgM
Term

genome, DNA or RNA

a. nucleocapsid

b. envelope

c. nucleic adid

d. capsomere

Definition
nucleic acid
Term
german measeles
Definition
Rubella Virus
Term

german measels

a. eastern equine encephalitis

b. rhinovirus

c. rubella

d. western equine encephilitis

Definition
rubella
Term

giant/ bizzarre platelets may be present

acute megakaryocytic leukemia

essential idiopathic thrombocythemia

polycythemia vera

abnormal distribution

Definition
essential idiopathic thrombocythemia
Term

gives the EPA the authority to control hazardous waste from the "cradle-to-grave". This includes the generation, transportation, treatment, storage, and disposal of hazardous waste

TSCA

ADA

RCRA

EEOC

Definition

RCRA

Resource Concervation & recovery Act

Term

glucagon is produced by 

a. beta cells of islets of langerhans

b. alpha cell of the pancreas

c. adrenal medulla

d. adrenal cortex

e. anterior pituitary

f. thyroid gland

g. delta cells of the pancreas

Definition
alpha cells of the pancreas
Term
glucose is stored as ________ in the liver
Definition
glycogen
Term

glycogen synthesis

glycogenesis

glycolysis

glucogenesis

glycogenolysis

Definition
glycogenesis
Term
glycogen synthesis; conversion of glucose to glycogen
Definition
glycogenesis
Term

gram positive, aerobic bacilli

colony morphology: small, white colonies with narrow zone of beta- hemolysis on blood agar at 37oC

Gram stain info: gram positive coccobacilli

biochemical identification: catalase +, CAMP +, Hippurate hydrolysis +, bile esculin +, cold enrichment

clinical significance: normal vaginal flora, meningitis


A. Bacillus anthracis   B. Bacillus cereus   C. Listeria monocytogenes   D. corynebacterium diptheriae   E. Erysipelothrix rhusiopathiae   F. Nocardia asteroids   G. Arcanobacterium haemolyticum

Definition
C. Listeria monocytogenes
Term
group b strep
Definition
Streptococcus agalaciae
Term

group d strep

A. Streptococcus pyogenes

B. Streptococcus agalaciae

C.  Streptococcus pnemoniae

D. Streptococcus equinis

Definition
D. Streptococcus equinis
Term

grow in the presence of atmospheric (free) oxygen

anarobes

obligate

facultative

aerotolerant

capnophile

Definition
anarobes
Term

grows best at 35-35oC

optimum

psychrophilic

mesophilic

thermophilic

Definition
mesophilic
Term

growth hormones are produced by

a. beta cells of islets of langerhans

b. alpha cell of the pancreas

c. adrenal medulla

d. adrenal cortex

e. anterior pituitary

f. thyroid gland

g. delta cells of the pancreas

Definition
anterior pituitary
Term

growth is inhanced by increased CO2

anarobes

obligate

facultative

aerotolerant

capnophile

Definition

 

capnophile

Term

have a bulb in the middle of the pipette with a tapered delivery tip.

A. Transfer/ Volumetric pipette

B. Measuring/ graduated pipette

C. To Contain pipette

D. To deliver pipette

E. Blow out pipette

Definition
A. Transfer/ Volumetric pipette
Term

heat loving organism

optimum

psychrophilic

mesophilic

thermophilic

Definition

 

thermophilic

Term
hemolysis (does or does not) interfere with ALT
Definition
does not
Term

hemolytic disease is associated with

pre-hepatic jaundice

hepatic jaundice

post-hepatic jaundice

Definition
pre hepatic jaundice
Term
hemophiliacs, AIDS, HIV, Hepatitis after age 11 patients have a donation deferral period of 3 day deferral, 2 week deferral, 4 week deferral, 6 week deferral, 8 week deferral, 6 month deferral, 12 month deferral, permanent deferral, 3 year deferral in regards to blood donation
Definition
permanent deferral
Term

hepatitis virus that involves DNA

A

B

C

D

Definition
B
Term
hot-- acid fast bacteria stain red and retain purple dye (carbolfuschsin) methylene blue is counter stain
Definition
Diehl-Neelsen acid fast stain
Term

how is Von Willebrand's disease treated?

fresh frozen plasma

platelet transfusion, splenomegaly, and corticosteroids

plasmapharesis

DDAVP & cryoprecipated AHF

Definition
DDAVP & cryoprecipated AHF
Term

how is idiopathic thrombocytopenia purpura treated?

fresh frozen plasma

platelet transfusion, splenomegaly, and corticosteroids

plasmapharesis

DDAVP & cryoprecipated AHF

Definition
platelet transfusion, splenomegaly, and corticosteroids
Term

how is thrombotic thrombocytopenia purpura treated?

fresh frozen plasma

platelet transfusion, splenomegaly, and corticosteroids

plasmapharesis

DDAVP & cryoprecipated AHF

Definition
plasmapharesis
Term

human oncogenetic retrovirus that causes adult T-Cell leukemia/ lymphoma that can be aquired from semen or blood cells

A. HIV

B. HTLV1

C. HTLV2

D. HSV

Definition
HTLV1
Term

hyperthyroidism is associated with

a. graves disease

b. hashimotos disease

c.  cushings

d. addison's disease

Definition

a. graves disease

 

Term

hypocortisolism- decreased cortisol production is associated with

a. graves disease

b. hashimotos disease

c.  cushings

d. addison's disease

Definition

 

d. addison's disease

Term

hypothyroidism is associated with

a. graves disease

b. hashimotos disease

c.  cushings

d. addison's disease

Definition

 

b. hashimotos disease

 

Term

improving the contrast of unstained, transparent specimens. Uses a carefully aligned light source to minimize the quality of directly transmitted (unscattered) light entering the image plane, collecting only the light scattered by the sample


A. Bright field microscopy   B. Dark-field microscopy   C. electron microscopy   D. Flouresncet microscopy   E. Phase contrast microscopy   F. Polorized microscopy

Definition
dark field microscopy
Term
in acute myocardial infarction AST begins to rise within_____ hours/ days. (4-8 hours, 6-8 hours, 24 hours, 12-24 hours, 48-72 hours, 5, days 10 days)
Definition
6-8 hours
Term
in acute myocardial infarction AST peaks_____ hours/ days. (4-8 hours, 6-8 hours, 24 hours, 12-24 hours, 48-72 hours, 5, days 10 days)
Definition
24 hours
Term
in acute myocardial infarction AST returns to normal within_____ hours/ days. (4-8 hours, 6-8 hours, 24 hours, 12-24 hours, 48-72 hours, 5, days 10 days)
Definition
5 days
Term
in acute myocardial infarction CKMB begins to rise within_____ hours/ days. (4-8 hours, 6-8 hours, 24 hours, 12-24 hours, 48-72 hours, 5, days 10 days)
Definition
4-8 hours
Term
in acute myocardial infarction CKMB peaks _____ hours/ days. (4-8 hours, 6-8 hours, 24 hours, 12-24 hours, 48-72 hours, 5, days 10 days)
Definition
12-24 hours
Term
in acute myocardial infarction CKMB returns to normal within_____ hours/ days.
(4-8 hours, 6-8 hours, 24 hours, 12-24 hours, 48-72 hours, 5, days 10 days)
Definition
48-72 hours
Term
in acute myocardial infarction LD begins to rise within_____ hours/ days.
(4-8 hours, 6-8 hours, 24 hours, 12-24 hours, 48-72 hours, 5, days 10 days)
Definition
12-24 hours
Term
in acute myocardial infarction LD peaks at _____ hours/days.
((4-8 hours, 6-8 hours, 24 hours, 12-24 hours, 48-72 hours, 5, days 10 days)
Definition
48-72 hours
Term
in acute myocardial infarction LD returns to normal within_____ hours/days.
(4-8 hours, 6-8 hours, 24 hours, 12-24 hours, 48-72 hours, 5, days 10 days)
Definition
10 days
Term

in urinalysis, a protein reagent strip measures

a. ketones

b. albumin

c. glucose

d. pH

Definition
albumin
Term

increase platelets is normal response to blood loss (surgery)

reactive thrombocytosis

acute megakaryocytic leukemia

essential idiopathic thrombocythemia

polycythemia vera

abnormal distribution

Definition
reactive thrombocytosis
Term

increased cortisol production is associated with

a. graves disease

b. hashimotos disease

c.  cushings

d. addison's disease

Definition

 

c.  cushings

 

Term
increased glucose in blood
Definition
hyperglycemia
Term
increased glucose in urine
Definition
glucosuria
Term

increased glucose in urine

a. hyperglycemia

b. glucosuria

c. ketonemia

d. ketonuria

Definition
glucosuria
Term
increased ketones in blood
Definition
ketonemia
Term

increased ketones in blood

a. hyperglycemia

b. glucosuria

c. ketonemia

d. ketonuria

Definition
ketonemia
Term
increased ketones in urine
Definition
ketonuria
Term

increased ketones in urine

a. hyperglycemia

b. glucosuria

c. ketonemia

d. ketonuria

Definition
ketonuria
Term
inorganic cofactor
Definition
activators
Term

insulin is produced by

a. beta cells of islets of langerhans

b. alpha cell of the pancreas

c. adrenal medulla

d. adrenal cortex

e. anterior pituitary

f. thyroid gland

g. delta cells of the pancreas

Definition
a. beta cells of islets of langerhans
Term
insulin secreting tumor
Definition
insulinoma
Term

intestinal flagellate responsible for traveler's diarehha

Entamoeba histolytica

Blastocystits hominis

Giardia lambilia

Naegleria floweri

Definition
Giardia lambilia
Term
intestinal roundworm
Definition
ascaris lumbricoides
Term
iron is stored as ____ in tissue
Definition
hemosiderin
Term
is a complex of three proteins found in striated cardiac muscles (TnT, Tnl, TnC)
Definition
Troponin
Term

is a four fold or greater rise in antibody titer between paired acute and convalescent sera documents a recent infection

strand displacement amplification

IgG testing

IgM testing

indirect method

Definition
IgG
Term
is a nonprotein molecule necessary for enzyme activity
Definition
cofactor
Term
is a numan oncogenetic retrovirus that causes adult T-Cell leukemia/ lymphoma (ATLL or ATL)
Can be acquired from semen or blood cells
Definition
HTLV-1
Term

is a platelet dysfunction of glycoprotein IIB/ IIIa defect

may- hegglin anomaly

von willebrand's disease

glanzmann's thrombashenia

gray platelet syndrome

Definition
glanzmann's thrombashenia
Term

is a preservative that is a substrate for RBC ATP synthesis

citrate

adenine

phosphorous

dextrose

Definition
adenine
Term
is a preservative that prevents an excessive drop in pH
Definition
phosphate
Term

is a preservative that supports ATP generation by glycolysis

A. phosphate

B. adenine

C. citrate

D. Dextrose

Definition
dextrose
Term

is a product of hemoglobin degradation

a. proteins

b. ketones

c. bilirubin

d. nitrite

Definition
bilirubin
Term
is a retrovirus associated with hairy cell leukemia and predominantly infects CD+8 Lymphocytes
Definition
HTLV II
Term

is a storage pool disease with abnormal platelet function and aggregation

may- hegglin anomaly

von willebrand's disease

glanzmann's thrombashenia

gray platelet syndrome

Definition
gray platelet syndrome
Term

is an ADAMTS13 deficiency

heparin induced thrombocytopenia

bernard soilier syndrome

thrombotic thrombocytopenia purpura

idiopathic thrombocytopenia purpura

Definition
thrombotic thrombocytopenia purpura
Term

is an anticoagulant that prevent coagulation by chelating calcium

adenine

phosphorous

citrate

dextrose

Definition
citrate
Term

is an autosomal dominant disease characterized by abnormal platelet adhesion- factor 8 deficiency

may- hegglin anomaly

von willebrand's disease

glanzmann's thrombashenia

gray platelet syndrome

Definition
von willebrand's disease
Term

is an autosomal dominant inheritance with dohle-like inclusions in the cytoplasm of neutrophils

bernard-coulier syndrome

may- hegglin anomaly

von willebrand's disease

glanzmann's thrombashenia

Definition
may- hegglin anomaly
Term
is an inactive form of an enzyme
Definition
proenzyme
Term

is produced by the adrenal cortex and regulates glucose

a. calcitonin

b. T3

c. cortisol

d. androgens

Definition
cortisol
Term

is reaponsible for regulating and ensuring the safe and secure movement of hazardous materials to industry and consumers by all modes of transportation (including pipeline)

TSCA

ADA

RCRA

PHMSA

Definition

PHMSA

pipeline and hazardous materials saftey administration

Term

is the most specific enzyme reacting only with B-D-Glucose. assay measures the change in absorbance which is proportional to the amount of glucose in the sample

A. Ketoglutarate

B. Glucose oxidase

C. Glucose 6 phosphate dehydrogenase

D. gluterase

Definition
glucose Oxidase
Term

is the simplest of all light microscopy techniques

A. Bright field microscopy

B. Dark-field microscopy

C. electron microscopy

D. Flouresncet microscopy

E. Phase contrast microscopy

F. Polorized microscopy

Definition
Bright field
Term

ketones are break down products of

a. glucose

b. purines

c. lipids

d. potassium

Definition
lipids
Term

labor and materials costs that are necessary to produce a billable resultare defined as

prime costs

fixed costs

conversion costs

variable costs

Definition
prime costs
Term
lactate is regulated by
Definition
the liver
Term

lactose is

a. glucose+ glucose

b. glucose+ galactose

c. glucose + fructose

d. glucose + starch

Definition
glucose+ galactose
Term

large intestinal fluke

Schistosoma japonicum

paragonimus westermani

Fasciola hepatica

Fasciola buski

Definition
Fasciola buski
Term
largest immunoglobulin
Definition
IgM
Term
least abundant immunoglobulin
Definition
IgE
Term

leprosy 

A. Addison's disease

B. Von Willebrand Disease

C. Hansen disease

D.  Willson's disease

Definition
Hansen disease
Term

light is provided from the bottom and is transmitted through the thing section of birefringent specimen on a microscope slide

A. Bright field microscopy

B. Dark-field microscopy

C. electron microscopy

D. Flouresncet microscopy

E. Phase contrast microscopy

F. Polorized microscopy

Definition
polorized microscopy
Term

liver damage is an indication of

pre-hepatic jaundice

hepatic jaundice

post-hepatic jaundice

Definition
hepatic jaundice
Term

loa loa is transmitted by

ingestion of larvae

deer fly

black fly

tstest fly

Definition
deer fly
Term

lysis of glycogen to glucose for use as an energy source

glycogenesis

glycolysis

glucogenesis

glycogenolysis

Definition
glycogenolysis
Term

malaria thats transmitted by mosquitos is associated with

Chilomastic mesnili

Trichomanas vaginalis

Plasmodium vivax

Leishmania

Definition
Plasmodium vivax
Term

maltose is

a. glucose+ glucose

b. glucose+ galactose

c. glucose + fructose

d. glucose + starch

Definition
glucose+ glucose
Term
measles, mumps, polio, typhoid, yellow fever are reasons for a 3 day deferral, 2 week deferral, 4 week deferral, 6 week deferral, 8 week deferral, 6 month deferral, 12 month deferral, permanent deferral, 3 year deferral
in regards to blood donation
Definition
2 week
Term

measure the appearance of glucose produced

a. amyloclastic

b. saccharogenic

c. chromogenic

d. chronometric

Definition

 

b. saccharogenic

 

Term

measures the amount of time to the end point

a. amyloclastic

b. saccharogenic

c. chromogenic

d. chronometric

Definition

. chronometric

Term

measures the color produced couples to a dye

a. amyloclastic

b. saccharogenic

c. chromogenic

d. chronometric

Definition

 

c. chromogenic

 

Term

measures the dissapearance of starch

a. amyloclastic

b. saccharogenic

c. chromogenic

d. chronometric

Definition

a. amyloclastic

 

Term

megakaroblasts are seen in the PBS

reactive thrombocytosis

acute megakaryocytic leukemia

essential idiopathic thrombocythemia

polycythemia vera

abnormal distribution

Definition
acute megakaryocytic leukemia
Term
metabolism of glucose to lactic acid for energy
Definition
glycolysis
Term

metabolism of glucose to lactic acid for energy

glycogenesis

glycolysis

glucogenesis

glycogenolysis

Definition
glycolysis
Term

metabolized to HVA

a. dopamine

b. norepinephrine

c. epinephrine

d. thyroxine

Definition
dopamine
Term

metabolized to normethanephrone which is metabolized to VMA

a. dopamine

b. norepinephrine

c. epinephrine

d. thyroxine

Definition

 

b. norepinephrine

 

Term
method for making platelets is characterized by collecting from a single donor and is equivalent to 4-6 random platelets
Definition
aphaeresis
Term
monotrichious
Definition
single flagella at one pole
Term
most abundant cation in the extra cellular fluid
Definition
sodium
Term
most abundant immunoglobin
Definition
IgG
Term
most common cause of bacterial pharyngitis
Definition
Streptococcus Pyrogenes
Term

most common etiological agent for the common cold

a. kobuvirus

b. Rhinovirus

c. Hepatovirus

d. Saprovirus

Definition
Rhinovirus
Term

most common tapeworm in US

 Hemenolepis nana

Diphyllobothrium latum

Taenia saginata

Taneia solium

Definition
Hemenolepis nana
Term
most commonly acquired spirochete disease in the US
Definition
Treponema pallidum
Term

most uric acid in plasma is present as

a. uric acid

b. monosodium urate

c. alkaline picrate

d. phosphototungstic acid

Definition
b. monosodium urate
Term
most uric acid in plasma is present as ________ urate. _______ Urate precipitates in acid urine as uric acid crystals
Definition
monosodium urate
Term

must be rinsed with appropriate solvent after the initial liquid has been drained from these pipets

A. Transfer/ Volumetric pipette

B. Measuring/ graduated pipette

C. To Contain pipette

D. To deliver pipette

E. Blow out pipette

Definition
to contain
Term

name the Lactate dehydrogenase isoenzyme associated with the tissue source: erythrocytes

a. LD1/LD2

b. LD3

c. LD4

d. LD5

Definition
LD1/ LD2
Term

name the Lactate dehydrogenase isoenzyme associated with the tissue source: heart

a. LD1/LD2

b. LD3

c. LD4

d. LD5

Definition
LD1/LD2
Term

name the Lactate dehydrogenase isoenzyme associated with the tissue source: liver

a. LD1/LD2

b. LD3

c. LD4

d. LD5

Definition
LD4
Term

name the Lactate dehydrogenase isoenzyme associated with the tissue source: lung

a. LD1/LD2

b. LD3

c. LD4

d. LD5

Definition
LD3
Term

name the Lactate dehydrogenase isoenzyme associated with the tissue source: skeletal muscle

a. LD1/LD2

b. LD3

c. LD4

d. LD5

Definition
LD5
Term

nitrite is measured in urine with 

 

diazo reaction

biuret

griess's reaction 

clintest

Definition
griess's reaction
Term

no flagella

atrichous

monotrichious

amphitrichious

lophotrichious

peritrichious

Definition

atrichous

 

Term

on a color coded saftey square whad does yellow stand for? 

A. Specific hazard

B. reactivity hazard

C. Health hazard

D. fire hazard 

Definition
b reactivity hazard
Term

on a color coded saftey square what does blue stand for?

 A. Specific hazard

B. reactivity hazard

C. Health hazard

D. fire hazard 

Definition
health hazard
Term

on a color coded saftey square what does red stand for?

A. Specific hazard

B. reactivity hazard

C. Health hazard

D. fire hazard 

Definition
fire
Term

or the ANA test to be positive what must be present in the nucleus of the interphase cell?

 

Please select the single best answer

Definition

A clearly discernible pattern is correct.

The strength of the reaction doesn't matter, only that it is clearly discernible. Centromere and dsDNA are just some of the many different antigens, however, without the corresponding (cognate) antibodies from the patient sample there is no ANA pattern. Remember, to be ANA positive there must be a clearly discernible pattern in the nucleus of the interphase cells.

Term
organic cofactor
Definition
coenzyme
Term

organisms do not grow well but survive in the presence of atmospheric oxygen

anarobes

obligate

facultative

aerotolerant

capnophile

Definition

 

aerotolerant

 

Term

parasite responsible for river blindness

Necator americanus

onchocerca volvulus

Strongyloides stercoralis

echinoococcus granulosus

Definition
onchocerca volvulus
Term
peritrichious
Definition
flagella all over the organism
Term
pinworm
Definition
Enterobius vermicularis
Term

pinworm

Hemenolepis nana

Enterobius vermicularis

Taenia saginata

Echinoococcus granulosus

Definition
Enterobius vermicularis
Term
pork tapeworm
Definition
Taenia solium
Term

pork tapeworm

Schistosoma japonicum

Diphyllobothrium latum

Taenia saginata

Taneia solium

Definition
Taneia solium
Term
potential bioterrorism agent that causesTularemia, Rabbit fever, water-rabbit trapper' disease
Definition
Francisella tularensis
Term
production of glucose from non-carbohydrate sources
Definition
glucogenesis
Term

production of glucose from non-carbohydrate sources

glycogenesis

glycolysis

glucogenesis

glycogenolysis

Definition
glucogenesis
Term
progesterone (lowers/ elevates) triglycerides and VLDL
Definition
lowers
Term

proteins associated with all or part of the actual viron

a. structural protein

b. nonstructural protein

c. lipoprotein

d. cholymicron

Definition
structural protein
Term

proteins that are not a physical part of the viron

a. structural protein

b. nonstructural protein

c. lipoprotein

d. cholymicron

Definition
nonstructural protein
Term
proteins that are not physical part of the virion
Definition
nonstructural protein
Term

purines are the breakdown products of ________

a. amino acid catabolism

b. muscle contraction

c. nucleic acid catabolism 

Definition
nucleic acid catabolism 
Term
pyruvate converts to __________ in the absence of oxygen
Definition
lactate
Term

rat tapeworm

 Hemenolepis nana

Hemenolepis diminuta

Taenia saginata

Taneia solium

Definition
Hemenolepis diminuta
Term

reach speeds between 17,000 & 30,000 rpm

A. Tabletop centrifuges

B. Microcentrifuges

C. high-speed centrifuges

D. Ultracentrifuges

Definition
high speed centrifuges
Term
refers to the amount of iron that can be bound by saturating the binding proteins
Definition
TBIC
Term
results when amylase combines with immunoglobulins to form a complex that is too large to be filtered across the glomerulus
Definition
macroanylasemia
Term

results when amylase combines with immunoglobulins to form a complex that is too large to be filtered across the glomerulus

a. lesionnaires' disease

b. macroanylasemia

c. reye's disease

d. anaplasmosis

Definition
macroanylasemia
Term
rubella, chicken pox, chemotherapy are reasons for a
3 day deferral, 2 week deferral, 4 week deferral, 6 week deferral, 8 week deferral, 6 month deferral, 12 month deferral, permanent deferral, 3 year deferral
in regards to blood donation
Definition
4 week
Term

sample illumination is via transmitted white light-- illuminated from below and observed from above.

A. Bright field microscopy

B. Dark-field microscopy

C. electron microscopy

D. Flouresncet microscopy

E. Phase contrast microscopy

F. Polorized microscopy

Definition
bright field microscopy
Term
separation of blood components is accomplished by centrifuge of whole blood at a high rpm
_____ spin, ________ time
Definition
heavy
longer
Term
separation of blood components is accomplished by centrifuge of whole blood at a low rpm
_____ spin, ________ time
Definition
light
short
Term

septicemia

A. Vibrio cholerae

         B. Vibrio parahaemolyticus

C. Vibrio vulnificus 

D. Vibrio alginolyticus

Definition
C. Vibrio vulnificus 
Term
serotonin is metabolized to
Definition
5-HIAA
Term
sheep liver fluke
Definition
Fasciola hepatica
Term

sheep liver fluke

Schistosoma japonicum

paragonimus westermani

Fasciola hepatica

Fasciola buski

Definition
Fasciola hepatica
Term
silent gene
Definition
amorph
Term

single flagella at each pole

atrichous

monotrichious

amphitrichious

lophotrichious

peritrichious

Definition

amphitrichious

 

Term

single flagella at one pole

atrichous

monotrichious

amphitrichious

lophotrichious

peritrichious

Definition

 

monotrichious

 

Term

small shifts in the light passing through a transparent speciment differences show a refractive index as difference in contrast. 

A. Bright field microscopy

B. Dark-field microscopy

C. electron microscopy

D. Flouresncet microscopy

E. Phase contrast microscopy

F. Polorized microscopy

Definition
phase contrast microscopy
Term

states that a concentration of a substance is directly proportional to the amount of radient energy absorbed or inversely proportional to the logarithm of the transmitted radient energy

A. Boger-lambert law 

B. Beer's Law

c. Poiseuille's law 

Definition
beer's law
Term

stomatostatin is produced by 

a. beta cells of islets of langerhans

b. alpha cell of the pancreas

c. adrenal medulla

d. adrenal cortex

e. anterior pituitary

f. thyroid gland

g. delta cells of the pancreas

Definition
delta cells of the pancreas
Term

sucrose is 

a. glucose+ glucose

b. glucose+ galactose

c. glucose + fructose

d. glucose + starch

Definition
glucose + fructose
Term

symptomatic HIV infection

A. Category A

B. Category B

C. Category C

Definition
b
Term
taking accutane, proscer, propecia are reasons for a 3 day deferral, 2 week deferral, 4 week deferral, 6 week deferral, 8 week deferral, 6 month deferral, 12 month deferral, permanent deferral, 3 year deferral in regards to blood donation
Definition
4 week
Term

temperature at which an organism grows best

optimum

psychrophilic

mesophilic

thermophilic

Definition
optimim
Term
the A antigen immunodominant sugar is
Definition
N-accetylgalactossamine
Term
the B antigen immunodominant sugar is
Definition
D-Galactose
Term
the H antigen immunodominant sugar is
Definition
L-Fucose
Term

the complement protein anaphylatoxin's function is to

a. increase phagocytosis

b. increase vascular permeability

c. lyses cells

d. binds free heme

Definition
increase vascular permeability
Term

the complement protein anaphylatoxin's function is to

a. increase phagocytosis

b. increase vascular permeability

c. lyses cells

d. binds free heme

Definition
increase vascular permeability
Term

the complement protein cytolysin's function is to

a. increase phagocytosis

b. increase vascular permeability

c. lyses cells

d. binds free heme

Definition
lyses cells
Term

the complement protein opsonin's function is to

a. increase phagocytosis

b. increase vascular permeability

c. lyses cells

d. binds free heme

Definition
increase phagocytosis
Term

the difference between the anions and cations is

a. ion selective

b. anion gap

c. cation gap

d. poludipsia

Definition
anion gap
Term
the function of Transferrin is to transport ____.
Definition
iron
Term
the function of lipoproteins is
Definition
to transport lipids
Term
the individual identical structural units composing the protein coat of a virion
Definition
capsomers
Term

the individual identical structural units composing the protein coat of a viron

a. capsid

b. peplomer

c. capsomere

d. envelope

Definition
capsomere
Term

the major federal law governing toxic substnace is the

TSCA

ADA

RCRA

EEOC

Definition

TSCA

toxic substance Control act

Term

the major structural protein in cholymicrons

Apo Al

Apo-B-100

Apo-B-48

Apo Al 7

Definition
Apo-B-48
Term

the major structural protein of HDL

Apo Al

Apo-B-100

Apo-B-48

Apo Al 7

Definition
Apo Al
Term

the major structural protein of LDL or VLDL

Apo Al

Apo-B-100

Apo-B-48

Apo Al 7

Definition
Apo-B-100
Term

the modified cellular membrane than encloses the nucleocapsid of certain viruses

a. envelope

b. viron

c. capsid

d. DNA

Definition
envelope
Term
the most important (prevalent) pathogen in mycology is from what species?
Definition
Candida
Term
the only hormone that decreases glucose
Definition
insulin
Term

the performance of a test on a patient specimen only after a particular analyte is abnormal or outside of a predetermined range. It includes follow-up testing automatically initiated when certain test results are observed in the lab-- it is used to clarify or elaborate on primary test results.

A. Waived Testing

B. Reflex testing

C. C-peptide testing

Definition
reflex testing
Term
the platelet rich method for making platelets is characterized by a _____ (hard/ soft) spin for RPR followed by a (hard/ soft) spin to concentrate the platelets
Definition
soft spin
hard spin
Term
the primary structure of proteins consists of _______.
Definition
amino acid sequence
Term
the protein _____'s function is to bind to free heme
Definition
hemopexin
Term

the protein coat or shell surrounding the nucleic acid core of a viron

a. capsid

b. capsomere

c. envelope

d. peplomer

Definition
capsid
Term
the protein coat or shell surrounding the nucleic acid core of a vision Nucleic acid- genome, either DNA or RNA
Definition
capsid
Term

the reacction rate depends on the enzyme concentration

a. first order kinetics

b. zero order kinetics

c. thermodynamics 

Definition
zero order kinetics
Term

the reaction rate is directly proportional to the substrate concentrate

a. first order kinetics

b. zero order kinetics

c. thermodynamics 

Definition
first order kinetics
Term

the reagent strip used to detect urobilinogen is

diazo reaction

biuret

griess's reaction 

p-dimethylaminobenzaldehyde (Ehrlich)

Definition
p-dimethylaminobenzaldehyde (Ehrlich)
Term
the structure composed of the protein coat and enclosed viral nucleic acid
Definition
Nucleocapsid
Term

the structure composed of the protein coat and enclosed viral nucleic acid

a. capsid

b. capsomere

c. viron

d. nucleiocapsid

Definition
nucleiocapsid
Term

this beta globulin's function is to bind free heme

A. hepatoglobin

b. ceruloplasmin

C. HDL

D. hemopexin

Definition
hemopexin
Term

this condition can occur when there is an increase in ammonia. it commonly occurs in children preceded by a viral infection. it is associated with salicylate ingestion

a. lesch-nyhan syndrome

b. gout

c. Reye's syndrome

d. gierke's disease

Definition
Reye's syndrome
Term
this disease is characterized by: hypercupremia, it is a copper transport decent where there is a over load of copper in the liver, patient has copper deposits in the cornea known as kayser-fleischer rings
Definition
Wilson's disease
Term
this disease is characterized by: hypocurpremia, kinky blonde hair, failure to thrive, copper transport disorder, recessive sex-linked disorder affecting males
Definition
Menses syndrome
Term

this electrolyte mostly determines the osmolality of plasma

 

a. sodium

b. potassium

c. calcium 

Definition
sodium
Term

this enzyme is the only enzyme that is clinically significant when decreased- indicates insecticide poisoning

A. pseudocholinesterase

B. Gamma- glutamyltransferase

C. acid phosphatase

D.alanine aminotransferase

Definition
pseudocholinesterase
Term

this flagellate has a pear-shaped undulating membrane w/ a clinical significance of urethritis, vaginitis, and trichomoniasis 

Chilomastic mesnili

Trichomanas vaginalis

Giardia lambilia

Naegleria floweri

Definition
Trichomanas vaginalis
Term

this gamma globulin attaches to mast cells and basophils

a. IgG

b. IgA

c. IgM

d. IgE

Definition
IgE
Term

this gamma globulin has a J piece & is a secondary component

a. IgG

b. IgA

c. IgM

d. IgE

Definition
IgA
Term

this gamma globulin is a monomer in serum but a dimer in secretions

a. IgG

b. IgA

c. IgM

d. IgE

Definition
IgA
Term

this gamma globulin is a pentamer and is involved in the primary response

a. IgG

b. IgA

c. IgM

d. IgE

Definition
IgM
Term
this gamma globulin is affected during allergies
Definition
IgE
Term

this gamma globulin is the largest

a. IgG

b. IgA

c. IgM

d. IgE

Definition
IgM
Term

this gamma globulin is the most abundant immunoglobulin

a. IgG

b. IgA

c. IgM

d. IgE

 

Definition
IgG
Term
this hormone's function increases reabsorption of calcium from bone
Definition
PTH
Parathyroid hormone
Term

this intestinal flagellate has a lemon shaped cyst stage with a nipple protrusion and is an opportunistic pathogen in immunocompromised patients

Chilomastic mesnili

Blastocystits hominis

Giardia lambilia

Naegleria floweri

Definition
Chilomastic mesnili
Term

this is a transplacental parasite

A. Toxoplasma gondii

 B.Fasciola buski

 C.  Schistoma haematobium

 D. Diphyllobothrium latum

 

 

 

Definition

®   Toxoplasma gondii

Term

this labor law prohibits discrimination based on a # of classifications of disabilities

TSCA

ADA

RCRA

EEOC

Definition

ADA

americans with disabilities

Term
this lipid's functions include
manufacture and repair of cell membrane
synthesis of bile acids and vitamin D
precursor of steroid hormones such as progesterone, cortisol, aldosterone, estrogen, testosterone
Definition
cholesterol
Term

this parasite has a target host of white tailed deer

Trichomanas vaginalis

Babesia microti

cryptosporidium parvum 

Plasmodium falciparum

Definition
Babesia microti
Term

this parasite is a blood fluke

Schistosoma japonicum

paragonimus westermani

cryptosporidium parvum 

Fasciola buski

Definition
Schistosoma japonicum
Term

this parasite is a intestinal fluke

Schistosoma japonicum

paragonimus westermani

cryptosporidium parvum 

Fasciola buski

Definition
Fasciola buski
Term

this parasite is a lung fluke

Schistosoma japonicum

paragonimus westermani

cryptosporidium parvum 

Fasciola buski

Definition
paragonimus westermani
Term

this parasite is associated with kitty litter 

Toxoplasma gondii

Babesia microti

cryptosporidium parvum 

Plasmodium falciparum

Definition
Toxoplasma gondii
Term

this parasite is spread by the tstest fly or reduviid bug

 

Chilomastic mesnili

Trichomanas vaginalis

Trypanosoma

Naegleria floweri

Definition
Trypanosoma
Term

this pipette is easily identified by two frosted bands near the mouth piece of the pipette

A. Transfer/ Volumetric pipette

B. Measuring/ graduated pipette

C. To Contain pipette

D. To deliver pipette

E. Blow out pipette

Definition
blow out pipette
Term

this protein's function is to regulate muscle contraction and is a sensitive inficator of acute myocardial infatction

a. troponin

b. fibrinogen

c. transferrin

Definition
troponin
Term

this virus is a "mucus loving virus" and is responsible for major respiratory pathogens

A. Orthomyxoviridae

B. Paramyxoviridae

C. Rhabdoviridae

D. Arenaviridae

Definition
Paramyxoviridae
Term

this virus is characterized with fever, muscle aches and interstitial pulmonary edema which can rapidly progress to respiratory failure and death--lungs is the target organ

A. California Encephalitis 

B. Reactive Neutrophilia

C. Hantavirus

D. HTLV

Definition
Hantavirus
Term
this virus is spread through oral transmissions caused by infectious mononucleosis, Burkitt's lymphoma, B cell lymphoma

hhv-4
Definition
Epstein Barr Virus
Term

those costs necessary to produce a billable result without considering cost of materials are defined as

prime costs

fixed costs

conversion costs

variable costs

Definition
conversion costs
Term
threadworm
Definition
strongyloides stercoralis
Term

threadworm

Necator americanus

Ascaris lumbricoides

Strongyloides stercoralis

echinoococcus granulosus

Definition
Strongyloides stercoralis
Term
thyroid hormones (lowers/ elevates) LDL
Definition
elevates
Term

thyroxine (T4) is produced by 

a. beta cells of islets of langerhans

b. alpha cell of the pancreas

c. adrenal medulla

d. adrenal cortex

e. anterior pituitary

f. thyroid gland

g. delta cells of the pancreas

Definition
thyroid gland
Term
transferrin is categorized as (alpha/ beta) globulin
Definition
Beta
Term

transferrin, hemopexin, fibronigen, and c reactive protein is classified as 

A. Alpha 1 glycoprotein

B. Alpha 2 globulin

C. Alpha 1 globulin

D. Alpha 2 macroglobulin

E. Beta globulin

F. gamma Globulin

Definition
E. Beta globulin
Term

true or false

clintest detects galactose

Definition
true
Term

tuft of flagella at one or both poles

atrichous

monotrichious

amphitrichious

lophotrichious

peritrichious

Definition

 

lophotrichious

 

Term
type of donation for the general population
Definition
allogenic
Term

urobilinogen is produced in

the liver

the kidneys

the lungs

the intestines

Definition
the intestine
Term

virus specific subunits localized in a host cellular membrane

 

a. naked virus

b. nucleic acid

c. capsomere

d. peplomer

Definition
peplomer
Term
virus without envelopes
Definition
naked virus
Term

virus without envelopes

a. viron

b. capsid

c. naked virus

d. dna

Definition
naked virus
Term
virus-specific subunits localized in a host cellular membrane
Definition
peplomers
Term

what are sugar containing lipids?

a. apoliprproteins

b. HDL

c. glycolipids

d. progesterone

Definition
glycolipids
Term

what are triglycerides broken down by?

a. amylase

b. fructose

c. lipase

d. maltose

Definition
lipase
Term

what catalyzes the breakdown of starch and glycogen into monosaccharides

a. maltose

b. amylase

c. lipase

c. glycylglycine

Definition
amylase
Term
what does the acronym HRE stand for?
Definition
high-resolution electrophoresis
Term
what element differentiates proteins from carbohydrates & lipids?

Carbon, Hydrogen, Oxygen, Nitrogen, Sulfur
Definition
Nitrogen
Term
what gamma-globulin is a monomer in serum but a dimer in secretion
Definition
IgA
Term
what gamma-globulin is a warm reactive antibody involved in the secondary response that fixes complement
Definition
IgG
Term

what is NOT a alpha 1- globulin?

A. allpha-fetoprotein

B. Alpha 1 Glycoprotein

C. Alpha- lipoprotein

D. Ceruloplasmin

Definition
D. Ceruloplasmin
Term
what is NOT a confirmatory test for diagnosing Treponema
FTA-ABS, RPR, MHA-TP, TP-PA
Definition
RPR
Term

what is NOT a function of T Helper cells

A. help activate B cells to secrete antibodies

B. activate macrophages to destroy ingested microbes

C. cytotoxic T cells to kill infected target cells

d. phagocytosis

Definition
phagocytosis
Term

what is NOT an HIV gene?

A. Gag gene

B. Env gene

C.  CD gene

D. Pol gene

Definition
CD Gene
Term

what is NOT an inorganic cofactor

a. calcium

b. NAD

c. iron

d. magnesium

Definition
NAD
Term

what is group B strep?

 A. Streptococcus pyogenes

B. Streptococcus agalaciae

C.  Streptococcus pnemoniae

D. Streptococcus equinis

Definition
B. Streptococcus agalaciae
Term

what is group a strep

A. Streptococcus pyogenes

B. Streptococcus agalaciae

C.  Streptococcus pnemoniae

D. Streptococcus equinis

Definition
A. Streptococcus pyogenes
Term

what is not a funtion of water

a. transport nutrients to cells

b. determines cell volume

c. removes waste products

d. acts as body coolant

e. regulates bicarbonate

Definition
regulates bicarbonate
Term

what is not an organic cofactor

a. NAD

b. iron

c. Vitamins

Definition
iron
Term

what is the clinical significance of excess gastrin with excess HCl production?

a. addison's disease

b. zollinger-ellison syndrome

c. achlorhydria

d. cushings

Definition
zollinger-ellison syndrome
Term

what is the clinical significance of excess gastrin with no HCl production?

a. addison's disease

b. zollinger-ellison syndrome

c. achlorhydria

d. cushings

Definition
achlorhydria
Term

what is the confirmatory test for syphilis?

A. Western Blot

B. FTA-ABS

C. RPR

D. VDRL

Definition
B. FTA-ABS
Term

what is the final breakdown product of purine metabolism in humans

a. ammonia

b. uric acid

c. creatinine

d. allantoin

 

Definition
uric acid
Term

what is the function of Alpha 2 macroglobulin?

A. bind hemoglobin

B. inhibit trypsin, thrombin, and plasmin

c. transport cholesterol from the liver to the tissue

D. transports cholesterol from the tissue back to the liver to be broken down

Definition
B. inhibit trypsin, thrombin, and plasmin
Term

what is the function of HDL?

A. bind hemoglobin

B. inhibit trypsin, thrombin, and plasmin

c. transport cholesterol from the liver to the tissue

D. transports cholesterol from the tissue back to the liver to be broken down

Definition
D. transports cholesterol from the tissue back to the liver to be broken down
Term

what is the function of seratonin?

A. bind hemoglobin

B. inhibit trypsin, thrombin, and plasmin

c. bind to platelets and is released during coagulation

D. transports cholesterol from the tissue back to the liver to be broken down

Definition
c. bind to platelets and is released during coagulation
Term

what is the function of the PRL hormone?

a. to act on the distal convoluted dubules to increase water absorption

b. initiate and maintain lactation

c. to act on the uterus to stimulate uterine contractions

d. lower serum calcium

Definition

b. initiate and maintain lactation

PRL= prolactin

Term

what is the function of the antidiuretic hormone?

a. to act on the distal convoluted dubules to increase water absorption

b. initiate and maintain lactation

c. to act on the uterus to stimulate uterine contractions

d. lower serum calcium

Definition
a. to act on the distal convoluted dubules to increase water absorption
Term

what is the function of the oxytocin hormone?

a. to act on the distal convoluted dubules to increase water absorption

b. initiate and maintain lactation

c. to act on the uterus to stimulate uterine contractions

d. lower serum calcium

Definition
to act on the uterus to stimulate uterine contractions
Term

what is the largest lipoprotein particles?

a. triglycerides

b. chylomicrons

c. HDL

d. LDL

Definition
chylomicrons
Term

what is the major extracellular anion?

a. sodium

b. potassium

c. chloride

d. cholesterol

Definition
chloride
Term

what is the major intracellular cation?

a. sodium

b. potassium

c. nitrogen

Definition
potassium
Term

what is the most abundant cation in the ECF (extra cellular fluid)

a. sodium

b. potassium

c. carbon

d. nitrogen

Definition
sodium
Term

what is the most common HIV confirmatory test?

A. Latex agglutination

B. PCR

D. Western Blot

D. VDRL

Definition
Western Blot
Term

what is the most common cause of bacterial pharyngitis?

A. Streptococcus pyogenes

B. Streptococcus agalaciae

C.  Streptococcus pnemoniae

D. Streptococcus equinis

Definition
A. Streptococcus pyogenes
Term
what is the most common intestinal tapeworm in US?
Definition
Dwarf tapeworm
Hemenolepis nana
Term
what is the most common isolate found in RBC units?
Definition
Yersinia enterocolitica
Term

what is the most common isolate found in RBC units?

Bacillus cereus

citrobacter freundii

yersinia enterocolitica

propionibacterium acnes

Definition
yersinia enterocolitica
Term
what is the only test for CSF in looking for syphillis
Definition
VDRL
Term

what is the precursor of steroid hormones?

ketones

cholesterol

albumin

calcium

Definition
cholesterol
Term
what is the protein in the highest concentration?
Definition
albumin
Term

what is the smallest lipoprotein?

a. triglycerides

b. chylomicrons

c. HDL

d. LDL

Definition
HDL
Term

what is the test for Hepatitis B virus?

A. Anti-HBc

B. HBsAG

C. Anti-HCV

D.HBeAG 

Definition
HBsAG
Term

what method do you use to test for diptheria toxin production?

 

A. biurate test

B. Elek method 

c. c-peptide testing

d. glucose dehydrogenase enzyme test

Definition
B. Elek method 
Term

what species of is Lyme disease transmitted? 

A. Ixodes scapularis

B. Amblyomma americanum

c. Borrelia burgdorferi

d. Rickettsia rickettsii

Definition
A. Ixodes scapularis
Term
when taking avodart you have a
3 day deferral, 2 week deferral, 4 week deferral, 6 week deferral, 8 week deferral, 6 month deferral, 12 month deferral, permanent deferral, 3 year deferral
in regards to blood donation
Definition
6 month
Term
where is albumin synthesized?
Definition
liver
Term

where is seratonin synthesized?

a. beta cells of islets of langerhans

b. argentaffin cells

c. adrenal medulla

d. adrenal cortex

e. anterior pituitary

f. thyroid gland

g. delta cells of the pancreas

Definition
argentaffin
Term

where is sodium reabsorbed?

a. glomerulus

b. loop of henle

c. kidney tubules

Definition
kidney tibules
Term

which acid fast bacteria stain is used to stain bacilli that appear yellow orange-- referred to as flurochrome

  1. Ziehl-Neelsen acid fast stain
  2. Kinyoun acid fast stain
  3. Auramine-rhodamine acid fast stain
Definition
  1. Auramine-rhodamine acid fast stain
Term

which acid fast bacteria stain is used to stain tissue-- referred to as cold

  1. Ziehl-Neelsen acid fast stain
  2. Kinyoun acid fast stain
  3. Auramine-rhodamine acid fast stain
Definition
Kinyoun acid fast stain
Term

which acid fast bacteria stain red and retain purple dye. referred to as hot

  1. Ziehl-Neelsen acid fast stain
  2. Kinyoun acid fast stain
  3. Auramine-rhodamine acid fast stain
Definition
  1. Ziehl-Neelsen acid fast stain
Term

which alpha lipoprotein is referred to as "GOOD" cholesterol? 

a. LDL

b. HDL

c. VDL

Definition
HDL
Term
which assay ,measures the amount of time to the end point?

amyloclastic, saccharogenic, chromogenic, chronometric
Definition
chronometric
Term
which assay measures the appearance of glucose produced?

amyloclastic, saccharogenic, chromogenic, chronometric
Definition
saccharogenic
Term
which assay measures the color produced coupled to a dye

amyloclastic, saccharogenic, chromogenic, chronometric
Definition
chromogenic
Term
which assay measures the disappearance of starch?

amyloclastic, saccharogenic, chromogenic, chronometric
Definition
amyloclastic
Term
which hepatitis virus is a DNA virus
Definition
Hepatitis B
Term
which hormone is not released from the hypothalamus?
TRH (thyrotropin releasing hormone)
PCH (parathyroid hormone)
GRH (gonadotropin releasing hormone)
PIF (prolactin inhibiting factor)
Definition
PCH
Term

which hormone is produced by the beta cells of the islets of Langerhans in the pancreas

A. Stomatostatin

B. Cortisol

C. Insulin

D. epinepherine

Definition
insulin
Term
which is infectious disease is associated with Treponema pallidum
Definition
syphilis
Term

which is not a protein hormone

ACTH (adrenocortitropic hormone)

PTH (parathyroid hormone)

thyroxine

Definition
thyroxine
Term

which is not a steroid hormone?

cortisol

testosterone

ACTH (adrenocortitropic hormone)

estrogen

Definition
ACTH (adrenocortitropic hormone)
Term

which is not an amine hormone

ACTH (adrenocortitropic hormone)

thyroxine hormone

epinephrine

Definition
ACTH (adrenocortitropic hormone)
Term
which is not an inorganic cofactor (activator)
NAD, calcium, Iron, magnesium
Definition
NAD
Term
which isoenzyme corresponds with the Heart in relation to Lactate Dehydrogenase? (LD1, LD2, LD3, LD4, LD5)
Definition
LD1/ LD2
Term
which isoenzyme corresponds with the erythrocytes in relation to Lactate Dehydrogenase? (LD1, LD2, LD3, LD4, LD5)
Definition
LD1/ LD2
Term
which isoenzyme corresponds with the liver in relation to Lactate Dehydrogenase? (LD1, LD2, LD3, LD4, LD5)
Definition
LD4
Term
which isoenzyme corresponds with the lung in relation to Lactate Dehydrogenase? (LD1, LD2, LD3, LD4, LD5)
Definition
LD3
Term
which isoenzyme corresponds with the skeletal muscle in relation to Lactate Dehydrogenase? (LD1, LD2, LD3, LD4, LD5)
Definition
LD5
Term
which tissue source is related to CKBB
Definition
brain tissue
Term
which tissue source is related to CKMB
Definition
Heart muscle
Term
which tissue source is related to CKMM
Definition
Skeletal Muscle
Term

which type of diabetes is dependent on exogenous insulin?

type 1

type 2

Definition
1
Term

which type of hemolysis has clear, colorless area on blood agar

alpha

beta

gamma

Definition
beta
Term

which type of hemolysis has greening of blood agar

alpha

beta

gamma

Definition
alpha
Term

which type of hemolysis has no hemolysis on blood agar

alpha

beta

gamma

Definition
gamma
Term
which type of strep is this:
antibodies produced-- anti-streptolysin o, anti-DNase, anti-hyaluronidase
with a four fold rise in titer
stereotyped based on the cell wall component known as the M protein
Definition
Streptococcus Pyrogenes
Term
you can donate 2 RBCs every _____ weeks/ days

8 weeks, 16 weeks, 4 weeks, 2 days, 7 days
Definition
16 weeks
Term
you can donate single platepheresis in _____ weeks/ days intervals

8 weeks, 16 weeks, 4 weeks, 2 days, 7 days
Definition
2 day
Term

In which of the following conditions is NOT Hgb D elevated?

Hemoglobin D disease

Hemoglobin SD disease

Hemoglobin D/ beta-thalassemia

Hemoglobin CD disease

Definition
Hemoglobin CD disease
Hemoglobin D is an inherited autosomal recessive variation of Hb A that occurs in the β-globin protein chain of Hb A. The formation of Hb D occurs by substitution of glutamic acid for glutamin at codon 121 of the β-chain. Hemoglobin D disease, also known as Hb DD, occurs when two copies of the Hb D variant gene are inherited. It is also possible to inherit a condition known as Hb D/beta-thalassemia (Hb D/β-thal). 
Hemoglobin CD disease does not exist and alpha thalassemia would not show an increase in hemoglobin D.

Term

On a Cytospin preparation from a pleural fluid, 50% of the cells have the following characteristics: 

- uniform, regular arrangement
- some cells resemble a "fried egg"
- multiple nuclei
- smooth nuclear outline and homogeneous chromatin
- when present in clumps, there are clear spaces between the cells ("windows")

How should these cells be classified?

 

Please select the single best answer

Definition
Mesothelial cells have a few key morphological features that aid in identification; notablly the "fried egg" appearance.
Term

Jane Doe is a 39-year-old female who felt tired for several months, had pain in the joints of her fingers, and recently developed a dermatitis following exposure to the sun. The following test results were obtained on a blood sample drawn during the initial evaluation:

Total Protein = 8.4 gm/dL (N = 6.0-8.0 gm/dL)
ANA >1:2560; speckled pattern
CRP = positive
C3 = 40 mg/dL (N = 80-180 mg/dL)
C4 = 5 mg/dL (N = 15-45 mg/dL)

Based on the clinical and laboratory findings, what disease should be suspected?

 

Please select the single best answer

Definition

SLE

The ANA titer is usually less than 1:160 in diseases other than SLE, so that the possibility of SLE is increased in patients with higher titers. A speckled pattern is commonly found in patients with SLE indicating binding to a variety of nonhistone, small ribonucleoprotein (RNP) particles. A high crp level indicates that inflammation is occuring, as in SLE for example, but does not indicate the location or cause of the inflammation. Decreased complement levels also are associated with autoimmune diseases. Both C3 and C4 levels are typically depressed in SLE

Term

is an abnormal color, usually yellow, orange, or pink, in the supernatant of the CSF sample. It may indicate that a subarachnoid hemorrhage (SAH) has occurred

Jaundice

Xanthochromia

icterus

normal CSF


Definition

Xanthochromia

Xanthochromia is an abnormal color, usually yellow, orange, or pink, in the supernatant of the CSF sample. It may indicate that a subarachnoid hemorrhage (SAH) has occurred. 
Jaundice and icterus both describe a yellowing of the skin, mucous membranes, and eyes. Blood plasma/serum that is deep yellow is also described as icteric.
Term

A white blood cell stained with Wright’s stain has the following characteristics:

  • Round eccentric nucleus with clumped chromatin pattern
  • 1:1 nucleus to cytoplasm ratio
  • Basophilic cytoplasm
  • Crescent-shaped clear area next to nucleus

What is the MOST likely identification of this cell?

 

Please select the single best answer

Definition
plasma cells, which produce immunoglobulin, characteristically show a "halo" next to the nucleus, which is a cresent shaped lighter colored region of the cytoplasm. The eccentric nucleus and the 1:1 nucleus to cytoplasm ratio with basophilic cytoplasm are also typical characteristics of plasma cells. Plasma cells are seen in most commonly in patients with conditions such as multiple myeloma, plasmacytoma, plasma cell leukemia, Waldenström macroglobulinemia, and malignant neoplasms.
Term

Which of the following tests are NOT suitable for quantifying the size of fetomaternal hemorrhage (FMH)?

Kleihauer-Betke test

flow cytometry

rosette test

Definition
The rosette test  is suitable to screen for FMH but not quantify
Term

The ability to produce anti-D varies significantly among Rh negative individuals.

Select true or false

Definition

true

The immune response to the D antigen does vary significantly among Rh negative persons. 

For example, some Rh-negative individuals produce anti-D after exposure to as little as 0.1 mL of D-positive red cells, yet almost one third of Rh-negative people do not produce anti-D, regardless of volume or number of exposures.

Term

Which one of the following general descriptions concerning Brucella species is FALSE?

Please select the single best answer

Definition

Spores produced under anaerobic conditions

Brucellae are non-spore forming organisms.  They do faintly stain as a gram negative coccobacilli, they do not have a flagella, and they are non-motile on all media.

Term

The sickling phenomenon observed in erythrocytes containing hemoglobin S may be induced by which of the following?

Please select the single best answer

Definition

reducing agents

Reducing agents actually induce the sickling phenomenon in RBCs when they contain hemoglobin S.  Emulsifying agents, hemolytic agents, oxidizing agens or proteolytic agents will not cause hemoglobin S to form sickled RBCs.

Term

What is the quality control positive for catalase testing?

 Staphyloccus aureus

streptococcus pyrogenes

    Staphylococcus epidermidis

Staphylococcus saprophyticus

Definition
Staphyloccus aureus
Supporting users have an ad free experience!