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Medical Technology Board Exam Reviewer 2: CLINICAL MICROSCOPY 1. Nomarski and Hoffman are example of what microscopy? a. Phase contrast microscopy b. Darkfield microscopy c. Brightfield microscopy d. Fluorescent microscopy

8. Urine clarity grading: “Few particulates, print easily seen through urine” a. Clear b. Hazy c. Cloudy d. Turbid

2. a. b. c. d.

9. Which method for the determination of urine specific gravity is based on refractive index? a. Total solids meter b. Hydrometer c. Reagent strip d. Harmonic oscillation densitometry

Degree of Hazard: 3 Slight Hazard Moderate Hazard Extreme Hazard Serious Hazard

3. The best aid for chemical spills is flushing the area with large amounts of water for at least ___ minutes then seek medical attention. a. 15 c. 25 b. 20 d. 30 4. a. b. c. d.

Arsenal fire: Type A fire Type C fire Type E fire Type F fire

5. Urine samples should be examined within one hour of voiding because: a. RBC, leukocytes and casts agglutinate on standing for several hours at room temperature b. Urobilinogen and bilirubin increased after prolonged exposure to light c. Bacterial contamination will cause alkalinization of urine d. Ketones will be increased due to bacterial and cellular metabolism 6. The urine volume of a patient with oliguria is usually: a. 1,200-1,500 mL b. > 2,500 mL c. < 400 mL d. < 700 mL 7. The clarity of a urine sample should be determined: a. Using glass tubes only, never plastic b. Following thorough mixing of the specimen c. After addition of salicylic acid d. After the specimen cools to room temperature

10.Urine reagent strips should be stored in a/an: a. Incubator b. Cool dry place c. Refrigerator d. Freezer 11.Reading time: 30 seconds a. Bilirubin b. Ketones c. Specific gravity d. pH 12.The protein section of urine reagent strip is most sensitive to: a. Albumin b. Bence Jones protein c. Mucoprotein d. Globulin 13.Bence Jones Protein is characterized by its unique ability to coagulate at ___ and dissolve at ___. a. 30-50oC : 80-100oC b. 40-50oC : 80-90oC c. 50-60oC : 90-100oC d. 40-50oC : 80-100oC 14.SSA turbidity: “Turbidity with granulation, no flocculation” a. 1+ c. 3+ b. 2+ d. 4+ 15.The parameter in the reagent strip which utilizes Ehrlich units is: a. Bilirubin b. Urobilinogen c. Glucose d. Leukocytes

Medical Technology Board Exam Reviewer 2: CLINICAL MICROSCOPY 16.Convert 0.4 mg/dL urobilinogen to Ehrlich units. a. 0.4 b. 4 c. 40 d. 400

23.Manner of reporting for RTE cells: a. Average number per LPF b. Average number per HPF c. Average number per OIO d. 1+, 2+, 3+, 4+

17.Ascorbic acid causes false negative reactions in what urine reagent strip? a. Blood b. Bilirubin c. Leukocytes d. All of the choices

24.Transitional epithelial cells seen in urine specimens may be reported using rare/few/moderate/many by using the: a. Scanner field b. Low power field c. High power field d. Oil immersion field

18.Soluble in ether, except: a. Red blood cells b. Lipids c. Chyle d. Lymphatic fluid 19.Soluble in dilute acetic acid, except: a. Red blood cells b. Amorphous phosphates c. Calcium carbonates d. White blood cells 20.Ascending sequence of casts: a. Waxy-hyaline-coarsely granular-finely granularcellular b. Coarsely granular-finely granular-hyaline-waxycellular c. Hyaline-cellular-coarsely granular-finely granular-waxy d. Cellular-hyaline-finely granular-coarsely granular-waxy 21.Normal urinary crystal which is colorless, resembling flat plates or thin prisms often in rosette form: a. Amorphous phosphates b. Struvite c. Apatite d. Calcium carbonate 22.If alcohol is added to urine with tyrosine crystals, this other type of abnormal crystal may be precipitated: a. Bilirubin b. Sulfonamide c. Leucine d. Cystine

25.In a urine specimen, ten calcium oxalate crystals were seen per high power field (HPF). How do you report the findings? a. Rare b. Few c. Moderate d. Many 26.In a urine specimen, nine bacteria were seen per high power field (HPF). How do you report the finding? a. Rare b. Few c. Moderate d. Many 27.Most frequent parasite encountered in the urine: a. Schistosoma haematobium b. Enterobius vermicularis c. Trichomonas vaginalis d. Giardia lamblia 28.A renal calculi described as very hard, dark in color with rough surface: a. Calcium oxalate b. Uric acid c. Cystine d. Phosphate 29.Renal disease whose etiology is the deposition of anti-glomerular basement membrane antibody to glomerular and alveolar basement membranes: a. Berger’s disease b. Wagener’s granulomatosis c. Goodpasture syndrome d. Membranous glomerulonephritis

Medical Technology Board Exam Reviewer 2: CLINICAL MICROSCOPY 30.The sperm acrosomal cap should encompass approximately ___ of the head and covers approximately ___ of the nucleus. a. One half, two-thirds b. One third, one half c. Two-thirds, one fourth d. One fourth, one third

37.Normal synovial fluid glucose should not be more than ___ mg/dL lower than the blood value. a. 5 b. 10 c. 15 d. 20

31.Sperm motility grading: “Slower speed, some lateral movement” a. 4.0 b. 3.0 c. 2.0 d. 1.0

38.Cell which could be seen in synovial fluid resembles polished rice macroscopically: a. Ragocytes b. Cartilage cells c. Rice bodies d. Reiter cell

32.Reagent/s used for the assessment of sperm viability: a. Papanicolaou b. Wright’s c. Giemsa d. Eosin-Nigrosin

39.The normal color of gastric fluid is a. Colorless b. Green c. White d. Gray

33.Computer-Assisted Semen Analysis (CASA) is used to determine sperm cell: a. Vertical movement b. Lateral movement c. Circular movement d. Velocity and trajectory 34.Florence test, which choline, uses which reagent? a. Potassium iodide b. Picric acid c. Trichloroacetic acid d. Silver nitroprusside 35.Pellicle clot formation after 12-24 hours refrigeration of cerebrospinal fluid: a. Bacterial meningitis b. Viral meningitis c. Tubercular meningitis d. Fungal meningitis 36.Oligoclonal banding in cerebrospinal fluid but not in serum, except: a. Multiple myeloma b. Encephalitis c. Neurosyphilis d. Guillain-Barre disease

40.What reagent is used for the APT test? a. Hydrochloric acid b. Sodium hydroxide c. Sulfuric acid d. Potassium hydroxide