March-mtle-2018-recalls.docx

March MTLE 2018 Recalls

CLINICAL CHEMISTRY I. Ethanol Level: 0.27-0.40 - Impaired consciousness II. Enzyme classifications (around 4 items) III. Assays and interferences sa methods IV. Blood Collection for Newborn (Capillary) V. Best site for collection VI. Dilution problems (mga 6 items) VII. Conversion Factor: Bilirubin - 17.1 VIII. DM urine output and spec IX. NCEP Guidelines for Lipid prof X. VLDL Formula (Delong’s and Friedewald’s) XI. ALP, LDH, AST Levels (pronounced and moderate elevation) XII. EPM: Dispersed pattern, elevated at gamma band A. Hypogammaglobulinemia

C. Hypoalbuminemia

B. Chronic Liver Disease

D. Nephrotic Syndrome

XIII. Chemical Hazard Identification System (hazard and color sa diamond) (5 questions) XIV. 1 degree celsius fever: 3% increase of CO2 and 7% decrease of O2 XV. Odor of bitter almonds XVI. Keratinophilic XVII. Treatment for epilepsy XVIII. Wavelength and energy relationship - inversely proportional

MICROBIOLOGY-PARASITOLOGY I. HBCT/HBT Agar - G. vaginalis II. Compare: EIEC, ETEC, EHEC, etc (pina case study po ito) III. Case study: ‘rice watery stool’ and ‘seafood ingestion’ - Vibrio IV. Handwashing V. Best time to collect blood - Before the fever strikes VI. Iodophores VII. Thayer Martin Agar vs MTM - contents and significance ng each VIII. Middlebrook 7H10

IX. OX-19 and OX-2 antigens - from Proteus vuglaris X. 7-15 Uterine Branches - T. solium XI. New Taenia Specie - T. asiatica XII. Ethanol Shock Test compare what organisms XII. Listera vs. Corynebacterium (ang choices kay exactly like this po huhuhu) A. Catalase + (*true for both) C. Esculin + (*true for Listeria only) B. Catalase -

D. Esculin - (*true for Coryne lang)

XIII. Axostyle, full body undulating membrane A. Pentatrichomonas hominis C. Balantidium coli B. Chilomastix mesnili XIV. Case study: Baby was crying and mom saw white stuff on baby’s mouth before mom placed a pacifier. Causative agent of the white stuff (‘oral thrush’ was not mentioned) - Candida albicans XV. Case study: Baby has bad stomach after eating. What caused the bad stomach? A. Botulinum Toxin B. Spores XVI. Loeffler syndrome and peripheral eosinophilia - Ascaris lumbricoides XVII. First staining technique for fungi A. KOH

C. Zhiel-Neelsen

B. Gram stain XVIII. 6 Hooklets A. Dipyllidium caninum (with 1-7 circlets of hooks) B. Hymenolepis diminuta XIX. Mycoplasma - No cell wall XX. Many spx arrived at the lab at the same time, w/c of these should be processed first? A. CSF

C. Urine

B. From abcess

D. Sputum

XXI. How to get sputum from a ventilated patient? A. Throat Brush

C. Induced expectoration

B. Expectorated Sputum XXII. When transporting spx, w/c should not be included: Needles XXIII. Safest PPE A. Lab gown

B. Face mask

C. Glove D. N95 Mask

CLINICAL MICROSCOPY I. Chemical Hazard Identification System (around 4 items) 1) Color and placement of the hazards sa diamond 2) Degree of Hazards (Mnemonics: “No SMS Ex”) II. RACE and PASS meaning 1) R on RACE - Rescue 2) P on PASS - Pull III. Types of Extinguishers 1) Extinguisher for Class B and C fires - Halon IV. Position for handwashing - Downward V. Renal Threshold for glucose - 160-180 mg/dl VI. Blondheim’s differentiates - Hemoglobin vs Myoglobin VII. Struvite is commonly known as - Magnesium Ammonium Sulfate/Triple Phosphate VIII. Apatite is commonly known as - Calcium Phosphate (Thrice ito lumabas) IX. CSF - Traumatic Tap vs Hemorrhagic X. Analytes increased in unpreserved urine - pH, Bacteria, Odor, Nitrite (“pBaON) XI. Ranges for the quantification of bacteria in urine (if few or many) XII. BAO meaning - Basal Acid Output XIII. Reflectance Photometry Principle XIV. Frothy stool - Pancreatic disorder XV. No ejaculation for two weeks - Sperm motility low, volume in increased XVI. Methamphetamine urine testing volume - 30-45 mL (Drug Testing) XVII. Stool Container A. Waxed container

C. Glass vial

B. Unsterilized XVIII. CSF tubes: temp and sequence XIX. Noticeable turbidity: Trace XX. Hemoglobinura vs Hematuria on Reagent Strip XXI. Case Study: Strip: Even blue at Blood, Microscopic: Ghost Cells A. Hemoglobinuria

C. Myoglobinuria

B. Hematuria XXII. Bilirubin reagent strip sensitivity XXII. Single test for KFT

A. BUN

C. Creatinine

B. GFR

D. Crea clearance

XXIII. Hepatic jaundice, what kind of bilirubin will be increased? A. Conjugated bilirubin

C. Both

B. Unconjugated bilirubin D. Urobilinogen XXIV. Positive nitrite reagent strip, caused by: (three times lumabas) A. Gram positive cocci

C. Gram positive bacilli

B. Gram negative cocci

D. Gram negative bacilli

XXV. After the first trimester, what Is the major contributor to the amniotic fluid? A. Fetal urine B. Mother’s serum XXVI. Positive for CTAB - Turbidity

HEMATOLOGY I. Coagulation II. Rule of 3 III. Histogram IV. Platelet estimate (2 items) V. Thin vs Thick Smear VI. MIcrocytic, Hypochromic with defective globin chains - Thalassemia VII. Delayed onset of symptoms and could lead to death I. AML

II. ALL

III. CML

IV. CLL

A. I,II

C. I, III

B. III, IV

D. II, IV

VIII. Undifferentiated AML: M0 IX. Hemophilia C is deficiency of Factor? - Factor XI X. Stable factor is aka - Factor VII XI. Case study with 3 questions 1- Name of test that uses these reagents: Saponin and conc. Buffered solution - Dithionite solutibility test 2- What is being detected in this test - Hgb S 3- Positive result I. Tubidity

II. No turbidity

III. Lines are not visible

IV. Lines are visible

A. I, II

C. I, III

B. III, IV

D. II, IV

XII. Automation that requires staining: A. Electrical Impedance

C. Optical Detection/Scatter

B. Radiofrequency

D. Flow Cytometry

ISBB I. Hypersensitivity Reaction II. Autoimmune disorders III. CA 15-3 - Breast Cancer IV. CYFRA - Lung Cancer V. VDRL vs RPR (w/c requires heating, rpm and minutes) VI. Western Blot - confirmatory test for HIV VII. Destroyed by enzymes - MNSs, Duffy, Chido-Rogers, Yt, Xg VIII. Eznyme found in tears (secretions) - Lysozyme IX. Deferral for MMR vaccine - 1 month X. Graft vs Host Disease - Irradiated XI. TRALI definition - Transfusion Related Acute Lung Injury XII. Best blood for transfusion - Autologous XIII. Leptospira gold standard XIV. Which of the following is included in cellular immunity A. B Cell

C. NK Cells

B. T Cell

D. All of the above

XV. HLA B27 - Ankylosing spondylitis XVI. Lectins XVII. Dilutions (2 questions) XVIII. Color reactions of anti sera and blood type XIX. Our anti-sera are color coded, what is the color of your anti-A anti-sera? A. Yellow

B. Blue

C. Green D. Colorless

XX. Fever during transfusion - Febrile XXI. Cryptoprecipitate conc - Factor VIII: 80IU; Fibrinogen: 150mg XXII. Components storage XXIII. Storage lesions

XXIV. Blood substitutes - Perfluorochemicals (PFCs)

HTMLE *no “all of the above” or “none of the above” choices *no panunumpa or prayer *almost 20 questions on staining I. Cell Types 1) cells lining the thyroid follicle - Simple Cuboidal 2) Cells lining the urinary bladder - Transitional II. Hypertrophy vs Hyperplasia III. -itis suffix meaning - Inflammation IV. Pre-analtyical, Analytical and Post-analytical phases V. Waste Disposal 1) Needles - Needle resistant containers 2) Wet Non Infectious - Green VI. Due process definition VII. If a professional joins a seminar, what kind of learning is this? A. Informal

B. Lifelong

C. Formal

VIII. Beneficience vs non-beneficience IX. Justice definition