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100

The first step and the most accurate tool in the evaluation of thyroid nodules is:

A.Radioactive iodine uptake

B.Thyroid ultrasound

C.Fine-needle aspiration

D.Thyroid peroxidase antibody

The first step and the most accurate tool in the evaluation of thyroid nodules is:

C.Fine-needle aspiration

100

To determine CNS synthesis of IgG to aid diagnosis of demyelinating diseases such as multiple sclerosis, IgG index is calculated.  The normal value is: Which type of cancer is carcinoembryonic antigen most widely used for?

A.Prostate

B.Ovarian

C.Colorectal

D.Endocrine

To determine CNS synthesis of IgG to aid diagnosis of demyelinating diseases such as multiple sclerosis, IgG index is calculated.  The normal value is: Which type of cancer is carcinoembryonic antigen most widely used for?

C.Colorectal

100

Which is NOT a type of serous fluid?

A.Synovial fluid

B.Pleural fluid

C.Pericardial fluid

D.Peritoneal fluid

Which is NOT a type of serous fluid?

A.Synovial fluid

100

This trace element plays a key role in respiration & transfer of oxygen to body. Deficiency can lead to anemia, restless leg syndrome. Toxicity can lead to damage to cells of heart, liver; death

A.Selenium

B.Copper

C.Zinc

D.Iron

This trace element plays a key role in respiration & transfer of oxygen to body. Deficiency can lead to anemia, restless leg syndrome. Toxicity can lead to damage to cells of heart, liver; death

D.Iron

100

Which test becomes abnormal in the earliest stage of the acute coronary syndrome?

A.Myosin light chain I

B.CK-MB isoforms

C.Myoglobin

D.High-Sensitivity C-reactive protein

Which test becomes abnormal in the earliest stage of the acute coronary syndrome?

D.High-Sensitivity C-reactive protein

200

Which one of the following is NOT a function of amniotic fluid?

A.Regulates the temperature of the fetal environment

B.Metabolizes nutrition and waste

C.Provides a cushioning medium for the fetus

D.Matrix for influx and efflux of constituents such as glucose, sodium, and potassium

Which one of the following is NOT a function of amniotic fluid?

B.Metabolizes nutrition and waste

200

What method is used to collect sweat?

A.Iontophoresis

B.Electrophoresis

C.Patches test

D.Conduction

What method is used to collect sweat?

A.Iontophoresis

200

Which one of the following is NOT a function of amniotic fluid? Which one of the following enzymes is considered specific and can be used as a screening test for cancer?

A.ALP

B.PSA

C.LD

D.Neuron-specific enolase

Which one of the following is NOT a function of amniotic fluid? Which one of the following enzymes is considered specific and can be used as a screening test for cancer?

B.PSA

200

Which test is early indicator of iron deficiency; index of morbidity and mortality?

A.Protein

B.Albumin

C.Transferrin

D.Retionol-Binding protein

Which test is early indicator of iron deficiency; index of morbidity and mortality?

C.Transferrin

200

Which of the following is the mechanism causing Cushing’s disease?

A.Excess secretion of pituitary ACTH

B.Adrenal adenoma

C.Treatment with corticosteroids

D.Ectopic ACTH production by tumors

Which of the following is the mechanism causing Cushing’s disease?

A.Excess secretion of pituitary ACTH

300

Which of the following is NOT tested using Amniotic Fluid?

A.Congenital diseases

B.Neural tube defects

C.PKU

D.HDFN

Which of the following is NOT tested using Amniotic Fluid?

C.PKU

300

The normal range for synovial fluid protein is:

A.8.0 to 10.1 g/dL

B.1 to 3 g/dL

C.Higher than plasma total protein

D.The same as plasma total protein

The normal range for synovial fluid protein is:

B.1 to 3 g/dL

300

All of the following is lower in capillary samples than in venous sample, except:

A.Bilirubin

B.Total protein

C.Sodium

D.Potassium

All of the following is lower in capillary samples than in venous sample, except:

D.Potassium

300

Choose the incorrectly matched disease state the deficient vitamin

A.Beriberi – Thymine

B.Rickets -  Vitamin D

C.Night blindness – Vitamin A

D.Megaloblastic anemia -  Vitamin C

Choose the incorrectly matched disease state the deficient vitamin

D.Megaloblastic anemia -  Vitamin C

300

____________ Generates specific reaction after exposure to infectious agent. Provides greater immunity with subsequent exposure to agent.

A.Innate immunity system

B.Adaptive immunity system

C.None of the above

D.Both of the above

____________ Generates specific reaction after exposure to infectious agent. Provides greater immunity with subsequent exposure to agent.

B.Adaptive immunity system

400

The order which CSF tube 1, tube 2, tube 3, tube 4 go to each department in the lab to be tested is:

A.Chemistry, hematology, immunology, microbiology

B.Hematology, chemistry, microbiology, immunology

C.Chemistry, microbiology, hematology, immunology

D.Microbiology, hematology, immunology, chemistry

The order which CSF tube 1, tube 2, tube 3, tube 4 go to each department in the lab to be tested is:

C.Chemistry, microbiology, hematology, immunology

400

The ratio of synovial fluid to plasma glucose is very useful in diagnosis of gout, rheumatoid arthritis and systemic lupus erythematosus.  The normal value is: In immunoassays, when very high antigen concentrations are present, label antibodies can be saturated, resulting in a lack of sandwich formations and thus in a significant decrease in signal.  This is called:

A.Linearity

B.Hook Effect

C.Heterophile antibodies

D.Cross-reactivity

The ratio of synovial fluid to plasma glucose is very useful in diagnosis of gout, rheumatoid arthritis and systemic lupus erythematosus.  The normal value is: In immunoassays, when very high antigen concentrations are present, label antibodies can be saturated, resulting in a lack of sandwich formations and thus in a significant decrease in signal.  This is called:

B.Hook Effect

400

The amniotic lecithin/sphingomyelin ration is measured to predict fetal lung maturity.  What value would indicate surfactant deficiency? Which drug of abuse can cause testicular atrophy, sterility and impotence in males:

A.Marijuana

B.Anabolic steroids

C.Methamphetamines

D.Opiodes

The amniotic lecithin/sphingomyelin ration is measured to predict fetal lung maturity.  What value would indicate surfactant deficiency? Which drug of abuse can cause testicular atrophy, sterility and impotence in males:

B.Anabolic steroids

400

Amniocentesis and subsequent amniocentesis fluid analysis test for: Which one of the following is NOT a naturally occurring opiate?

A.Morphine

B.Heroin

C.Opium

D.Codeine

Amniocentesis and subsequent amniocentesis fluid analysis test for: Which one of the following is NOT a naturally occurring opiate?

B.Heroin

400

Social deprivation of infants inhibits:

A.GH secretion

B.FSH secretion

C.LH secretion

D.PTH secretion

Social deprivation of infants inhibits:

A.GH secretion

500

Normal glucose CSF level is:

A.Two-thirds of plasma glucose level

B.60% to 70% of blood glucose level

C.Higher than blood glucose level

D.A and B

Normal glucose CSF level is:

D.A and B

500

Transudate can occur during systemic disorders that disrupt fluid filtration, fluid reabsorption, or both.  Which one of the following does NOT cause transudate:

A.Congestive heart failure

B.Hepatic cirrhosis

C.Nephrotic syndrome

D.Infection

Transudate can occur during systemic disorders that disrupt fluid filtration, fluid reabsorption, or both.  Which one of the following does NOT cause transudate:

D.Infection

500

Which is incorrect?

A.The ductus arteriosus connects the left and the right atria in infants, thus blood can by-pass the lung.

B.Infant’s active respiration is stimulated by cutting off maternal delivery of oxygen (the umbilical cord).

C.Surfactant, which contains phospholipids lecithin and sphingomyelin, is necessary for normal expansion and contraction of alveoli.

D.Closure of the ductus arteriosus is essential for blood flow to go from the right side of the heart to the lungs.

Which is incorrect?

A.The ductus arteriosus connects the left and the right atria in infants, thus blood can by-pass the lung.

500

Which one of the following is NOT a cause of acidosis (respiratory or metabolic) in newborns?

A.Respiratory distress syndrome

B.Anoxia

C.Trauma during birth

D.Hyperammonemia

Which one of the following is NOT a cause of acidosis (respiratory or metabolic) in newborns?

D.Hyperammonemia

500

Total CSF protein is about 0.5% to 1% that of plasma.  The reference interval for plasma total protein is:

A.6.5 to 8.3 g/dL

B.60 to 78 g/dL

C.10 to 15 g/dL

D.15 to 20 g/dL

Total CSF protein is about 0.5% to 1% that of plasma.  The reference interval for plasma total protein is:

A.6.5 to 8.3 g/dL

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