Quiz
Lab cycle 2
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Questions in this quiz (110)
1All of the following are positive (increasing concentration) acute phase proteins except:
- Aa-2-macroglobulin
- Bfibrinogen
- Cproperdin
- DC-reactive protoein
2Low albumin plasma concentration may result from all of the following except:
- Aacute inflammation
- Bdehydration
- Cadvanced liver cirrhosis
- Dnephrotic syndrome
- Eburns
3All of the following are features of multiple myeloma except:
- ALight-chains proteinuria
- BBence-Jones protein
- CHypercalcemia
- DPolyclonal increase of immunoglobulins
- Eosteolytic lesions
4Choose right sentence of serum electrophoresis bands:
- Aa-1-globulins, albumin, a-2-globulins, ß-globulins, y-globulins
- Balbumin, a-1-globulins, y-globulins, ß-globulins, a-2-globulins
- Calbumin, a-1-globulin, a-2-globulins, ß-globulins, y-globulins
- Da-1-globulins, a-2-globulins, albumin, ß-globulins, y-globulins
5Paraprotein (monoclonal Ig) may be found in all of the following except
- Abenign paraproteinaemia
- Bautoimmune disease
- Cmultiple myeloma
- DWaldenstrom`s macroglobulinaemia
- Eheavy chain disease
6A slow sedimentation rate is given by
- Adysproteineamia
- Bacute phase response
- Cpregnancy
- Drheumatoid arthritis
- Epolycythemia
7The following are characteristic of nephrotic syndrome
- Aproteinuria (>3,5g/day), hypoalbuminemia, elevated high density lipoproteins, edema
- Bproteinuria (>2,5g/day), hypoalbuminemia, elevated low density lipoproteins, edema
- Cproteinuria (>1,5g/day), hypoalbuminemia, elevated low density lipoproteins, edema
- Dproteinuria (>3,5g/day), hypoalbuminemia, elevated low density lipoproteins, edema
- Eproteinuria (>3,5g/day), hyperalbuminemia, elevated low density lipoproteins, edema
8If CRP was greatlyy increased in blood concentration then which group would be increased?
- Aalbumin
- Balpha 1 group
- Calpha 2 group
- Dbeta group
- Egamma group
9If haptoglobin was greatly increased in blood concentration which group would be increased?
- Aalbumin
- Balpha 1 group
- Calpha 2 group
- Dbeta group
- Egamma group
10Leukemoid reaction is best characterized by:
- Aincreased leukocyte alkaline phosphatase, increased toxic granulation, increased absolute basophil count, philadelphia chromosome
- Bincreased leukocyte alkaline phosphatase, increased toxic granulation, normal absolute basophil count, no philadelphia chromosome
- Cincreased leukocyte alkaline phosphatase, increased toxic granulation, normal absolute basophil count, philadelphia chromosome
- Dincreased leukocyte alkaline phosphatase, normal toxic granulation, normal absolute basophil count, no philadelphia chromosome
- Edecreased leukocyte alkaline phosphatase, normal toxic granulation, normal absolute basophil count, no philadelphia chromosome
11NSAID induction of neutrophilia occurs via
- Aincreased production of neutrophilia
- Bincreased bone marrow release of neutrophils
- Cincreased de-margination of neutrophils
- Dall of the above
- Enone
12Hemolytic jaundice is characterized by
- Abilirubin in urine, reticulocytosis, decreased haptoglobin, increased serum bilirubin, normal alkaline phosphatase
- Bno bilirubin in urine, reticulocytosis, decreased haptoglobin, increased serum bilirubin, increased alkaline phosphatase
- Cno bilirubin in urine, reticulocytosis, increased haptoglobin, increased serum bilirubin, normal alkaline phosphatase
- Dno bilirubin in urine, no reticulocytosis, decreased haptoglobin, increased serum bilirubin, normal alkaline phosphatase
- Eno bilirubin in urine, reticulocytosis, decreased haptoglobin, increased serum bilirubin, normal alkaline phosphatase
13Cholestatic jaundice is characterized by
- Aincreased serum bilirubin, no bilirubin in urine, increased alkaline phosphatase, increased AST & ALT
- Bincreased serum bilirubin, bilirubin in urine, normal alkaline phosphatase, increased AST & ALT
- Cincreased serum bilirubin, bilirubin in urine, increased alkaline phosphatase, increased AST & ALT
- Dincreased serum bilirubin, bilirubin in urine, increased alkaline phosphatase, increased AST, decreased ALT
- Eincreased serum bilirubin, bilirubin in urine, increased alkaline phosphatase, decreased AST, increased ALT
14hydrogen breath test is used to identify
- Apatients with helicobacter pylori infection
- Bintestinal bacterial overgrowth
- Clactose intolerance
- Dmucosal permeability
- Evitamin B12 absorption
15Plasma ALP can originate from all the following except
- Aintestine
- Bbone
- Cplacenta
- Dliver
- Eskeletal muscle
16Which white cell line accounts for 1% - 4% of total white cell count?
- Abasophils
- Beosionophils
- Clymphocytes
- Dneutrophils
- Emonocytes
17Which serum level of CRP (mg/L) is most likely indicative of infection
- A30
- B100
- C0,3
- D3
- E15
18Common biochemical derangements in SIRS include
- ASIAD, low iron, high TSH
- BSIAD, hypoalbuminemia, high T3
- CSIAD, hypoalbuminemia, low T3
- Dhypernatraemia, hypoalbuminaemia, high T3
- Ehypernatraemia, hypoalbuminaemia, high TSH
19If both alkaline phosphatase & yGT are elevated, the most likely source of ALP is
- Abone
- Bliver
- CGIT
- Dkidney
- Esmall intestine
20Macrocytosis (high MCV) is observed in
- Airon deficiency, bone marrow suppression, folate deficiency
- Bmyelodysplastic disorders/syndromes (MDS), vitamin B12 deficiency, reticulocytosis
- Cacute blood loss, hemolysis, hypothyroidism
- Drenal idsufficiency, acute blood loss, folate deficiency
- Eiron deficiency, chronic diseases, beta-thalassemias
21Below is a serum protein electrophoresis. The arrow indicates
(arrow on second wave)- Aa1-globulin
- By-globulin
- Cß-globulin
- Da2-globulin
- Ealbumin
22Neutrophilia is defined by an increase in absolute neutrophil count to more than
- A7x103 per L
- B0,7x109 per mm3
- C7000 per mm3
- D700 per mm3
- E500 per mm3
23The appropriate test for celiac disease is
- AIgA anti-endomysial antibody
- Btransglutaminase antibody
- Cfeacal calprotectin
- Danti-parietal antibody
- Efeacal pancreatic elastase
24The preferred marker of the livers synthetic capactiy is:
- Aalbumin
- ByGT
- Cprothrombin time
- DAST
- EAFP
25WBC count range in early newborns is
- A5800 - 13200 per mm3
- B13000 - 38000 per mm3
- C5000 - 20000 per mm3
- D4500 - 11000 per mm3
- E5,8 - 13,2 x 109 per uL
26Brown urine most likely indicates
- AMyoglobin
- BPyuria
- CPseudomonas
- Dconcentrated urine
- EHematuria
27Microcytic anemias are observed in
- Airon deficiency, bone marrow suppression
- Brenal insufficiency, chronic diseases
- Cmyelodysplastic disorders/syndromes, vitamin B12 deficiency
- Dacute blood loss, hemolysis, increased reticulocytosis
- Eiron deficiency, chronic diseases, thalassemias
28Eosinophilia is defined by an increase in absolute eosionophil count to more than
- A500 per mm3
- B1500 per mm3
- C0,5 x 10³ per L
- D5000 per mm3
- Eo,5 x 10^9 per mm3
29Indicate false statement
- Agallstones blockage of the biliary tract is known as intrahepatic cholestasis
- Bin a complete blockage of biliary tract, bilirubin & ALP are high
- Cin a complete blockage there is little or no urobilinogen in urine
- Din a partial blockage of biliary tract ALP may be high, serum bilirubin may be normal
- EALP released into serum reflect the degree of obstruction
30Which of the following are known to decrease in response to injury?
- AT3, selenium, albumin, iron, HDL
- Bproperdin, haptoglobin, C3 complement, a1-antitrypsin, selenium
- Chaptoglobin, C5 complement, HDL, LDL, ceruloplasmin, TSH
- Dhaptoglobin, C4 & C5 complement, a1-antitrypsin. ceruloplasmin, fibrinogen
- Ehaptoglobin, C3 complement, HDL, a2-macroglobulin, serum amyloid-A
31Increased hemoglobin concentration can be observed in
- ACOPD, congestive heart failure
- Bphysiologic hydremia of pregnancy, treatment with some drugs
- Chypothyroidism, iron deficiency
- Dhypervolaemia, polycythemia vera
- Epernicious anemia, living in high altitudes
32Which of the following are markers of muscle damage
- Aamylase, ALT, AST, lipase
- BAST, creatine kinase
- Calkaline phosphatase, creatine kinase, AST
- Dcreatine kinase, ALT, AST
- Ey-glutamyl transpeptidase, creatine kinase, ALT
33The appropriate test for pernicious anemia is
- AIgA anti-endomysial antibody
- Btransglutaminase antibody
- Cfeacal pancreatic elastase
- Dfeacal calprotectin
- Eanti-parietal antibody
34Leukemoid reaction describes an increased WBC count in the range of approximately
- A100.000-150.000
- B20.000-40.000
- C11.000-30.000
- D50.000-100.000
- E100.000-120.000
35Which protein binds iron in tissues?
- Atransferrin
- Bferritin
- Ctransthyretin
- Dhaptoglobin
- Eiron binding globulin
36The reference value for RDW-SD is (fL)
- A33 +/- 3
- B13 +/- 1
- C42 +/- 3
- D22 +/- 5
- E42 +/- 5
37Indicate the true statement from among the following:
- Aalkaline phosphatase is an indicator of muscle damage
- Bamylase is an indicator of cholestatic liver disease
- Clipase & amylase are indicators of cell damage in acute pancreatitis
- Dy-glutamyl transpeptidase is a specific marker of liver disease
38RBC casts in urine are seen in all of the following & are indicative of:
- AIgA nephropathy, lupus nephritis, pyuria & Wegener's granulomatosis
- BIgA nephropathy, lupus nephritis, Goodpasture syndrome & Wegener's granulomatosis
- CIgA nephropathy, lupus nephritis, hepatic jaundice, Wegener's granulomatosis
- DIgA nephropathy, nephrotic syndrome, Goodpasture syndrome & Wegener's granulomatosis
- EIgA nephropathy, pyelonephritis, Goodpasture syndrome & Wegener's granulomatosis
39One of the earliest indicator of reduced hepatic synthesis is
- Aprothrombin time
- Balbumin
- CAST
- DALT
- Eliver isoenzyme of ALP
40Hypoalbuminemia due to increased loss occurs in
- Aburns
- Bmalabsorption
- Cliver disease
- Dacute inflammation
- Emalnutrition
41Markers of the integrity of the liver cells are
- Abilirubin & yGT
- BAST & ALT
- CAFP & ALT
- Dprothrombin & ALT
- EALP & yGT
42Indicated true statement from among the following
- Alipase is an indicator of muscle damage
- Bcreatine kinase is an indicator of muscle damage
- Camylase is an indicator of cholestasis
- DAST is an indicator of osteoblast activity in bone
- Ealkaline phosphatase is an indicator of acute MI
43Which of the following statements is false
- Ay-GT is a microsomal enzyme
- Braised AST & ALT may indicate hepatocellular damage
- Cy-GT is found in kidneys
- DALT is a sensitive marker of hepatocellular damage
- Ey-GT is a specific marker of liver disease
44One of the criteria of SIRS is leukocytosis of
- A>17.000 per mm3
- B>19.000 per mm3
- C>12.000 per mm3
- D>20.000 per mm3
- E>15.000 per mm3
45The appropriate test for peptic ulcer is
- Atransglutaminase antibody
- Banti-parietal antibody
- Canti-H. pylori antibody
- Dfeacal calprotectin
- EIgA anti-endomysial antibody
46Decreased RBC count production occurs in
- Amegaloblastic anemia
- Bsplenic sequestriation
- Cmalaria
- Dmacroangiopathic anemia
- Ehemolytic anemia
47Increased concentration of chloride in the sweat is suggestive of
- ACeliac disease
- Bulcerative colitis
- CMALT tumors
- Dcystic fibrosis
- EChrohn's disease
48Normally the bilirubin concentration in plasma (total) is about:
- A0,5 umol/L
- B200 umol/L
- C300 umol/L
- D10 umol/L
- E50 umol/L
49Indicate the wrong statement regarding the immunoglobulins:
- Aparaproteins may be found on electrophoresis
- Bparaproteins are found in heavy chain disease
- Cin 50% of cases of multiple myeloma only light chains are found
- Dparaproteins are found in multiple myeloma
- Elight chains in urine are referred to as Bence-Jones proteinuria
50Indicate false statement:
- Ain acute hepatic failure, urea & albumin may be low
- Bliver cirrhosis may be a result of a1-antitrypsin deficiency
- CWilson's disease is a disorder of copper metabolism
- Din acute hepatic failure, an increase in blood ammonia results from failure to detoxify it to uric acid
- Ethe features of liver cirrhosis include jaundice, encephalopathy, ascites, bleeding disorders
51A request for liver function test will usually include (in serum) :
- AAST, ASLT, prothrombin time, albumin, bilirubin
- Balbumin, ALT, iron, IgM
- Calbumin, prealbumin, a-fetoprotein, ALP
- Dprothrombin time, bilirubin, IgA, haptoglobin
- Eceruloplasmin, CK-MB, prothrombin time, thrombin time, albumin
52Which of the following enzymes can be induced by alcohol
- AAST
- Balkaline phosphatase
- Ccreatine kinase
- DALT
- Ey-GT
53Which of the following enzymes can be induced by phenytoin
- AAST
- Bcreatine kinase
- Cy-GT
- DALT
- Ealkaline phosphatase
54Indicate the wrong statement regarding immunoglobulins
- APolyclonal hyperimmunoglobulinemia results from an increased synthesis from a number of cell (lymphocyte) lines
- Bparaproteins may arise from any of the immunoglobulin class
- Cpolyclonaal hyperimmunoglobulinemia results in a diffuse increase in protein mass around the gamma globulin region on electrophoresis
- Dparaproteins may be found in patients without any associated pathology
- Eall myelomas produces heavy chains
55Allergic conditions are likely to give
- Abasophilia & monocytosis
- Beosinophilia & monocytosis
- Cneutrophilia & eosinophilia
- Dmonocytosis & lymphocytosis
- Eeosinophilia & basophilia
56Acute liver failure usually results from:
- Aautoimmune disease, ischaemia, hepatitis B, chronic excess alcohol ingestion
- Bautoimmune disease, chronic excess alcohol ingestion, hepatitis B
- Cchronic excess alcohol ingestion, hepatitis B
- Dpoisoning, infection (viral), liver ischaemia
- Epoisoning, autoimmune disease, ascites
57Relative anemia results from:
- Alow RBC production
- Bblood redistribution
- Chigh plasma volume
- Dhigh RBC destruction
- Eblood loss
58All of the following are true about eGT except:
- Aits activity is correlated with AST in acute liver disease
- Bis reduced by alcohol consumption
- Cis a microsomal enzyme
- Dis a sensitive marker of liver disease
- Eis a marker of cholestasis
59Indicate false statement
- Aacute liver damage can progress to acute hepatic failure
- Bacute heaptic failure is associated with hyperglycemia
- Chepatic failure may give rise to renal failure (hepatorenal syndrome)
- Dacute liver damage can progress to chronic hepatic failure
- Eacute liver damage usually resolves in may patients
60Which white cell line accounts for 2-8% of total white cell count?
- Aneutrophils
- Bmonocytes
- Ceosinophils
- Dbasophils
- Elymphocytes
61Rebound neutrophilia is known to results from
- Ause of corticoids
- Bsmoking
- Cemotional stress
- Dacute hemorrhage
- Einflammatory bowel disease
62What is false about cardiac troponins?
- Aall troponins are cardiospecific
- Btroponins enable late diagnosis
- Ctroponins remain elevated up to 14 days
- Dtroponins rise within a few hours on onset of symptoms of MI
- Etroponins are present in skeletal muscle
63All of the following are the tests of tubular function except:
- Aosmolality of urine & plasma
- Bserum cystatin C
- Cwater deprivation test
- Durine pH
- Efurosemide test
64Indicate false statement
- Aacute liver damage can progress to acute hepatic failure
- Bacute hepatic failure is associated with hyperglycemia
- Chepatic failure may give rise to renal failure
- Dacute liver damage can progress to chronic hepatic failure
- Eacute liver damage usually resolves in many patients
65Rebound neutrophilia is known to result from
- Ause of corticoids
- Bsmoking
- Cemotional stress
- Dacute hemorrhage
- Einflammatory bowel disease
66Conditions associated with normocytic anemia with impaired bone marrow response (decreased reticulocytes) include:
- Aacute posthemorrhagic anemia, hemolytic anemia
- Bhemolytic anemia, aplastic anemia
- Caplastic anemia, red blood cell aplasia
- Daplastic anemia, red blood cell aplasia, hemolytic anemia
- Eacute posthemorrhagic anemia, red blood cell aplasia
67Indicate false statement
- Aprothrombin has a long half-life
- BAFP is a marker for hepatocellular carcinoma
- Cin healthy adults AFP is present in plasma at low levels
- Dhypoalbuminemia is a feature of chronic liver disease
- EAFP is a marker for germ cell tumor
68Daily production of bilirubin in adults is about
- A200umol/day
- B10 umol/day
- C300 umol/day
- D0,5 umol/day
- E450 umol/day
69Hemolysis is characterized by:
- Abilirubin in urine, high LDH, high haptoglobin
- Bbilirubin in urine, high ALP
- Chigh AST, high ALP, low hemoglobin in blood
- Dhigh ALT, high ALP, high LDH, bilirubin in urine
- Ereticulocytosis, no bilirubin in urine, low haptoglobin
70The most common type of leukocytosis is
- Alymphocytosis
- Bneutrophilia
- Ceosionophilia
- Dbasophilia
- Emonocytosis
71The appearance of smudge cells on a peripheral-blood smear is a characteristic feature of
- ACLL (chronic lymphocytic leukemia)
- Bsolid tumors (cancers)
- Cpolycythemia vera
- Dessential thrombocytosis
- Emyelofibrosis
72RDW-CV & RDW-SD reflect
- Aanisocytosis
- Bhemoglobin content
- Cpolichromasia
- Dpoikilocytosis
- Eabsolute reticulocyte count
73Plasma ALP can originate from all of the following except:
- Abone
- Bskeletal muscle
- Cliver
- Dintestine
- Eplacenta
74Indicate false statement
- Aserum aminotransferases are a measure of the integrity of liver cells
- Bserum aminotransferases are a measure of oxidative phosphorylation in the hepatocytes
- CALP is a marker of cholestasis
- DALP is a marker of parenchymal liver disease
- Eserum albumin is a crude measure of the livers synthetic capacity
75Which of the following is false about y-GT
- Ais a sensitive & specific marker of liver disease
- Bis widely distributed in tissues
- Cits activity can be induced in alcoholism
- Dis a marker of cholestasis
- Eis raised in acute hepatitis
76Hemolysis is characterized by
- Ahigh LDH, high unconjugated bilirubin, high haptoglobin
- Blow LDH, low unconjugated bilirubin, high haptoglobin
- Chigh LDH, high unconjugated bilirubin, low haptoglobin
- Dlow LDH, high uncojugated bilirubin, low haptoglobin
- Elow LDH, low unconjugated bilirubin, low haptoglobin
77allergic conditions & parasite invasions are typically associated with
- Alymphocytosis
- Bneutrophilia
- Cbasophilia
- Deosinophilia
- Emonocytosis
78Acute liver damage may be due to
- Ashock
- Bhepatitis
- Ctoxic injury
- Dacute cardiac failure
- Eall above
79White blood cell count range in pregnant women (third trimester) is
- A5800-13.200 per mm3
- B13.000-38.000 per mm3
- C4500-11.000 per mm3
- D5.8-13.2 x 10^9 per uL
- E5000-20.000 per mm3
80Increased RBC destruction occurs in
- Amegaloblastic anemia
- Bblood loss
- Ciron deficiency anemia
- Dhematopoetic stem cell failure
- Emicroangiopathic anemia (DIC, TTP)
81Normocytosis is observed in
- Aacute blood loss, hemolysis, hypothyroidism
- Biron deficiency, chronic diseases, beta-thalassemias
- Cmyelodysplastic disorders/syndromes, vitamin B12 deficiency, hemolysis
- Diron deficiency, bone marrow suppression, folate deficiency
- Erenal insufficiency, acute blood loss, bone marrow suppression
82The diagnosis of myeloma requires that 2 of the following are present
- Aparaprotein in serum, paraprotein in urine, organ damage
- Borgan damage, high level of uric acid, paraprotein in urine
- Chypercalcemia, paraprotein in serum, pancytopenia
- Dparaprotein in serum/urine, bone marrow infiltration with plasma cells, organ damage
- Eparaprotein in urine, anemia, low platelet count
83The reference value of MCH is (pg)
- A10 +/- 2
- B30 +/- 2
- C40 +/- 2
- D50 +/- 5
- E20 +/- 2
84The distribution of body iron in women is
- Ahemoglobin 0,5g/ferritin 0,1g/hemosiderin 300mg/myoglobin 200mg/tissue enzymes (heme & nonheme) 150mg/transport-iron compartment 3mg
- Bhemoglobin 1g/ferritin 0,3g/hemosiderin 300mg/myoglobin 200mg/ tissue enzymes 150mg/transport-iron compartment 3mg
- Chemoglobin 1,5g/ferritin 0,6g/hemosiderin 300mg/myoglobin 200mg/tissue enzymes 150mg/transport-iron compartment 3mg
- Dhemoglobin 2g/ferritin 1g/hemosiderin 300mg/myoglobin 200mg/tissue enzymes 150mg/transport-iron compartment 3mg
- Ehemoglobin 2,5g/ferritin 1,4g/hemosiderin 300mg/myoglobin 200mg/tissue enzymes 150mg/transport-iron compartment 3mg
85Macrocytosis may result from all of the following, except
- Amegaloblastic anemia
- Bmyelodysplastic syndrome
- Chemolysis
- Dchronic alcohol intake
- Esideroblastic anemia
86Which of the following is true
- AThe normal lymphpcyte count in adults is 1500-4800/uL; in children <2years 3000-4800/ul; at 6 years lower limit of normal is 1500/uL
- BThe normal lymphocyte count in adults is 1000-4800/uL; in children <2 years 3000-4800/uL; at age 6 years lower limit of normal is 1500/uL
- CThe normal lymphocyte count in adults is 1000-4800/uL; in children <2years 3000-9500/uL; at 6 years lower limit of normal is 1500/uL
- DThe normal lymphocyte count in adults is 1500-4800/uL; in children <2years 3000-4800/uL; at 6 years the lower limit of normal is 1500/uL
- EThe normal lymphocyte count in adults is 1500-4800/uL; in children <2years 4800-9500/uL; at 6 years lower limit of normal is 3000/uL
87Which of the following is false?
- AeGFR may be inaccurate in those with normal GFR
- BeGFR may be inaccurate in those with abnormal body shape & mass
- Ca diet may affect GFR estimated by the MDRD formula
- DeGFR requires 24-hour urine collection
- EMDRD is a four-variable formula
88Which of the following renal stones may be a consequence of primary hyperparathyroidism?
- Auric acid stones
- Bcystine stones
- Ccalcium phosphate stones
- Doxalate stones
- Emagnesium ammonium stones
89The most common cause of acquired lymphocytopenia worldwide is
- ASLE
- BAIDS
- Cmalnutrition
- Dhepatitis
- Eglucocorticoids treatment
90A moderate eosionophilia is defined as the eosinophil count:
- A> 100/microliter
- B> 500/microliter
- C500-1000/microliter
- D1500-5000/microliter
- E1000-5000/microliter
91Megaloblastic anemia is characterized by
- AMacrocytic indices, reticulocytosis, anisocytosis
- Breticulocytopenia, hyposegmentation of the granulocytes
- Cmacro-ovalocytosis, Howell-Jolly bodies, reticulocytosis
- Dpoikilocytosis, reticulocytopenia, thrombocytopenia
- Eneutropenia, microcytic indices, abnormal shape of platelets
92Aplastic anemia can be caused by
- Aidiopathic, drugs, hepatitis, CMV, EBV, brain tumor, Fanconi's anemia
- Bidiopathic, drugs, hepatitis, CMV, EBV, herpes varicella-zoster, Fanconi's syndrome
- Cidiopathic, drugs, hepatitis, CMV, HIV, herpes varicella-zoster, Fanconi's anemia
- Didiopathic, drugs, renail failure, CMV, EBV, herpes varicella-zoster, Fanconi's anemia
- Eidiopathic, drugs, hepatitis, CMV, EBV, herpes varicella-zoster, Fanconi's anemia
93Increased RBC turnover is indicated by:
- Adecreased serum reticulocytes, increased UC bilirubin in serum, decreased serum haptoglobin, increased serum LDH
- Bincreased serum reticulocytes, increased conjugated bilirubin in serum, decreased serum haptoglobin, increased serum LDH
- CIncreased serum reticulocytes, increased UC serum bilirubin, decreased serum haptoglobin, increased serum LDH
- Dincreased serum reticulocytes, increased conjugated serum bilirubin, increased serum haptoglobin, increased serum LDH
- Eincreased serum reticulocytes, increased serum UC bilirubin, decreased serum haptoglobin, decreased serum LDH
94Analbuminemia:
- Acauses severe hypotension
- Bcauses severe hypertension
- Cis benign
- Dcauses cardiac failure
- Ecauses cardiovascular disease
95Typical aminotransferase elevation in acute viral hepatitis causes:
- A500-2000 U/I
- Bnever >500 U/I
- C> several thousand U/I
- D> 10.000 U/I
- Enever > 300 U/I
96Which tissues are rich in ALP
- Aplacenta, skeletal muscle, heart
- Bliver, bone, RBC
- Cintestine, salivary glands
- Dbone, intestine, placenta
- Etestis, intestines, kidney, heart
97In iron transport
- Atotal iron binding capacity is a measure of transferrin level; normal range for TIBC is 300-350 ug per dL; normal iron serum level is 100-120 ug Fe per dL
- Btotal iron bindign capacity is a measure of ferritin level; normal range for TBC is 300-350 ug Fe per dL; normal iron serum level is 100-120 ug Fe per dL
- Ctotal iron binding capacity is a measure of ferritin level; normal range for TIBC is 300-350 ug Fe per dL; normal iron serum level is 200-240 ug Fe per dL
- Dtotal iron binding capacity is a measure of transferrin level; normal range for TIBC is 600-700 ug Fe per dL; normal iron serum level is 100-120 ug Fe per dL
- Etotal iron binding capacity is a measure of transferrin level; normal range for TIBC is 300-350 ug Fe per dL; normal iron serum level is 100-120 ug Fe per dL
98ALP can be elevated in:
- Atoxic injury to the liver
- Bischemic injury of the liver
- Cshock (hypovolemic)
- Dacute viral hepatitis
- Eall above
99The marker of cholestasis is:
- ACK, y-GT
- BALT, ALP
- CALP, y-GT
- Dlipoprotein lipase
- EAST, ALP
100A distinction between hypo- and hyperproliferative anemias can be made based on:
- AMCV, MCH
- Breticulocyte count &/or reticulocyte index
- CRDW
- DMCHC
- ERDW-SD
101RBC fragments on microscopy of the blood film are found in:
- Airon deficiency anemia
- BMAHA (microangiopathic hemolytic anemia)
- CAIHA (autoimmune hemolytic anemia)
- Dfolic acid deficiency anemia
- Evitamin B12 deficiency anemia
102All of the following are hypoproliferative microcytic anemias except:
- Amegaloblastic anemia
- Biron deficiency anemia
- Cthalassemia
- Dsideroblastic anemia
- Eanemia of chronic disease
103Causes of aplastic anemia include:
- Abenzene, radiation, drugs, pregnancy, epstein barr virus, hepatitis
- Bbenzene, radiation, drugs, pregnancy, hookworm infection, hepatitis
- Ciron deficiency, radiation, drugs, pregnancy, Epstein Barr virus, hepatitis
- Dbenzene, radiation, drugs, periods of rapid growth in children, Epstein barr virus, hepatitis
- Ebenzene, anaphylactic shock, drugs, pregnancy, Epstein Barr virus, hepatitis
104Myeloproliferative disorders include all of the following except:
- Aessential thrombocytopenia
- Bprimary myelofibrosis
- Cpolycythemia vera
- Dsecondary polycythemia
- Echronic myelogenous leukemia
105Ceruloplasmin:
- Ascavenges Fe from the serum & after binding iron has a half-life of 5 days & converts iron 2 to iron 3
- Bscavenges Mg from the serum & after binding Mg has a half life of 5 days & converts iron 2 to iron 3
- Cscavenges Cu from the serum & after binding iron has a half-life of 5 days & converts iron 3 to iron 2
- Dscavenges Cu from the serum & after binding copper has a half-life of 5 days & converts iron 2 to iron3
- Escavenges Cu from the serum & after binding copper has a half-life of 5 hours & converts iron 2 to iron 3
106Reference ranges for white blood cells are:
- Atotal WBC 4000-10.000; basophils 0-100; monocytes 0-800; eosinophils 0-350; neutrophils 1500-7500, lymphocytes 1000-4000
- Btotal WBC 4000-11.000, basophils 0-100; monocytes 0-800; eosinoohils 0-100; neutrophils 1500-7500; lymphocytes 1000-4000
- Ctotal WBC 4000-10.000; basophils 0-350; monocytes 0-800; eosinophils 0-100; neutrophils 1500-7500; lymphocytes 1000-4000
- Dtotal WBC 4000-10.000; basophils 0-800; monocytes 0-100; eosinophils 0-350; neutrophils 1500-7500; lymphocytes 1000-4000
- Etotal WBC 4000-10.000; basophils 0-100; monocytes 0-800; eosinophils 0-350; nuetrophils 1500-7500; lymphocytes 1500-7500
107The following results of complete blood count: RBC 2.9 10^6/uL; HB 8.2 g/dL; hematocrit 27%; MCV 93fl; MCHC 34g/dL, reticulocyte percentage 0,2 % are consistent with:
- Aanemia - normocytic, hypoproliferative, normochromic
- Bnormal levels
- Canemia - normocytic, hypoproliferative, hypochromic
- Danemia - microcytic, hyperproliferative, hyperchromic
- Eanemia - microcytic, hypoproliferative, normochromic
108Agranulocytosis is defined as the level of neutrophils below (per microliter):
- A100
- B200
- C500
- D600
- E800
109All of the following are causes of the right shift in WBC except:
- ACML
- Bneutropenia (megaloblastic anemia)
- Cliver disease
- Dcancer
- Edrugs
110Causes of hyperproliferative anemias (hemolytic):
- Airon deficiency, kidney disease, folate deficiency, hypersplenism
- BB12 deficiency, cold agglutinin disease, spherocytosis
- Chypersplenism, TTP, HUS, hereditary spherocytosis
- Dsickle cell disease, TTP, myelodysplasia, myelophitisis
- Echronic disease, thalassemias, iron utilization defect, pure red cell aplasia
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- Quiz on Lab cycle 2 , created by Josefine Kluge on 26/02/2023.
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- Josefine Kluge
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