CLINICAL MICROSCOPY
1. Nomarski and Hoffman are example of what a. Incubator
microscopy? b. Cool dry place
a. Phase contrast microscopy c. Refrigerator
b. Darkfield microscopy d. Freezer
c. Brightfield microscopy 11. Reading time: 30 seconds
d. Fluorescent microscopy a. Bilirubin
2. Degree of Hazard: 3 b. Ketones
a. Slight Hazard c. Specific gravity
b. Moderate Hazard d. pH
c. Extreme Hazard 12. The protein section of urine reagent strip is most
d. Serious Hazard sensitive to:
3. The best aid for chemical spills is flushing the area with a. Albumin
large amounts of water for at least ___ minutes then b. Bence Jones protein
seek medical attention. c. Mucoprotein
a. 15 d. Globulin
b. 20 13. Bence Jones Protein is characterized by its unique
c. 25 ability to coagulate at _ and dissolve at _.
d. 30 a. 30-50oC : 80-100oC
4. Arsenal fire: b. 40-50oC : 80-90oC
a. Type A fire c. 50-60oC : 90-100oC
b. Type C fire d. 40-50oC : 80-100oC
c. Type E fire 14. SSA turbidity: “Turbidity with granulation, no
d. Type F fire flocculation”
5. Urine samples should be examined within one hour of a. 1+
voiding because: b. 2+
a. RBC, leukocytes and casts agglutinate on standing c. 3+
for several hours at room temperature d. 4+
b. Urobilinogen and bilirubin increased after 15. The parameter in the reagent strip which utilizes
prolonged exposure to light Ehrlich units is:
c. Bacterial contamination will cause alkalinization a. Bilirubin
of urine b. Urobilinogen
d. Ketones will increased due to bacterial and c. Glucose
cellular metaboliam d. Leukocytes
6. The urine volume of a patient with oliguria is usually: 16. Convert 0.4 mg/dL urobilinogen to Ehrlich units.
a. 1,200-1,500 mL a. 0.4
b. > 2,500 mL b. 4
c. < 400 mL c. 40
d. < 700 mL d. 400
7. The clarity of a urine sample should be determined: 17. Ascorbic acid causes false negative reactions in what
a. Using glass tubes only, never plastic urine reagent strip?
b. Following thorough mixing of the specimen a. Blood
c. After addition of salicylic acid b. Bilirubin
d. After the specimen cools to room temperature c. Leukocytes
8. Urine clarity grading: “Few particulates, print easily d. All of the choices
seen through urine” 18. Soluble in ether, except:
a. Clear a. Red blood cells
b. Hazy b. Lipids
c. Cloudy c. Chyle
d. Turbid d. Lymphatic fluid
9. Which method for the determination of urine specific 19. Soluble in dilute acetic acid, except:
gravity is based on refractive index? a. Red blood cells
a. Total solids meter b. Amorphous phosphates
b. Hydrometer c. Calcium carbonates
c. Reagent strip d. White blood cells
d. Harmonic oscillation densitometry
10. Urine reagent strips should be stored in a/an: e. Ascending sequence of casts:
f. Waxy-hyaline-coarsely granular-finely granular- 28. Renal disease whose etiology is the deposition of anti-
cellular glomerular basement membrane antibody to
g. Coarsely granular-finely granular-hyaline-waxy- glomerular and alveolar basement membranes:
cellular a. Berger’s disease
h. Hyaline-cellular-coarsely granular-finely granular- b. Wagener’s granulomatosis
waxy c. Goodpasture syndrome
i. Cellular-hyaline-finely granular-coarsely granular- d. Membranous glomerulonephritis
waxy 29. The sperm acrosomal cap should encompass
20. Normal urinary crystal which is colorless, resembling approximately _ of the head and covers approximately
flat plates or thin prisms often in rosette form: _ of the nucleus.
a. Amorphous phosphates a. One half, two-thirds
b. Struvite b. One third, one half
c. Apatite c. Two-thirds, one fourth
d. Calcium carbonate d. One fourth, one third
21. If alcohol is added to urine with tyrosine crystals, this 30. Sperm motility grading: “Slower speed, some lateral
other type of abnormal crystal may be precipitated: movement”
a. Bilirubin a. 4.0
b. Sulfonamide b. 3.0
c. Leucine c. 2.0
d. Cystine d. 1.0
22. Manner of reporting for RTE cells: 31. Reagent/s used for the assessment of sperm viability:
a. Average number per LPF a. Papanicolau
b. Average number per HPF b. Wright’s
c. Average number per OIO c. Giemsa
d. 1+, 2+, 3+, 4+ d. Eosin-Nigrosin
23. Transitional epithelial cells seen in urine specimens 32. Computer-Assisted Semen Analysis (CASA) is used to
may be reported using rare/few/moderate/many by determine sperm cell:
using the: a. Vertical movement
a. Scanner field b. Lateral movement
b. Low power field c. Circular movement
c. High power field d. Velocity and trajectory
d. Oil immersion field 33. Florence test, which choline, uses which reagent?
24. In a urine specimen, ten calcium oxalate crystals were a. Potassium iodide
seen per high power field (HPF). How do you report the b. Picric acid
findings? c. Trichloroacetic acid
a. Rare d. Silver nitroprusside
b. Few 34. Pellicle clot formation after 12-24 hours refrigeration of
c. Moderate cerebrospinal fluid:
d. Many a. Bacterial meningitis
25. In a urine specimen, nine bacteria were seen per high b. Viral meningitis
power field (HPF). How do you report the finding? c. Tubercular meningitis
a. Rare d. Fungal meningitis
b. Few 35. Oligoclonal banding in cerebrospinal fluid but not in
c. Moderate serum, except:
d. Many a. Multiple myeloma
26. Most frequent parasite encountered in the urine: b. Encephalitis
a. Schistosoma haematobium c. Neurosyphilis
b. Enterobius vermicularis d. Guillain-Barre disease
c. Trichomonas vaginalis 36. Normal synovial fluid glucose should not be more than
d. Giardia lamblia ___ mg/dL lower than the blood value.
27. A renal calculi described as very hard, dark in color with a. 5
rough surface: b. 10
a. Calcium oxalate c. 15
b. Uric acid d. 20
c. Cystine 37. Cell which could be seen in synovial fluid resembles
d. Phosphate polished rice macroscopically:
a. Ragocytes
b. Cartilage cells
c. Rice bodies
d. Reiter cell
38. The normal color of gastric fluid is
a. Colorless
b. Green
c. White
d. Gray
39. What reagent is used for the APT test?
a. Hydrochloric acid
b. Sodium hydroxide
c. Sulfuric acid
d. Potassium hydroxide
