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1.

Which of the following blood smears these illustrations would be best suited for
performing a differential count:

Top Photo
Bottom
Photo

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An even distribution of red blood cells on a smear is necessary for accurate


differential counts.

2. Choose the term that describes the most prominent finding in this peripheral
smear:

Rouleaux
Normal
RBCs
Anisocytosi
s

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Anisocytosis is a variation in the size of the red blood cells. This slide shows
poikilocytosis, but anisocytosis is more prominent here.

3. The intracellular precipitates seen in the RBCs in this illustration is termed:

Dohle bodies
Heinz bodies
May-Hegglin
anomaly
Reticulocytes

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Heinz bodies occur as the result of denaturation and precipitation of hemoglobin, and
are often attached to the red cell membrane. They require staining with crystal violet
or methyl violet to be visible. They may be seen in thalassemia, with unstable
hemoglobins, or during a hemolytic episode in G6PD deficiency.

4. The growth seen here on PPLO agar is most likely caused by:

Streptococcus
pneumoniae
Klebsiella pneumoniae
Mycobacterium
Mycoplasma

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PPLO agar is used for the isolation and cultivation of Mycoplasma species.

5. A definitive diagnosis of malaria can be made by:

Serological testing
Culture techniques
Demonstration of the organisms in peripheral
blood
Biochemical reactions

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Diagnosis of malaria may require thick smears as well as conventional thin blood
smears.

6. Identify the cell in this illustration indicated by the arrow:

Myelocyte
Monocyte
Metamyelocyte
Lymphocyte

7. Identify the Revolving nosepiece and Mechanical stage

K, L
C,
D
F, G
A, B

8. I may be found in stool.

Taenia saginata scolex


Diphyllobothrium latum scolex
Taenia solium scolex
Echinococcus granulosus
scolex

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The scolex of Taenia solium may be distinguished from the other cestode scolices by
its four distinct suckers and the presence of a rostellum armed with hooklets.

9. Based on the phenotype of the RBC screening cells, and patient results given
below, which of the following antibodies cannot be ruled out:

Anti-C
Anti-Jka
Anti-M
Anti-
Fya

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It is only possible to rule out on screening cell 2 since it demonstrates a negative


reaction with the patient serum. Anti-C cannot be ruled out since the antigen
is heterozygous on screening cell 2. Anti-Fya cannot be ruled out since this antigen is
not present on screening cell 2. Anti-M and anit-Jka can be ruled out since the
antigens are homozyous while demonstrating a negative reaction on screening cell 2

10. Identify the urine sediment elements indicated by the arrow in the illustration:

Cholesterol crystals
Triple phosphate crystals
Amorphous urate crystals
Ammonium biurate
crystals

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Triple phosphate crystals appear as colorless prisms with 3 to 6 sides and oblique
ends, or as "feathery sleeves". The have been described as "coffin lid shaped", and
can occur normally in alkaline urine. They may indicate the presence of an infection.

11. Identify the urine sediment elements shown by the arrow:


Cylindroids
Mucus
threads
Hyaline casts
Budding
yeast

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Mucus thread appear as long, thin ribbon like threads that are generally transparent.
They are normal in small numbers in the urine.

12. This suspicious form was recovered in blood.

Plasmodium vivax ring form


Plasmodium malariae band
form
Plasmodium falciparum ring
form
Pseudoparasite

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Plasmodium falciparum ring forms often resemble a walkman headset by containing


two chromatin dots instead of one, as commonly seen in the other Plasmodium
species. These dots serve as connecting points for the ring of cytoplasm.

13. Identify the Eye piece and Binocular (observation tube):

B, E
G,
D
A, K
J, F

14. The elements indicated by the arrows are more likely to be seen in patients with
which condition:

Bacterial infection
Nephrotic
syndrome
Diabetes
Renal failure
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Yeast cells as a cause of infection are more commonly found in patients with diabetes
mellitus, but can also represent contaminants with no clinical significance. They
should not be confused with erythrocytes. The presence of budding helps with the
identification.

15. Identify the cell in this illustration indicated by the arrow:

Eosinophi
l
Monocyte
Basophil
Neutrophi
l

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Eosiniphils have characteristic large prominent orange granules.

16. What type of cast is shown in the illustration:

WBC casts
RBC casts
Waxy casts
Granular
casts

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RBC casts may appear as brown to almost colorless. Red cells can clearly be seen
within the cast. This type of cast is diagnostic of glomerular disease or intrarenal
bleeding.

17. This suspicious form was found in stool.

Pseudoparasite
Hookworm rhabditiform larva
Strongyloides rhabditiform
larva
Strongyloides filariform larva

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Although this suspicious form resembles an intestinal nematode larva, internal
structures necessary for it to function as well as to identify it as a parasite are
lacking. Numerous such pseudoparasites may be present in stool samples.

18. This suspicious form was found in stool.

Pseudoparasite
Hookworm rhabditiform larva
Strongyloides rhabditiform
larva
Strongyloides filariform larva

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Although this suspicious form resembles an intestinal nematode larva, internal


structures necessary for it to function as well as to identify it as a parasite are
lacking. Numerous such pseudoparasites may be present in stool samples.

19. The most likely organism to be cultured on the Lowenstein-Jensen agar slant
illustrated here would be:

Crytococcus
Chlamydia
Mycobacteria
Listeria

20. This suspicious form, shown below at both low (10X) and high dry (40X) power,
measures 90 micro meters by 42 micro meters. It was seen in a stool sample.

Hookworm egg
Pseudoparasite
Ascaris lumbricoides egg
Diphyllobothrium latum
egg

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The mature eggs of Ascaris lumbricoides are readily visible at both 10X and 40X dry.
The organism size as well as the presence of an outer albuminous coating help to
identify the egg.
21. Which of the following conditions is frequently associated with these cells?

Hemolytic anemia
Chronic blood loss
Megaloblastic anemia
Sickle cell anemia

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Hypersegmented neutrophils are associated with megaloblastic anemias.

22. The cell indicated by the arrow in this illustration is called:

Hair cell
Smudge cell
Megakaryocyte
Blast

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Smudge Cells (bare nuclei) are commonly seen in blood smears from patients with
chronic lymphocytic leukemia.

23. Identify the urine sediment elements shown by the arrow:

Cholesterol crystals
Uric acid crystals
Amorphous urate
crystals
Cystine crystals

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Cystine crystals are characteristically seen as colorless hexagonal plates in acid


urine. They may be confused with hexagonal uric acid crystals. They can be
differentiated from uric acid by their solubility in dilute hydrochloric acid versus
crystalline uric acid, which is not soluble in dilute hydrochloric acid. The cyanide-
nitroprusside test can be used to confirm the presence of cystine in urine. Cystine
crystals are not present in normal urine.

24. Identify the urine sediment elements shown by the arrow:


Yeast
WBCs
Fat
Starch
crystals

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Starch crystals often contaminate normal urine. They appear round to oval, are
highly refractile, with an irregular indentation in the center. They may exhibit the
"Maltese cross" appearance under polarized light.

25. The RBCs seen in this illustration are indicative of:

Normal cells
Microcytic cells
Macrocytic cells
Hypochromic
cells

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Normal red cells are uniformly shaped and sized with 2-3mm of central pallor.

26. The McFarland Comparison Card shown in the illustration is used to:

Perform sensitivity testing


Standardize concentrations of
organisms
Q.C. broth media
Determine MICs

27. The WBC indicated by the arrow in this illustration is exhibiting:

Dohle bodies
Hypersegmentation
Degranulation
Pelger-Huet
anomaly

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Pelger-Huet anomoly is an autosomal dominant condition characterized by


hyposegmentation of neutrophils. Decreased nuclear segmentation may also be seen
as an acquired disorder in cases of granulocytic leukemia, myeloproliferative
disorders, infections, and after exposure to certain drugs.

Image courtesy and copyright of the Clinical Chemistry and Hematology Laboratory, Wadsworth
Center, NY State Department of Health (http://www.wadsworth.org)

28. The abnormal RBC shape seen in this illustration is:

Sickle cell
Thorn cell
Fragmented
cell
Crenated cell

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Crenated red cells usually occur as an artifact during the preparation of blood
smears.

Acknowledgement

I m thank full to my God he give me

And also I thank full my friend Mr. Sami Khan he help me in down load, Thanks,

Muhammad Younis
Lab. Technician
NNP, Rabigh, KSA
00966-591-342865
Unis_memon85@yahoo.com