Final Exam Part 2 (101-200)

100 Questions  I  By Alexlai67
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1.  Your patient has a negative RPR, but a positive treponemal test (FTA-ABS).  Which of the following is NOT a possible explanation?
A.
B.
C.
D.
E.
2.  When making a wet mount slide for evaluation of your patient’s vaginitis, the KOH prep (potassium hydroxide) is used for:
A.
B.
C.
D.
3.  The first serology test to detect Hepatitis A virus infection is:
A.
B.
C.
D.
4.  Which serology test indicates immunity and confirmation of Hepatitis A?
A.
B.
C.
D.
5.  The first serological marker to appear in a person with  Hepatitis B is the:
A.
B.
C.
D.
6.  A serology test that is helpful in detecting Hepatitis B infections during the “window” period:
A.
B.
C.
D.
7.  Which serology marker, when persistently present in the blood beyond 6 months, indicates development of chronic Hepatitis B?
A.
B.
C.
D.
8.                        A screening test for Hepatitis C in a high risk patient is the:      
A.
B.
C.
D.
9.  The above screening test for Hepatitis C is positive.  This indicates the patient has which form of the disease?
A.
B.
C.
D.
10.  Confirmation of Hepaitis C is determined by a second test which is the:    
A.
B.
C.
D.
11.  In order for a positive diagnosis of an HIV infection, two test must be positive. They are:
A.
B.
C.
D.
12.  You perform iron studies to try to discern whether your patient with microcytic, hypochromic anemia has anemia of chronic disease or iron deficiency anemia.  Which of the following findings would indicate anemia of chronic disease
A.
B.
C.
D.
13.  Which of the following is NOT a secondary cause for hyperlipidemia?
A.
B.
C.
D.
E.
14.  An elevation or decrease of which electrolyte can be especially dangerous for heart muscle?
A.
B.
C.
D.
E.
15.  Which of the following is often seen in liver disease?
A.
B.
C.
D.
16.  Which of the following is most consistent with the hepatic enzyme profile of a person who abuses alcohol?
A.
B.
C.
D.
17.  A 21yr old febrile woman presents with a total WBC of 15,200.  The most likely cause for this is
A.
B.
C.
D.
18.  Macrocytes may be seen on the peripheral smear of all of the following except:
A.
B.
C.
D.
19.  In health, the absolute band count is usually below:
A.
B.
C.
D.
E.
20.  After migration into tissue basophils undergo transformation into
A.
B.
C.
D.
21.  Patients with Pheochromocytoma exhibit a triad of symptoms to include all of the following EXCEPT:
A.
B.
C.
D.
22.  The most common disorder of the anterior pituitary is:
A.
B.
C.
D.
23.  When looking at a chest x-ray an area of the lung that is filled with fluid, will appear:
A.
B.
C.
D.
24.  When ordering a chest x-ray for a patient with a cough and fever, the appropriate outpatient view is:
A.
B.
C.
D.
25.  There are four densities (fat, water, air, metal) in the human body which absorb varying degrees of radiation.  Which of the following correctly ranks these densities from most radiolucent to most radiodense?
A.
B.
C.
D.
26.  A distortion commonly seen in a portable chest radiograph is:
A.
B.
C.
D.
27.  Diffuse fluffy infiltrates in both lungs may be seen in which of the following?
28.  When evaluating chest radiographs, a generalized decrease in vascular markings as you view outward to the periphery may be suggestive of:  (not sure)
A.
B.
C.
D.
29.  A blunted or obscured costophrenic angle on a chest x-ray is most likely due to
A.
B.
C.
D.
30.  If you suspect a pneumothorax, you should order which type of chest x-ray
A.
B.
C.
D.
31.  At what age should initial cholesterol and lipid screening begin
A.
B.
C.
D.
32.  Which of the following is considered a single gene disorder
A.
B.
C.
D.
33.  A person with a BRCA1 mutation has an increased risk of which of the following cancer(s)? 1. Breast 2. Ovarian 3. Colon 4. Prostate
A.
B.
C.
D.
34.  Joey Fastdriver was in a head on collision. He reports hitting his head on the windshield. His neuro exam is wnl, however you still would like to rule out any lesions that might need immediate surgical intervention.  The best test to choose is:
A.
B.
C.
D.
35.  What test must be checked before spinal puncture to rule out increased intracranial pressure?
A.
B.
C.
D.
36.  You have a patient who is complaining of numbness and tingling of the first 3 fingers in her right hand.  She is a painter, but she also was in a MVA six months ago.  What tests would you order to differentiate a cervical radicular lesion from carpal tunnel syndrome?
A.
B.
C.
D.
37.  In which of the following conditions might you find an elevated PSA?
A.
B.
C.
D.
E.
38.  Tumor markers are useful for everything below except:
A.
B.
C.
D.
E.
39.  Your patient’s Western Blot was positive for HIV.  What further testing would you do now?
A.
B.
C.
D.
40.  The most common bacterial pathogens in adults with acute sinusitis include
41.  A definitive diagnosis fo DVT is most often made with
A.
B.
C.
D.
42.  Harry Grant is a 47 yr old caucasian who had a previous history of IV drug abuse. His only complaint is fatigue Liver enzymes and hepatitis screen were ordered.  What would these results indicate to you? HBsAG positive HBcAB positive Anti HBe positive HBe antigen negative Anti-HBs negative
A.
B.
C.
D.
43.  Anita Bruno is a 55-yr old schoolteacher with type II diabetes who presents to your office with the complaints of low-grade fever for 3 days and cramping right upper quadrant pain, radiating to the right scapula. You suspect cholecystitis.  Which is the best test to choose first?
A.
B.
C.
D.
44.  Laboratory evaluation of hematuria begins with:
A.
B.
C.
D.
45.  Findings suggestive of bacterial vaginosis on wet mount include:
A.
B.
C.
D.
46.  Which of the following intial tests are most appropriate when one suspects osteoporosis?
A.
B.
C.
D.
47.  What laboratory tests do you order to confirm a diagnosis of syphillis?
A.
B.
C.
D.
48.  Your patient who returned from a camping trip in the northeast a few weeks ago is complaining of an erthematous lesion on her right forearm that is increasing in size, a mild headache, malaise and occasional fever and chills. You suspect lyme disease.  Which tests do you order?
A.
B.
C.
D.
49.  What are the screening guidelines for lung cancer?
A.
B.
C.
D.
50.  CEA antigen is a useful test for screening for gastric carcinomas, pancreatic carcinoma, breast cancer, lung cancer, ovarian cancer
A.
B.
51.  CA 125 is an excellent screening test to use to rule out ovarian cancer.
A.
B.
52.  What is the percentage of people experiencing an acute MI with a non-diagnostic EKG
A.
B.
C.
D.
53.  What is the normal FEV1/FVC ratio?
A.
B.
C.
D.
54.  What is the term for frequency of disease in a group?
A.
B.
C.
D.
55.  Choose A
A.
B.
C.
D.
56.  Choose A
57.  You have a patient with chest pain, dyspnea, and hemoptysis. You suspect a pulmonary embolism.  What blood test do you want to order before sending her for a CTA (CT angiography)
A.
B.
C.
D.
58.  You’re patient is completely asymptomatic, but does have some risk factors for coronary artery disease (diabetes, elevated cholesterol and hypertension). Which of the following tests if normal would give you the most confidence that he did not have any coronary artery plaques?
59.  BNP (B natriuretic paptide’s) main benefit is its negative predictive value. If BNP levels are less than 100, which of the following conditions is ruled out?
A.
B.
C.
D.
60.  A patient has an FEV1 of 1.91 liters (52% of the predicted value).  Which of the following might result in this low value? 1.     Small airways obstruction 2.     Poor effort at the start of the test 3.     Restriction due to fibrosis 4.     COPD
A.
B.
C.
D.
E.
61.  Choose A
A.
B.
C.
62.  Choose A
A.
B.
C.
63.  Deterrmine which of the urinary system functions is incorrect. ____
A.
B.
C.
D.
64.  Which of the following is an incorrect association? ____
A.
B.
C.
D.
65.  Which of the following describes the process in which fluids and dissolved substances that are in the blood are forced through the pores of the glomerulus into the glomerular capsule by hydrostatic pressure? ____
A.
B.
C.
D.
66.  Two substances that are too large to be filtered from the blood in the glomerulus are ____.
A.
B.
C.
D.
67.  Which of the following substances is/are not normally found in urine? ____
A.
B.
C.
D.
68.  The specific gravity is determined in what part of the urinalysis procedure? ____
A.
B.
C.
D.
69.  Determine the statement that is incorrect regarding a 24-hour urine collection. ____
A.
B.
C.
D.
70.  Urine that is allowed to sit for too long at room temperature will undergo which of the following changes? ____
A.
B.
C.
D.
71.  Which of the following urine colors is abnormal? ____
A.
B.
C.
D.
72.  Which of the following statements regarding chemical urinalysis strip procedures is incorrect? ____
A.
B.
C.
D.
73.  Which of the following proteins may be found in small amounts in the urine when screening patients who have diabetes mellitus, hypertension, heart attack, stroke, and pregnancy? ____
A.
B.
C.
D.
74.  Which of the statements regarding the nitrite test is incorrect? ____
A.
B.
C.
D.
75.  Determine which of the following statements about red blood cells (RBCs) found in a urine microscopic examination is incorrect. ____
76.  Evaluate which of the statements regarding cells found in microscopic urine is incorrect: ____
A.
B.
C.
D.
77.  Which of the following statements is true? ____
A.
B.
C.
D.
78.  Determine which of the following statements best describes a waxy cast: ____
A.
B.
C.
D.
79.  Which of the following statements about the formation of crystals in urine is incorrect?
A.
B.
C.
D.
80.  Which crystals are commonly seen as colorless octahedron crystals that resemble envelopes (they have the appearance of an X on them)?
A.
B.
C.
D.
81.  Which crystals are yellow-brown granules often found in clumps that give the urine a macroscopic (large enough to see with the eyes) pink, “brick dust” color and are found in urine at pH levels under 7? ____
A.
B.
C.
D.
82.  Which of the following crystals resemble coffin lids? ____
A.
B.
C.
D.
83.  Determine which of the following statements about bacteria in urine is incorrect: ____
A.
B.
C.
D.
84.  When calculating a microscopic urinalysis, which of the following is incorrect?
A.
B.
C.
D.
85.  Which of the following is not a granulocyte? ____
A.
B.
C.
D.
86.  Which of the following is not a formed element in the blood? _____
A.
B.
C.
D.
87.  Which of the following white blood cells does not match the associated description? ____
A.
B.
C.
D.
E.
88.  Most CLA waived hematology tests use blood from ____
A.
B.
C.
D.
89.  Critical vitamin used by the liver to produce clotting factors is ____
A.
B.
C.
D.
E.
90.  Which term does not match its description? ____
A.
B.
C.
D.
E.
91.  Which of the following statements regarding erythrocyte sedimentation rate (ESR) is false? ____
A.
B.
C.
D.
92.  Which of the following statements regarding Pro Time testing is false? ____
A.
B.
C.
D.
93.  The erythrocyte indices ____
A.
B.
C.
D.
94.  Bilirubin
95.  Blood
A.
B.
C.
D.
E.
96.  Ketone
A.
B.
C.
D.
E.
97.  Urobilinogen
A.
B.
C.
D.
E.
98.  Leukocytes
A.
B.
C.
D.
E.
99.  Immature red cell in bone marrow (also called rubriblast)
A.
B.
C.
D.
E.