Clinical Microscopy Recall Exam Questions and Complete Solutions Graded A+

  Represent disi tegration of the cellular casts - Answer: Granular cast Renal failure casts - Answer: Broad cast Final degenerative form of casts - Answer: Waxy casts Casts with tapered end - Answer: Cylindroids Simultaneuous occurence of the findings of nephrotic syndrome and glomerulonephritis on the same specimen - Answer: Telescoped sediments Youngest form of sperm - Answer: Spermatogonia Sperm cells produced by - Answer: Testes Sperm cells matured in - Answer: Epididymis Acrosomal cap - Answer: One half of the cell and important in ovum Mitochondria - Answer: Power house of the cell Most common cause of male infertility - Answer: Varicocele Stain for sperm morphology - Answer: PAP stain Stain used to assess sperm viability - Answer: Combination os eosin and negros stain Sperm alive - Answer: Bluish white in negros stain Death sperm - Answer: Pink in eosin stain Neutral alpha glucosidase assess function of - Answer: Epididymis Enzymes that liquefy the semen - Answer: Chymotrypsin Liquefaction of semen - Answer: 30-60 minutes Sperm count diluting fluid - Answer: Sodium bicarbonate + formalin or Chilled water Sperm count dilution - Answer: 1:20 CASA - Answer: Computer assisted semen analysis 70% of the CSF produced by - Answer: Choroid plexuses 30 % of the CSF produced by - Answer: Ependymal ventricles and subarachnoid Uneven blood distribution , clear supernatant,clot formation - Answer: Traumatic tap Even blood distribution in 3 tubes ,xanthochromia - Answer: Intracranial hemorrhage In WBCs in CSF - Answer: Pleocytosis Predominant cells found in Adult - Answer: Lymphocytes Predominant cells found in newborn - Answer: Monocytes Cloudy CSF must be dilutes - Answer: 1:200 NV of protein in CSF - Answer: 15-45 mg/dL Glucose in CSF - Answer: 60-70% Oligoclonal bands - Answer: Multipke sclerosis and neurosyphilis Diagnosis of neurosyphilis - Answer: VDRL Accumulation of fluid between the visceral and parietal membrane - Answer: Effusion Transudates - Answer: Congestive heart failure, nephrotic syndrome, cirrhosis Exudates - Answer: Inflammation , malignancy and infection Parameter used to diff. Transudate and exudate - Answer: LDH Peritoneal fluid - Answer: Clear,pale yellow Peritoneal fluid - Answer: Ascitis Positive ACP in Peritoneal indicates - Answer: Intestinal perforation Spx of choice for assessment of intra abdominal bleeding - Answer: Peritoneal lavage Normal volume of Synovial fluid - Answer: <3.5 mL Neutrophils with precipitate rheumatoid factor - Answer: Ragocytes Color of Stool if you take Iron - Answer: Black Barium sulfate - Answer: Gray/pale yellow guiac test - Answer: for occult blood Reagent for the APT test - Answer: 1%sodium hydroxide Normal ph of stool - Answer: 7.0-8.0 As few as 3 fecal leukocytes my indicate - Answer: Invasive Spx quantitative fecal fat testing - Answer: 3 days stool spx Gold standard for fecal fat testing - Answer: Van de kamer Inserted through the mouth - Answer: Refhuss tube Inserted through nose - Answer: Levine tube Most preferred gastric stimulant - Answer: Pentagastrin Used to asses success of vagotomy - Answer: Insulin Tubeless test for gastric acid analysis - Answer: Diagnex blue test Zolinget ellison syndrome - Answer: Elevated gastrin Pernicious anemia - Answer: decrease gastrin Pernicious anemia - Answer: Anti parietal cells Cystal that represent degradation - Answer: Charcot leyden crystals Charcot leyden crystals - Answer: Found in patient with Asthma Anchovy or rusty sputum - Answer: Lobar pneumoniae HCG is a glycoprotein hormone similar to - Answer: FSH, LH, TSH HCG diff to FSH,LH and TSH using - Answer: Beta chains Gestational age - Answer: Creatinine Green color of the amniotic fluid - Answer: Meconium Dark brown amniotic fluid - Answer: Fetal death Test for neural tube defect - Answer: Alpha feto protein and ACHE Assess of severity of HDN - Answer: OD450