Clinical Biochemistry Safety Quiz
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Questions and Answers

Which method uses high pressure and temperature to achieve sterilization?

  • Dry heat sterilization
  • Chemical disinfection
  • Filtration
  • Autoclaving (correct)
  • What is the primary function of proteins in the biological system?

  • Hormone production
  • Energy storage
  • DNA replication
  • Catalyzing biochemical reactions (correct)
  • Which of the following is an example of a qualitative test for urine analysis?

  • Determination of specific gravity
  • Test for proteinuria (correct)
  • Quantitative estimation of creatinine
  • Measurement of urine pH
  • Which acid-base disturbance results in decreased bicarbonate levels?

    <p>Metabolic acidosis</p> Signup and view all the answers

    What is the effect of noise pollution on human health?

    <p>Increased stress levels</p> Signup and view all the answers

    Which component is NOT typically tested in a qualitative urine examination?

    <p>Calcium</p> Signup and view all the answers

    What are nucleotides primarily involved in?

    <p>Genetic information storage</p> Signup and view all the answers

    Which of the following is a common method to prevent water pollution?

    <p>Chemical disinfection</p> Signup and view all the answers

    What is the primary function of anticoagulants in blood processing?

    <p>To prevent blood clotting</p> Signup and view all the answers

    Which blood component is primarily responsible for the transport of oxygen?

    <p>Hemoglobin</p> Signup and view all the answers

    What is a common method to estimate hematocrit values?

    <p>Centrifugation</p> Signup and view all the answers

    Which staining technique is often used to prepare blood smears?

    <p>Romanowsky staining</p> Signup and view all the answers

    What is one potential error during haemo-cytometry?

    <p>Inadequate calibration of the instrument</p> Signup and view all the answers

    Which mechanism is part of innate immunity?

    <p>Phagocytosis</p> Signup and view all the answers

    What is the main role of colorimetry in clinical biochemistry?

    <p>To detect the concentration of substances in solution</p> Signup and view all the answers

    Which of the following is a potential hazard in a clinical biochemistry laboratory?

    <p>Chemical spills</p> Signup and view all the answers

    What is the primary purpose of the Gram stain in microbiology?

    <p>To differentiate bacterial species based on cell wall structure</p> Signup and view all the answers

    Which instrument is primarily used for sterilization in microbiological procedures?

    <p>Autoclave</p> Signup and view all the answers

    What is measured using a pH meter in microbiology?

    <p>Acid-base balance of solutions</p> Signup and view all the answers

    Which of the following is true regarding the care of experimental animals in microbiology?

    <p>Regular health checks are necessary to prevent disease outbreaks</p> Signup and view all the answers

    What does dark ground illumination enhance in microscopy?

    <p>Resolution of transparent specimens</p> Signup and view all the answers

    Which of the following is a common method for observing live cells in microbiology?

    <p>Fluorescent microscopy</p> Signup and view all the answers

    What do chemotherapeutic agents target in microorganisms?

    <p>Cell wall synthesis and metabolic processes</p> Signup and view all the answers

    Which of the following instruments is used for monitoring enzyme-linked immunosorbent assays (ELISA)?

    <p>ELISA reader</p> Signup and view all the answers

    Which type of tissue is NOT typically examined in histopathology?

    <p>Muscled tissue</p> Signup and view all the answers

    Which method is primarily used for the demonstration of microorganisms in tissue?

    <p>Staining techniques</p> Signup and view all the answers

    What is the primary purpose of enzyme histochemistry in pathology?

    <p>To demonstrate enzymatic activity</p> Signup and view all the answers

    Which of the following is a technique used in cervical cytology?

    <p>Immunohistochemistry</p> Signup and view all the answers

    What is the main focus of aspiration cytology?

    <p>Obtaining tissue samples</p> Signup and view all the answers

    Which enzyme is primarily associated with liver function assessment and is commonly measured in serum tests?

    <p>SGPT (ALT)</p> Signup and view all the answers

    What is the primary purpose of the fructosamine test in semen analysis?

    <p>Measure glycosylated proteins</p> Signup and view all the answers

    Which of the following is a characteristic of paramyxoviruses?

    <p>Causes respiratory infections</p> Signup and view all the answers

    Which factor does NOT typically affect enzyme activity?

    <p>Patient age</p> Signup and view all the answers

    Which isoenzyme is primarily utilized to assess myocardial infarction?

    <p>CK-MB</p> Signup and view all the answers

    What type of test would predominantly measure free and total acidity in gastric analysis?

    <p>Gastric secretion assay</p> Signup and view all the answers

    Which viruses are classified under slow and oncogenic viruses?

    <p>Scrapie and Kuru</p> Signup and view all the answers

    Which parameter is commonly included in an infertility profile?

    <p>Free T3</p> Signup and view all the answers

    Study Notes

    Laboratory Organization & Safety

    • Importance of organization and safety in clinical biochemistry
    • Responsibility of medical lab technologists
    • Safety measures and hazards in the laboratory
    • First aid for laboratory accidents
    • Understanding laboratory equipment
    • Calibration of volumetric apparatus
    • Principles and applications of colorimetry, spectrophotometry, flame photometry, analytical balance
    • Preparation and storage of reagents
    • Standard solutions, buffer solutions, and pH determination
    • Biophysical techniques: osmosis, dialysis, surface tension, sedimentation, viscosity
    • Sterilization and disinfection:
      • Methods of sterilization: dry and moist heat radiation, filtration, autoclaving
      • Chemical disinfection
    • Henderson-Hasselbalch equation and its clinical applications
    • Acid-base disturbances and their clinical significance
    • Collection of blood specimens avoiding hemolysis, deproteinization, and separation of serum/plasma

    Blood Formation, Composition, and Functions

    • Formation and composition of blood
    • Functions of blood
    • Anticoagulants: mode of action, merits and demerits

    Hematology

    • Collection, preservation, transport, handling, and disposal of blood samples
    • Basic hematology and estimation of hematocrit values
    • Physiological variations, normal and absolute values
    • Quality assurance in hematology

    Blood Smear Staining

    • Romanowsky dyes, preparation, and staining procedures of blood smears
    • Morphology of blood cells and their identification

    Hemoglobinometry

    • Methods of hemoglobin measurement
    • Errors involved in hemoglobinometry
    • Standardization of instruments

    Hemocytometry

    • Procedure of cell count (visual and electronic): red cell, leukocyte, and platelet count
    • Errors involved in hemocytometry
    • Methods to minimize errors in hemocytometry

    Innate Immunity

    • Mechanisms of innate immunity
    • Phagocytosis
    • The complement system

    Adaptive Immunity

    • Gross structure and development of cells concerned with antibody production
    • Cellular processes involved in antibody formation

    Urine Analysis

    • Physical and biochemical examination of urine samples
    • Qualitative tests of inorganic urinary ingredients: chlorides, phosphate, sulfur compounds, sodium, potassium, calcium, magnesium, and their clinical significance
    • Qualitative tests for glycosuria, pentosuria, galactosuria, proteinuria, microalbuminuria, Bence Jones proteinuria, and their clinical significance
    • Qualitative tests of urine for uric acid, urea, and creatinine
    • Quantitative estimation of 2-hour urine for albumin and 17-ketosteroids and their clinical significance
    • Physiological variation of bio-metabolites in various body fluids and their clinical significance
    • Pathological changes in the composition of body fluids and their clinical correlation
    • Qualitative tests of urine for ketone bodies, bile pigments, and urobilinogen and their clinical significance

    Biochemistry

    • Carbohydrates: structure, classification, and their function in biological systems
    • Lipids: General structure of fatty acids, classification of lipids
    • Proteins: Classification, structural organization, and function of proteins
    • Enzymes: Definition, classification of enzymes, concept of active sites, and general mode of action of enzymes
    • Nucleic acids: Structure, function, and types of DNA and RNA

    Environmental Health

    • Water, air, and noise pollution
    • Removal of water hardness, purification of water, and standards of water quality
    • Air and noise pollution and their prevention
    • Housing and air conditioning

    Hygiene and Sanitation

    • Sanitation barriers, excreta disposal, and disposal of hospital waste
    • Incineration and disinfection

    Microbiology

    • Introduction to virology, mycology, and parasitology: characteristics, morphology, classification, nomenclature, pathogenesis
    • Antimicrobial agents and antibiotics: disinfectants, antiseptics, chemotherapeutic agents, chemotherapeutic index, development of chemotherapy

    Microscopy

    • Study of compound microscope: magnification, numerical aperture, resolution, components of the microscope, dark-ground illumination
    • Care of the microscope and common difficulties
    • Micrometry
    • Study of phase contrast, interference, fluorescent, and electron microscopes
    • Preparation of smears for electron microscopy
    • Study of pH in microbiology: Methods for measurements, pH meter
    • Preparation, dilution, and chemistry of suspension fluids
    • Oxidation-reduction (redox) potential
    • Preparation of stains: Making films, staining methods, mounting media
    • Gram's stain: Preparation of stain and staining methods
    • Special stains for AFB, diphtheria, spores, capsule, intracytoplasmic lipids, polysaccharides, nuclear material, Field's stain, stain for amoebae, fungi, and rickettsiae

    Instruments in Medical Microbiology

    • General Instruments: distillation plant, centrifuge machine, analytical balance, hotplate, magnetic stirrer, water bath, automatic dispensers and diluters, de-ionizer etc.
    • Microbiological instruments: autoclave, incubator, hot air oven, laminar air flow, colony counter, muffle furnace, refrigerator, inoculator, Mac-Intos field-jar etc.
    • Instruments used in immunology: electrophoresis, immunodiffusion. Starplate, chromatography, ELISA reader, automatic washer, and RIA equipments etc.

    Immunology

    • Principles of enzyme activity determination
    • Units for expressing enzyme activity
    • Factors affecting enzyme activity
    • Mechanisms responsible for abnormal enzyme levels
    • Isoenzymes: Serum CPK, CK-MB, LDH, SGOT (AST), SGPT (ALT), Cholinesterase, HBDH, amylase, alpha amylase, lipase, aldolase, and myoglobin
    • Serum leucine aminopeptidase, alkaline and acid phosphatases
    • Fructosamine test in semen
    • Analysis of renal, biliary, and prostatic stones
    • Tests for fetal well-being by amniotic fluid analysis
    • Analysis for alpha-fetoprotein and their clinical significance

    Gastric Analysis

    • Gastric analysis: free and total acidity, pentagastrin test, histamine, and caffeine stimulation tests

    Thyroid Function Tests

    • Thyroid function test (TFT): T3, T4, TSH, Free T3, Free T4, protein-bound iodine (PBI), thyroglobulin, and LATEs

    Infertility Profile

    • Infertility profile: TSH, FSH, LH, Testosterone, Estrogen, Prolactin, and DHEA sulphate

    Histopathology and Cytology

    • Types of tissues seen in Histopathology: Connective tissue, Epithelial tissue, Glandular, Benign and Malignant tumor tissue, Bone tissues, etc.
    • Handling of fresh histological specimens (tissues): Cryo/frozen sections of fresh and fixed tissues, Freeze drying
    • Lipids identifications and demonstration
    • Microorganisms in tissue – various staining techniques for their demonstration and identification
    • Nucleic acids, DNA, and RNA special stains and procedures
    • Cytoplasmic constituents and their demonstration
    • Tissues requiring special treatment: Eye, bone marrow biopsy, undercalcified bones
    • Neuropathological techniques
    • Enzyme histochemistry: Demonstration of phosphatases, dehydrogenases, oxidase, and peroxidases, etc.
    • Electron Microscope: Working principles, components and allied techniques for electron microscopy, ultra-microtomy
    • Immunohistochemistry
    • Cervical cytology – basis of detection of malignant and pre-malignant lesions
    • Hormonal assessment of sex chromatin
    • Demonstration of sex chromatin
    • Aspiration cytology: Principles, indications, and utility of the techniques with a special emphasis on the role of the cytotechnologist in FNAC clinics

    Miscellaneous Microbes and Pathogenic Viruses

    • Actinomyces, Nocardia, Donovania, Treponema, Chlamydia, Rickettsiae, Mycoplasma, and pathogenic fungi
    • Pathogenesis, pathology, and laboratory diagnosis

    Poxviruses

    • Smallpox, Vaccinia, Molluscum contagiosum

    Herpes Viruses

    • Herpes Simplex, Chickenpox-Zoster, CMV, IMN, and Burkitt’s Lymphomas

    Adenoviruses

    • Pharyngeal infections, respiratory infections, and conjunctival infections

    Orthomixoviruses

    • Influenza Types A, B, C, etc.: Influenza

    Paramyxovirus

    • Respiratory infections, mumps, and measles

    Miscellaneous Viruses

    • Rubella, corona arena viruses, Rubella, common cold, lymphocytic choriomeningitis

    Picorna Viruses

    • Enteroviruses, poliomyelitis, aseptic meningitis, and epidemic myalgia, Rhinoviruses, common cold.

    Hepatitis Viruses

    • Infectious and Serum Hepatitis

    Arboviruses

    • Encephalitis, yellow fever, dengue fever.

    Rhabdoviruses

    • Rabies

    Slow and Oncogenic Viruses

    • Scrapie, Kuru, and animal virus tumors.

    Cell Culture and Observation of Viral Effects

    • Technique, procedure, and interpretation of results
    • Safety measures in the Microbiology laboratory
    • Occurrence of lab infections
    • Routes of infection in the laboratory
    • Safety measures and precautions when working with pathogens
    • Experimental animal care and management: General directions for the care of animals, handling infected materials, necropsy, common diseases and experimental procedures
    • Various experimental animals: Rabbits, guinea pigs, mice, rats, hamsters, fowls, and monkeys - their characteristics, cages, feeding, and handling.

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    Description

    Test your knowledge on laboratory organization and safety protocols in clinical biochemistry. This quiz covers essential topics including safety measures, first aid, laboratory equipment, and biochemical techniques. Understand the responsibilities of medical lab technologists and the importance of proper reagent preparation and storage.

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