ACTS Review Center

Rm 509 J&T Bldg. 3894 R. Magsaysay Blvd. Sta. Mesa, Manila 1016

02-8716-76-83 / 02-8714-34-08

MARCH 2025 – INTENSIVE RECAP CLINICAL MICROSCOPY

PREPARED BY: ERROL CODERES, RMT

1. RTE cells originating from the collecting ducts appear as:

a. Cigar-shaped b. Round c. Cuboidal d. Oval

2. The following are the recommended conditions in using and preserving reagent strips, EXCEPT:

a. Keep at room temperature b. Closed tightly c. Store in a dark container d. Blotted on the tissue faced down

3. Post-vasectomy semen analysis should be done ____ after the surgery:

a. 3 months b. 2 months c. 6 months d. 1 year

4. What is(are) the variable(s) included in the Modification of Diet in Renal Disease formula?

1. Ethnicity 2. BUN 3. Serum Albumin 4. Body weight

a. 3 only b. 1 and 3 c. 1, 2 and 4 d. 1, 2 and 3

5. HCG is produced by which of the following?

a. Syncytiotrophoblast cells b. Argentaffin cells c. Endocervical glandular cells d. Type II pneumocytes

6. How many days will hCG in urine disappear after ectopic pregnancy?

a. 10 days b. 3-7 days c. 15 days d. 30 days

7. The animal source of anti-hCG used in home-based pregnancy test kits is:

a. Frog b. Mouse c. Rabbit d. Horse

8. Synovial fluid forms a string that is 6 cm long. This is considered:

a. Abnormal b. Poorly viscous c. Normal d. Highly viscous

9. True regarding sputum:

a. Normal color is green c. Rusty with pus is due to CHF

b. Usually sterile d. Produced by the tracheobronchial tree

10. Reagent used in the Apt test:

a. Potassium hydroxide b. Sulfuric acid c. Sodium hydroxide d. Hydrochloric acid

11. Bence-Jones protein coagulates at ________ and dissolves at __________:

a. 40-60OC, 100OC b. 100OC, 40-60OC c. <40OC, 100OC d. 100OC, <40OC

12. How many neutrophils per high power field are indicative of invasive diarrhea?

a. 0-2 b. 1-3 c. 2-3 d. ≥ 3

13. An obsolete test of evaluating kidney function in which the patient should not drink any fluid for 24 hours and then urine S.G. is measured:

a. PSP dye test b. PAH dye test c. Mosenthal test d. Fishberg test

14. The last step in the handwashing procedure is:

a. Turn off faucets with a clean paper towel c. Rinse hands in a downward position

b. Clean between fingers for at least 15 seconds d. Wet hands with warm water

15. A nurse arrived from the ward with a urine specimen and left immediately. You checked the specimen right after the nurse left. Upon checking

the specimen, there is no label attached to it. As a medical technologist, what is the best course of action to take?

a. Reject the specimen c. Call the nurse and tell that the specimen is QNS and reject it

b. Call the nurse who delivered the specimen and ask to label it d. Tell the nurse to inform the patient to recollect a new urine sample

16. Principle(s) applied in the mechanism of the slideless automated instrument for urine microscopy:

a. Fluorescence, impedance and light scatter c. Impedance and reflectance photometry

b. Fluorescence d. Light scatter

17. A spermatid count determination was performed on a semen specimen. On microscopic examination, 10 round-looking cells were observed. The

patient’s sperm concentration is 40 million sperms per mL. The spermatid count is approximately:

a. 4,000,000 b. 40,000,000 c. 400,000 d. 2,500,000

18. Ten calcium oxalate crystals were seen per HPF. How do you report this finding?

a. Rare b. Few c. Moderate d. Many

19. Which of the following can be used to differentiate bacterial from non-bacterial (viral) meningitis?

a. CEA b. AFP c. Procalcitonin d. CYFRA 21-1

20. These are blood vessels that supply blood to the kidneys:

a. Efferent arterioles b. Afferent arterioles c. Renal arteries d. Renal veins

21. A protein reagent strip reaction of 1+ is equivalent to approximately ____ of protein:

a. <30 mg/dL b. 30 mg/dL c. 100 mg/dL d. 300 mg/dL

22. Which of the following organisms produces positive nitrite reagent strip reaction?