NAME: _______________________________ SCORE: __________

DATE: ________________
INTERNSHIP MONTHLY EVALUATIVE EXAM
THIRD EVALUATIVE EXAM
CLINICAL CHEMISTRY
A. Answer the following accordingly.
1. A patient arrived in the laboratory by 8am. After an hour, he was called by the intern for blood extraction. During blood
extraction, the intern did not notice that the tourniquet was tied for almost 3 minutes. What will happen to the following
analytes:
a. Calcium b. Glucose c. Protein d. Cholesterol
2. What is the appropriate color-coded evacuated tube to be used for the following tests:
a. STAT serum tests b. Glucose only c. Blood gas
d. Coagulation assays e. CEA determination
3. Enumerate 4 sites of venipuncture.
a. b. c. d.
4. ALP and GGT are examples of analytes tested in liver function test. What will happen to the following analytes
respectively if the serum tube used for determination is not covered by a carbon paper?
a. b.
B. COMPUTATION.
5. The following results were obtained from a patient with autoimmune hemolytic anemia.
a. Direct bilirubin: 4µmol/L
b. Indirect bilirubin: 5mg/dL
c. Calculate total bilirubin.

C. TRUE OR FALSE. Write TRUE if the statement is TRUE, if otherwise, change the underlined word/words to make the
statement correct.
______________________1. Record keeping is part of post analytical phase of quality assurance.
______________________2. Quality control is concerned with the analytical phase of quality assurance.
______________________3. When plasma is to be used for lipid determination, blood is cooled in an ice bath 4C as soon
as it is drawn.
______________________4. EDTA should never be used for enzyme determination.
______________________5. Overfasting causes a decrease in the concentration of glucose in the body.

ESSAY.
1. Describe the extract in evacuated tube #4. What are the possible causes?
2. Discuss the principle of the illustration below.

3. In the laboratory, results are plotted on a LJ chart. Below is an example of a LJ chart. Identify the violation in the
Westgard rule and what is the best course of action?

4. What is the principle of the machine given below?

5. Discuss the proper laboratory waste disposal.

Prepared by:
A.V. Lagliva, RMT
Clinical Instructor
NAME: _______________________________ SCORE: __________
DATE: ________________
INTERNSHIP MONTHLY EVALUATIVE EXAM
THIRD EVALUATIVE EXAM
HEMATOLOGY
A. Answer the following accordigly.
1. A patient diagnosed with dengue arrived in the hospital laboratory for blood extraction. What will be the expected
result of the following CBC parameter.
a. Hemoglobin/Hematocrit b. WBC count c. Platelet count
2. What appropriate color-coded evacuated tube will be used for the following tests:
a. Malarial smear preparation b. D-Dimer test c. Troponin T
d. ABG e. Thrombin time
3. Enumerate 3 stain used for reticulocyte counting.
a. b. c.
4. What poikilocytes can be seen in the peripheral blood of patient with severe Iron deficiency anemia.
a. b. c. d.
B. COMPUTATION.
5. What is the absolute reticulocyte count of a 25 year-old female patient with beta thalassemia if the following results
were obtained after all laboratory tests were made?
Reticulocyte count: 5.7%
RBC count: 2.7x1012/L
MCV: 75fL
MCHC: 30%

C. TRUE OR FALSE. Write TRUE if the statement is TRUE, if otherwise, change the underlined word/words to make the
statement correct.
________________________1. When performing erythrocyte sedimentation rate (ESR), increased temperature will also
increase ESR.
________________________2. The result of reptilase time will be prolonged if a patient is undergoing heparin therapy.
________________________3. A patient with hereditary spherocytosis will have a high osmotic fragility test result.
________________________4. A 6-10 teardrop cell/HPF on a peripheral blood smear is graded as 3+.
________________________5. When EDTA is used as an anticoagulant for ESR, abnormally high results will be
obtained.

ESSAY.
1. What are the abnormal cells that can be found on the picture below? Based on the cells present, what is the possible
diagnosis of the patient and why?
2. What is the cause of the agglutination of red cells in tube A after left standing at room temperature? What is the best
course of action to take if you encounter this in the laboratory to minimize its effect to the result of CBC?

3. What kind of red cells predominate? What are the conditions where these red cells are seen on the peripheral blood
smear?

4.What type of test is being performed on the given picture? Discuss its principle.

5. Discuss the proper laboratory waste disposal.

Prepared by:
A.V. Lagliva, RMT
Clinical Instructor
NAME: _______________________________ SCORE: __________
DATE: ________________
INTERNSHIP MONTHLY EVALUATIVE EXAM
THIRD EVALUATIVE EXAM
MICROBIOLOGY
A. Answer the following accordingly.
1. After incubation, yellow colonies were observed on MAC. What are the possible microorganisms that grow yellow
colonies on MAC.
a. b. c. d.
2. An unknown sample was subjected to Indole, Methyl Red, Vogues Proskauer, Citrate test, and yields a positive indole,
positive MR, negative VP, and negative citrate utilization test result. What are the possible microorganisms that can yield
the said result.
a. b. c.
3. Enumerate the bacteria that shows beta hemolysis on BAP.
a. b. c.
4. What type of staining are used to identify specialized parts of bacteria.
a. b. c.
5. Give 2 selective media for the isolation of N. gonnorhea.
a. b.
B. COMPUTATION.
6

.
1. Which is the countable plate? #CFU?
2. Calculate the CFU/mL for the countable plate.
C. TRUE OR FALSE. Write TRUE if the statement is TRUE, if otherwise, change the underlined word/words to make the
statement correct.
________________________1. Bacteria are in highest numbers in the blood just before fever spikes.
________________________2. CSF should be kept at refrigerated temperature prior to plating.
________________________3. A reporting of 3+ for AFB on direct smear by the CDC indicates that there are
1-9AFB/100 fields.
________________________4. Micrococci spp are Taxo A sensitive.
________________________5. Erysipelothrix rhusiopathiae is the causative agent of erysipelas.
ESSAY.
1. Discuss the procedure for the identification of microorganisms. The first picture was the bacterial isolate on BAP, the
second picture was the same bacterial isolate on MSA.
2. Discuss the proper collection of specimen for culture and sensitivity.

3. Discuss the proper procedure for the identification of microorganism that grows both on MAC and EMB seen in the
picture below.

4. Discuss the principle of the Biosafety cabinet given.

5. Discuss the proper laboratory waste disposal.

Prepared by:
A.V. Lagliva, RMT
Clinical Instructor