SAUDI COUNCIL EXAMINATION

CHOSE THE CORRECT ANSWER

1) The best anti-coagulant in blood cultures is:
aSodium oxalates
bSodium citrates
cSodium sulphonates
dHeparin

2) All the following samples are stained with Gram stain except:
aSputum
bBacteria
cUrine and stool
dWater cultures
3) Sodium chloride percentage in agar culture is
a0.58 %
b0.058 %
c0.0058 %
d58.0 %
4) Agar is characterized by all the following except: aNutritive
b- Un-nutritive
c- Freezing point is 42C
d- Melting point is 100C
5) The normal value of sodium in serum is :
a- 135 - 145 mmol/ml
b- 135 - 145 mg/dl
c- 135 - 145 mmol/dl
d- 135 - 145 mg/ml
6) Gram staining start with
a- Iodine
b- Safranine
c- Methyl violet
d- Crystal green

7) The causative organism of Toxoplasma is

a- Cats
b- Dogs
c- Flees
d- Lice

8) Gram negative samples are stained with

a- Blue colour
b- Yellow colour
c- Red colour
d- Violet colour

9) The colour of
1

Brilliant microscope
c- Florescent microscope
d- Electron microscope

bY
e
ll
o
w

cG
r
e
e
n
dB
l
a
c
k
b0.03
3
micr
ons
c2.2
micr
ons
d0.45
micr
ons
1
aS
a
n
d
fl
y
bMos
quit
oes
cFlee
s
dPug
s
b-

13)
V
i
r
u
s
i
s
s
i
m
il
a
r
t
o
li
v
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o
r
g
a
n
i
s
m
s
i
n
a
C
r
y
s
t
a
ll
i
z
a
ti
o
n
b- Movement
c- Growth
d- Reproduction
14) The
2

l
b0.02
mic
rons
c0.00
2
mic
rons
d2,0
mic
rons
b
S
e
r
u
m

c- Urine bilirubin
d- All of the previous

16) Which of the following

causing enlargement of
RBCs a- Reticulocytes
b- Platelets
cP
l
a
s
m
o
d
i
u
m
dL
e
i
s
h
m
a
n
i
a

b
il
ir
u
b
i
n

17) The best sample for the culture of children

paralysis virus is
aS
t
o
o
l
c
u
l
t
u
r
e
bC
S
F
3

n
c
u
lt
u
r
e
cA
n
a
l
s
w
a
b
bCult
ure
medi
a cWate
r
d
M
i
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r
o
p
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f
i
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t
e
r
s
bL
e
s
s
t
h
a

5
0
m
g
/

d
l
c
1
2
0
m
g
/
d
l
d- 160 mg/dl
20) To differentiate between the two streptococci
group which enzyme is used
a- Co-amylase
b
C
a
t
a
l
a
s
e
c
A
m
y
l
a
s
e
.
4

microscope
d
K
i
n
a
s
e
bD
a
r
k
fi
e
l
d
m
i
c
r
o
s
c
o
p
e
c
B
ri
ll
i
a
n
t
m
i
c
r
o
s
c
o
p
e
dUltr
aviol
et

22) The antibiotic disc which differentiate

between group A streptococci and other
groups is
a- Neomycin
b- Bacitracin
c- Tetracycline
d- Erythromycin
23)
All of the
following is true for
salmonella except aContain cilia
b
P
r
o
d
u
c
e
H
2
g
a
s
c
O
x
y
g
e
n
p
o
s
i
t
i
v
e
d- Does not ferment lactose
5

c
r
e
a
s

cS
al
iv
ar
y
gl
a
n
ds
dP
a
n

d
i
s
e
a
s
e
s
e-

c and

d25) One jaundice patient has yellow skin and eye led, his bilirubin is
a- 0.1 mg/dl
b- 2.5 mg/dl
c- 1.2 mg/dl
d- 5.0 mg/dl
26) Acute diabetic patient has
a- Blood sugar more than 150 mg/dl
b- Blood sugar more than 180 mg/dl
c- Glucose and acetone in urine
d- Non of the previous
27) The normal value of bilirubin is
a- Less than 1.0 mg/dl
b- 0.2 - 2.0 mg/dl
c- Less than 2.0 mg/dl
d- Non of the previous
28) Diabetic patient has one of the following symptoms
a- Acidosis
b- Alkalosis
c- Dryness
d- All of the previous
29) Insulin is regulating blood sugar by
a- Increase the influx of glucose into cells
b- Increase the out flux of glucose from cells
c- activate glycogenesis
d- a and c
30) The nutritive substance in culture media is
a- Sugar
b- Agar
c- Ratings
d- Starch
31) The best media for urine culture is
a- Agar agar
: b- Nutrient agar
c- Chock let agar
d- Clad

32) The sterilization temperature of autoclave is

a- 85C for half an hour
b- 121C for 15 minutes
c- 150C for 30 minutes
d- Non of the previous

8)
33) Shigella soni colour on MacConkey and EMB is
a- Red
b- Pink
c- Colorless
d- Black

34) The oil emersion lens is

a- 10000
b- 100
c- 1000
d- 400

35) The Dwarf worm is

a- Tenia saginata
b- Fasciola
c- H. nana
d- Schistosoma
36) All the following compounds are present in gram stain except aSafranine
b- Methyl violet
c- Malachite green
d- Iodine
37) The diagnostic stage of amoeba is
a- Cyst
b- Trophozoite
c- a and b
d- Non of the previous
38) To check the intestinal efficacy the following test is done
a- Amylase
b- Stool fats
c- Lipase
d- Pepsin
39) The worm which cause blood in urine is
a- Schistosoma haematobium
b- Fasciola
c- H. nana
d- Ascaris
40) The significant count of bacteria to be inflammation is
a- More than 105
b- Less than 105
c- More than 103
d- Less than 103

41) To investigate gram stained sample we use the following microscope

a- Light microscope
b- Brilliant microscope cFlorescent microscope
d- Double phase microscope
42) The most important buffer system in the blood is
a- Haemoglobin system
b- Phosphate system
c- Bicarbonates system
d- Acetic acid system
43) All the following bacteria are interobacter except
a- E. coli
b- Klebsiella
c- Proteus
d- Non of the previous

44) In the microscope when using objective lens 10 and eye lens 10, the
magnification power of the microscope is
a- 10
b- 1000
c- 100
d- 10000
45) All the following parameters affecting Gram staining except
a- Use conc.H2S04
b- Add absolute alcohol after washing
c- Delaying the dryness of the slide
d- Non of the previous
46) Glycogen is stored in
. a- Liver
b- Muscles
c- a and b
d- Non of the previous
47) Malaria schizonts are present in
a- Leucocytes
b- RBCs
c- Platelets
d- Reticulo-endothelial
48) Comma of the diabetic patient
shows .
a- Glucose greater than
200 mg/dl
.
bGlucose greater than 500 mg/dl
.
c- Glucose less than 200 mg/dl
d- Non of the above

9)
49) Blood donor selection in K. S.A. are all of the following except
a- Hb% 12.5 - 16
b- Free from syphilis
c- Jaundice free
d- One year after delivery
50) Solidifying agent in culture media is
a- Wax
b- Starch
c- Agar
d- Non of the above
51) Agar which used as a solidifying agent in culture media concentration is
a- 1 - 2 %
b- 4 - 9 %
c- 5 - 9%
d- Non of the above

52) To sterilizing culture media we use

a- Autoclave
b- Oven
c- Boiling
d- Hot plate
53) Bone matrix can also called
a- Osteon
b- Fibrous tissue
c- Vascular tissue
d- Non of the above

54) Unidirectional movement of WBCs directly to its target is

a- Chemotaxis
b- Phagocytosis
c- Sliding
d- Non of the above

55) When focusing a stained smear under oil immersion field the used
magnification is
a- 10 X
b- 20 X
c- 40 X
d- 100 X
56) In myocardial infraction
a- Level of LDH is high
b- Level of Alkaline phosphatase is high
c- Level of CK-MB is high
d- Level of GOT is high
.
.

57) Variation
in
RBCs
size is

a
b
A
ni
s
o
c
yt
o
si
s
cMicr
ocyt
osis
dPoly
chro
masi
a

a- M
a
j
o
r

xma
tch
ing
bMi
nor
xma
tch
ing
cAn
tib
od
y
scr
ee
n
dNo
n
of
the
ab
ov
e

59) Serum LDH is elevated in aCardiac disease

b- Hepatic disease
c- Renal disease
d- Skeletal disease
60) Elevated sodium is seen in
a- Severe dehydration bShock
c- a and b
d- Non of the above
62) Which test is better to diagnose
chronic common bile duct
a- S-GPT
b- S-GOT
c- Total bilirubin
d- ALP

63) Generally diagnosed by recovery and

identification of typical larva in stool
a
-

61) Serum
chloride
is
increase
d in aSevere
dehydra
tion
b- Shock
c- Diabetic acidosis dNon of the above

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r
a

64) Enlarged RBCs is common in

a
P
.
v
i
v
a
x
b
P
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10)
65) Which of the following is not laying eggs in small
intestine
a- Hook worm
b- Pin worm
c- T. trichura
d- T. saginata

69) W
h
i
l
e

66) Blood culture is used to diagnose

a- C. tetani
.
b- C. diphteria
c- M. tuberculosis
d- Non of the above

u
s
i
n
g

67) How much of water should be added to 500 ml of a solution of 10%

t
h
e

of
NAOH to bring it to 7.5%
a- 666 ml
b- 125 ml
.
c- 166 ml
d- 250 ml
68) Ten microliters are
a0.0
1
L
b0.0
01
L
c0.0
00
1
L
d- Non of the above

p
r
e
g
n
a
n
c
y
t
e
s
t
w
e
a
r
e

measuring
aBeta
HCG
bTotal
HCG
c- Beta HCG
and LH dBeta HCG and
FSH
70) Abnormal constitutes of urine
include .
a- Urea
b- Glucose
cCholeste
rol dProteins
71) With age the renal threshold for
glucose a- Increased
b- Decreased
c- Does not
changed dNon of the
above
72) Most of the concentrations are calculated using a factor, this
factor is
a- Standard absorption/standard concentration
b- Standard concentration/standard absorption
c- Standard concentration x standard absorption
d- Non of the above
73) Calibrator sera are
a- Primary standards
b- Secondary standards c- Tertiary standards
d- Internal standards

74) A buffer made of

a- A strong acid with a
strong salt b- A strong
acid with a weak salt cA weak acid with a
strong salt d- A weak
acid with a weak salt

75) A standard microplates in elisa

test has

b
-

a
9

w
e
l
l
s

9
8

w
e
l
l
s

b
M
i
c
r
o
p
l
a
t
e

c
9
2
w
e
l
l
s

c
B
u
f
f
e
r

d
9
4
w
e
l
l
s

d- Non of the above

77) Antigen
antibody
complexe
s are aWeakly
bound
b- Strongly bound
c- Not bound at all
d- Non of the above

76) The enzyme in elisa testing is

present in the
aCo
nju
78) The washing is a must in all heterogenous e1isa technique because
gat
a- It removes the excess binding
e
b- Increase the specificity
c- Increase the sensitivity
d- Non of the above
79) The label in elisa tests is
a- Enzyme
b- Antibody
c- Antigen
d- Radio active substance
80) The difference between plasma and serum is that plasma
a- Contains fibrinogen
b- Does not contain fibrinogen
c- Has more water
d- Has less water

81)Five ml of coloured solution has an absorbance of 0.500 nm, the absorbance

of 10 ml of the same solution is
a- 1.000 nm
b- 0.500 nm
c- 0.250 nm
d- 0.250 nm

82) Plasma or serum should be separated at the earliest for estimation of

glucose because
a- The glucose value decreases with time
b- Glucose value increases with time
c- Lysis of blood will occur
d- Non of the above
83) Sensitivity and specificity are
a- Directly related
b- Reversely related
c- They mean the same
d- Non of the above
84) A dichromatic analysis is carried to increase
a- Specificity
b- Sensitivity
c- Linearity
d- Non of the above
85) Causes of high serum bilirubin are
a- Overload on liver
b- Cholestasis
c- Haemolysis
d- All of the above
86) Polio myelitis is transmitted through
a- Feco-oral
b- Respiration
c- Skin
d- Non of the above
87) Malaria does not grow in
a- Packed RBCs
b- EDTA blood
c- Plasma
d- Heparinized blood
88) Serious organism that causes food poisoning
a- Staph. albus
c- Clostridium spelica
b- Salmonella enteritidis
d- Salmonella typhi

11)
12)

89)Vaginal discharge occur with all except

a- Gardnerella
b- Trichomonas vaginalis
c- Chlamydia
d- Candida
e- Gonorrhea
90) Hemophilia man married to normal woman the incidence of his children is
a- Carrier male
b- Carrier female
c- Diseased male
e- Normal
d- Diseased female
91) Which of the following cause UTI and it is indole positive
a- Klebsiella
b- Staphylococcus
c- E. coli
d- Salmonella
92) Blood transfusion can transmit
a- HIV
b- CMV
cHepatitis
B
virus .
d- All of the
above

93) ADH is secreted from

a- Posterior pituitary
b- Anterior pituitary
c- Hypothalamus
d- Thyroid gland
94) The following enzyme is more affected by hemolysis
a- SGOT
b- Alkaline phosphatase
c- SGPT
d- LDH
95) Glycosylated hemoglobin of diabetic patient is important for
a- Long term follow up
b- Short term follow up
c- Patient has to come fasting
d- Non of the above
96) For glucose tolerance test
a- You have collect 5 blood samples only bYou have collect 5 urine samples only
c- You have collect 5 blood samples and 5 urine samples
You have collect 4 blood samples and 4 urine samples

d-

97) One of the following heart enzymes is measured after 4-8

hours of chest pain
a- GPT
c- CPK
b- GOT

d- LDH

98)
bGPT

phosphatase
101) One
of the following is specific
c- HBDH
diagnostic enzyme

d- CPK

b
-

a
-

B
i
l
i
r
u
b
i
n

G
G
T

c
U
r
e
a
d- All
of the
above
eNon
of the
above
aG
PT
bG
O
T
cL
D
H
dC
P
K
eAlkal
ine

b
G
O
T
c
-

L
D
H
d
C
P
K

102) Alkaline phosphatase is

a
L
i
v
e
r
e
n
z
y
m
e
b

B
o
n
e
e
n
z
y
m
e
cP
l
a
c
e
n
t
a
l
e
n
z
y
m
e
d
A
ll
o
f
t
h
e
a
b
o
v
e
e
N
o

n
o
f
t
h
e
a
b
o
v
e

103) One of the following

is pancreatic enzyme
. a- CPK
b- Lipase
c- GOT
d- Acid phosphatase

104) One of the following is

pancreatic enzyme

a
A
m
y
l
a
s
e
b
G
O
T
c- LDH
d- CPK

105) All of the following are heart enzymes except

a- GPT
b- GOT
c- LDH
d- CPK
106) Saliva is rich in
a- LDH
b- GPT
c- Amylase
d- Alkaline phosphatase
107) The following enzyme is important before anesthesia
a- Alkaline phosphatase
b- LDH
c- Acid phosphatase
d- Pseudocholine esterase
108) Acid phosphatase is
a- Liver enzyme
b- Prostatic enzyme
c- Heart enzyme
d- All of the above

109) In uric acid estimation

a- Patient has to come fasting
b- Uric acid is affected by carbohydrate meal
c- No need for fasting
d- Non of the above
110) Metabolic gout is different from renal gout in
a- Serum uric acid level
b- Blood urea level
c- Urine uric acid level
d- Plasma total proteins level
111) All the following biochemical tests are affected by meal except
a- Uric acid
b- Creatinine
c- Albumin
d- Glucose
112) Sodium is the main
a- Intracellular anion
b- Extracel1ular cation
c- Intracellular cation
d- Extracellular anion

113) Potassium is the main

a- Intracellular anion
b- Extracellular cation
c- Intracellular cation
d- Extracellular anion
114) One of the following electrolyte is more affected by hemolysis
a- Calcium
.
b- Sodium
c- Magnesium
d- Potassium

115) In blood glucose estimation the following is required

a- Fasting blood glucose
b- Glycosylated Hb
c- Post prandial blood glucose
d- Fructosamine
/
e- All of the above

116) The best kidney function test is

Total protein
b- Urea
c- Creatinine clearance
d- Albumin

a-

117) The following kidney function test is affected by exogenous factors

.
a- Total protein
b- Urea
c- Creatinine
d- Creatinine clearance
118) For GTT in adults, the dose of glucose
is
. a- 50 gram
b- 100 mg
c- 75 gram
d- Non of the above
119) For GTT in a child, the dose of glucose is
a- 30 mg
b- 15 gram
c- 30 gram
d- 75 gram
120) Random blood glucose
a- Is used to justify blood glucose
b- Gives an idea about blood glucose in urgent cases
c- Patient to fast
d- Non of the above

121) Immunoglobulin is
a- Synthesized in liver
b- y- globulin
c- - globulin

d- - globulin
122) Ig-M is
a- Acute immunoglobulin
b- Immunoglobulin in allergic conditions
c- Chronic immunoglobulin
d- - globulin
123) Ig-A is
a- Acute immunoglobulin
b- Immunoglobulin in allergic conditions
c- Chronic immunoglobulin
d- - globulin
124) Exogenous triglyceride is carried on
a- VLDL
b- Chylomicron
c- LDL
d- HDL
125) Endogenous triglyceride is carried on
a- VLDL
b- Chylomicron
c- LDL
d- HDL
126) Harmful cholesterol is carried on
a- VLDL
b- Chylomicron
.
c- LDL
d- HDL
127) Useful cholesterol is carried on
a- VLDL
b- Chylomicron
c- LDL
d- HDL
128) Intramuscular injection increase the activity of the following enzyme
a- GPT
b- CPK
c- CPK-MB
d- LDH

129) Muscular exercise increase the activity of the following enzyme

a- CPK-MB
b- GOT
c- Total CPK
d- Alkaline phosphatase
130) For lipid investigation patient has to come fasting for
a- 4-6 hours
b- 12-14 hours
c- 6-8 hours
d- No need for fasting
131) Chylomicron is
a- The diameter of RBC
b- Size of one lipid molecule
. c- One of lipoproteins
d- All of the above
132) Glucose-6-phosphate dehydrogenase is
a- Cardiac enzyme
b- Pancreatic enzyme
c- AMP pathway enzyme
dProstatic enzyme
133) Estimation of G6PDH is a test to
a- Measure blood glucose
b- To diagnose hemolytic anemia
c- To diagnose myocardial infraction dTo diagnose pancreatic disease
134) To measurer G6PDH we use aPlasma
b- Whole blood
c- Serum
d- All of the above
135) At what temperature degree blood is stored in blood bank
a- 2-4 C
b- 4-8 C
c- 8-12
d- Non of the above
136) Amoeba move by
a- Pseudopodia
b- Cilia
c- Flagella
d- Non of the above

13 7) Trypanosoma move by
a- Pseudopodia
b- Cilia
c- Flagella
d- Non of the above
138) Giardia move by
a- Pseudopodia
b- Cilia
c- Flagella
d- Non of the above
139) Entamoeba histolytica cyst is appear in which part of gastrointestinal tract
a- Stomach
b- Small intestine
. c- Large
intestine . d- Non of
the above

140) Sand fly transmits which disease

a.Leishmaniasis
b- Filariasis
c- Amoebiasis
d- Non of the above
141) By eating uncooked meet a person can infected with
. a- Tape worm
b- Hook worm
c- Round worm
d- Non of the above
142) One of the following is capsulated bacteria
a- Klebsiella
b- E. coli
c- Streptococcus
d- Staphylococcus aureus
143) One of the following is Gram positive bacilli
a- Anthrax bNeisseria cE. coli
d- Non of the above
144) The following parasite can seen in the blood
a- Malaria
b- Filaria
c- Trypanosoma
e- All of the above
. d- Leishmania

145) The following parasite can seen in urine

a- Schistosoma hematobium
b- Filaria
c- Trypanosoma
d- Leishmania
146) Female anopheles transmits which disease
a- Leishmaniasis
b- Filariasis
c- Amoebiasis
.
d- Malaria
147) Imfic reaction of E. coli is
a++-b--++
c+-+d+--+
148) Trophozoite of amoeba which engulfs RBC is
a- E. coli
b- H. nana
c- E. histolytica
d- Giardia lamblia
149) Diagnosis of G. lamblia is by
a- Cyst
b- Trophozoite
c - a and b
d- Non of the above
150) Tuberculosis is acid fast because
a- Stained in acid media
b- Can not be discolored in acid media
c- a and b
d- Non of the above
151) Na, K and Cl are best measured with
a- Spectrophotometer
b- Flame photometer
c- Elisa
d- RIA

152) When using normal saline that is mean the concentration of sodium
chloride is
a- 0.85 gram %
.
b- 0.95 gram %
.
c- 1.0 gram %
d- Non of the above

IJ