13. Amongst the immunity cells, the memory is not the function of:
A. T-lymphocytes
B. B-lymphocytes
C. NK cells
D. CD 8+ cells
E. CD 4+cells
Key: C
14. A person who spent one year at high altitude, has developed
polycythemia; this may be due to:
A. Polycythemia vera
B. Secondary polycythemia
C. Presence of tumor
D. High blood volume
E. Lung disease
Key: B
15. The peripheral blood film of a patient suffering from vitamin B12
deficiency is most likely to show:
A. Hypochromic macrocytic anemia
B. Normochromic macrocytic anemia
C. Hyperchromic macrocytic anemia
D. Hyperchromic microcytic anemia
E. Normochromic microcytic anemia
Key: B
16. A Couple requests blood typing of their 2-year-old child (father AB,
Rh-negative; mother B, Rh-negative). Results of hemagglutination
assays of the Childs blood are as follows: (+= hemagglutination;
-= no hemagglutination):
Saline plus child’s RBC -
Anti A plus child’s RBC -
Anti B plus child’s RBC +
Anti D plus child’s RBC -
Child’s serum plus type A RBC +
Child’s serum plus type B RBC -
Child’s serum plus type D RBC -
Which of the following conclusion concerning child’s parentage is
valid
A. The child could be the natural offspring of this couple
B. The mother could be the natural mother, but the father could not be
the natural father
C. The father could be the natural father, but the mother could not be
natural mother
D. Neither the father not the mother could be the natural plus
Key; A
18. A lady was brought the emergency room in shock due to PPH. Her
blood group was unknown but her blood was coagulated when
mixed with serum containing anti A antibodies and similarly
coagulated when her serum was mixed with B +ve blood. The
blood most suitable to be transfused to her is:
A. O-ve
B. O+ve
C. A+ve
D. AB +ve
E. B +ve
Key; C
22. Regarding the eerythroblastosis fetalis all of the following are true
except:
A. The fetus is Rh positive
B. The mother is Rh negative
C. The father is Rh positive
D. Many of the fetal red cells are nucleated
E. Liver and spleen are shrunken
Key: B
23. The need for Vit B12 & folic acid in the formation of red blood cells is
related primarily to their effects on :
A. Synthesis & release of erythropoietin from the kidney
B. Absorption of iron from the gul
C. DNA synthesis in the bone narrow
D. Hemoglobin formation in RBCs
E. RNA synthesis in developing RBCs
Key: C
24. Over the past & weeks, a 66-yer-old woman with moderately severe
aortic stenosis has had worsening of her shortness of breath and
exertional chest pains. Examination shows pallor & jugular venos
distention. Test of the stool for occult blood is positive.
Laboratory studies shows:
27. Which of the following is the most likely cause of these finding :
A. ABO incompatibility
B. Bacterial contamination of the blood unit
C. Intravenous catheter infection
D. Preformed antibodies to minor blood group antigens
E. Performed antibodies to leukocyte antigens
Key: A
28. Which of the following is the most likely to have prevented this
complication:
A. Administration of leukocyte-free blood
B. Administration of washed erythrocytes
C. Daily changing of peripheral intravenous sites
D. Meticulous sterile technique and preservation
E. Strict adherence to labeling and identification
Key; E
29. Stimulation of erythropoietin secretion by kidney is because of:
A. Hypoxia
B. Rennin
C. Angiotensin II
D. Anemia
E. Calcium ions
Key: A
31. In case of O2 –Hb dissociation curve, shift to the left is due to:
A. Increase DPG
B. Increase CO2
C. Increase temperature
D. Increase pH
E. Increase hydrogen ion
Key: D
38. A woman G2 P1 A0 during 20 weeks has 11.8 g/dl Hb during the 30th
week has Hb of 10.2 g/dl, most probably she is suffering from:
A. Physiological anemia
B. Iron deficiency anemia
C. Leukemia
D. Megaloblastic anemia
E. Thalassemia
Key: B
44. A 6-month-old boy bruises easily and has bleeding gums on several
occasions for 2 months. A maternal uncle has a bledding
disorder. Examination shows several small bruises on the legs.
Partial thromboplastin time is prolonged, and prothrombin time is
normal. Which of the following is the most likely coagulation
factor deficiency :
A. Factor III
B. Factor VII
C. Factory VIII
D. Factor X
E. Factor XIII
Key; C
45. A 28-years-old lady with Rh –ve blood group, deliver a Rh +ve baby.
To prevent the Rh incompatibility in subsequent pregnancy, the
most appropriate measure is:
A. Blood transfusion
B. Immunoglobulin D
C. Amniocentesis
D. Corticosteroids
E. Abortion
Key; B
60. Blood groups which can be safely given in the first & subsequent
transfusions include:
A. Blood group “A” (Rh) to an individual with blood group “B2” rhesus
positive (+)
B. Blood group “A” (Rh) to an individual wit blood group “B” (Rh)
C. Blood group “B” (Rh) to an individual wit blood group “A1” (Rh)
D. Blood group “O” (Rh) to an individual with blood group “A” (Rh)
E. Blood group “BI” (Rh) to an individual with blood group “A” (Rh)
Key: D
72. A patient presented with epistaxis, and bruises on his body; his
bleeding and clotting times are prolonged. The next appropriate
test to make diagnosis is:
A. Agglutination test
B. Platelet count
C. Antibody titer
D. Serology
E. LFTs
Key: B
73. For transfusing blood in a body after his/her birth with history of Rh
incompatibility, the blood should be :
A. Corss-matched with fetus blood
B. Cross-matched with mother blood
C. Rh negative blood
D. ABO incompatible
E. Leukocytes depleted
Key E
75. Regarding fibrin stabilizing factor all of the following are true except:
A. Is present in plasma as a precursor
B. Requires Ca for its activity
C. Cross links fibri monomers
D. Changes solubility of fibrin clot
E. Requires for intrinsic coagulation only
Key: E
79. Regarding the fragility of RBCs all of the following are true except:
A. The more spherical the cells greater the fragility
B. Normal RBC hemolyze when they are placed in hypertonic saline
C. Spectrin is important in maintaining RBC cytoskeleton
D. Ankyrin attaches membrane skeleton of RBC to transmemebrane
proteins
E. Susceptibility to hemolysis increases by deficiency of enzyme G-6-
P-D (glucose – 6phosphate dehydrogenase)
Key: B
85. Regarding bleeding from a small cut in the skin all of the following
are true except:
A. Is normally diminished by local vascular spasm
B. Ceases within about 5 minutes in normal people
C. Will be prolonged if factor VIII (antihemophilic globulin) is absent
D. Is likely to be greater if the skin is warm the cold
E. Is prolonged in thrombocytopenia
Key: C
87. A female patient is found to be anemic, his RBC’s are microcytic and
hypochromic. His serum ferritin is reduced but total iron binding
capacity is markedly increased. Which of the following is true for
this patient:
A. Oral iron will be avidly absorbed
B. Iron as Fe+3 will be more rapidly absorbed then Fe+2
C. Free iron will be absorbed betterthan bound iron
D. Stomach is not needed for iron absorption
E. Iron will be absorbed from the terminal ileum
Key: A
89. Regarding red blood cells all of the following are true except:
A. Are formed in yolk sac in early embryonic life
B. Contain carbonic anhydrase which contribute n its acid-base buffer
power
C. Are reticulocytes if stained with cresyl blue
D. Have a life span of 120 days
E. Contain agglutinins on their cell membrane
Key: E
98. :
A.
99. :
A.
100. :
A.