MCQ Hematology special techniques

 

                              



1.       What is the primary function of platelets in hemostasis?

a.       Oxygen transport

b.       Clot formation

c.       Immune response

d.       pH regulation

 

2.       Which platelet aggregation pathway is initiated by ADP?

a.       Intrinsic pathway

b.       Extrinsic pathway

c.       Common pathway

d.       Secondary pathway

 

3.       What is the role of tissue factor in the extrinsic pathway of coagulation?

a.       Activates platelets

b.       Initiates clot formation

c.       Inhibits fibrinolysis

d.       Enhances platelet aggregation

 

4.       Which vitamin is essential for the synthesis of clotting factors II, VII, IX, and X?

a.       Vitamin A

b.       Vitamin C

c.       Vitamin D

d.       Vitamin K

 

5.       What does the activated partial thromboplastin time (APTT) assess?

a.       Intrinsic pathway

b.       Extrinsic pathway

c.       Platelet function

d.       Fibrinolysis

 

6.       Which of the following is a platelet adhesion molecule?

a.       Fibrinogen

b.       Thrombin

c.       Factor VIII

d.       von Willebrand factor

 

7.       Sudan Black B is used to stain cells for the detection of:

a.       Lymphomas

b.       Myeloid leukemia

c.       Hodgkin's disease

d.       Multiple myeloma

 

8.       The presence of Auer rods is characteristic of:

a.       Chronic lymphocytic leukemia

b.       Acute myeloid leukemia

c.       Hodgkin's lymphoma

d.       Multiple myeloma

 

9.       Which cytochemical stain is commonly used to detect iron in bone marrow aspirates?

a.       Prussian blue

b.       Wright's stain

c.       Giemsa stain

d.       Toluidine blue

 

10.   In hemostasis, what is the final step in the formation of a stable blood clot?

a.       Fibrinolysis

b.       Platelet aggregation

c.       Clot retraction

d.       Coagulation cascade

 

11.   Which of the following factors is NOT involved in the intrinsic pathway of coagulation?

a.       Factor VIII

b.       Factor IX

c.       Factor VII

d.       Factor XII

 

12.   What is the purpose of the prothrombin time (PT) test?

a.       Assess platelet function

b.       Evaluate the intrinsic pathway

c.       Monitor anticoagulant therapy

d.       Measure fibrinolysis activity

 

13.   Which clotting factor deficiency is associated with hemophilia A?

a.       Factor II

b.       Factor V

c.       Factor VIII

d.       Factor X

 

14.   The Philadelphia chromosome is a characteristic cytogenetic abnormality in which hematological malignancy?

a.       Chronic lymphocytic leukemia

b.       Acute lymphoblastic leukemia

c.       Chronic myeloid leukemia

d.       Multiple myeloma

 

15.   Which of the following is a characteristic feature of lymphoma cells on cytochemical staining?

a.       Auer rods

b.       Reed-Sternberg cells

c.       Smudge cells

d.       Blasts

 

16.   The bleeding time test primarily assesses the function of:

a.       Platelets

b.       Coagulation factors

c.       Fibrinolysis

d.       Vascular endothelium

 

17.   Which vitamin deficiency can lead to impaired platelet function?

a.       Vitamin A

b.       Vitamin B12

c.       Vitamin C

d.       Vitamin D

 

18.   What is the primary function of von Willebrand factor in hemostasis?

a.       Platelet activation

b.       Coagulation cascade initiation

c.       Clot retraction

d.       Platelet adhesion

 

19.   The presence of Bence Jones proteins in urine is associated with which hematological malignancy?

a.       Hodgkin's lymphoma

b.       Multiple myeloma

c.       Acute lymphoblastic leukemia

d.       Chronic myeloid leukemia

 

20.   Which coagulation factor is activated by thrombin in the final common pathway of coagulation?

a.       Factor V

b.       Factor IX

c.       Factor XIII

d.       Factor VII

 

21.   What is the primary function of the spleen in hematopoiesis?

a.       Red blood cell destruction

b.       Platelet production

c.       White blood cell maturation

d.       Hemoglobin synthesis

 

22.   Which cytochemical stain is used to demonstrate reticulin fibers in bone marrow biopsies?

a.       Prussian blue

b.       Wright's stain

c.       Silver stain

d.       Giemsa stain

 

23.   What is the significance of the D-dimer test in hemostasis assessment?

a.       Detection of clotting factor deficiencies

b.       Monitoring anticoagulant therapy

c.       Diagnosis of disseminated intravascular coagulation (DIC)

d.       Assessment of platelet function

 

24.   The clot retraction process is primarily mediated by which cellular component?

a.       Platelets

b.       Red blood cells

c.       Neutrophils

d.       Lymphocytes

 

25.   In which phase of hemostasis does fibrinolysis occur?

a.       Clot formation

b.       Clot retraction

c.       Clot stabilization

d.       Clot dissolution

 

26.   Which of the following conditions is associated with prolonged bleeding time?

a.       Thrombocytosis

b.       Hemophilia

c.       Thrombocytopenia

d.       Vitamin K deficiency

 

27.   The Ristocetin-induced platelet aggregation test assesses the function of which clotting factor?

a.       Factor I (Fibrinogen)

b.       Factor V

c.       Factor VIII

d.       Factor XIII

 

28.   What is the primary function of the endothelium in hemostasis?

a.       Platelet aggregation

b.       Clot initiation

c.       Anticoagulation

d.       Fibrinolysis

 

29.   Which of the following is a characteristic feature of chronic myeloid leukemia (CML) on peripheral blood smear?

a.       Smudge cells

b.       Philadelphia chromosome

c.       Auer rods

d.       Reed-Sternberg cells

 

30.   Which coagulation factor deficiency is associated with hemophilia B?

a.       Factor II

b.       Factor VII

c.       Factor IX

d.       Factor X

 

31.   The presence of Howell-Jolly bodies in peripheral blood smears is indicative of dysfunction in which organ?

a.       Liver

b.       Spleen

c.       Kidney

d.       Bone marrow

 

32.   Which laboratory test is used to monitor the therapeutic effect of heparin?

a.       Prothrombin time (PT)

b.       Activated partial thromboplastin time (APTT)

c.       International normalized ratio (INR)

d.       Thrombin time

 

33.   The JAK2 mutation is commonly associated with which myeloproliferative disorder?

a.       Essential thrombocythemia

b.       Polycythemia vera

c.       Myelofibrosis

d.       Chronic lymphocytic leukemia

 

34.   What is the primary function of factor XIII in the coagulation cascade?

a.       Platelet activation

b.       Clot initiation

c.       Clot stabilization

d.       Fibrinolysis

 

35.   The presence of Rouleaux formation in peripheral blood smears is associated with which condition?

a.       Iron deficiency anemia

b.       Multiple myeloma

c.       Hemophilia

d.       Thrombocytopenia

 

36.   Which of the following conditions is characterized by a prolonged thrombin time?

a.       Hemophilia

b.       Disseminated intravascular coagulation (DIC)

c.       von Willebrand disease

d.       Factor XIII deficiency

 

37.   The Bernard-Soulier syndrome is characterized by a deficiency in which platelet receptor?

a.       GPIb-IX

b.       GPVI

c.       Integrin alphaIIb-beta3

d.       P-selectin

 

38.   What is the primary function of plasmin in the fibrinolytic system?

a.       Clot initiation

b.       Clot stabilization

c.       Clot retraction

d.       Clot dissolution

 

39.   Which of the following cytochemical stains is commonly used to identify lymphocytes in peripheral blood smears?

a.       Sudan Black B

b.       Wright's stain

c.       Prussian blue

d.       Toluidine blue

 

40.   The presence of Heinz bodies in red blood cells is associated with the ingestion of which substance?

a.       Lead

b.       Iron

c.       G6PD deficiency

d.       Folate

 

41.   What is the primary function of antithrombin in the coagulation cascade?

a.       Clot initiation

b.       Clot stabilization

c.       Clot retraction

d.       Inhibition of clotting factors

 

42.   Which of the following conditions is characterized by a deficiency of factor XI?

a.       Hemophilia A

b.       Hemophilia B

c.       Hemophilia C

d.       von Willebrand disease

 

43.   The Tartrate-Resistant Acid Phosphatase (TRAP) stain is used to identify cells associated with which hematological malignancy?

a.       Acute myeloid leukemia

b.       Chronic lymphocytic leukemia

c.       Multiple myeloma

d.       Hodgkin's lymphoma

 

44.   Which coagulation factor is activated by the intrinsic pathway and plays a role in the common pathway of coagulation?

a.       Factor II (Prothrombin)

b.       Factor VIII

c.       Factor X

d.       Factor XIII

 

45.   The presence of blasts in the peripheral blood is characteristic of which hematological malignancy?

a.       Chronic myeloid leukemia (CML)

b.       Acute myeloid leukemia (AML)

c.       Chronic lymphocytic leukemia (CLL)

d.       Hodgkin's lymphoma

 

46.   Which of the following is a characteristic feature of disseminated intravascular coagulation (DIC)?

a.       Prolonged APTT

b.       Thrombocytosis

c.       Elevated fibrinogen levels

d.       Increased antithrombin levels

 

47.   Which clotting factor is vitamin K-dependent and is essential for the amplification of the coagulation cascade?

a.       Factor II (Prothrombin)

b.       Factor VII

c.       Factor IX

d.       Factor XIII

 

48.   The presence of schistocytes on peripheral blood smear is indicative of:

a.       Hemophilia

b.       Thrombotic thrombocytopenic purpura (TTP)

c.       von Willebrand disease

d.       Essential thrombocythemia

 

49.   Which of the following conditions is associated with a deficiency of intrinsic factor?

a.       Hemophilia A

b.       von Willebrand disease

c.       Thrombotic thrombocytopenic purpura (TTP)

d.       Pernicious anemia

 

50.   The BCR-ABL fusion gene is associated with which hematological malignancy?

a.       Chronic myeloid leukemia (CML)

b.       Acute lymphoblastic leukemia (ALL)

c.       Multiple myeloma

d.       Non-Hodgkin's lymphoma

 

 

Question

Answer

Question

Answer

Question

Answer

Question

Answer

Question

Answer

1

b

11

c

21

a

31

b

41

d

2

a

12

c

22

c

32

b

42

c

3

b

13

c

23

c

33

c

43

c

4

d

14

c

24

a

34

c

44

c

5

a

15

c

25

d

35

b

45

b

6

d

16

a

26

c

36

b

46

a

7

b

17

c

27

c

37

a

47

a

8

b

18

d

28

c

38

d

48

b

9

a

19

b

29

b

39

b

49

b

10

c

20

d

30

c

40

c

50

a


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