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ASCP HT Exam: Practice Questions

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About the ASCP HT exam

The ASCP Histotechnician (HT) certification exam will assess your knowledge and skills required to be a histotechnician. The exam is set by the American Society for Clinical Pathology (ASCP).

About these practice questions

These practice questions will help prepare you for the ASCP HT exam.

This page contains 250 practice questions divided into the five sections of the exam: 1. Fixation, 2. Processing, 3. Embedding/Microtomy, 4. Staining, and 5. Laboratory operations.

All questions have been carefully designed to mimic the questions on the real exam, to help you prepare and get a passing grade.

Sections

  1. Fixation
  2. Processing
  3. Embedding/Microtomy
  4. Staining
  5. Laboratory operations

Section 1: Fixation

1.1) How much water needs to be added to 100 mL of pure bleach to make 10% bleach?
  1. 700 mL
  2. 800 mL
  3. 900 mL
  4. 1,000 mL
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1.2) Which of these reagents contains mercuric chloride?
  1. Bouin's fluid
  2. Crystal violet
  3. Picric acid
  4. Zenker's fluid
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1.3) Why are bacterial smears heat-fixed before staining?
  1. To make the cell walls permeable so the stain can penetrate
  2. To melt the bacteria so they release their toxins
  3. To prevent cells from being washed off during staining
  4. To provide a warm temperature for the bacteria to grow
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1.4) What is the term for formaldehyde dissolved in water?
  1. Acetone
  2. Cytospray
  3. Ethyl acetate
  4. Formalin
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1.5) Smears for cytology must be fixed:
  1. immediately
  2. within 2 hours
  3. within 8 hours
  4. within 16 hours
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1.6) Which of these is a fixative?
  1. EDTA
  2. Hydrochloric acid
  3. Xylene
  4. Zenker's fluid
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1.7) Which of these is a compound fixative?
  1. Acetic acid
  2. Bouin's fluid
  3. Formaldehyde
  4. Picric acid
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1.8) Which of these actions will prevent the formation of acid formaldehyde hematin in formaldehyde solutions?
  1. Adding drops of cytochrome b5 reductase
  2. Keeping the solutions refrigerated
  3. Using buffered formalin
  4. Washing excess fixative overnight with water
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1.9) Which chemical is added to formalin as a stabilizer?
  1. Half-normal saline
  2. Iodine
  3. Methanol
  4. Sodium phosphate
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1.10) What percent of pure formalin is formaldehyde?
  1. 7–10%
  2. 17–20%
  3. 27–30%
  4. 37–40%
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1.11) Which fixative do Pap stains use?
  1. 10% buffered formalin
  2. 95% ethanol
  3. Helly's fixative
  4. Methanol
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1.12) Specimens should be placed in a fixative that is ______ times greater than the volume of the tissue.
  1. 10–20
  2. 20–30
  3. 30–40
  4. 40–50
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1.13) Which chemical is added to formalin as a buffer?
  1. Half-normal saline
  2. Iodine
  3. Methanol
  4. Sodium phosphate
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1.14) How is a 10% solution of stock formalin made?
  1. 1 part stock formalin with 10 parts water
  2. 1 part stock formalin with 9 parts water
  3. 9 parts stock formalin with 1 part water
  4. 10 parts stock formalin with 1 part water
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1.15) During fixation, why is buffered formalin used instead of normal formalin?
  1. To inactivate cellular enzymes
  2. To keep the tissue dehydrated
  3. To maintain a neutral pH
  4. To prevent cells from bursting
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1.16) Fixatives work best at what pH?
  1. 3
  2. 5
  3. 7
  4. 9
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1.17) Which of these fixatives is alcohol-based?
  1. B-5 fixative
  2. Carnoy’s fixative
  3. Formalin
  4. Helly’s fixative
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1.18) Picric acid fixatives such as Bouin's fixative give tissue which color?
  1. Blue
  2. Green
  3. Orange
  4. Yellow
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1.19) Which molecule is most commonly associated with streaming artifacts?
  1. Cholesterol
  2. Glycogen
  3. Myosin
  4. Phosphatidylglycerol
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1.20) Dark brown granular artifacts are often caused by fixatives containing which chemical?
  1. Calcium
  2. Mercury
  3. Sodium
  4. Zinc
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1.21) What is the preferred fixative for Masson Trichrome?
  1. Acetone
  2. Bouin's solution
  3. Formalin
  4. Zenker's fixative
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1.22) What is autolysis?
  1. The decay of tissue by bacteria
  2. The denaturing of proteins by chemical fixation
  3. The destruction of cells by their own enzymes
  4. The dissolution of cells by enzymes from another organism
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1.23) When transporting tissue specimens in cold weather, how much alcohol should be added to the formalin to prevent the tissue from developing freeze artifacts?
  1. 1 part alcohol to 3 parts formalin
  2. 1 part alcohol to 5 parts formalin
  3. 1 part alcohol to 7 parts formalin
  4. 1 part alcohol to 9 parts formalin
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1.24) In Bouin's solution, what fixative ingredient has a tissue-swelling effect that balances the tissue-shrinking effect of the picric acid?
  1. Acetic acid
  2. Chloroform
  3. Formaldehyde
  4. Mercuric chloride
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1.25) Which of these fixatives is a cross-linking fixative?
  1. Bouin's solution
  2. Carnoy's solution
  3. Ethanol
  4. Formaldehyde
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1.26) What type of fixation artifact occurs when unfixed material in the tissue moves from its original location?
  1. Chatters
  2. Floater
  3. Orientation
  4. Streaming
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1.27) How do cross-linking fixatives preserve tissue?
  1. By denaturing proteins in the tissue
  2. By diffusing mitochondria across the cell wall
  3. By forming bonds between molecules of the tissue
  4. By overlapping sequence information in strands of DNA
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1.28) Buffered commercial formalin is approximately ____ formaldehyde gas by weight/volume.
  1. 4%
  2. 10%
  3. 40%
  4. 70%
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1.29) A tissue slide has holes in the cells and extracellular matrix. What is the cause?
  1. Formalin pigments
  2. Ice crystals
  3. Incomplete decalcification
  4. Overheating
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1.30) What can happen if the heat fixation step is skipped in Gram staining?
  1. All organisms will appear colorless
  2. All organisms will appear gram-negative
  3. All organisms will appear gram-positive
  4. No cells will appear on the slide
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Section 2: Processing

2.1) Anti-CD3 antibodies are used in immunohistochemistry to identify which type of cell?
  1. B cell
  2. Mast cell
  3. Plasmacytoid dendritic cell
  4. T cell
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2.2) In histology, what is xylene used for?
  1. Attaching coverslips to slides
  2. Clearing tissue
  3. Dehydrating tissue
  4. Fixing autopsy specimens
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2.3) Which of these factors would increase the tissue processing time for a histology specimen?
  1. Dense tissue
  2. Few pieces of tissue in the tissue cassette
  3. Porous tissue
  4. Small specimen size
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2.4) What is the correct order of steps to process tissue containing calcium?
  1. Decalcify, dehydrate, fix, wash
  2. Decalcify, dehydrate, wash, fix
  3. Fix, decalcify, wash, dehydrate
  4. Fix, dehydrate, wash, decalcify
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2.5) What does a tissue cassette do?
  1. Cuts tissue after processing
  2. Holds tissue during processing
  3. Keeps tissue refrigerated
  4. Labels slides
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2.6) Which of these is the slowest method of decalcification?
  1. EDTA
  2. Formic acid
  3. Hydrochloric acid
  4. Nitric acid
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2.7) During tissue dehydration, tissue is placed in increasing strengths of which substance?
  1. Chromic acid
  2. Ethanol
  3. Sodium citrate
  4. Water
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2.8) Which ethanol strength is used last when dehydrating tissues?
  1. 70%
  2. 80%
  3. 90%
  4. 100%
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2.9) Which clearing agent does NOT make tissues transparent/translucent?
  1. Benzene
  2. Cedarwood oil
  3. Chloroform
  4. Xylene
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2.10) Which of these is a disadvantage of xylene as a clearing agent?
  1. Expensive
  2. Removes aniline dyes
  3. Slow
  4. Toxic
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2.11) Why do clearing agents need to be miscible with alcohol?
  1. So they can dehydrate tissues completely
  2. So they can remove dehydrating agents from tissues
  3. To prevent damage to the clearing agent
  4. To prevent damage to the tissue
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2.12) What happens if tissue is left in xylene for more than three hours?
  1. The tissue becomes a milky color
  2. The tissue becomes brittle
  3. The tissue becomes red
  4. The tissue swells in size
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2.13) After fixation, bone tissue samples must be:
  1. decalcified
  2. frozen
  3. left at room temperature for at least 24 hours
  4. refrigerated
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2.14) Why are tissues dehydrated before embedding?
  1. Because wax is hydrophobic
  2. To make the tissue transparent
  3. To remove calcium ions from the specimen
  4. To stop autolysis and putrefaction
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2.15) If paraffin is not infiltrated properly, the tissue will:
  1. become soft and crumbly
  2. become too hard to cut properly
  3. liquefy
  4. lose its color
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2.16) What is the purpose of tissue infiltration?
  1. To give structural support to the tissue
  2. To keep the cells alive
  3. To rehydrate the tissue
  4. To remove bacteria from the tissue
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2.17) During tissue processing for histology, what type of water does the dehydration step remove?
  1. Bound
  2. Free
  3. Hard
  4. Ionized
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2.18) Which of these is an advantage of frozen sectioning over paraffin sectioning?
  1. It is better at preserving antigenicity
  2. It is resistant to freeze artifacts
  3. It maintains tissue morphology with less damage
  4. The sections are more physically stable
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2.19) Immunohistochemistry uses antibodies to detect:
  1. antigens
  2. enzymes
  3. lipids
  4. nucleic acid sequences
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2.20) There are white patches on slides after the deparaffinization step. Which of these could be the cause?
  1. The dye was overoxidized
  2. The dye was too acidic
  3. The slides were in xylene for an insufficient amount of time
  4. The slides were too dry before deparaffinization
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2.21) When performing a control for an immunohistochemical test, the positive control should be:
  1. an antibody of a different isotype to the antibody used in the test
  2. a tissue that expresses the antigen of interest
  3. cells from a different species to the cells used in the test
  4. tissue-specific transcription factors
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2.22) Which of these cell block preparation techniques uses heat and is inexpensive?
  1. Celloidin method
  2. Gelatin
  3. Glucomannan-formalin with methanol
  4. Picric acid
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2.23) Overdehydration of tissue can cause what type of artifact?
  1. Fulguration
  2. Shrinkage
  3. Squeeze
  4. Streaming
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2.24) At what speed and for how long is the sample centrifuged in the plasma thrombin method of preparing cell blocks?
  1. 1–2 minutes at 2500–3000 rpm
  2. 1–2 minutes at 5500–6000 rpm
  3. 5–10 minutes at 2500–3000 rpm
  4. 5–10 minutes at 5500–6000 rpm
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2.25) In immunohistochemistry, blocking prevents:
  1. antibody-antigen interactions
  2. cross-linking of proteins
  3. loss of antigenicity
  4. nonspecific antibody binding
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2.26) What is the expected result of a negative control of an immunohistochemical test?
  1. No specific staining
  2. Staining of all cells
  3. Staining of cells expected to express the antigen
  4. Staining of cells without the antigen
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Section 3: Embedding/Microtomy

3.1) What is the most widely used medium for infiltration and embedding?
  1. Formic acid
  2. Paraffin wax
  3. Permount
  4. Xylene
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3.2) Paraffin wax should be used at ___________ its melting point.
  1. 5–10°C below
  2. 2–3°C below
  3. the same temperature as
  4. 2–3°C above
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3.3) An advantage of paraffin wax embedding is:
  1. easy storage
  2. it preserves fats
  3. sections can be cut ultra-thin
  4. you can view tissue without a microscope
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3.4) What is the melting point of Paraplast?
  1. 52–56°C
  2. 62–66°C
  3. 72–76°C
  4. 82–86°C
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3.5) For how long can formalin-fixed paraffin-embedded tissue (FFPE) be stored for?
  1. 1-2 weeks
  2. 1-2 months
  3. 6-12 months
  4. Indefinitely
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3.6) Why are tissues embedded in paraffin wax?
  1. So they can be cut into sections
  2. So they can be fixed in formalin
  3. To decalcify them
  4. To kill microorganisms
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3.7) Sectioning is the process of:
  1. cutting tissue into thin slices
  2. infiltrating tissue samples with paraffin
  3. preserving biological tissues from decay
  4. removing dehydrating agents from tissues
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3.8) Tissue flotation baths are set at what temperature?
  1. 30–40°C
  2. 40–50°C
  3. 50–60°C
  4. 60–70°C
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3.9) Tissues are sectioned using a:
  1. coverslipper
  2. microtome
  3. tissue embedding center
  4. tissue processor
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3.10) Microtome blades should generally be angled at around:
  1. 5 degrees
  2. 15 degrees
  3. 25 degrees
  4. 35 degrees
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3.11) Which of these is a disadvantage of paraffin wax embedding?
  1. Difficult storage
  2. Poor subsequent staining with H&E
  3. The inability to cut very thin sections
  4. The inability to ribbon
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3.12) Microtomes can cut tissue at thicknesses varying from 2 to 50 ________
  1. nanometers
  2. micrometers
  3. millimeters
  4. centimeters
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3.13) A freezing microtome is also known as a:
  1. cryostat
  2. hand microtome
  3. sledge microtome
  4. ultramicrotome
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3.14) Infiltration is the:
  1. permeation of tissue with ethanol
  2. permeation of tissue with wax
  3. removal of calcium from tissue
  4. removal of water from tissue
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3.15) Which microtome is used to prepare tissue sections for electron microscopy?
  1. Cryostat
  2. Rotary microtome
  3. Sledge microtome
  4. Ultramicrotome
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3.16) Which freezing technique is the coldest?
  1. Aerosol sprays
  2. Carbon dioxide gas
  3. Carbon dioxide ‘cardice'
  4. Liquefied nitrogen
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3.17) A lab technician has cut a ribbon of sections from a tissue block. What should the lab technician do next?
  1. Add a few drops of a softening agent
  2. Float the sections on warm water
  3. Leave the sections in a freezer for an hour
  4. Submerge the sections in ethanol
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3.18) What is the most common type of microtome in laboratories?
  1. Cryostat
  2. Rotary microtome
  3. Sledge microtome
  4. Ultramicrotome
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3.19) Diamond blades are needed to cut:
  1. bone
  2. intestinal tissue
  3. muscle tissue
  4. skin tissue
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3.20) Which blade can NOT cut tissue for electron microscopy?
  1. Gem-quality diamond
  2. Glass
  3. Industrial-grade diamond
  4. Steel
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3.21) Plastic sections used in transmission electron microscopy are typically cut how thick?
  1. 60–100 nm
  2. 60–100 μm
  3. 6–10 μm
  4. 6–10 mm
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3.22) Wax sections are typically cut how thick during microtomy?
  1. 4–10 nm
  2. 40–100 nm
  3. 4–10 µm
  4. 4–10 mm
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3.23) For electron microscopy, sections must be about _______ times thinner than sections for light microscopy.
  1. 2
  2. 20
  3. 200
  4. 2,000
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3.24) A histologist is cutting tissue into sections using a microtome. However, the tissue sections keep sticking to the block on the return stroke. Which of the following actions would correct the problem?
  1. Cool the block with ice
  2. Decalcify the block
  3. Increase the clearance angle
  4. Tighten the knife in the holder
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3.25) A lab technician cuts paraffin sections and places them in a water bath. However, the sections do not flatten properly and remain wrinkled. What should the lab technician do?
  1. Change the water in the water bath
  2. Check the water bath for air bubbles
  3. Increase the temperature of the water bath
  4. Place the sections in a vacuum integration bath
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3.26) "Chatters" refer to:
  1. fragments of bone dust in the specimen
  2. holes in epithelium and tissue spaces
  3. intracellular clefts and vacuoles in skeletal muscle
  4. thick or thin zones in the tissue parallel to the knife edge
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3.27) Which embedding medium is used for electron microscopy studies?
  1. Agarose
  2. Gelatin
  3. Paraffin
  4. Resin
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3.28) Which type of microtome is used to cut celloidin?
  1. Laser
  2. Saw
  3. Sliding
  4. Vibrating
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3.29) What does the H&E staining method use as a dewaxing agent?
  1. Eosin
  2. Formalin
  3. Hematoxylin
  4. Xylene
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Section 4: Staining

4.1) Which Gram stain reagent acts as a mordant to bind the stain to the bacteria?
  1. Acetone
  2. Ethanol
  3. Iodine
  4. Safranin
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4.2) __________ staining is the process of staining living cells that have been removed from the body.
  1. Gram
  2. In vivo
  3. Positive
  4. Supravital
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4.3) Which of these stains is supravital?
  1. New methylene blue
  2. Romanowsky stain
  3. Wright's stain
  4. Ziehl-Neelsen stain
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4.4) Which of these could cause stain precipitation?
  1. Excessive buffer
  2. Excessive humidity in the air
  3. Insufficient staining time
  4. Use of aged staining solutions
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4.5) What are the two dyes in the Romanowsky stain?
  1. Carbol fuchsin and methylene blue
  2. Crystal violet and carbol fuchsin
  3. Crystal violet and safranin
  4. Methylene blue and eosin
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4.6) Giemsa's solution is a mixture of:
  1. eosin, methylene blue, and azure B
  2. eosin, safranin, and hematoxylin
  3. phloxine, methylene blue, and hematoxylin
  4. safranin, azure B, and hematoxylin
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4.7) What is the decolorizing agent in the Ziehl Neelsen stain?
  1. Absolute alcohol
  2. Acetone
  3. Acid alcohol
  4. Xylol
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4.8) Identify the false statement about the preparation of reticulocyte smears.
  1. Reticulocyte smears are used to determine the number of white blood cells present in a sample
  2. The dyes used can be new methylene blue or brilliant cresyl blue
  3. The stain and the cells must be left to react for 15 minutes before making the smear
  4. The staining technique is called supravital staining
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4.9) In regressive staining, tissue sections are ___________ and then differentiated with dilute acid until the optimal endpoint is reached.
  1. dehydrated
  2. hydrated
  3. overstained
  4. sectioned
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4.10) Before staining, paraffin sections must be:
  1. dewaxed
  2. left underwater for at least an hour
  3. refrigerated
  4. submerged in a chlorine solution
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4.11) In the hematoxylin and eosin (H&E) staining method, the eosin stains:
  1. connective tissue blue
  2. cytoplasms pink
  3. microorganisms blue
  4. nuclei pink
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4.12) When a smear is too red, neutrophil granules look:
  1. blue-red
  2. brilliant red
  3. indistinct
  4. light blue
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4.13) New methylene blue reagent is used to stain:
  1. Heinz bodies
  2. eosinophils
  3. platelets
  4. reticulocytes
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4.14) Which type of bacteria does the Ziehl-Neelsen stain identify?
  1. Acid-fast
  2. Facultative anaerobic
  3. Gram-negative
  4. Spore-forming
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4.15) What is the counterstain in Gram's technique?
  1. Acetone-alcohol
  2. Crystal violet
  3. Iodine
  4. Safranin
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4.16) What is the correct order of reagents used for Gram staining?
  1. Crystal violet, iodine, acetone-alcohol, safranin
  2. Crystal violet, safranin, acetone-alcohol, iodine
  3. Iodine, crystal violet, acetone-alcohol, safranin
  4. Safranin, iodine, crystal violet, acetone-alcohol
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4.17) Why are bacterial smears heat-fixed before staining?
  1. To make the cell walls visible under the microscope
  2. To prevent the cells from washing off the slide during staining
  3. To provide a warm temperature for the bacteria to grow
  4. To remove alcohol from the slide
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4.18) Which of these is a Romanowsky stain?
  1. Gram stain
  2. Jefferson stain
  3. Leishman stain
  4. Sudan stain
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4.19) What cell structure turns blue in H&E staining?
  1. Cytoplasm
  2. Golgi apparatus
  3. Nuclei
  4. Reticulum
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4.20) The most common mordant for H&E staining is:
  1. Alcian blue
  2. alum
  3. eosin
  4. sodium metabisulfite
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4.21) What is the decolorizer in H&E staining?
  1. Acid-alcohol
  2. Eosin
  3. Orange G
  4. Peroxide
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4.22) Which two stains are routinely used in Pap stains?
  1. Hematoxylin and eosin
  2. Methenamine silver and mucicarmine
  3. Periodic acid-Schiff-diastase and azur
  4. Perl's Prussian blue and mucicarmine
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4.23) The Pap stain stains which structure blue, purple or black?
  1. Cytoplasm
  2. Golgi apparatus
  3. Mitochondria
  4. Nuclei
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4.24) What is the ratio of eosin to methylene blue in eosin methylene blue?
  1. 1:1
  2. 1:2
  3. 3:1
  4. 6:1
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4.25) Which of these dyes is alkaline?
  1. Acid fuchsin
  2. Carbol fuchsin
  3. Eosin
  4. Orange G
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4.26) Which of these dyes is acidic?
  1. Basic fuchsin
  2. Crystal violet
  3. Eosin
  4. Safranin
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4.27) Mucicarmine is used primarily to stain:
  1. elastic fibers
  2. epithelial mucin
  3. fat
  4. nervous tissue
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4.28) Which stain can differentiate collagen fibers from other fibers?
  1. Hematoxylin and eosin stain
  2. Masson's trichrome stain
  3. Reticular stain
  4. Sudan stain
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4.29) Which of these stains is a trichrome stain?
  1. Gomori
  2. Papanicolaou
  3. Romanowsky
  4. Verhoeff-van Gieson
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4.30) Which solution in Masson's trichrome stain is sometimes referred to as the fiber stain?
  1. Ferric chloride in hydrochloric acid
  2. Hematoxylin in 95% ethanol
  3. Solution B
  4. Solution C
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4.31) Lillie's trichrome uses which dye for the plasma stain?
  1. Biebrich scarlet
  2. Congo red
  3. Eosin
  4. Xylidine ponceau
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4.32) Which element does Perls Prussian blue detect?
  1. Iron
  2. Lead
  3. Mercury
  4. Potassium
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4.33) Amyloid staining uses which red dye?
  1. Biebrich scarlet
  2. Congo red
  3. Eosin
  4. Xylidine ponceau
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4.34) The Grocott-Gomori stain is used widely as a screen for:
  1. HIV
  2. fungi
  3. influenza
  4. salmonella
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4.35) Van Gieson's stain is a mixture of picric acid and:
  1. acid fuchsin
  2. methylene blue
  3. thionine
  4. toluidine blue
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4.36) The HvG stain is a combination of Van Gieson's stain and which dye?
  1. Crystal violet
  2. Giemsa
  3. Hematoxylin
  4. Safranin
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4.37) At which of these pH levels is Alcian blue solution used?
  1. 2.5
  2. 4.5
  3. 6.5
  4. 8.5
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4.38) What color is acid fuchsin?
  1. Black
  2. Green
  3. Orange
  4. Red
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4.39) What color are red blood cells after Giemsa staining?
  1. Dark blue
  2. Pale blue
  3. Pale pink
  4. Violet
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4.40) Masson's trichrome staining stains muscle fibers which color?
  1. Black
  2. Green
  3. Pink
  4. Red
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4.41) Which stain is used to stain lipids?
  1. Gram's stain
  2. H&E
  3. Periodic Acid-Schiff
  4. Sudan IV
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4.42) Which stain is used to stain glycogen?
  1. Gram's stain
  2. H&E
  3. Periodic Acid-Schiff
  4. Sudan IV
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4.43) Alcian blue stains what part of goblet cells?
  1. DNA
  2. Golgi apparatus
  3. Mucins
  4. RNA
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4.44) The Pap stain stains keratin which color?
  1. Black
  2. Blue
  3. Green
  4. Orange
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4.45) In acid-fast staining, what color are acid-fast bacteria?
  1. Blue
  2. Green
  3. Red
  4. Yellow
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4.46) The Pap stain helps detect which disease?
  1. Cervical cancer
  2. Cushing's syndrome
  3. Muscular dystrophy
  4. Pernicious anemia
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4.47) Which of these is a common ripening agent for hematoxylin?
  1. Hydrochloric acid
  2. Iron
  3. Sodium iodate
  4. Tungsten
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4.48) Hematoxylin ripens into:
  1. hematein
  2. hematone
  3. hematurg
  4. hemoglobin
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4.49) A lab technician stains a blood film using Wright's stain. However, under the microscope, the red blood cells appear excessively red and the nuclei are poorly stained. What could be the cause?
  1. Inadequate washing
  2. Prolonged staining
  3. The pH of the buffer was too high
  4. The stain/buffer mixture was too acidic
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4.50) A section was prepared with H&E staining. Under the microscope, the nuclei are red instead of blue. Which of these could be the cause?
  1. The eosin solution is too concentrated
  2. The hematoxylin is breaking down
  3. The section was not stained long enough in hematoxylin
  4. The section was stained too long in eosin
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4.51) A histologist is performing paraffin H&E staining on a blood smear. When the histologist observes the specimen under a microscope, the basophils are stained too lightly and are difficult to see. What is the most likely cause?
  1. Incomplete deparaffinization
  2. The acid alcohol concentration was too low
  3. The hematoxylin was too strong
  4. The specimen was left in the stain for too long
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4.52) A section is prepared with H&E staining. Under the microscope, the nuclei appear too pale. Which of these could be the cause?
  1. Insufficient dehydration
  2. The pH of the eosin solution was above 5.0
  3. The section was not dried properly before beginning deparaffinization
  4. Understaining with hematoxylin
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4.53) A slide stained with H&E stain appears cloudy. What is the cause?
  1. Excessive exposure of the specimen to alcohol
  2. Insufficient clearing
  3. The stain was cold
  4. The stain was too hot
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4.54) A histologist has stained a blood sample with Wright's stain but the basophils have poor definition. The histologist decides to repeat the stain. Which of these actions would improve the definition?
  1. Decrease the concentration of the stain/buffer solution
  2. Dilute the stain with methanol or water
  3. Reduce the time between preparing the smear and fixation
  4. Wash the slide before fixation
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4.55) Sections are prepared with H&E staining. However, there is a bluish-black precipitate on top of the sections. Which of these could be the cause?
  1. The hematoxylin solution was not filtered
  2. The sections were not completely dehydrated
  3. The sections were stained too long in eosin
  4. The sections were stained too long in hematoxylin
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4.56) What is the sequence of steps for Gram staining?
  1. Counterstain, mordant, primary stain, decolorizing
  2. Mordant, primary stain, decolorizing, counterstain
  3. Primary stain, mordant, decolorizing, counterstain
  4. Primary stain, secondary stain, mordant, decolorizing
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4.57) After Gram staining, what color are gram-negative organisms?
  1. Dark blue
  2. Light blue
  3. Purple or brown
  4. Red or pink
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4.58) What color are gram-positive organisms after a Gram stain?
  1. Orange
  2. Purple
  3. Red
  4. Yellow
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4.59) The cell walls of gram-positive bacteria have what property that enables them to resist decolorization during Gram staining?
  1. A high mycolic acid content
  2. A lipid bilayer
  3. A thick layer of peptidoglycan
  4. Multiple endoflagella
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4.60) In Gram staining, which of these situations can cause gram-negative cells to appear colorless?
  1. Omission of the counterstain step
  2. Omission of the iodine treatment step
  3. Over-decolorizing
  4. Under-decolorizing
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4.61) In Gram staining, what can happen if the decolorizer is left on too long?
  1. All organisms will appear colorless
  2. Gram-negative organisms will look gram-positive
  3. Gram-positive organisms will look gram-negative
  4. No cells will appear on the slide
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4.62) A lab technician performs Gram staining of a urine specimen. Under a microscope, the lab technician sees gram-negative cocci in chains. What mistake did the lab technician make?
  1. Forgot the iodine treatment step
  2. Forgot to bring the urine specimen to room temperature
  3. Performed the safranin counterstain too quickly
  4. Used too much crystal violet
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4.63) What are the three common types of acid-fast staining?
  1. Calcofluor, fast green, and Gram-Twort
  2. Periodic acid-Schiff, alcian, and Bismarck
  3. Trichrome, sulfate, and Wade-Fite
  4. Ziehl-Neelsen, Kinyoun, and auramine-rhodamine
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4.64) Which acid-fast staining method is known as the hot method?
  1. Auramine-Rhodamine
  2. Fluorochrome
  3. Kinyoun
  4. Ziehl-Neelsen
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4.65) Which type of stain is used in hematology to stain and differentiate between blood cells?
  1. Gram
  2. H&E
  3. Papanicolaou
  4. Romanowsky
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Section 5: Laboratory operations

5.1) A molar solution is:
  1. 1 mL of solute in one mole of solution
  2. one gram of solute in 1 mL of solution
  3. one gram of solute in one mole of solution
  4. one mole of solute in 1 liter of solution
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5.2) What is the dilution factor 1/5 expressed as a dilution ratio?
  1. 1:4
  2. 1:5
  3. 1:6
  4. 5:1
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5.3) A lab technician is making a solution by combining 3 parts of a solute with 7 parts of water. How many milliliters of the solute and water are needed to make 100 mL of the solution?
  1. 7 mL of solute and 3 mL of water
  2. 10 mL of solute and 70 mL of water
  3. 30 mL of solute and 70 mL of water
  4. 70 mL of solute and 30 mL of water
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5.4) If a dilution ratio of 7:10 is used to make an acetic acid solution and the final volume of the solution is 950 mL, what is the volume of the solute?
  1. 58 mL
  2. 101 mL
  3. 391 mL
  4. 559 mL
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5.5) A lab technician is preparing a serial dilution with eight tubes. The first tube contains a 1/2 dilution. If the dilution factor doubles with each transfer, what would be the dilution in the eighth tube?
  1. 1/128
  2. 1/256
  3. 1/512
  4. 1/1024
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5.6) A lab technician makes a solution by mixing 1 liter of water with 9 g of salt. What is the salt concentration of the solution?
  1. 0.9 g/L
  2. 8 g/L
  3. 8.9 g/L
  4. 9 g/L
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5.7) If 100% bleach is diluted 1/5 and then diluted again 1/20, what is the concentration of bleach in the final solution?
  1. 1%
  2. 1.5%
  3. 2%
  4. 2.5%
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5.8) Calculate the volume of a 0.5 mol/dm³ solution that contains 1 mol of solute.
  1. 0.5 dm³
  2. 0.75 dm³
  3. 1 dm³
  4. 2 dm³
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5.9) A NaOH solution has a relative formula mass of 40 and a 4 g/dm³ concentration. What is the concentration in mol/dm³?
  1. 0.1
  2. 2
  3. 20
  4. 80
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5.10) If 20 moles of A are dissolved in 80 moles of B, what is the mole fraction of A in the final solution?
  1. 0.2
  2. 4
  3. 15
  4. 60
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5.11) What is the symbol for molality?
  1. M
  2. m
  3. mM
  4. n
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5.12) If a solution has a concentration of 10 g/dm³ and the molecules in the solution have a molar mass of 32, what is the concentration of the solution in mol/dm³?
  1. 0.3125
  2. 3.2
  3. 22
  4. 320
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5.13) What does the unit mol/kg represent?
  1. Milli-molarity
  2. Molality
  3. Molar mass
  4. Molarity
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5.14) 0.5 mol of solute is dissolved in 250 cm³ of solution. What is the concentration in mol/dm³?
  1. 0.002
  2. 2
  3. 12.5
  4. 125
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5.15) 5 moles of CaCl₂ are dissolved in 1 liter of water. What is the molarity of this solution?
  1. 0.2
  2. 1
  3. 4.8
  4. 5
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5.16) What is the percent by mass of a solution that contains 25 g of glucose in 500 g of solution?
  1. 5%
  2. 10%
  3. 15%
  4. 20%
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5.17) A mg is a unit to describe:
  1. length
  2. mass
  3. time
  4. volume
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5.18) What is the SI unit for volume?
  1. Cubic decimeter
  2. Cubic meter
  3. Liter
  4. Milliliter
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5.19) Which of these units is the smallest?
  1. Centimeter
  2. Decimeter
  3. Micrometer
  4. Nanometer
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5.20) What is the basic metric unit for measuring weight?
  1. Gram
  2. Liter
  3. Pascal
  4. Pound
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5.21) What is the basic metric unit for measuring length?
  1. Foot
  2. Inch
  3. Meter
  4. Meter cubed
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5.22) What does the prefix 'kilo' mean?
  1. 10
  2. 100
  3. 1,000
  4. 10,000
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5.23) What does the prefix 'nano' mean?
  1. 1 hundredth
  2. 1 thousandth
  3. 1 millionth
  4. 1 billionth
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5.24) 200 microliters is how many milliliters?
  1. 0.2 mL
  2. 2 mL
  3. 20 mL
  4. 2,000 mL
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5.25) If a red blood cell is 8 micrometers in diameter, what is its size in millimeters?
  1. 0.008 mm
  2. 0.8 mm
  3. 80 mm
  4. 8,000 mm
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5.26) A millimeter is a:
  1. 1/10th of a meter
  2. 1/100th of a meter
  3. 1/1000th of a meter
  4. 1/100,000th of a meter
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5.27) A milligram is a ______________ of a gram.
  1. tenth
  2. hundredth
  3. thousandth
  4. millionth
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5.28) How many milliliters of 5% hydrochloric acid are needed to make 500 mL of 2% hydrochloric acid?
  1. 100
  2. 200
  3. 300
  4. 400
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5.29) A lab technician needs 300 mL of 5% acetic acid but only has pure acetic acid. How much pure acetic acid and how much water does the technician need to make the required solution?
  1. 5 mL of pure acetic acid and 295 mL of water
  2. 10 mL of pure acetic acid and 290 mL of water
  3. 15 mL of pure acetic acid and 285 mL of water
  4. 20 mL of pure acetic acid and 280 mL of water
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5.30) A lab technician requires 400 mL of a 3% solution but has only a 5% solution available. How would the lab technician prepare the 3% solution?
  1. Mix 240 mL of the 5% solution with 160 mL of diluent
  2. Mix 300 mL of the 5% solution with 100 mL of diluent
  3. Mix 360 mL of the 5% solution with 40 mL of diluent
  4. Mix 380 mL of the 5% solution with 20 mL of diluent
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5.31) How many grams of sodium chloride are needed to make 300 mL of a 2% m/v solution?
  1. 2
  2. 4
  3. 6
  4. 20
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5.32) How would you prepare 400 mL of a 1% v/v acetic acid solution?
  1. 1 mL of glacial acetic acid in 399 mL of water
  2. 2 mL of glacial acetic acid in 398 mL of water
  3. 3 mL of glacial acetic acid in 397 mL of water
  4. 4 mL of glacial acetic acid in 396 mL of water
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5.33) What does 3% v/w mean?
  1. 3 grams of solute dissolved in 100 grams of solution
  2. 3 grams of solute dissolved in 100 mL of solvent
  3. 3 mL of solute dissolved in 100 grams of solution
  4. 3 mL of solute dissolved in 100 mL of solvent
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5.34) Which of these expresses solution concentration for a solid solute dissolved in a liquid solvent?
  1. %(m/m)
  2. %(m/v)
  3. %(v/m)
  4. %(v/v)
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5.35) What is the formula for calculating a percent w/v solution?
  1. (mass of solute / mass of solution) × 100
  2. (mass of solute / volume of solution) × 100
  3. (volume of solution / mass of solute) × 100
  4. (volume of solution / volume of solute) × 100
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5.36) Which of these is NOT an acceptable way to express solution concentration?
  1. volume/volume (v/v)
  2. volume/weight (v/w)
  3. weight/volume (w/v)
  4. weight/weight (w/w)
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5.37) Calculate the %(m/m) of a solution that has 6 g of solute in 80 g of solution.
  1. 7.5%
  2. 8.1%
  3. 12.3%
  4. 13.3%
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5.38) The TLV-C is the concentration of a substance that:
  1. a worker can be exposed to for one hour without adverse effect
  2. a worker can be exposed to over a working lifetime without adverse effects
  3. a worker can be exposed to up to 4 times per day
  4. should never be exceeded
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5.39) What is the name of a document that identifies hazards and the ways to minimize their impact?
  1. Accident and incident recording form
  2. First aid assessment form
  3. Inspection report
  4. Risk management policy
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5.40) Which of these actions can help prevent repetitive strain injuries when working with microscopes?
  1. Adjust the chair height so your legs are bent at a 45-degree angle
  2. Position the eyepiece at shoulder level
  3. Position the microscope as close to you as possible
  4. Support your wrists on the desk
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5.41) Which of these actions helps prevent the release of aerosols in the laboratory?
  1. Filling centrifuge tubes to the brim
  2. Forcibly expelling hazardous materials from pipettes
  3. Opening aerosol containment devices immediately after removing them from the centrifuge
  4. Routinely inspecting the centrifuge to ensure there is no leakage
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5.42) When trying to fix an electrical machine, you should first:
  1. replace old cables
  2. replace the fuses
  3. turn off all electricity to the lab
  4. turn the machine off
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5.43) How should you pick up an item of hot glassware?
  1. By pouring cold water on it to cool it down
  2. With a rag or paper towels
  3. With tongs
  4. With your hands
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5.44) Which of these actions helps prevent repetitive strain injuries at computer workstations?
  1. Adjusting the chair height so your feet are flat on the floor
  2. Keeping the computer monitor above eye level
  3. Keeping the keyboard angled towards you
  4. Leaning forward for long periods of time
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5.45) Which of these liquids is flammable?
  1. Bleach
  2. Ethanol
  3. Nitric acid
  4. Saline
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5.46) CO₂ fire extinguishers are effective against which type of fire?
  1. Flammable gas
  2. Flammable liquid
  3. Paper
  4. Wood
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5.47) Which of these is the most flammable?
  1. Acids
  2. Organic solvents
  3. Strong oxidizers
  4. Strong reducers
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5.48) Which rating of fire extinguisher is used in chemical fires?
  1. A
  2. B
  3. C
  4. D
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5.49) Which of these is an example of passive fire protection?
  1. Fire alarms
  2. Fire extinguishers
  3. Fire-resistant walls
  4. Sprinklers
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5.50) Which of these chemicals is flammable?
  1. Acetone
  2. Carbon tetrachloride
  3. Chloroform
  4. Saline
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5.51) At low concentrations, what does hydrogen sulfide smell like?
  1. Burnt sugar
  2. Rotten eggs
  3. Rotting meat
  4. Strong cheese
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5.52) Which of these chemicals is corrosive to skin?
  1. Calcium acetate
  2. Hydrogen peroxide
  3. Potassium phosphate
  4. Sodium chloride
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5.53) Mercury:
  1. forms a toxic vapor at room temperature
  2. forms an explosive precipitate on standing
  3. may be discarded down the sink with an abundance of running tap water following it
  4. may be discarded in a general waste bin
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5.54) What is the term for chemicals that cause birth defects in embryos and fetuses?
  1. Carcinogens
  2. Corrosives
  3. Phenyls
  4. Teratogens
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5.55) Which of these is a good practice when working with strong acids?
  1. Wear eye protection
  2. Wear latex gloves
  3. Wear open-toed shoes
  4. When mixing acid and water, always add the water to the acid, not the other way around
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5.56) If a chemical produces harmful vapors, it should be used in a:
  1. autoclave
  2. biological safety cabinet
  3. fume hood
  4. sealed room
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5.57) What is the term for chemicals that burn or destroy tissue?
  1. Acyclic
  2. Caustic
  3. Galvanic
  4. Stereogenic
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5.58) Which of these is a known carcinogen?
  1. Benzidine
  2. Eosin
  3. Hematoxylin
  4. Methylene blue
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5.59) What component of Drabkin's solution is highly toxic?
  1. Acetone
  2. Cyanide
  3. Mercury
  4. Sulfur
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5.60) What does mixing bleach with ammonia create?
  1. Chloramine
  2. Chlorine gas
  3. Chloroform
  4. Peroxyacetic acid
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5.61) You find an old bottle of picric acid in the laboratory. The picric acid is dry. There are crystals in the bottle. How should you dispose of it?
  1. Call a bomb disposal service
  2. Dilute it with water and pour it into a hazardous waste container
  3. Pour it down the drain
  4. Send it for incineration
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5.62) Which of these is an example of personal protective equipment (PPE)?
  1. A fire extinguisher
  2. A first aid kit
  3. A hand-washing station
  4. Gloves
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5.63) Which type of glove has the highest resistance to permeation by gases?
  1. Butyl
  2. Neoprene
  3. PVC
  4. Rubber
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5.64) How thick is a 5 mil glove?
  1. 0.005 inches
  2. 0.005 millimeters
  3. 0.5 millimeters
  4. 5 millimeters
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5.65) What is the correct order of removal of PPE?
  1. Gloves, gown, goggles, mask
  2. Gown, goggles, gloves, mask
  3. Gown, mask, gloves, goggles
  4. Mask, gown, gloves, goggles
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5.66) In which of these situations should safety goggles be worn?
  1. During blood collections
  2. During reagent and specimen preparation
  3. While inspecting reagent supplies
  4. While transporting sealed waste containers
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5.67) A substance with the potential to produce cancer in humans or animals is called a:
  1. carcinogen
  2. caustic substance
  3. nosocomial substance
  4. pathogenic substance
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5.68) The three basic protective measures against radiation are time, distance, and:
  1. lead
  2. radiation suit
  3. shielding
  4. speed
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5.69) In the event of an acid burn, what should your first action be?
  1. Cover the burn with gauze moistened in sterile saline
  2. Flush the area with water
  3. Go to the emergency department
  4. Neutralize the acid with sodium bicarbonate
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5.70) What does ABC stand for in first aid?
  1. Active body control
  2. Airway, breathing, and circulation
  3. Always be careful
  4. Attention, beware, check
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5.71) You find a person lying on the floor. You suspect they have received an electric shock. What is the first thing you must do before treating them?
  1. Check if the person is breathing
  2. Check if the person is still in contact with the electrical current
  3. Check the person's pulse
  4. Make a note in the incident logbook
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5.72) What is the single most important method of preventing infection?
  1. Proper handwashing
  2. Sneezing into your arm
  3. Thorough cleaning of equipment
  4. Wearing a lab coat
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5.73) Which of these is an OPIM (other potentially infectious material)?
  1. Saliva
  2. Semen
  3. Urine
  4. Vomit
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5.74) What does this pictogram mean?
  1. Flammable
  2. Oxidizing
  3. Self-heating
  4. Self-reactive
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5.75) Gases under pressure require a pictogram of:
  1. a flame
  2. a flame over a circle
  3. a gas cylinder
  4. an exploding test tube
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5.76) What does this pictogram mean?
  1. Biohazard
  2. Carcinogenic
  3. Corrosive
  4. Toxic
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5.77) In the NFPA hazard diamond, which quadrant indicates special hazards?
  1. Blue
  2. Red
  3. White
  4. Yellow
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5.78) Always keep picric acid:
  1. dry
  2. refrigerated
  3. ventilated
  4. wet
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5.79) Where should bulk quantities of acetone be kept?
  1. Biological safety cabinet
  2. Flammable storage cabinet
  3. Freezer
  4. Refrigerator
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5.80) All dangerous goods are assigned a UN number. A UN number is:
  1. a 4-digit United Nations number
  2. an 8-digit number provided by the government
  3. only used for dangerous chemicals
  4. the same as the class number
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5.81) If the word 'Forbidden' is written in column 3 of a Hazardous Materials Table, it means the material should not be:
  1. discarded
  2. ingested
  3. transported
  4. used
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5.82) Cold sterilization uses _________ to sterilize medical instruments.
  1. chemicals
  2. cold air
  3. ice
  4. liquid nitrogen
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5.83) Which of these items is NOT found in biohazard spill kits?
  1. Autoclavable waste bags
  2. Disinfectant
  3. Petri dishes
  4. Safety goggles
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5.84) Which concentration of bleach is used to decontaminate benchtops?
  1. 10%
  2. 20%
  3. 30%
  4. 50%
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5.85) Which instrument is used to measure urine hydrogen ion concentration?
  1. Coulter counter
  2. Microscope
  3. Spectrophotometer
  4. pH meter
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5.86) Which pH buffer solution is typically used first when calibrating a pH meter?
  1. pH 1
  2. pH 4
  3. pH 7
  4. pH 10
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5.87) Which microscope is most used in clinical laboratories?
  1. Dark-field
  2. Florescent
  3. Light
  4. Phase-contrast
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5.88) A ____________ microscope will remain in focus when you zoom in and out.
  1. divergent
  2. focused
  3. parfocal
  4. unifocal
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5.89) What does a condenser lens on a microscope do?
  1. Control the aperture of light
  2. Focus the light on the specimen
  3. Increase the magnification
  4. Provide an initial magnification of 10x
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5.90) Which objective should you begin with when focusing a microscope?
  1. 10x
  2. 40x
  3. 100x
  4. 1000x
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5.91) Which microscope magnification is used to distinguish between different bacteria and see their internal structure?
  1. 10x
  2. 100x
  3. 400x
  4. 1000x
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5.92) Which microscope would be best to examine an unstained, wet preparation of cells before dehydration?
  1. Brightfield
  2. Electron
  3. Fluorescence
  4. Phase contrast
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5.93) On a microscope, what structure connects the eyepiece to the objective lens?
  1. Base
  2. Nosepiece
  3. Stage
  4. Tube
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5.94) Microscopes usually have which objective lenses?
  1. 10x, 40x, and 100x
  2. 10x, 50x, and 100x
  3. 20x, 40x, and 80x
  4. 20x, 50x, and 80x
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5.95) What is the total magnification of a microscope if the eyepiece lens is 10x and the objective lens is 20x?
  1. 30x
  2. 200x
  3. 375x
  4. 525x
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5.96) Which of these types of glass has the strongest resistance to heat?
  1. Borosilicate
  2. Crystal
  3. Optical
  4. Soda-lime
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5.97) The cabinet with the highest personal, environmental, and specimen protection is the:
  1. class A biological safety cabinet
  2. class I biological safety cabinet
  3. class II biological safety cabinet
  4. class III biological safety cabinet
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5.98) Class 1 hazardous materials are:
  1. explosive
  2. infectious
  3. poisonous
  4. radioactive
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5.99) What act gives workers the right to know about hazards in the workplace?
  1. Health Care Consent Act
  2. Occupational Safety and Health Act
  3. Privacy Act
  4. SAFETY Act
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5.100) Which type of microscope is best for viewing crystals in a sample of joint fluid?
  1. Fluorescent light
  2. Light
  3. Polarized light
  4. Ultraviolet
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