10/23/21, 6:50 PM Shifting Examination: ISBB: CLINICAL INTERNSHIP 1

Shifting Examination: ISBB

Due
Oct 23 at 8pm
Points
50
Questions
46
Available
Oct 23 at 6pm - Oct 23 at 8:01pm
about 2 hours
Time Limit
50 Minutes

Instructions
THIS EXAMINATION WAS CONSTRUCTED BY THE HOSPITAL STAFF OF EACMED. EACMED
RESERVES ALL THE RIGHTS TO THIS QUESTIONNAIRE. ANYONE CAUGHT DUPLICATING,
SPREADING, OR SHARING THE QUESTIONS HEREIN SHALL BE SANCTIONED.

QUIZ/EXAMINATION REMINDERS:

1. Ensure you have a stable, uninterrupted internet connection for your exam. If your internet access
fails during the exam, your results may be lost, this will not be a valid reason to request for a special
exam.
2. Once you start the exam, do not refresh your browser, use browser buttons, or navigate away from
the exam screen until the exam has been submitted. If you navigate away from the exam, your
progress may be lost and cannot be recovered.
3. CASE SENSITIVITY: For all questions requiring short answer/ Identification must be inputted in ALL
CAPS/ Uppercase characters. Other variations may be counted as wrong.
4. Cheating is a serious offense and subject to disciplinary action according to the FEU Student
Handbook. Direct all questions to your Professor. Any navigation to different windows will be
detected by the system and will reflect to the Professor/Proctor’s Moderator module.

Any of the following actions is considered cheating:

Any recording of the exam screens, including taking screenshots, pictures, or video
Copying the exam questions or answers
Leaving mobile devices/smart phones, other web browsers, software applications, or other
computers ON during the exam
Using reference material during the examination not approved by the faculty in charge
1. The exam is confidential. It cannot be copied, printed, saved, recorded, or reproduced in any
manner, at any time. The exam questions and answers cannot be disclosed or disseminated to
anyone before, during, or after the exam.
2. Exams must be completed in one sitting. Each exam has a specific amount of time allotted and a
specific number of questions. Exams must be submitted within the time allotted before the online
exam timer expires. Once the timer expires, the exam will be automatically submitted, even if you did
not click the ‘Submit’ button.

https://feuph.instructure.com/courses/146/quizzes/21455 1/22
10/23/21, 6:50 PM Shifting Examination: ISBB: CLINICAL INTERNSHIP 1

3. Once you press ‘Start attempt’ your attempt will begin. If you encounter any difficulties in accessing
or navigating the exam, notify your professor immediately.

GOOD LUCK!

Attempt History
Attempt Time Score
LATEST Attempt 1
50 minutes 46 out of 50


Correct answers will be available Nov 1 at 12am - Nov 3 at 12am.

Score for this quiz:

46 out of 50
Submitted Oct 23 at 6:50pm
This attempt took 50 minutes.

Question 1 1
/ 1 pts

It is a method of blood typing that uses Known A and Known B Cells.

 
B. Reverse Typing

 
D. Crossmatching

 
C. Du Testing

 
A. Forward Typing

Question 2 1
/ 1 pts

https://feuph.instructure.com/courses/146/quizzes/21455 2/22
10/23/21, 6:50 PM Shifting Examination: ISBB: CLINICAL INTERNSHIP 1

What is the reagent used in washing red cells?

 
B. LISS

 
A. Distilled Water

 
C. NSS

 
D. QNS

Question 3 1
/ 1 pts

What is the color of of Anti-A reagent?

 
D. Clear

 
B. Green

 
A. Blue

 
C. Yellow

Question 4 1
/ 1 pts

What is the color of of AHG reagent?

 
C. Yellow

 
A. Blue

 
B. Green

https://feuph.instructure.com/courses/146/quizzes/21455 3/22
10/23/21, 6:50 PM Shifting Examination: ISBB: CLINICAL INTERNSHIP 1

 
D. Clear

Question 5 1
/ 1 pts

This reagent enhances the antigen-antibody reaction by reducing the zeta

potential of RBCs.

 
A. AHG

 
D. Anti-D

 
B. LISS

 
C. NSS

Question 6 1
/ 1 pts

Identify the blood type that shows no agglutination in Known A and Known
B cells, but exhibits reaction in Anti-A, Anti-B, and Anti-D reagents.

 
D. “AB”+

 
A. “A”+

 
C. “O”+

 
B. “B”+

Question 7 1
/ 1 pts

https://feuph.instructure.com/courses/146/quizzes/21455 4/22
10/23/21, 6:50 PM Shifting Examination: ISBB: CLINICAL INTERNSHIP 1

What major antibodies are present in an “O”+ patient?

 
B. Anti A

 
D. Anti A & Anti B

 
C. Anti B

 
A. None

Question 8 1
/ 1 pts

A reverse typing shows agglutination in both Known A and Known B cells.

Given that the patient in Rh Negative, in which anti-sera would you expect
an agglutination?

 
A. None

 
C. Anti D only

 
D. Anti A, Anti B and Anti D

 
B. Anti A

Question 9 1
/ 1 pts

Why is reverse typing not use in neonates?

 
A. Neonates don’t have the antigen yet that would react in reverse typing

https://feuph.instructure.com/courses/146/quizzes/21455 5/22
10/23/21, 6:50 PM Shifting Examination: ISBB: CLINICAL INTERNSHIP 1

 
C. Both

 
D. Neither

 
B. Neonates don’t have the antibody yet that would react in reverse typing

Question 10 1
/ 1 pts

What is the pattern of reaction of an “A”+ patient.

 
Anti-A 4+, Anti-B 4+, Anti-D 3+, Known A 0, Known B 0

 
Anti-A 4+, Anti-B 0, Anti-D 2+, Known A 3+, Known B 0

 
Anti-A 4+, Anti-B 0, Anti-D 3+, Known A 0, Known B 4+

 
Anti-A 4+, Anti-B 0, Anti-D 3+, Known A 4+, Known B 4+

Incorrect
Question 11 0
/ 1 pts

A patient’s sample for blood typing shows this pattern of reaction.

Anti-A Anti-B Anti-D Known A Known B

0 3+ 0 2+ 0

What should be your next step?

https://feuph.instructure.com/courses/146/quizzes/21455 6/22
10/23/21, 6:50 PM Shifting Examination: ISBB: CLINICAL INTERNSHIP 1

 
C. Proceed to Du Testing to confirm the reaction

 
B. Call the attention of the attending physician

 
D. Report the result as “A”-

 
A. Release the result as “B”-

Incorrect Question 12 0
/ 1 pts

Blood typing shows one solid aggregate on Anti-A and Anti-B sera while
there are small to medium sized aggregates with clear background on
Anti-D reagent. What is the grading of reaction of the last reagent
mentioned?

 
A. 1+

 
B. 2+

 
C. 3+

 
D. 4+

Question 13 1
/ 1 pts

Advantages of Gel Crossmatching Technology except:

 
C. Expensive

 
D. All of the Choices

 
A. No washing

https://feuph.instructure.com/courses/146/quizzes/21455 7/22
10/23/21, 6:50 PM Shifting Examination: ISBB: CLINICAL INTERNSHIP 1

 
B. Standardized

Incorrect Question 14 0
/ 1 pts

Antigen present in an “AB” Rh+ patient except

 
A. None

 
D. B

 
B. D

 
C. A

Question 15 1
/ 1 pts

It is a method of blood typing that uses commercially prepared anti-sera of

known specificity

 
B. Reverse Typing

 
C. Both

 
A. Forward Typing

 
D. Neither

Question 16 1
/ 1 pts

https://feuph.instructure.com/courses/146/quizzes/21455 8/22
10/23/21, 6:50 PM Shifting Examination: ISBB: CLINICAL INTERNSHIP 1

Given the following reactions, what is the patient’s blood type?

Forward typing:                                       Reverse typing:

Anti- A: 4+                                                           Known A cells: Ø

Anti- B:    4+                                                        Known B cells: Ø

Anti- D: 4+

 
"O" Rh Negative

 
Invalid

 
“AB” Rh Positive

 
"AB" Rh Negative

Question 17 3
/ 3 pts

Phases of Crossmatching (Chronological Order)

1st Phase   Saline Phase

2nd Phase   Thermo Phase

3rd Phase   AHG Phase

Question 18 2
/ 2 pts

Grade the following reactions based on Tube Crossmatching Technique:

https://feuph.instructure.com/courses/146/quizzes/21455 9/22
10/23/21, 6:50 PM Shifting Examination: ISBB: CLINICAL INTERNSHIP 1

One solid aggregate   4+

Small aggregates, turbid   1+

reddish background

Question 19 2
/ 2 pts

Grade the following reactions based on Gel Crossmatching Technique:

All RBCs form a compact   0

button at the bottom of the
microtube

Most of the agglutinated   3+

RBCs remain in the upper
half of the microtube

Question 20 1
/ 1 pts

A step in the Tube crossmathing method that is omitted when using the
Gel technique.

 
Washing

 
Incubation

 
Mixing

 
Centrifugation

https://feuph.instructure.com/courses/146/quizzes/21455 10/22
10/23/21, 6:50 PM Shifting Examination: ISBB: CLINICAL INTERNSHIP 1

Question 21 1
/ 1 pts

What is the corresponding expiration of this blood component?

Whole Blood (CPDA-1)         

 
6 hours

 
25 days

 
24 hours

 
5 days

Question 22 1
/ 1 pts

What is the corresponding expiration of this blood component?

Whole Blood to Packed RBCs (Open System)          

 
24 hours

 
5 days

 
25 days

 
6 hours

Question 23 1
/ 1 pts

What is the corresponding expiration of this blood component?

Cryoprecipitate (Thawed)

https://feuph.instructure.com/courses/146/quizzes/21455 11/22
10/23/21, 6:50 PM Shifting Examination: ISBB: CLINICAL INTERNSHIP 1

 
24 hours

 
5 days

 
6 hours

 
25 days

Question 24 1
/ 1 pts

What is the corresponding expiration of this blood component?

Fresh Frozen Plasma (Thawed) 

 
25 days

 
5 days

 
24 hours

 
6 hours

Question 25 1
/ 1 pts

What is the corresponding expiration of this blood component?

Platelet Concentrate    

 
25 days

 
6 hours

 
24 hours

https://feuph.instructure.com/courses/146/quizzes/21455 12/22
10/23/21, 6:50 PM Shifting Examination: ISBB: CLINICAL INTERNSHIP 1

 
5 days

Question 26 1
/ 1 pts

What is the corresponding expiration of this blood component?

Packed RBCs (Aliquot) 

 
25 days

 
5 days

 
24 hours

 
6 hours

Question 27 1
/ 1 pts

A type of serologic test  which shows whether antibodies exposed to

certain antigens will cause particle clumping:

 
Agglutination Assay

 
Precipitation Assay

 
Mixed-agglutination assay

 
Forward Assay

Question 28 1
/ 1 pts

https://feuph.instructure.com/courses/146/quizzes/21455 13/22
10/23/21, 6:50 PM Shifting Examination: ISBB: CLINICAL INTERNSHIP 1

A type of serologic test which shows whether the antigens are similar by
measuring for the presence of antibody in fluids: 

 
Reverse Assay

 
Forward Assay

 
Aggulutination Assay

 
Precipitation Assay

Question 29 1
/ 1 pts

Principle of Snibe Maglumi Analyzer: 

 
Enzyme Immunoassay

 
Chemiluminescence Immunoassay

 
Lateral Flow Immunoassay

 
Radioimmunoassay

Question 30 1
/ 1 pts

Principle of Finecare Analyzer

 
Chemiluminescence Immunoassay

 
Radiommunoassay

https://feuph.instructure.com/courses/146/quizzes/21455 14/22
10/23/21, 6:50 PM Shifting Examination: ISBB: CLINICAL INTERNSHIP 1

 
Enzyme Immunoassay

 
Lateral Flow Immunoassay

Question 31 1
/ 1 pts

Determination of ______________________  is used to evaluate iron

deficiency and iron overload.

 
Sodium

 
Hemoglobin

 
Ferritin

 
Cupric ions

Question 32 1
/ 1 pts

Normal value for Procalcitonin: 

 
<0.05 ng/mL

 
<5 ng/mL

 
<50 ng/mL

 
<0.5 ng/mL

https://feuph.instructure.com/courses/146/quizzes/21455 15/22
10/23/21, 6:50 PM Shifting Examination: ISBB: CLINICAL INTERNSHIP 1

Question 33 1
/ 1 pts

How many drops of serum/plasma is needed when testing for Dengue

NS1? 

 
2

 
3

 
5

 
1

Question 34 1
/ 1 pts

Used to monitor the success of Hepatitis B vaccination:  

 
Anti-HBs

 
Anti-HBc

 
All of the Choices

 
Anti-HBe

Question 35 1
/ 1 pts

Biomarker associated with the inflammatory response to bacterial

infection that aid in the risk assessment of critically-ill patients: 

https://feuph.instructure.com/courses/146/quizzes/21455 16/22
10/23/21, 6:50 PM Shifting Examination: ISBB: CLINICAL INTERNSHIP 1

 
Ferritin

 
Calcitonin

 
Ceruloplasmin

 
Procalcitonin

Question 36 1
/ 1 pts

Interpret the following Dengue Test results:

Control Line NS1 IgG IgM

(-) (-) (-) (+)

 
INVALID

 
SECONDARY OR PAST DENGUE INFECTION

 
ACUTE STAGE DENGUE INFECTION

 
PRIMARY DENGUE INFECTION

Question 37 1
/ 1 pts

Interpret the following Dengue Test results:

Control Line NS1 IgG IgM

https://feuph.instructure.com/courses/146/quizzes/21455 17/22
10/23/21, 6:50 PM Shifting Examination: ISBB: CLINICAL INTERNSHIP 1

(+) (-) (-) (+)

 
SECONDARY OR PAST DENGUE INFECTION

 
PRIMARY DENGUE INFECTION

 
ACUTE STAGE DENGUE INFECTION

 
INVALID

Question 38 1
/ 1 pts

Interpret the following Dengue Test results:

Control Line NS1 IgG IgM

(+) (+) (-) (+)

 
ACUTE STAGE DENGUE INFECTION

 
SECONDARY OR PAST DENGUE INFECTION

 
PRIMARY DENGUE INFECTION

 
INVALID

Question 39 1
/ 1 pts

https://feuph.instructure.com/courses/146/quizzes/21455 18/22
10/23/21, 6:50 PM Shifting Examination: ISBB: CLINICAL INTERNSHIP 1

Interpret the following Dengue Test results:

Control Line NS1 IgG IgM

(+) (+) (-) (-)

 
PRIMARY DENGUE INFECTION

 
SECONDARY OR PAST DENGUE INFECTION

 
INVALID

 
ACUTE STAGE DENGUE INFECTION

Question 40 1
/ 1 pts

Interpret the following Dengue Test results:

Control Line NS1 IgG IgM

(+) (-) (+) (-)

 
ACUTE STAGE DENGUE INFECTION

 
PRIMARY DENGUE INFECTION

 
INVALID

https://feuph.instructure.com/courses/146/quizzes/21455 19/22
10/23/21, 6:50 PM Shifting Examination: ISBB: CLINICAL INTERNSHIP 1

 
SECONDARY OR PAST DENGUE INFECTION

Question 41 1
/ 1 pts

Interpret the following Dengue Test results:

Control Line NS1 IgG IgM

(-) (+) (+) (-)

 
INVALID

 
ACUTE STAGE DENGUE INFECTION

 
SECONDARY OR PAST DENGUE INFECTION

 
PRIMARY DENGUE INFECTION

Question 42 1
/ 1 pts

Serum and whole blood can be used in CRP determination

 
True

 
False

https://feuph.instructure.com/courses/146/quizzes/21455 20/22
10/23/21, 6:50 PM Shifting Examination: ISBB: CLINICAL INTERNSHIP 1

Incorrect Question 43 0
/ 1 pts

Testing for Dengue NS1 requires the use of a buffer

 
True

 
False

Question 44 1
/ 1 pts

A qualitative HBsAg result can be interpreted after 30 minutes

 
True

 
False

Question 45 1
/ 1 pts

T3 is otherwise known as tetriiodothyronine. 

 
True

 
False

Question 46 1
/ 1 pts

A reactive anti-HBs result is indicative of acute HBsAg infection

https://feuph.instructure.com/courses/146/quizzes/21455 21/22
10/23/21, 6:50 PM Shifting Examination: ISBB: CLINICAL INTERNSHIP 1

 
True

 
False

Quiz Score:
46 out of 50

https://feuph.instructure.com/courses/146/quizzes/21455 22/22