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Staphylococcal food poisoning produces secretory diarrhea and increased fecal neutrophils.

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Microbial infections produce osmotic diarrhea.

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Which of the following pairings of stool appearance and cause does not match?


A) Black, tarry: blood
B) Yellow-green: barium sulfate
C) Pale, frothy: steatorrhea
D) Yellow-gray: bile duct obstruction

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Microscopic examination of stools for fecal cells provides preliminary information as to the cause of diarrhea because:


A) Neutrophils are present in conditions caused by toxin-producing bacteria
B) Neutrophils are present in conditions that affect the intestinal wall
C) Red and white blood cells are present if the cause is malabsorption
D) Neutrophils are present if the condition is of nonbacterial etiology

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Wet preparations for the detection of fecal neutrophils are stained with:


A) Gram stain
B) Wright's stain
C) Sudan III
D) Methylene blue

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A patient whose stool exhibits increased fats,undigested muscle fibers,and the inability to digest gelatin may have:


A) Lactose intolerance
B) Cystic fibrosis
C) A duodenal ulcer
D) A bacterial dysentery

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A positive lactoferrin latex agglutination test can indicate which of the following?


A) Lower GI bleeding
B) Biliary obstruction
C) Cystic fibrosis
D) Enteroinvasive Escherichia coli

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Steatorrhea is seen in association with decreased elastase 1 in the feces.

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True

The Apt test should not be performed on a black,tarry stool.

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True

Before and during collection of a sample for quantitative fecal fats,a patient should:


A) Consume 100 g of fat per day
B) Consume less than 10 g of fat per day
C) Increase usual fat intake by 20%
D) Maintain a soft or liquid diet

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A

The neutral fat and split fat stains are confirmatory tests for steatorrhea.

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A bloody stool from a neonate should be emulsified in water,centrifuged,and the supernatant tested with:


A) Clinitest
B) Guaiac reagent
C) Gelatin
D) NaOH

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State whether each of the following scenarios relates to osmotic diarrhea,secretory diarrhea,or altered motility: -Malabsorption


A) Osmotic diarrhea
B) Secretory diarrhea
C) Altered motility

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A bloody stool produced by a newborn should:


A) Have an Apt test performed on it
B) Be tested with guaiac reagent
C) Be emulsified and tested for trypsin
D) Have a Clinitest performed on it

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The term occult blood in fecal analysis can indicate which of the following?


A) Blood that is produced in the lower GI tract
B) Blood that is produced in the upper GI tract
C) Blood that is not visibly apparent in the stool specimen
D) Blood that produces a black, tarry stool

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State whether or not the following scenarios should be of concern to a laboratory supervisor and why: -Quantitative fecal fat testing performed on a patient maintained on a diet of 100 g of fat per day is 5 g per day.The coefficient of fat retention is reported as normal.


A) Concerned; the normal coefficient of fat is 100%
B) Not concerned; 95% retention is normal

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State whether each of the following scenarios relates to osmotic diarrhea,secretory diarrhea,or altered motility: -Shigella dysentery


A) Osmotic diarrhea
B) Secretory diarrhea
C) Altered motility

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Increased neutrophils in a stool sample may indicate that the patient has which of the following?


A) Staphylococcal food poisoning
B) Pancreatic insufficiency
C) Lower GI bleeding
D) Salmonella infection

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Microscopic screening of a pale,frothy stool from a patient with prolonged diarrhea is performed for fecal neutrophils,fats,and meat fibers.The fecal neutrophil examination result is negative,increased large and small orange droplets are seen in the fat stains,and 10 unstriated muscle fibers are observed. -Based on the information provided,what type of diarrhea is suggested by these results?


A) Secretory
B) Rapid gastric emptying
C) Osmotic
D) Altered motility

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State whether each of the following scenarios relates to osmotic diarrhea,secretory diarrhea,or altered motility: -Irritable bowel syndrome


A) Osmotic diarrhea
B) Secretory diarrhea
C) Altered motility

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