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Cytogenetics: chromosomes and karyotyping

46 Kerala PSC Lab Technician Gr II practice questions on Cytogenetics: chromosomes and karyotyping, part of Pathology. The first 25 are below; the first 5 with answers and explanations (tap Show answer after you have chosen), the rest in Learn with a free account.

  1. Question 1 · Easy

    Chromosomes 13, 14, 15, 21 and 22 are described as:

    1. ASubmetacentric
    2. BMetacentric
    3. CTelocentric
    4. DAcrocentric
    Show answer

    Answer: D · Acrocentric

    In acrocentric chromosomes the centromere lies very near one end, so the short arm is tiny. The short arms of 13, 14, 15, 21 and 22 carry satellites on stalks that hold the ribosomal RNA genes (nucleolar organiser regions). These chromosomes are the ones that join in Robertsonian translocations. Metacentric chromosomes such as 1 and 3 have the centromere near the middle.

    • A: Submetacentric chromosomes have clearly unequal arms, as in 4 and 5.
    • B: Metacentric chromosomes have the centromere near the middle, as in 1 and 3.
    • C: Telocentric chromosomes have the centromere at the very end; none occur in normal humans.
  2. Question 2 · Easy

    Which fixative is used in a chromosome harvest?

    1. AMethanol-acetic acid (3:1)
    2. B95% ethyl alcohol
    3. C10% formal saline
    4. DBouin's fluid
    Show answer

    Answer: A · Methanol-acetic acid (3:1)

    Freshly made methanol and glacial acetic acid (3:1) fixes the swollen cells, removes water and lipid, and hardens the chromosomes. The cells are washed in several changes of fixative before slides are made. Fresh fixative gives good spreading, while old or watery fixative gives poor spreads. Formalin cross-links proteins and is not used, because it spoils both spreading and banding.

    • B: Ethanol alone is a cytology smear fixative, not a harvest fixative.
    • C: Formalin is a tissue fixative and spoils chromosome spreading and banding.
    • D: Bouin's fluid is a picric acid tissue fixative.
  3. Question 3 · Medium

    Colchicine (or colcemid) arrests cells in metaphase because it:

    1. AHardens the chromosomes
    2. BBlocks spindle formation
    3. CSwells the cells with water
    4. DStimulates cell division
    Show answer

    Answer: B · Blocks spindle formation

    Colchicine and its analogue colcemid bind tubulin and stop the mitotic spindle from forming. Without a spindle the chromosomes cannot separate, so dividing cells collect in metaphase, when the chromosomes are condensed and visible. Exposure is kept short, because long exposure makes the chromosomes too short and compact for banding. Division itself is started by a mitogen, not by colchicine.

    • A: Fixing and hardening are done by methanol-acetic acid.
    • C: Swelling is the effect of the hypotonic solution.
    • D: Division is started by a mitogen such as PHA.
  4. Question 4 · Medium

    The correct order of steps in harvesting a lymphocyte culture is:

    1. AHypotonic KCl, colcemid, fixative, slides
    2. BColcemid, fixative, hypotonic KCl, slides
    3. CColcemid, hypotonic KCl, fixative, slides
    4. DFixative, colcemid, hypotonic KCl, slides
    Show answer

    Answer: C · Colcemid, hypotonic KCl, fixative, slides

    Colcemid is added to the living culture first, so that dividing cells collect in metaphase. The cells are then spun down and swollen in hypotonic 0.075 M KCl. Fixative (methanol-acetic acid 3:1) comes next, killing the cells and hardening the chromosomes, and finally the suspension is dropped onto slides. Fixing before the hypotonic step would stop the cells swelling, so the chromosomes would not spread.

    • A: Colcemid must act on living, dividing cells before the hypotonic step.
    • B: Fixed cells cannot swell, so a hypotonic step after fixation is useless.
    • D: Fixation kills the cells, so colcemid added afterwards cannot work.
  5. Question 5 · Medium

    Bone marrow for leukaemia karyotyping is set up directly or as a short culture without a mitogen. Why?

    1. AMitogens would kill the blast cells
    2. BMitogens act only on red cells
    3. CMarrow cells divide on their own
    4. DMarrow contains no dividing cells
    Show answer

    Answer: C · Marrow cells divide on their own

    Bone marrow contains many cells that are already dividing, including the abnormal clone in leukaemia. A direct preparation or a 24-hour unstimulated culture captures these cells in metaphase. Adding PHA would mainly make normal T lymphocytes divide and could hide the abnormal clone. Blood lymphocytes, in contrast, are resting cells and need PHA.

    • A: PHA does not kill blasts; it would mainly stimulate normal T cells.
    • B: PHA acts on T lymphocytes, not on red cells.
    • D: Marrow is rich in dividing cells, which is why no mitogen is needed.
  6. Question 6 · Hard

    On a harvested slide, 2,500 cells are counted and 60 of them are in mitosis. The mitotic index is:

    1. A24%
    2. B2.4%
    3. C0.24%
    4. D2.5%

    Answer and explanation in LearnFree account

  7. Question 7 · Easy

    In chromosome structure, telomeres are:

    1. AStalks that carry ribosomal RNA genes
    2. BThe primary constriction of a chromosome
    3. CRepeated DNA caps at chromosome ends
    4. DDark bands rich in AT base pairs

    Answer and explanation in LearnFree account

  8. Question 8 · Medium

    Why are cells treated with 0.075 M potassium chloride during harvesting?

    1. ATo arrest the cells in metaphase
    2. BTo swell the cells so chromosomes spread
    3. CTo fix and harden the chromosomes
    4. DTo remove proteins for banding

    Answer and explanation in LearnFree account

  9. Question 9 · Hard

    A man is referred for infertility. In a G-banded 20-cell count, 19 cells are 46,XY and one cell has 45 chromosomes, lacking one chromosome 7. This is best reported as:

    1. ACulture contamination
    2. BA malignant clone
    3. CMosaic monosomy 7
    4. DA random loss, not a clone

    Answer and explanation in LearnFree account

  10. Question 10 · Medium

    Why is blood for chromosome culture collected in sodium heparin and not EDTA?

    1. AEDTA clots the sample in transit
    2. BHeparin makes T cells divide
    3. CHeparin improves chromosome staining
    4. DEDTA inhibits lymphocyte growth

    Answer and explanation in LearnFree account

  11. Question 11 · Easy

    Which mitogen is added to peripheral blood cultures to make T lymphocytes divide?

    1. ATrypsin
    2. BColcemid
    3. CPhytohaemagglutinin
    4. DPotassium chloride

    Answer and explanation in LearnFree account

  12. Question 12 · Hard

    A lymphocyte culture gives plenty of metaphases, but the chromosomes are very short and compact, with too few bands to analyse. The most likely cause is:

    1. APHA left out of the culture
    2. BHypotonic step too short
    3. CSlides stained too long
    4. DColcemid exposure too long

    Answer and explanation in LearnFree account

  13. Question 13 · Easy

    In the Denver classification, human chromosomes are sorted into how many groups?

    1. ASeven (A to G)
    2. BNine (A to I)
    3. CTwelve (A to L)
    4. DFive (A to E)

    Answer and explanation in LearnFree account

  14. Question 14 · Medium

    Chromosomes within each metaphase lie bunched together and overlapping. Which change in slide-making is most likely to improve spreading?

    1. AUse a denser cell suspension
    2. BMake fixative a day ahead
    3. CStain longer with Giemsa
    4. DDrop cells onto wet, chilled slides

    Answer and explanation in LearnFree account

  15. Question 15 · Hard

    Two patient cultures and a normal control culture, all set up on the same day with the same batch of medium and PHA, show no dividing cells at harvest. The most likely cause is:

    1. AA faulty reagent or incubator
    2. BHypotonic step too short
    3. CLymphopenia in both patients
    4. DColcemid exposure too long

    Answer and explanation in LearnFree account

  16. Question 16 · Easy

    What is the primary constriction of a chromosome called?

    1. ASecondary constriction
    2. BCentromere
    3. CTelomere
    4. DSatellite stalk

    Answer and explanation in LearnFree account

  17. Question 17 · Hard

    A chromosome is 9 µm long, with a short arm of 3 µm and a long arm of 6 µm. Its centromeric index and type are:

    1. A67%, submetacentric
    2. B33%, acrocentric
    3. C33%, submetacentric
    4. D50%, metacentric

    Answer and explanation in LearnFree account

  18. Question 18 · Medium

    In the Denver classification, the X chromosome is placed in which group?

    1. AGroup C
    2. BGroup A
    3. CGroup G
    4. DGroup E

    Answer and explanation in LearnFree account

  19. Question 19 · Medium

    On a harvested slide, most metaphases have burst, with chromosomes scattered widely and many cells counting under 46. The most likely error is:

    1. AColcemid exposure too short
    2. BPhytohaemagglutinin omitted
    3. CCells left in fixative overnight
    4. DHypotonic treatment too long

    Answer and explanation in LearnFree account

  20. Question 20 · Medium

    To obtain long prometaphase chromosomes for high-resolution banding, lymphocyte cultures are often synchronised with:

    1. APotassium chloride for 1 hour
    2. BDouble the usual PHA
    3. CMethotrexate, then thymidine
    4. DColcemid for 24 hours

    Answer and explanation in LearnFree account

  21. Question 21 · Easy

    Which culture medium is commonly used for peripheral blood chromosome cultures?

    1. ASelenite F broth
    2. BSabouraud broth
    3. CRPMI 1640
    4. DThioglycollate broth

    Answer and explanation in LearnFree account

  22. Question 22 · Easy

    For how long are phytohaemagglutinin-stimulated blood cultures for routine karyotyping usually incubated at 37°C?

    1. A7 days
    2. B24 hours
    3. C6 hours
    4. D72 hours

    Answer and explanation in LearnFree account

  23. Question 25 · Medium

    Chronic lymphocytic leukaemia is usually a B-cell disease. For its karyotype, why is a culture stimulated with phytohaemagglutinin alone a poor choice?

    1. APHA arrests cells before metaphase
    2. BPHA mainly stimulates T cells
    3. CPHA is inactivated by heparin
    4. DPHA destroys B cells in culture

    Answer and explanation in LearnFree account

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