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27-year-old patient has a painless genital ulcer. RPR is reactive at 1:64, and TPHA is positive. After appropriate treatment, the RPR titre falls to 1:8, while TPHA remains positive.What is the best interpretation?
Anonymous Quiz
13%
A. Treatment failed because TPHA is still positive
10%
B. The patient has a new infection
62%
C. The falling RPR titre indicates an appropriate serological response
14%
D. TPHA should become negative after successful treatment
patient with high fever, headache, and rash is suspected of having a rickettsial infection. A Weil-Felix test is negative, but clinical suspicion remains very high.What is the best laboratory action?
Anonymous Quiz
6%
A. Exclude rickettsial infection
9%
B. Repeat only the Weil-Felix test
81%
C. Use a more specific test such as IFA or ELISA
4%
D. Report the patient as having typhoid fever
โค1
15-year-old patient presents with migratory joint pain and carditis several weeks after a sore throat. The throat culture is now negative, but the ASO titre is significantly elevated.What does the ASO result most strongly support?
Anonymous Quiz
15%
A. Current bacteremia with S. pyogenes
58%
B. Previous/recent infection with Group A Streptococcus
21%
C. Immunity against S. pyogenes
6%
D. Active viral myocarditis
โค3
patient was treated successfully for H. pylori. Six months later, a serum anti-H. pylori IgG test remains positive.What is the best interpretation?
Anonymous Quiz
11%
A. The patient definitely has active infection
8%
B. Treatment definitely failed
71%
C. IgG may persist after previous infection and cannot alone confirm active infection
10%
D. The patient has developed immunity and cannot be reinfected
๐Ÿฅฐ1๐Ÿ‘1
Medical laboratory science
@Mlstechnology_and_innovation

@Mlstechnology_and_innovation

๐Ÿ‘†๐Ÿ‘†๐Ÿ‘†๐Ÿ‘†๐Ÿ‘†๐Ÿ‘†๐Ÿ‘†
๐Ÿ‘2โค1๐Ÿ”ฅ1๐Ÿฅฐ1
DAY 2: AI IN MALARIA MICROSCOPY

โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”

๐Ÿ”ฌ What is AI in malaria microscopy?
It is the use of computer technology to analyze digital images of blood smears and help identify possible malaria parasites.
In simple terms:
๐Ÿฉธ Blood smear โ†’ ๐Ÿ“ธ Digital image โ†’ ๐Ÿค– AI analysis โ†’ ๐Ÿ”ฌ Possible parasite detection
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
โš™๏ธ How does it work?
โ‘  A stained blood smear is prepared.
โ‘ก The smear is examined and a digital image is captured.
โ‘ข The image is analyzed by an AI system trained using many malaria and non-malaria images.
โ‘ฃ The system may identify areas that could contain malaria parasites.
โ‘ค A qualified laboratory professional reviews and confirms the result.
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐ŸŽฏ What is the purpose?
AI may help to:
โ€ข Support malaria microscopy

โ€ข Assist with screening of digital images

โ€ข Reduce repetitive manual image review

โ€ข Support training and image-based learning

โ€ข Improve consistency when properly developed and validated
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
โš ๏ธ Important to understand
AI does not simply replace the medical laboratory professional.
Its result can be affected by image quality, staining quality, microscope quality, and the data used to train the system.
๐Ÿ‘‰ AI is a support tool, while professional review and proper validation remain important.
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ‡ช๐Ÿ‡น Why is this interesting for Ethiopia?
Malaria remains an important diagnostic challenge in many areas. New technologies that support faster, consistent, and accessible diagnosis may be usefulโ€”but they must be properly tested and adapted to local laboratory conditions before clinical use.
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ’ก TODAY'S KEY IDEA
AI can learn patterns from many microscopic images and help identify areas that may contain malaria parasites.

โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”

โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ“Œ MLS Tech Daily
Learn the technology โ€ข Understand how it works โ€ข Think about the future ๐Ÿงช๐Ÿš€

@Mlstechnology_and_innovation
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Forwarded from Medical Lab Academy
๐Ÿšซ Donโ€™t Use an Outdated CV! ๐Ÿค—๐Ÿ‘‰ Curriculum Vitae (CV)
๐Ÿ’ผ A CV is one of the most important requirements for job competitions โ€” especially when applying to large organizations & reputable NGOs. ๐Ÿ‘Œ
๐Ÿ”ฅ Many applicants fail at the screening stage simply because they donโ€™t have a professional CV.
๐Ÿ“„ Alongside your cover letter and educational documents, your CV plays a CRUCIAL ROLE in getting you shortlisted!
โœจ A strong CV helps employers quickly understand: ๐Ÿ‘‰ Who you are
๐Ÿ‘‰ What you can do
๐Ÿ‘‰ Why you are the right candidate
๐ŸŽฏ Thatโ€™s why your CV must be: โœ”๏ธ Well-organized
โœ”๏ธ Updated
โœ”๏ธ Attractive & professional
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
โš ๏ธ Common Mistakes Job Applicants Make
โŒ Using the same CV everywhere
โžก๏ธ Not customizing for each organization = REJECTION
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โŒ Poor CV design
โžก๏ธ Unprofessional CV = LOW CHANCE
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
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โ“ โ€œHow can I prepare a strong CV?โ€
โ“ โ€œCan you help me?โ€
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๐Ÿ“ข Namoonni hojjechisafachuu barbaadan nu qunnamaa!
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๐ŸŒˆ Make your CV stand out โ€” Your job starts here!
โค2๐Ÿ‘1
1. A client is tested 10 days after possible HIV exposure. The rapid antibody test is non-reactive, but acute infection is suspected. Which marker is likely to appear before HIV antibodies?
Anonymous Quiz
14%
A. Anti-HBs
73%
B. HIV p24 antigen
11%
C. HBeAg
2%
D. Heterophile antibody
โค1
A patient has jaundice, markedly elevated ALT, positive HBsAg, and positive anti-HBc IgM. What is the most likely diagnosis?
Anonymous Quiz
81%
A. Acute hepatitis B infection
9%
B. Immunity from vaccination
6%
C. Resolved hepatitis B infection
3%
D. Acute hepatitis A infection
. A blood donor has a reactive anti-HCV screening result. Which test best determines whether there is a current active HCV infection?
Anonymous Quiz
61%
A. HCV RNA test
19%
B. Anti-HBs test
13%
C. HBeAg test
7%
D. Heterophile antibody test
A patient presents on the seventh day of suspected dengue illness. Which serological marker is most likely to support a recent primary infection?
Anonymous Quiz
78%
A. Dengue IgM antibody
13%
B. Anti-HBc antibody
7%
C. HIV p24 antigen
2%
D. HBeAg
โค1
A university student presents with fever, pharyngitis, lymphadenopathy, and atypical lymphocytes. A heterophile-antibody test is positive. What is the most likely diagnosis?
Anonymous Quiz
59%
A. Infectious mononucleosis caused by EBV
15%
B. Acute hepatitis B
17%
C. Dengue fever
9%
D. Acute HIV infection confirmed by this test
โค3๐Ÿ‘2๐Ÿฅฐ2
๐Ÿงซ TOXOPLASMOSIS โ€” LABORATORY DIAGNOSIS

โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿฆ  Causative Agent:

Toxoplasma gondii โ€” an obligate intracellular protozoan.
๐Ÿ“Œ Specimens
โ€ข Serum โ€” most commonly used

โ€ข Whole blood / EDTA blood

โ€ข Amniotic fluid โ€” congenital infection

โ€ข CSF โ€” selected cases

โ€ข Tissue / lymph node biopsy โ€” selected cases
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ”ฌ 1. DIRECT DETECTION
A. Microscopy
โ€ข Tachyzoites may occasionally be demonstrated in tissue or body fluids.

โ€ข Sensitivity is generally low, so microscopy is not the preferred routine method.
B. Histopathology
โ€ข Tissue sections may demonstrate tachyzoites or tissue cysts.

โ€ข Useful in selected cases.
C. PCR
โ€ข Detects T. gondii DNA.

โ€ข Particularly useful for:
โžค Congenital toxoplasmosis

โžค Amniotic fluid testing

โžค CNS infection in immunocompromised patients
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿงช 2. SEROLOGICAL DIAGNOSIS
Serology is the main laboratory approach for toxoplasmosis.
๐Ÿ”น Anti-Toxoplasma IgM
โ€ข Usually appears early after infection.

โ€ข May suggest recent/acute infection.

โš ๏ธ Important: IgM may persist for months, so a positive IgM alone does not prove a recent infection.
๐Ÿ”น Anti-Toxoplasma IgG
โ€ข Appears after IgM.

โ€ข Usually persists for long periods, often lifelong.

โ€ข Indicates previous exposure/infection.
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
โญ 3. IgG AVIDITY TEST
Used mainly when recent primary infection needs to be distinguished from past infection, especially during pregnancy.
๐ŸŸข High IgG avidity
โžก๏ธ Suggests infection occurred at least several months earlier

โžก๏ธ Helps exclude a very recent primary infection.
๐Ÿ”ด Low IgG avidity
โžก๏ธ May be associated with a more recent infection

โžก๏ธ Cannot alone prove acute infection.
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿงฌ 4. COMMON SEROLOGICAL METHODS
โ€ข ELISA

โ€ข IFA / IFAT

โ€ข Immunoblot

โ€ข Agglutination tests

โ€ข Dye test โ€” reference/classical method
๐Ÿ“Œ Sabinโ€“Feldman Dye Test
โ€ข Detects antibodies against T. gondii.

โ€ข Historically considered a reference method but requires live organisms and specialized facilities.
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ‘ถ 5. CONGENITAL TOXOPLASMOSIS
For suspected congenital infection:
๐Ÿงช Important tests
โ€ข Infant-specific IgM
โ€ข Infant-specific IgA
โ€ข IgG follow-up
โ€ข PCR when indicated
๐Ÿ“Œ Maternal IgG can cross the placenta, so IgG positivity alone in a newborn does not necessarily indicate congenital infection.
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ“Š EXAM QUICK REVIEW
๐Ÿ”น IgM positive
โžก๏ธ Possible recent infection

โžก๏ธ Confirm/interpret with additional testing.
๐Ÿ”น IgG positive + IgM negative
โžก๏ธ Usually indicates past infection.
๐Ÿ”น IgG negative + IgM negative
โžก๏ธ No serological evidence of previous exposure.
๐Ÿ”น IgM positive + IgG positive
โžก๏ธ Could represent recent infection or persistent IgM

โžก๏ธ Consider IgG avidity and/or repeat/confirmatory testing.
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐ŸŽฏ HIGH-YIELD POINTS
โœ… Most commonly used specimen: Serum
โœ… Main diagnostic approach: Serology
โœ… IgM: Associated with recent infection but may persist
โœ… IgG: Indicates exposure and usually persists long-term
โœ… IgG avidity: Helps estimate the timing of infection
โœ… PCR: Detects T. gondii DNA and is particularly useful in congenital/CNS disease
โš ๏ธ Never diagnose acute toxoplasmosis from IgM positivity alone.
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ“š MLS / COC / EXIT EXAM TIP
๐Ÿ’ก Remember:
IgM โ†’ Think recent

IgG โ†’ Think previous exposure

Avidity โ†’ Think timing

PCR โ†’ Think DNA detection
๐Ÿงช๐Ÿ”ฌ Medical Laboratory Science | Serology & Immunology


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โค5
Coc mcq


1.A 31-year-old woman presents with persistent fever, weight loss, abdominal distension, and progressive fatigue. Examination reveals massive splenomegaly. Complete blood count shows pancytopenia. The clinician strongly suspects visceral leishmaniasis.
The laboratory plans to demonstrate the parasite microscopically. However, the patient has a significant bleeding risk, and the clinician wants to avoid a procedure associated with a higher risk of hemorrhage. A bone marrow aspiration is therefore performed.
The aspirate is stained using Giemsa stain. Several macrophages contain small oval intracellular organisms with a nucleus and a characteristic kinetoplast.
Question: Which combination correctly describes the laboratory finding and the form of the parasite being detected?

A. Promastigotes containing a kinetoplast in erythrocytes

B. Amastigotes containing a nucleus and kinetoplast inside macrophages

C. Tachyzoites containing a nucleus inside neutrophils

D. Sporozoites containing a kinetoplast inside hepatocytes

???????????



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โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
โค4
23yearold woman come to the lab with a 2day history of missed menstruation. She performed a urine pregnancy test, which was -ve. She reports drinking a large amount of water before collecting.retest by morning sample give +ve.Why initial negative result?
Anonymous Quiz
8%
A. Presence of excessive hCG
81%
B. Dilution of urine reducing hCG concentration
5%
C. Increased urinary protein
5%
D. Failure of implantation
โค6
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โค1
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แ‰ แАแˆ€แˆด 2018 แ‹“.แˆ แ‰ แŒคแŠ“ แˆšแŠ’แˆตแ‰ดแˆญ แ‹จแ‰ฐแˆฐแŒ แ‹แŠ• แ‹จแŒคแŠ“ แˆ™แ‹ซ แ‹จแ‰ฅแ‰ƒแ‰ต แˆ˜แ‹˜แŠ“ แˆแ‰ฐแŠ“ แ‹จแ‹ˆแˆฐแ‹ณแ‰ฝแˆ แ‰ฐแˆ˜แ‹›แŠžแ‰ฝ แŠจแАแˆ€แˆด 27/2018 แ‹“.แˆ แŒ€แˆแˆฎ https://hple.moh.gov.et แˆ‹แ‹ญ แ‰ แˆ˜แŒแ‰ฃแ‰ตแŠ“ แ‹จแ‰ฅแˆ„แˆซแ‹Š แˆ˜แˆˆแ‹ซ แ‰แŒฅแˆญ(FAN) แŠฅแŠ“ Password แ‰ แˆ›แˆตแŒˆแ‰ฃแ‰ต แ‹จแˆแ‰ฐแŠ“ แ‹แŒคแ‰ณแ‰ฝแˆแŠ• แˆ˜แˆ˜แˆแŠจแ‰ต แ‹จแˆแ‰ตแ‰ฝแˆ‰ แˆ˜แˆ†แŠ‘แŠ• แŠฅแ‹จแŒˆแˆˆแŒฝแŠ• แ‰ แ‹แŒคแ‰ณแ‰ฝแˆ แˆ‹แ‹ญ แ‰…แˆฌแ‰ณ แ‹ซแˆ‹แ‰ฝแˆ แ‰ฐแˆ˜แ‹›แŠžแ‰ฝ แ‹แŒคแ‰ต แŠจแ‰ฐแŒˆแˆˆแŒธแ‰ แ‰ต แ‹•แˆˆแ‰ต แŠ แŠ•แˆตแ‰ถ แ‰ฃแˆ‰แ‰ต 10 (แŠ แˆตแˆญ) แ‰ฐแŠจแ‰ณแ‰ณแ‹ญ แ‹จแˆตแˆซ แ‰€แŠ“แ‰ต แ‰ แˆตแˆแŠญ แ‰แŒฅแˆญ 952 แ‰ แˆตแˆซ แˆฐแ‹“แ‰ต แ‰ แˆ˜แ‹ฐแ‹ˆแˆ แˆ™แˆ‰ แˆตแˆแฃ แ‹ฒแ“แˆญแ‰ตแˆ˜แŠ•แ‰ต แŠฅแŠ“ แ‹จแ‰ฐแˆ›แˆซแ‰ฝแˆแ‰ แ‰ตแŠ• แ‹จแ‰ตแˆแˆ…แˆญแ‰ต แ‰ฐแ‰‹แˆ แˆตแˆ แ‰ แˆ›แˆณแ‹ˆแ‰… แŒฅแ‹ซแ‰„แ‹Žแ‰ปแ‰ฝแˆแŠ• แˆ›แ‰…แˆจแ‰ฅ แ‹จแˆแ‰ตแ‰ฝแˆ‰ แˆ˜แˆ†แŠ‘แŠ• แŠฅแŠ•แŒˆแˆแƒแˆˆแŠ•แกแก

แˆ›แˆณแˆฐแ‰ขแ‹ซแฆ                                                                                                                                                1. แ‰ แ‹šแˆ… แ‹™แˆญ แˆˆแˆ˜แŒ€แˆ˜แˆชแ‹ซ แŒŠแ‹œ แ‰ฐแˆ˜แ‹›แŠžแ‰ฝ แ‰ แ‰ฐแŠ“แŒ แˆ แ‹จแ‹แŒคแ‰ต แ‰ตแŠ•แ‰ฐแŠ“ (Domain analysis) แˆ›แ‹จแ‰ต แ‹จแˆแ‰ตแ‰ฝแˆ‰ แˆฒแˆ†แŠ• แ‹ญแˆ…แˆ แŠฅแˆซแ‰ฝแˆแŠ• แˆˆแˆ›แˆปแˆปแˆ แŠฅแŠ“ แ‹จแ‰ แˆˆแŒ  แˆˆแˆ›แ‰ฅแ‰ƒแ‰ต แŠฅแŠ•แ‹ฐแˆšแŒ แ‰…แˆ›แ‰ฝแˆ แˆ˜แˆ†แŠ‘แŠ• แŠฅแŠ•แŒˆแˆแƒแˆˆแŠ•แข                                                    

2. แ‹จแŒคแŠ“ แˆ™แ‹ซ แˆแ‰ƒแ‹ต แˆแ‰ฐแŠ“แ‹แŠ• แ‹ซแˆˆแ‹แ‰ฝแˆ แ‰ฐแˆ˜แ‹›แŠžแ‰ฝ แŠจแˆฐแŠž แ‹ปแŒ‰แˆœ 2/2018 แ‹“.แˆ แŒ€แˆแˆฎ  แˆตแˆ แ‹แˆญแ‹แˆซแ‰ฝแˆ แ‹ˆแ‹ฐ แŠญแˆแˆ แ‹จแˆšแˆ‹แŠญ แˆตแˆˆแˆ†แА แ‹จแˆ™แ‹ซ แแ‰ƒแ‹ณแ‰ฝแˆแŠ• 12แ‰ฐแŠ› แŠญแแˆ แ‰ แ‰ฐแˆ›แˆซแ‰ฝแˆแ‰ แ‰ต แŠญแˆแˆ แˆ›แ‹แŒฃแ‰ต แ‹จแˆแ‰ตแ‰ฝแˆ‰ แˆ˜แˆ†แŠ‘แŠ• แŠฅแŠ“แˆณแ‹แ‰ƒแˆˆแŠ•แกแก

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A 45-year-old woman presents with symmetrical pain and swelling of the MCP and PIP joints for 6 months. RF latex agglutination shows visible agglutination. Which substance in the reagent is responsible for reacting with RF?
Anonymous Quiz
48%
A. C-reactive protein
34%
B. Human IgG
8%
C. Anti-dsDNA
10%
D. Complement C3
A 28-year-old patient develops fever and suspected bacterial infection. CRP is markedly elevated. Which organ is primarily responsible for CRP synthesis?
Anonymous Quiz
15%
A. Kidney
57%
B. Liver
13%
C. Spleen
16%
D. Bone marrow
A 25-year-old woman presents with photosensitivity, malar rash, joint pain, and unexplained cytopenia. The physician requests an initial autoimmune screening test. Which is most appropriate?
Anonymous Quiz
55%
A. RF
20%
B. ANA
15%
C. Troponin I
10%
D. ASO
โค1