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Test your basic knowledge |
Chemistry Certification
Start Test
Study First
Subject
:
certifications
Instructions:
Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can
study here
.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.
This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.
1. A 24-hour urine specimen (total volume = 1136 mL) is submitted to the laboratory for quantitative urine protein. Calculate the amount of protein excreted per day - if the total protein is 52 mg/dL.
SD over mean
ALP with fresh draw
591
hyperthyroidism
2. The main reason for suboptimal drug levels in therapeutic drug monitoring is...
atomic absorption
specificity
patient noncompliance
increased vasoconstriction
3. The normal concentration of proteins in cerebrospinal fluid - relative to serum protein - is...
A1c
<1%
L/S ratio > 3.5
lead
4. The identification of Bence Jones protein is best accomplished by...
bone
acute hepatitis
immunofixation
serum cortisol > 15
5. A breakdown product of hemoglobin is...
bilirubin
fetal and placenta function
3500
enzyme induction
6. This wavelengths is within the ultraviolet rang.
ionization of carboxyl groups (yielding a net negative charge)
340
exchange of amino and keto groups
LDL
7. Assay of transketolase activity in blood is used to detect deficiency of...
respiratory acidosis
atomic absorption
accuracy
thiamine
8. Serum concentrations of vitamin B12 are elevated in...
mg/ml
CML
porphyrin and porphobilinogen screen
parathyroid
9. A 9-month-old boy from Israel has gradually lost the ability to sit up and develops seizures. He has an increased amount of a phospholipid called GM2-ganglioside in his neurons - and he lacks the enzyme hexosaminidase A in his leukocytes. These findi
Tay-sachs
carbs
testing heparinized plasma
dirty applicators
10. This serum constituent is unstable if a blood specimen is left standing at room temperature for 8 hours before processing
BUN increased
absorptivity x light path x concentration
prisms and grating
glucose
11. A stool specimen that appears black and tarry should be tested for the presence of...
enzyme induction
prisms and grating
occult blood
hemolysis
12. The anticonvulsant used to control tonic-clonic (grand mal) seizures is...
porphobilinogen synthetase
creatine kinase
phenytoin
plasma bicarbonate
13. The following data were obtained on amniotic fluid from a gestation of 36 weeks' duration by menstrual dates: L/S = 2 Phosphatidyl glycerol not present This can be concluded from these data?
check serum for hemolysis
correct for variations in flame and atomizer
testosterone
the fetus is at risk for respiratory distress
14. To ensure an accurate ammonia level result - the specimen should be...
Calcium - phosphorus
spun separated iced and tested immediately
increased O2 decreased HCO3
one micromole/minute
15. Acidosis and alkalosis are best defined as fluctuations in blood pH and CO2 content due to changes in...
analyzed immediately
bicarbonate buffer
thymolpthalein monophosphate
fresh morning urine for delta-aminolevulinic acid
16. Fluctuation of the needle on a coulometric type titrator is most probably due to...
changes in the fuel
1 micromole per minute
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
dirty electrodes
17. This is a characteristic shared by lactate dehydrogenase - malate dehydrogenase - isocitrate dehydrogenase - and hydroxybutyrate dehydrogenase?
catalyze redox reactions
amytriptyline 104
bilirubindiglucuronide
prisms and grating
18. The osmolal gap is defined as measured Osm/kg minus the calculated Osm/kg. The average osmolal gap is near...
0
phenytoin
BUN 80
measures one ion more than others
19. The expected blood gas results for a patient in chronic renal failure would match the pattern of...
metabolic acidosis
CML
can be separated into distinct phenotypes
5mg higher
20. In respiratory acidosis - a compensatory mechanism is the increase in...
placenta
plasma bicarbonate
ammonia
sodium
21. Serum anion gap is increased in patients with...
lactic acidosis
aldolase
testing heparinized plasma
freezing point
22. Rickets is associated with deficiency of...
ceruplasmin
D
methyl alcohol
immunofixation
23. Most most likely to be ordered in addition to serum calcium to determine the cause of tetany?
creatinine
acid phosphatase
Mg
thyroxine binding globulin
24. In developing the reference for a new EIA for CEA - the range for the normal population was broader than that published by the vendor. Controls are acceptable with a narrow coefficient of variation. This may be explained by...
prevent phosphate interference
inclusion of smokers and nonsmokers in the study population
growth - third trimester of pregnancy
show a decrease in glycosylated hgb
25. The following blood gas results were obtained: pH : 7.18 PO2: 86 mm Hg PCO2: 60 mm Hg O2 saturation: 92% HCO3-: 21 mEq/L TCO2: 23 mEq/L Base excess: -8.0 mEq/L The patient's results are compatible with...
emphysema
electric current
1:5
testosterone
26. The first step in analyzing a 24-hour urine specimen for quantitative urine protein is...
lactic acidosis
placenta
measure the total volume
cyclic antidepressants
27. A common cause of respiratory alkalosis is...
hyperventilation
4.5
glucose
128
28. After a difficult venipuncture requiring prolonged application of the tourniquet - the serum K+ was found to be 6.8 mEq/L. The best course of action is to...
HCT
peroxidase-like activity of hemoglobin
corticosterone
cancel test
29. In competitive inhibition of an enzyme reaction the...
2Na + glucose over 20 + BUN over 3
porphobilinigen SCREEN
corticosterone
inhibitor binds to enzyme at same site as substrate
30. Serum haptoglobin...
exchange of amino and keto groups
CO2 and pH elevated
can be separated into distinct phenotypes
endosmosis
31. In the liver - bilirubin is converted to...
effluent line is obstructed
patient noncompliance
bilirubindiglucuronide
viral hepatitis
32. The unit of measure for a standard solution is...
mg/ml
5 tri 15 cholesterol 50 protein
methadone
endogenous triglycerides
33. Magnesium carbonate is added in an iron binding capacity determination in order to...
bilirubindiglucuronide
B12 deficiency
chloride
remove excess unbound iron
34. What substance gives feces its normal color?
respiratory acidosis
20:1
manic-depression
urobilin
35. Nephelometers measure light...
standard
MI
scattered at a right angle
A1c
36. The relative migration rate of proteins on cellulose acetate is based on...
chylomicrons
ionic charge
metabolic acidosis
run a new set of controls
37. How many grams of sodium chloride are needed to prepare 1 L of 0.9% normal saline?
benzoylecogine
128
volumetric flask
9
38. The following results were obtained in a creatinine clearance evaluation: Urine concentration 84 mg/dL Urine volume 1440 mL/24 hr Serum concentration 1.4 mg/dL Body surface area 1.60 m2 (average = 1.73 m2) The creatinine cle~trance in mL/min is...
creatinine clearance
adding an acid stabilizer
65
LDH
39. A 45-year-old woman complains of fatigue - heat intolerance - and hair loss. Serum thyroxine and 125I-T3 resin uptake are abnormally low. What test would confirm that this is a pituitary deficiency?
potassium dichromate in SA
Hb S
TLC
TSH
40. When the exact concentration of the solute of a solution is known and is used to evaluate the concentration of an unknown solution - the known solution is...
g/MW
creatine kinase
standard
glycerol
41. Sixty to seventy-five percent of the plasma cholesterol is transported by...
65
LDL
run a new set of controls
prisms and grating
42. When taken by a euthyroid individual - oral contraceptives containing estrogens will have this effects on the thyroid function studies
(testing of urine for) delta-am.. acid
increase in total circulating T4
<45
serum aliquots - one heated
43. Alkaline phosphatase Slight increase - Aminotransferase Marked increase - Aspartate aminotransferase Marked increase - Alanine gamma-glutamyl transferase Slight increase
bilirubindiglucuronide
acute hepatitis
pO2 increased HCO3 decreased
sharp fibrinogen peak
44. The most important buffer pair in plasma is the...
coulometry
bicarbonate carbonic acid
TSH
para-hydroxylphenyl...
45. One means of checking a spectrophotometer wavelength calibration in the visible range is by using a...
didymium filter
ionic charge
breast cancer
crigler
46. A potassium level of 6.8 mEq/L is obtained. Before reporting the results - the first step the technologist should take is to...
increased vasoconstriction
patient noncompliance
check serum for hemolysis
CK
47. Calcium concentration in the serum is regulated by...
CO2 and pH elevated
parathyroid hormone
serum aliquots - one heated
sharp cutoff filter
48. This hemoglobin has glucose-6-phosphate on the amino-terminal valine of the beta chain?
A1c
acute hepatitis
hepatobiliary (obstruction?)
no decrease in serum growth hormone after 90 minutes
49. At blood pH 7.40 what is the ratio between bicarbonate and carbonic acid?
hemolysis
20:1
GLC
effluent line is obstructed
50. Currently the most common method for specific identification and quantitation of serum barbiturates is...
glucose oxidase
have a negative charge
GLC
porphobilinigen SCREEN