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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 person suspected of having metabolic alkalosis would have these laboratory findings
1:5
CO2 and pH elevated
pH = pKa + log (salt/acid)
GGT
2. A patient with myeloproliferative disorder has the following values: Hgb = 13 g/dL Hct = 38% WBC = 30 x 10^3/uL Platelets = 1000 x 10^3/uL Serum Na+ = 140 mEq/L Serum K+ = 7 mEq/L The serum K+ should be confirmed by...
tissue and serum levels need to reach equilibrium
didymium filter
testing heparinized plasma
lactic acidosis
3. Ninety percent of the copper present in plasma is bound to...
bilirubindiglucuronide
valine leucine isoleucine
ceruplasmin
methyl alcohol
4. The selectivity of an ion-selective electrode is determined by the...
testosterone
changes in the fuel
properties of the membrane
acute intermittent porphyria
5. Coulometry is used to measure...
valine leucine isoleucine
acid phosphatase
A1
chloride
6. A 2-year-old child with a decreased serum T4 is described as being somewhat dwarfed - stocky - overweight - and having coarse features. Of the following - the most informative additional laboratory test would be the serum...
spun separated iced and tested immediately
591
porphobilinogen screen
TSH
7. Blood received in the laboratory for blood gas analysis must meet these requirements
no ice clots bubbles
Tay-sachs
thiamine
is quantitated by the amount of light produced
8. Before unconjugated bilirubin can react with Ehrlich's diazo reagent - this must be added
methyl alcohol
acid phosphatase
acute hepatitis
no ice clots bubbles
9. When myocardial infarction occurs - the first enzyme to become elevated is...
low pH
endogenous triglycerides
CK
coulometry
10. The most consistent analytical error involved in the routine determination of HDLcholesterol is caused by...
faster than gamma
WITHOUT a disease with a negative test
a small concentration of APO-B containing lipoproteins after precipitation
D
11. Clinical assays for tumor markers are the most important for...
C
monitoring the course of a known cancer
0
5mg higher
12. This is a regulatory hormone.
LDL
benzoylecogine
growth - third trimester of pregnancy
parathyroid hormone
13. The greatest activities of serum AST and ALT are seen in...
decreased lecithin
Wilson's disease
dirty applicators
acute hepatitis
14. The chemical composition of HDL- cholesterol corresponds to...
5 tri 15 cholesterol 50 protein
parathyroid
transferrin
plasma bicarbonate
15. If a drug has a half-life of 7 hours - how many doses given at 7-hour intervals does it usually take to achieve a steady state or plateau level?
Mg
triglycerides
cancel test
5
16. In spectrophotometric determination - this is the formula for calculating the absorbance of a solution
BUN increased
breast cancer
chemical ionization matrix
absorptivity x light path x concentration
17. In amniotic fluid - the procedure used to detect Rh isosensitization is...
CK-MB
porphyrin and porphobilinogen screen
inhibitor binds to enzyme at same site as substrate
measurement of absorbance at 450
18. A patient in her 33rd week of pregnancy is hospitalized with toxemia. Her doctor would like to deliver the baby early because the toxemia is becoming more severe. The baby's best chance of delivery without respiratory distress due to lung immaturity
L/S ratio > 3.5
M subunit is inactivated
valine leucine isoleucine
GGT
19. Pregnant women with symptoms of thirst - frequent urination - or unexplained weight loss should have this test performed?
fall in pH - rise in pCO2
bicarbonate buffer
normal - liver breakdown
glucose tolerance test
20. About 90% of phenytoin is excreted in the urine as...
metabolic acidosis
fall in pH - rise in pCO2
para-hydroxylphenyl...
beta
21. An increase in serum acetone is indicative of a defect in the metabolism of...
carbs
F
pH pCO2 pO2
thiamine
22. 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...
measure the total volume
trig
cancel test
C3 complement
23. Thiis serum protein fraction is most likely to be elevated in patients with nephrotic syndrome?
alpha 2 beta
agarose
L/S ratio > 3.5
cmpds based on molecular weight and size
24. Serum concentrations of vitamin B12 are elevated in...
cancel test
lead
CML
creatinine clearance
25. 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?
carbohydrate hyperalimentation
TSH
bicarbonate carbonic acid
pCO2
26. Zinc protoporphyrin or free erythrocyte protoporphyrin measurements are useful to assess blood concentrations of...
100nmol
D
sharp fibrinogen peak
lead
27. A carbonate salt used to control manic-depressive disorders is...
thymolpthalein monophosphate
lithium
high co2 and hco3
cysteine
28. How many grams of sodium chloride are needed to prepare 1 L of 0.9% normal saline?
9
biuret
TSH
atomic absorption
29. The ability of a procedure to measure only the component(s) it claims to measure is called...
specificity
methadone
atomic absorption
Tangier
30. In the Jaffe reaction - creatine reacts with...
incorrect aqueous to nonaqueous mixture
1.9
alkaline picrate
breast cancer
31. Oligoclonal bands are present on electrophoresis of concentrated CSF and also on concurrently tested serum of the same patient. The proper interpretation is...
bone
nondiagnostic for MS
oxalacetate to malate
parathyroid
32. Which two conditions can "physiologically" elevate serum alkaline phosphatase?
turn off
Solute moves half the distance of the solvent front
mg/ml
growth - third trimester of pregnancy
33. Alkaline phosphatase Slight increase - Aminotransferase Marked increase - Aspartate aminotransferase Marked increase - Alanine gamma-glutamyl transferase Slight increase
acute hepatitis
CML
Solute moves half the distance of the solvent front
amytriptyline 104
34. The direction in which albumin migrates (ie - toward anode or cathode) during electrophoretic separation of serum proteins - at pH 8.6 - is determined by...
agarose
ionization of carboxyl groups (yielding a net negative charge)
heparin
potassium dichromate in SA
35. The relative migration rate of proteins on cellulose acetate is based on...
acute intermittent porphyria
peptide bonds
ionic charge
bone
36. The following data were obtained from a cellulose acetate protein electrophoresis scan: Albumin area 75 units Gamma globulin area 30 units Total area 180 units Total protein 6.5 g/dL The gamma globulin content in g/dL is...
digoxin
TLC
impaired response to ACTH stimulation
1.1
37. 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...
enzyme immunoassay
beta
emphysema
sharp cutoff filter
38. A patient with glomerulonephritis would present the following serum results...
multiplied by 4
transferrin
freezing point
BUN increased
39. Regan isoenzyme has the same properties as alkaline phosphatase that originates in the...
5mg higher
placenta
iron hemochromatosis
low pH
40. If the correlation coefficient (r) of two variables is zero...
there is an absence of correlation
2Na + glucose over 20 + BUN over 3
carbs
iron deficiency anemia
41. This serum constituent is unstable if a blood specimen is left standing at room temperature for 8 hours before processing
intestinal malabsorption
glucose
ionic charge
endogenous triglycerides
42. Major actions of angiotensin II include...
O2
increased vasoconstriction
inhibitor binds to enzyme at same site as substrate
attaching them to protein molecules
43. The reason carbon monoxide is so toxic is because it...
act as carriers for ions
O2
prevent phosphate interference
200x affinity for oxygen
44. The Henderson-Hasselbalch equation
lower than in adults
pH = pKa + log (salt/acid)
3500
(testing of urine for) delta-am.. acid
45. The formula for calculating the amount of moles of a chemical?
g/MW
5
dirty applicators
patient noncompliance
46. Spectrophotometers isolate a narrow band pass by means of...
prisms and grating
no ice clots bubbles
Tay-sachs
thyroxine binding globulin
47. A patient has signs and symptoms suggestive of acromegaly. The diagnosis would be confirmed if the patient had...
the fetus is at risk for respiratory distress
growth - third trimester of pregnancy
pilocarpine
no decrease in serum growth hormone after 90 minutes
48. A stool specimen that appears black and tarry should be tested for the presence of...
heparin
measurement of absorbance at 450
elevated lactic acid - elevated pyruvate
occult blood
49. Four children are admitted with malaise - anorexia - and abdominal pain. Further evaluations reveal mild anemia - erythrocyte basophilic stippling - and profound pica habits. Poisoning by which heavy metal is most likely responsible?
LDL
there is an absence of correlation
1:5
lead
50. The anion gap is useful for quality control of laboratory results for...
cholesterol normal triglycerides elevated
sodium potassium chloride CO2
binding capacity of thyroxine-binding globulin
thyroxine binding globulin