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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 low concentrarion of serum phosphorus is commonly found in...
carbohydrate hyperalimentation
M subunit is inactivated
properties of the membrane
40-50
2. Malic dehydrogenase is added to the aspartate aminotransaminase (AST) reaction to catalyze the conversion of...
oxalacetate to malate
<1%
freezing point
urinary free cortisol
3. The principle of the occult blood test depends on the...
hyperthyroidism
peroxidase-like activity of hemoglobin
show a decrease in glycosylated hgb
dihydroxyacetone side chain
4. A serum potassium is 19.5 mg/100 mL. This value is equal to how many mEq/L (MW of K = 39)?
3500
chylomicrons VLDL
5
thymolpthalein monophosphate
5. A critically ill patient becomes comatose. The physician believes the coma is due to hepatic failure. The assay most helpful in this diagnosis is...
sodium potassium chloride CO2
128
sharp cutoff filter
ammonia
6. A chemiluminescent EIA...
brain
act as carriers for ions
is quantitated by the amount of light produced
HPLC analysis of porpobilinogen on 24hr urine
7. An electrophoretic separation of lactate dehydrogenase isoenzymes that demonstrates an elevation in LD-l and LD-2 in a "flipped" pattern is consistent with...
Hb S
MI
hepatobiliary (obstruction?)
BUN increased
8. This steroid is an adrenal cortical hormone
freezing point
fall in pH - rise in pCO2
increased O2 decreased HCO3
corticosterone
9. Isoenzyme assays are preformed to improve...
40-50
C
specificity
impaired response to ACTH stimulation
10. Enzymes used in the diagnosis of acute pancreatitis?
high co2 and hco3
amylase and lipase
immunofixation
measures one ion more than others
11. This method employs a highly specific antibody to thyroxine
maintain colloidal osmotic pressure
acid phosphatase
T4 by RIA
creatine kinase
12. Technical problems encountered during the collection of an amniotic fluid specimen caused doubt as to whether the specimen was amniotic in origin. This procedure would establish that the fluid is amniotic in origin
creatinine
testing heparinized plasma
plasma bicarbonate
measurement of absorbance at 450
13. Patients with Cushing's syndrome exhibit...
specificity
cancel test
high co2 and hco3
serum cortisol > 15
14. The normal concentration of proteins in cerebrospinal fluid - relative to serum protein - is...
purulent
acute intermittent porphyria
HPLC analysis of porpobilinogen on 24hr urine
<1%
15. The osmolal gap is defined as measured Osm/kg minus the calculated Osm/kg. The average osmolal gap is near...
0
spun separated iced and tested immediately
low pH
viral hepatitis
16. 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...
increased vasoconstriction
21-hydroxylase deficiency
glucose tolerance test
TSH
17. In respiratory acidosis - a compensatory mechanism is the increase in...
run a new set of controls
plasma bicarbonate
amylase and lipase
ALP with fresh draw
18. Oligoclonal bands are present on electrophoresis of concentrated CSF and also on concurrently tested serum of the same patient. The proper interpretation is...
volumetric flask
nondiagnostic for MS
lower than in adults
absorptivity x light path x concentration
19. While performing a serum lithium determination on a flame photometer with cesium as the internal standard - the technologist noticed that there was a flickering flame. The most probable cause of this problem is...
methyl alcohol
nephelometry
changes in the fuel
dirty applicators
20. At a pH of 8.6 the gamma globulins move toward the cathode - despite the fact that they are negatively charged. What is this phenomenon called?
ionic charge
endosmosis
cmpds based on molecular weight and size
cancel test
21. The measurement of light scattered by particles in the sample is the principle of...
nephelometry
128
thyroxine
lead
22. Phenobarbital is a metabolite of...
viral hepatitis
pituitary
pH pCO2 pO2
primidone
23. A pH of 7.0 represents a H+ concentration of...
low pH
100 nmol
amylase and lipase
porphobilinogen screen
24. Bile acid concentrations are useful to assess...
Prolactin
hepatobiliary (obstruction?)
sharp cutoff filter
2-log(T)
25. A test request slip indicates that an acute porphyric attack is suspected clinically. Analysis should include...
TSH
dirty electrodes
quantitation of label
porphobilinigen SCREEN
26. The most sensitive enzymatic indicator for liver damage from ethanol intake is...
D
40-50
immunofixation
GGT
27. Amniotic fluid submitted for a lecithin/sphingomyelin (US) ratio has been left in a brown container since the night before. You would expect...
fraction absorbed into systemic circulation
measurement of absorbance at 450
decreased lecithin
purulent
28. A common cause of respiratory alkalosis is...
acute hepatitis
measurement of absorbance at 450
hyperventilation
GLC
29. 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?
agarose
5
parathyroid
A1
30. A course of instruction is being planned to teach laboratory employees to correct simple malfunctions in selected laboratory instruments. In writing the objectives for this course - this would be most appropriate?
5mg higher
thyroxine binding globulin
be able to detect 9/10 simple instrument malfunctions
beta
31. The T3 resin uptake test is a measure of...
WITHOUT a disease with a negative test
atomic absorption
alpha 2 beta
binding capacity of thyroxine-binding globulin
32. The extent to which measurements agree with or approach the true value of the quantity being measured is referred to as...
tissue and serum levels need to reach equilibrium
D
accuracy
turn off
33. Currently the most common method for specific identification and quantitation of serum barbiturates is...
GLC
TSH
Tay-sachs
sharp cutoff filter
34. Hydrogen ion concentration (pH) in blood is usually determined by means of these electrodes?
glass
occult blood
enzyme immunoassay
no decrease in serum growth hormone after 90 minutes
35. A blood gas sample was sent to the lab on ice - and a bubble was present in the syringe. The blood had been exposed to room air for at least 30 minutes. The following change in blood gases occurred...
pO2 increased HCO3 decreased
didymium filter
nephelometry
chloride
36. 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...
C
thymolpthalein monophosphate
inclusion of smokers and nonsmokers in the study population
tissue and serum levels need to reach equilibrium
37. An emphysema patient suffering from fluid accumulation in the alveolar spaves is likely to be in what metabolic state?
run a new set of controls
correct for variations in flame and atomizer
respiratory ACIDOSIS
metabolic acidosis
38. A one MOLAL solution is equivalent to...
1 mol/kg
be able to detect 9/10 simple instrument malfunctions
A1
specificity
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?
cancel test
TSH
porphobilinogen screen
100nmol
40. Lasting serum phosphate concentration is controlled primarily by the...
parathyroid
improving state of metabolic control (as indicated by fructosamine)
porphyrin and porphobilinogen screen
benzoylecogine
41. Before unconjugated bilirubin can react with Ehrlich's diazo reagent - this must be added
intestinal malabsorption
methyl alcohol
bilirubindiglucuronide
GFR
42. A fresh urine sample is received for "porphyrins" or "porphyria" without further information or specifications. Initial analysis should include...
porphyrin and porphobilinogen screen
creatine kinase
carbohydrate hyperalimentation
quantitation of label
43. The presence of this isoenzymes indicates acute myocardial damage
purulent
thymolpthalein monophosphate
CK-MB
specimen exposure to light
44. This is a regulatory hormone.
transferrin
methyl alcohol
amylase and lipase
parathyroid hormone
45. A blood creatinine value of 5.0 mg/dL is most likely to be found with this blood value?
run a new set of controls
BUN 80
lipase
minimize the effects of interference
46. Spectrophotometers isolate a narrow band pass by means of...
prisms and grating
CK-MB
CO2 and pH elevated
impaired response to ACTH stimulation
47. At blood pH 7.40 what is the ratio between bicarbonate and carbonic acid?
attaching them to protein molecules
thyroxine
20:1
patient noncompliance
48. The primary function of serum albumin in the peripheral blood is to...
pilocarpine
Prolactin
maintain colloidal osmotic pressure
CO2
49. In the fasting state - the arterial and capillary blood glucose concentration varies from the venous glucose concentration by approximately how many mg/dL?
aldolase
sharp fibrinogen peak
5mg higher
bilirubindiglucuronide
50. A potentiometric electrode that measures an analyte that passes through a selectively premeable membrane and rapidly enters into an equilibrium with an electrolyte solution is...
5mg higher
inhibitor binds to enzyme at same site as substrate
plasma bicarbonate
pCO2