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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 fasting serum sample from an asymptomatic 43-year-old woman is examined visually chemically with the following results: Initial appearance of serum: Milky Appearance of serum after overnight refrigeration: Cream layer over turbid serum Triglyceri
catalyze redox reactions
B12 deficiency
chylomicrons VLDL
no ice clots bubbles
2. The unit of measure for a standard solution is...
sample exposed to light
100 nmol
ammonia
mg/ml
3. The anticonvulsant used to control tonic-clonic (grand mal) seizures is...
cholesterol normal triglycerides elevated
creatine kinase
phenytoin
methyl alcohol
4. Which percentage of total serum calcium is nondiffusible protein bound?
porphyrin and porphobilinogen screen
40-50
5
cmpds based on molecular weight and size
5. A patient with glomerulonephritis would present the following serum results...
cancel test
BUN increased
freezing point
1 mol/kg
6. The protein portion of an enzyme complex is called the...
apoenzyme
methadone
immunofixation
multiplied by 4
7. The T3 resin uptake test is a measure of...
turn off
5
binding capacity of thyroxine-binding globulin
120 minutes
8. A patient with type I insulin-dependent diabetes mellitus has the following results: Fasting blood glucose: 150 mg/dL (70-110 rng/dL) Hemoglobin A1c: 25% (6.0%-19.5%) Fructosamine: 3.0 mmol/L ( 2.0-5.3 mmol/L)
improving state of metabolic control (as indicated by fructosamine)
potassium dichromate in SA
turn off
F
9. The following laboratory results were obtained on arterial blood: Sodium 136 mEq/L pH 7.32 Potassium 4.4 mEq/L PCO2 79 mm Hg Chloride 92 mEq/L Bicarbonate 40 mEq/L These results are most compatible with...
MI
methadone
respiratory acidosis
<45
10. Upon development of a thin layer chromatogram for the drug analysis - all drug spots (including the standards) had migrated with the solvent front. The most probable cause for this would be...
chloride
Tangier
glucose oxidase
incorrect aqueous to nonaqueous mixture
11. 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?
M subunit is inactivated
mg/ml
lead
NADH
12. Lithium therapy is widely used in the treatment of...
BUN increased
effluent line is obstructed
manic-depression
trig
13. A 45-year-old woman has a fasting serum glucose concentration of 95 mg/dL and a 2-hour postprandial glucose concentration of 105 mg/dL. The statement that best describes this patient's fasting serum glucose concentration is...
show a decrease in glycosylated hgb
normal - liver breakdown
0
4.5
14. Certain enzymes are activated to metabolize drugs as a result of another drug action. This is referred to as...
enzyme induction
agarose
a small concentration of APO-B containing lipoproteins after precipitation
viral hepatitis
15. The serum glucose concentration of a diabetic patient undergoing a 2-hour glucose tolerance test should return to the baseline (fasting level) after a minimum of...
Calcium - phosphorus
(testing of urine for) delta-am.. acid
120 minutes
SD over mean
16. Blood received in the laboratory for blood gas analysis must meet these requirements
no ice clots bubbles
hyperthyroidism
90%
nephelometry
17. The expected blood gas results for a patient in chronic renal failure would match the pattern of...
inhibitor binds to enzyme at same site as substrate
measures one ion more than others
pituitary
metabolic acidosis
18. Diagnostic specificity is defined as the percentage of individuals...
pituitary
Hb S
without a disease with a negative test result
specificity
19. 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...
WITHOUT a disease with a negative test
parathyroid hormone
testing heparinized plasma
a small concentration of APO-B containing lipoproteins after precipitation
20. The most widely employed screening technique for drug abuse is...
creatine kinase
thiamine
TLC
M subunit is inactivated
21. Most automated blood gas analyzers directly measure...
conjugated hyperbilirubinemia - hepatocellular obstruction
pH pCO2 pO2
effluent line is obstructed
serum cortisol > 15
22. The chemical composition of HDL- cholesterol corresponds to...
fetal and placenta function
5 tri 15 cholesterol 50 protein
fraction absorbed into systemic circulation
ceruplasmin
23. The enzyme that exists chiefly in skeletal muscle - heart - and brain; is grossly elevated in active muscular dystrophy; and rises early in myocardial infarction is...
urinary free cortisol
creatine kinase
C
Solute moves half the distance of the solvent front
24. In the Jaffe reaction - creatine reacts with...
21-hydroxylase deficiency
alkaline picrate
purulent
occult blood
25. The first step in analyzing a 24-hour urine specimen for quantitative urine protein is...
run a new set of controls
9
measure the total volume
attaching them to protein molecules
26. The test for adrenal cortical hyperfunction that has the greatest diagnostic sensitivity is measurement of...
pituitary
purulent
urinary free cortisol
high co2 and hco3
27. Scurvy is associated with deficiency of...
bilirubindiglucuronide
cancel test
C
binding capacity of thyroxine-binding globulin
28. The first step to be taken when attempting to repair a piece of electronic equipment is...
viral hepatitis
faster than gamma
specimen exposure to light
turn off
29. If the correlation coefficient (r) of two variables is zero...
attaching them to protein molecules
breast cancer
there is an absence of correlation
O2
30. Which blood gas electrode is composed of calomel and glass?
1:5
creatinine clearance
CO2
@ 100
31. The main reason for suboptimal drug levels in therapeutic drug monitoring is...
corticosterone
(testing of urine for) delta-am.. acid
Temperature is a function of the number of particles in solution
patient noncompliance
32. Gel filtration chromatography is used to separate...
cmpds based on molecular weight and size
65
biuret
prevent phosphate interference
33. Amniotic fluid submitted for a lecithin/sphingomyelin (US) ratio has been left in a brown container since the night before. You would expect...
decreased lecithin
valine leucine isoleucine
accuracy
Calcium - phosphorus
34. The most specific enzyme test for acute pancreatitis is...
breast cancer
properties of the membrane
albumin
lipase
35. The measurement of light scattered by particles in the sample is the principle of...
triglycerides
show a decrease in glycosylated hgb
nephelometry
sharp fibrinogen peak
36. A one MOLAL solution is equivalent to...
freezing point
340
CK
1 mol/kg
37. Upon completion of a run of cholesterol tests - the technician recognizes that the controls are not within the two standard deviations confidence range. What is the appropriate course of action?
run a new set of controls
thyroxine
porphobilinigen SCREEN
the fetus is at risk for respiratory distress
38. Given the following results: Alkaline phosphatase Marked increase Aminotransferase Slight increase Aspartate aminotransferase Slight increase Alanine gamma-glutamyl transferase Marked increase This is most consistent with...
@ 100
alpha 2 beta
obstructive jaundice
cyclic antidepressants
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?
200x affinity for oxygen
properties of the membrane
TSH
pCO2
40. The following five sodium control values (mEq/L) were obtained:140 - 135 - 138 - 140 - 142Calculate the coefficient of variation.
1.9
run a new set of controls
chloride
endogenous triglycerides
41. The regulation of calcium and phosphorus metabolism is accomplished by which gland?
ionic charge
HCT
iron deficiency anemia
parathyroid
42. In electrophoresis of serum proteins - arifacts at the application point are most frequently caused by...
dirty applicators
is quantitated by the amount of light produced
Hb S
100nmol
43. The most common type of congenital adrenal hyperplasia associated with increased plasma concentrations of 17 a-hydroxyprogesterone and increased urinary excretion of pregnanetriol is...
21-hydroxylase deficiency
amytriptyline 104
serum aliquots - one heated
porphobilinigen SCREEN
44. Patients with Cushing's syndrome exhibit...
serum cortisol > 15
effluent line is obstructed
faster than gamma
chloride
45. Blood samples were collected at the beginning of an exercise class and after 30 minutes of aerobic activity. This would be most consistent with the postexercise sample
elevated lactic acid - elevated pyruvate
binding capacity of thyroxine-binding globulin
21-hydroxylase deficiency
bone
46. This method offers the greatest sensitivity for HBsAg testing
SD over mean
enzyme immunoassay
volumetric flask
mg/ml
47. The relative migration rate of proteins on cellulose acetate is based on...
coulometry
ionic charge
carbs
biuret
48. The ability of a procedure to measure only the component(s) it claims to measure is called...
specificity
increased vasoconstriction
urobilin
acute intermittent porphyria
49. The formula for coefficient of variation?
SD over mean
enzyme induction
placenta
5 tri 15 cholesterol 50 protein
50. This enzyme substrates for prostatic acid phosphatase determination results in the highest specificity
F
dirty applicators
chemical ionization matrix
thymolpthalein monophosphate
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