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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 common cause of a falsely increased LD1 fraction of lactic dehydrogenase is...
O2
coulometry
hemolysis
exposure to CO
2. In competitive inhibition of an enzyme reaction the...
chylomicrons VLDL
iron deficiency anemia
inhibitor binds to enzyme at same site as substrate
run a new set of controls
3. Total iron-binding capacity measures the serum iron transporting capacity of...
Mg
corticosterone
transferrin
chylomicrons VLDL
4. 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...
show a decrease in glycosylated hgb
@ 100
pO2 increased HCO3 decreased
intestinal malabsorption
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...
show a decrease in glycosylated hgb
ammonia
0
alkaline picrate
6. Fluctuation of the needle on a coulometric type titrator is most probably due to...
analyzed immediately
dirty electrodes
ratio of distance moved by solvent to distance moved by compound
lactic acidosis
7. Enzymes used in the diagnosis of acute pancreatitis?
bone
specimen exposure to light
amylase and lipase
improving state of metabolic control (as indicated by fructosamine)
8. 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.
creatinine clearance
cyclic antidepressants
591
O2
9. A low concentrarion of serum phosphorus is commonly found in...
Wilson's disease
carbohydrate hyperalimentation
O2
cholesterol normal triglycerides elevated
10. This steroid is an adrenal cortical hormone
CML
WITHOUT a disease with a negative test
corticosterone
prostate
11. The principle of the occult blood test depends on the...
cysteine
peroxidase-like activity of hemoglobin
prisms and grating
low pH
12. Measurement of total T4 by competitive protein binding or displacement is based on the specific binding properties of...
thyroxine binding globulin
ammonia
measure the total volume
cysteine
13. Bile acid concentrations are useful to assess...
hepatobiliary (obstruction?)
enzyme induction
viral hepatitis
oxalacetate to malate
14. Characteristic of the Bence Jones protein that is used to distinguish it from other urinary proteins is its solubility...
Temperature is a function of the number of particles in solution
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
@ 100
high co2 and hco3
15. Respiratory acidosis is described as a(n): ______ increase in CO2 decrease in pH
B12 deficiency
glycerol
creatinine clearance
have a negative charge
16. Maple syrup urine disease is characterized by an increase in this urinary amino acids
fetal and placenta function
valine leucine isoleucine
glucose
iron deficiency anemia
17. A one MOLAL solution is equivalent to...
effluent line is obstructed
1 mol/kg
Prolactin
iron hemochromatosis
18. The most heat labile fraction of alkaline phosphatase is obtained from...
incorrect aqueous to nonaqueous mixture
amylase and lipase
bone
pO2 increased HCO3 decreased
19. A patient has the following results: Patient Values : Reference Values: Serum iron 250 ug/dL 60-150 ug/dL TIBC 350 ug/dL 300-35O ug/dL The best conclusion is that this patient has...
iron hemochromatosis
normal - liver breakdown
viral hepatitis
multiplied by 4
20. This disease is associated with the greatest elevation of lactate dehydrogenase isoenzyme 1?
chloride
B12 deficiency
parathyroid hormone
Tay-sachs
21. Cocaine is metabolized to...
lithium
the same as plasma glucose
benzoylecogine
CML
22. Hydrogen ion concentration (pH) in blood is usually determined by means of these electrodes?
thiamine
glass
TSH
amylase and lipase
23. The biologically most active - naturally occuring androgen is...
catalyze redox reactions
testosterone
porphobilinogen synthetase
nondiagnostic for MS
24. Amino acid associated with a sulfhydryl group
lithium
L/S ratio > 3.5
breast cancer
cysteine
25. 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
lithium
beta
boderline results test should be repeated
creatinine
26. The extent to which measurements agree with or approach the true value of the quantity being measured is referred to as...
amytriptyline 104
accuracy
GGT
obstructive jaundice
27. A patient has signs and symptoms suggestive of acromegaly. The diagnosis would be confirmed if the patient had...
creatine kinase
peroxidase-like activity of hemoglobin
no decrease in serum growth hormone after 90 minutes
nondiagnostic for MS
28. The most sensitive enzymatic indicator for liver damage from ethanol intake is...
nephelometry
GGT
low pH
growth - third trimester of pregnancy
29. Patients with Cushing's syndrome exhibit...
serum cortisol > 15
didymium filter
testosterone
inhibitor binds to enzyme at same site as substrate
30. This is a characteristic shared by lactate dehydrogenase - malate dehydrogenase - isocitrate dehydrogenase - and hydroxybutyrate dehydrogenase?
coulometry
4.5
catalyze redox reactions
TSH
31. Blood received in the laboratory for blood gas analysis must meet these requirements
no ice clots bubbles
band width
thyroxine
TSH
32. A sweat chloride result of 55 mEq/L and a sweat sodium of 52 mEq/L were obtained ona patient who has a history of respiratory problems. The bestc interpretation of these results is...
acid phosphatase
lactic acidosis
urinary free cortisol
boderline results test should be repeated
33. The unit of measure for a standard solution is...
minimize the effects of interference
chylomicrons
mg/ml
Calcium - phosphorus
34. Rickets is associated with deficiency of...
alkaline picrate
manic-depression
D
transferrin
35. The main reason for suboptimal drug levels in therapeutic drug monitoring is...
glucose tolerance test
porphyrin and porphobilinogen screen
low pH
patient noncompliance
36. Quantitation of NA+ and K+ by ion-selective electrode is more rapid than flame photometry because...
valine leucine isoleucine
whole blood can be used
can be separated into distinct phenotypes
thiamine
37. 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)
the fetus is at risk for respiratory distress
Wilson's disease
improving state of metabolic control (as indicated by fructosamine)
can be separated into distinct phenotypes
38. To ensure an accurate ammonia level result - the specimen should be...
measures one ion more than others
diet
intestinal malabsorption
spun separated iced and tested immediately
39. The first step in analyzing a 24-hour urine specimen for quantitative urine protein is...
5
bicarbonate buffer
measure the total volume
inhibitor binds to enzyme at same site as substrate
40. The most important buffer pair in plasma is the...
bicarbonate carbonic acid
hepatobiliary (obstruction?)
draw blood for glucose and discontinue test
thymolpthalein monophosphate
41. This wavelengths is within the ultraviolet rang.
without a disease with a negative test result
show a decrease in glycosylated hgb
viral hepatitis
340
42. The selectivity of an ion-selective electrode is determined by the...
inclusion of smokers and nonsmokers in the study population
wavelength
phenytoin
properties of the membrane
43. Creatinine clearance is used to estimate the...
beta
GFR
TLC
valine leucine isoleucine
44. An acid cleaning solution for glassware consists of...
potassium dichromate in SA
carbohydrate hyperalimentation
MI
brain
45. The electrophoretic pattern of a plasma sample compared with a serum sample shows a...
sample exposed to light
absorptivity x light path x concentration
HDL
sharp fibrinogen peak
46. This diseases results from a familial absence of high-density lioprotein
changes in the fuel
Tangier
normal - liver breakdown
ionization of carboxyl groups (yielding a net negative charge)
47. Malic dehydrogenase is added to the aspartate aminotransaminase (AST) reaction to catalyze the conversion of...
20:1
acid phosphatase
a small concentration of APO-B containing lipoproteins after precipitation
oxalacetate to malate
48. 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
GGT
C
brain
49. In monitoring glomerular function - this test has the highest sensitivity
bicarbonate buffer
biuret
trig
creatinine clearance
50. Bromcresol purple at a pH of 5.2 is used in a colorimetric method to measure...
run a new set of controls
albumin
without a disease with a negative test result
lower than in adults