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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. The most consistent analytical error involved in the routine determination of HDLcholesterol is caused by...
inhibitor binds to enzyme at same site as substrate
methadone
a small concentration of APO-B containing lipoproteins after precipitation
glucose
2. 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...
without a disease with a negative test result
120 minutes
90%
Solute moves half the distance of the solvent front
3. Ion selective electrodes are called selective rather than specific because they actually measure the...
occult blood
respiratory ACIDOSIS
measures one ion more than others
200x affinity for oxygen
4. Which two conditions can "physiologically" elevate serum alkaline phosphatase?
Prolactin
fresh morning urine for delta-aminolevulinic acid
growth - third trimester of pregnancy
specificity
5. 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?
O2
pH pCO2 pO2
viral hepatitis
TSH
6. Sixty to seventy-five percent of the plasma cholesterol is transported by...
chloride
LDL
BUN 80
creatinine
7. This method offers the greatest sensitivity for HBsAg testing
testing heparinized plasma
enzyme immunoassay
binding capacity of thyroxine-binding globulin
apoenzyme
8. Respiratory acidosis is described as a(n): ______ increase in CO2 decrease in pH
glycerol
exposure to CO
albumin
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
9. If the correlation coefficient (r) of two variables is zero...
the same as plasma glucose
thyroxine binding globulin
sodium potassium chloride CO2
there is an absence of correlation
10. How many grams of sodium chloride are needed to prepare 1 L of 0.9% normal saline?
bone
monitoring the course of a known cancer
9
minimize the effects of interference
11. Currently the most common method for specific identification and quantitation of serum barbiturates is...
no decrease in serum growth hormone after 90 minutes
absorptivity x light path x concentration
GLC
testosterone
12. Serum levels that define hypoglycemia in preterm or low birth weight infants are...
alkaline picrate
increased vasoconstriction
lower than in adults
GLC
13. 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...
potassium dichromate in SA
testing heparinized plasma
cholesterol normal triglycerides elevated
there is an absence of correlation
14. To ensure an accurate ammonia level result - the specimen should be...
prostate
D
spun separated iced and tested immediately
peptide bonds
15. A test request slip indicates that an acute porphyric attack is suspected clinically. Analysis should include...
nondiagnostic for MS
5 tri 15 cholesterol 50 protein
porphobilinogen screen
didymium filter
16. Before unconjugated bilirubin can react with Ehrlich's diazo reagent - this must be added
glass
methyl alcohol
aldolase
changes in the fuel
17. The osmolality of a urine or serum specimen is measured by a change in the...
CO2
dirty applicators
freezing point
minimize the effects of interference
18. A common cause of a falsely increased LD1 fraction of lactic dehydrogenase is...
mg/ml
Tangier
128
hemolysis
19. A new method is being evaluated. A recovery experiment is performed with the following results: 0.9 mL serum sample + 0.1 mL H20 = 89 mEq/L 0.9 mL serum sample + 0.1 mL analyte std. @ 800 mEq/L = 161 mEq/L The percent recovery of the added analyt
90%
1.1
parathyroid hormone
128
20. The chemical composition of HDL- cholesterol corresponds to...
without a disease with a negative test result
CO2
increase in total circulating T4
5 tri 15 cholesterol 50 protein
21. The T3 resin uptake test is a measure of...
binding capacity of thyroxine-binding globulin
prostate
1.9
hepatobiliary (obstruction?)
22. Creatinine clearance is used to estimate the...
GFR
enzyme induction
porphobilinogen synthetase
128
23. The identification of Bence Jones protein is best accomplished by...
metabolic acidosis
immunofixation
thiamine
spun separated iced and tested immediately
24. Malic dehydrogenase is added to the aspartate aminotransaminase (AST) reaction to catalyze the conversion of...
Temperature is a function of the number of particles in solution
one micromole/minute
1.1
oxalacetate to malate
25. The concentration of serum carotene is affected MOST by...
1:5
freezing point
minimize the effects of interference
diet
26. The TRH (thyrotropin-releasing hormone) stimulation test is useful in assessing...
act as carriers for ions
4.5
heparin
hyperthyroidism
27. This is a regulatory hormone.
heparin
parathyroid hormone
HCT
multiplied by 4
28. In the sweat test - the sweating stimulant is introduced to the skin by application of...
changes in the fuel
MI
HCT
electric current
29. In performing a spinal fluid protein determination - the specimen is diluted 1 part spinal fluid to 3 parts saline to obtain a result low enough to measure. To calculate the protein concentration the result must be...
increase in total circulating T4
ammonia
multiplied by 4
21-hydroxylase deficiency
30. Serum haptoglobin...
parathyroid hormone
can be separated into distinct phenotypes
amylase
F
31. Cerebrospinal fluid for glucose assay should be...
ratio of distance moved by solvent to distance moved by compound
alkaline picrate
analyzed immediately
lipase
32. A stool specimen that appears black and tarry should be tested for the presence of...
LDL
40-50
occult blood
high carbohydrate diet for 3 days
33. The formula for coefficient of variation?
tissue and serum levels need to reach equilibrium
biuret
SD over mean
prisms and grating
34. Oligoclonal bands are present on electrophoresis of concentrated CSF and also on concurrently tested serum of the same patient. The proper interpretation is...
C3 complement
nondiagnostic for MS
thymolpthalein monophosphate
fresh morning urine for delta-aminolevulinic acid
35. A low concentrarion of serum phosphorus is commonly found in...
HCT
absorptivity x light path x concentration
carbohydrate hyperalimentation
thiamine
36. A 25-year-old man became nauseated and vomited 90 minutes after receiving a standard 75-g carbohydrate dose for an oral glucose tolerance test. The best course of action is...
viral hepatitis
glucose oxidase
128
draw blood for glucose and discontinue test
37. A patient had the following serum results: Na+ 140 mEq/L K+ 4.0 mEq/L Glucose 95 mg/dL BUN 10 mg/dL Which osmolality is consistent with these results?
glucose oxidase
270
prisms and grating
32
38. 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?
SD over mean
serum cortisol > 15
sample exposed to light
run a new set of controls
39. An automated CK assay gives a reading that is above the limits of linearity. A dilution of the serum sample is made by adding 1 mL of serum to 9 mL of water. The instrument now rew 350 U/L. The correct report on the undiluted serum should be...
3500
creatine kinase
act as carriers for ions
potassium dichromate in SA
40. 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
standard
diet
sodium potassium chloride CO2
chylomicrons VLDL
41. Most most likely to be ordered in addition to serum calcium to determine the cause of tetany?
@ 100
Mg
5mg higher
multiplied by 4
42. 4 mL of water is added to 1 mL of serum. This represents this serum dilutions
hyperventilation
fall in pH - rise in pCO2
pH = pKa + log (salt/acid)
1:5
43. In electrophoresis of serum proteins - arifacts at the application point are most frequently caused by...
increase in total circulating T4
analyzed immediately
dirty applicators
maintain colloidal osmotic pressure
44. Zinc protoporphyrin or free erythrocyte protoporphyrin measurements are useful to assess blood concentrations of...
sample exposed to light
enzyme immunoassay
corticosterone
lead
45. A true statement about high performance liquid chromatography (HPLC) is that it...
glucose
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
thiamine
pH = pKa + log (salt/acid)
46. Blood was collected in a serum separator tube from a patient who had been fasting since midnight. The time of collection was 7:00 AM. The laboratory test that should be re-collected is...
triglycerides
diet
specificity
acid phosphatase
47. 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...
cyclic antidepressants
dirty electrodes
sodium potassium chloride CO2
emphysema
48. Diagnostic specificity is defined as the percentage of individuals...
act as carriers for ions
diet
without a disease with a negative test result
TLC
49. A fresh urine sample is received for "porphyrins" or "porphyria" without further information or specifications. Initial analysis should include...
porphyrin and porphobilinogen screen
monitoring the course of a known cancer
Hb S
emphysema
50. What specimen preparation is commonly used to perform the alkaline phosphatase isoenzyme determination?
ammonia
serum aliquots - one heated
apoenzyme
crigler