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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. Assay of transketolase activity in blood is used to detect deficiency of...
prisms and grating
turn off
properties of the membrane
thiamine
2. Serum haptoglobin...
can be separated into distinct phenotypes
cyclic antidepressants
placenta
monitoring the course of a known cancer
3. Beriberi is associated with deficiency of...
thiamine
act as carriers for ions
CK
hyperventilation
4. 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...
testing heparinized plasma
normal - liver breakdown
CML
WITHOUT a disease with a negative test
5. This enzymes catalyzes the conversion of starch to glucose and maltose
sharp cutoff filter
fetal and placenta function
amylase
lead
6. A critically ill patient becomes comatose. The physician believes the coma is due to hepatic failure. The assay most helpful in this diagnosis is...
creatine kinase
alpha 2 beta
ammonia
Wilson's disease
7. 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...
TSH
100nmol
triglycerides
turn off
8. Cerebrospinal fluid for glucose assay should be...
draw blood for glucose and discontinue test
analyzed immediately
pH = pKa + log (salt/acid)
endosmosis
9. 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...
incorrect aqueous to nonaqueous mixture
conjugated hyperbilirubinemia - hepatocellular obstruction
100nmol
fresh morning urine for delta-aminolevulinic acid
10. A common cause of a falsely increased LD1 fraction of lactic dehydrogenase is...
dirty applicators
exposure to CO
chloride
hemolysis
11. An emphysema patient suffering from fluid accumulation in the alveolar spaves is likely to be in what metabolic state?
patient noncompliance
increased O2 decreased HCO3
respiratory ACIDOSIS
placenta
12. In the assay of lactate dehydrogenase - this product is actually measured
NADH
monitoring the course of a known cancer
5 tri 15 cholesterol 50 protein
glucose oxidase
13. This steroid is an adrenal cortical hormone
potassium dichromate in SA
glucose
testosterone
corticosterone
14. A serum sample for acid phosphatase determination is best prepared for room temperature storage by...
1.1
adding an acid stabilizer
GGT
lower than in adults
15. A one MOLAL solution is equivalent to...
A1
1 mol/kg
measure the total volume
40-50
16. When taken by a euthyroid individual - oral contraceptives containing estrogens will have this effects on the thyroid function studies
aldolase
increase in total circulating T4
transferrin
act as carriers for ions
17. In an internal standard flame photometer - the internal standard is used to...
hyperthyroidism
bicarbonate carbonic acid
correct for variations in flame and atomizer
can be separated into distinct phenotypes
18. 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...
increased O2 decreased HCO3
brain
LDL
sample exposed to light
19. The different water content of erythrocytes and plasma makes true glucose concentrations in whole blood a function of the...
WITHOUT a disease with a negative test
120 minutes
HCT
potassium dichromate in SA
20. An electrophoretic separation of lactate dehydrogenase isoenzymes that demonstrates an elevation in LD-l and LD-2 in a "flipped" pattern is consistent with...
MI
properties of the membrane
triglycerides
diet
21. Diagnostic specificity is defined as the percentage of individuals...
without a disease with a negative test result
5
sodium potassium chloride CO2
pH = pKa + log (salt/acid)
22. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) are both elevated in this disease
incorrect aqueous to nonaqueous mixture
HDL
viral hepatitis
ceruplasmin
23. The regulation of calcium and phosphorus metabolism is accomplished by which gland?
minimize the effects of interference
freezing point
parathyroid
sharp fibrinogen peak
24. The urea nitrogen concentration of a serum sample was measured as 15 mg/dL (atomic weights: carbon = 12 - oxygen = 16 - nitrogen = 14 - hydrogen = 1). The urea concentration of the same sample - in mg/dL - is...
hemolysis
32
Solute moves half the distance of the solvent front
lead
25. Ninety percent of the copper present in plasma is bound to...
32
porphobilinogen synthetase
100nmol
ceruplasmin
26. The primary function of serum albumin in the peripheral blood is to...
increased O2 decreased HCO3
glass
pO2 increased HCO3 decreased
maintain colloidal osmotic pressure
27. One international unit of enzyme activity is the amount of enzyme that - under specified reaction conditions of substrate concentration - pH - and temperature - causes utilization of substrate at the rate of...
4.5
primary hyperparathyroidism
340
1 micromole per minute
28. 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...
carbs
128
porphobilinigen SCREEN
emphysema
29. The following results were obtained in a creatinine clearance evaluation: Urine concentration 84 mg/dL Urine volume 1440 mL/24 hr Serum concentration 1.4 mg/dL Body surface area 1.60 m2 (average = 1.73 m2) The creatinine cle~trance in mL/min is...
65
phenytoin
effluent line is obstructed
quantitation of label
30. Characteristic of the Bence Jones protein that is used to distinguish it from other urinary proteins is its solubility...
exposure to CO
oxalacetate to malate
fraction absorbed into systemic circulation
@ 100
31. Oligoclonal bands are present on electrophoresis of concentrated CSF and also on concurrently tested serum of the same patient. The proper interpretation is...
nondiagnostic for MS
phenytoin
GLC
run a new set of controls
32. 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...
fraction absorbed into systemic circulation
correct for variations in flame and atomizer
beta
changes in the fuel
33. Turbidity in serum suggests elevation of...
pH = pKa + log (salt/acid)
128
chylomicrons
porphobilinigen SCREEN
34. This electrolyte is the chief plasma cation whose main function is maintaining osmotic pressure
CO2
sodium
peroxidase-like activity of hemoglobin
thiamine
35. The following data were obtained on amniotic fluid from a gestation of 36 weeks' duration by menstrual dates: L/S = 2 Phosphatidyl glycerol not present This can be concluded from these data?
increase in total circulating T4
the fetus is at risk for respiratory distress
0
thiamine
36. Respiratory acidosis is described as a(n): ______ increase in CO2 decrease in pH
32
glycerol
absorptivity x light path x concentration
acute hepatitis
37. Lithium therapy is widely used in the treatment of...
manic-depression
enzyme immunoassay
Wilson's disease
breast cancer
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...
acute hepatitis
acid phosphatase
obstructive jaundice
increased vasoconstriction
39. 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...
creatinine
alkaline picrate
tissue and serum levels need to reach equilibrium
triglycerides
40. A fresh urine sample is received for "porphyrins" or "porphyria" without further information or specifications. Initial analysis should include...
beta
porphyrin and porphobilinogen screen
2Na + glucose over 20 + BUN over 3
exposure to CO
41. Rickets is associated with deficiency of...
purulent
Calcium - phosphorus
D
fetal and placenta function
42. The osmolality of a urine or serum specimen is measured by a change in the...
patient noncompliance
digoxin
freezing point
the same as plasma glucose
43. An automated method for measuring chloride that generates silver ions in the reaction is...
cysteine
phenytoin
incorrect aqueous to nonaqueous mixture
coulometry
44. How many grams of sodium chloride are needed to prepare 1 L of 0.9% normal saline?
atomic absorption
check serum for hemolysis
BUN 80
9
45. Phenobarbital is a metabolite of...
Tay-sachs
hepatobiliary (obstruction?)
primidone
respiratory acidosis
46. In automated methods utilizing a bichromatic analyzer - dual wavelengths are employed to...
<1%
parathyroid hormone
minimize the effects of interference
benzoylecogine
47. Maple syrup urine disease is characterized by an increase in this urinary amino acids
chemical ionization matrix
there is an absence of correlation
dirty electrodes
valine leucine isoleucine
48. The nanometer is a measurement of...
Temperature is a function of the number of particles in solution
wavelength
without a disease with a negative test result
alpha 2 beta
49. Scurvy is associated with deficiency of...
pH pCO2 pO2
alkaline picrate
GFR
C
50. A patient is admitted with biliary cirrhosis. If a serum protein electrophoresis is preformed - these globulin fractions will be most elevated?
beta
draw blood for glucose and discontinue test
dihydroxyacetone side chain
accuracy