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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. Thiis serum protein fraction is most likely to be elevated in patients with nephrotic syndrome?
HCT
alpha 2 beta
peptide bonds
spun separated iced and tested immediately
2. In using ion-exchange chromatographicbmethods - falsely increased levels of Hgb A1c will be demonstrated in presence of...
beta
M subunit is inactivated
Hb S
carbs
3. The function of the major lipid components of the very low density lipoproteins (VLDL) is to transport...
<45
whole blood can be used
endogenous triglycerides
breast cancer
4. Measurement of the serum acid phosphatase is used to detect neoplastic disease of the...
100 nmol
low pH
potassium dichromate in SA
prostate
5. A stool specimen that appears black and tarry should be tested for the presence of...
occult blood
intestinal malabsorption
scattered at a right angle
attaching them to protein molecules
6. This steroid is an adrenal cortical hormone
GFR
corticosterone
sodium
pituitary
7. 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
absorptivity x light path x concentration
HCT
sharp cutoff filter
8. The definitive diagnosis of primary adrenal insufficiency requires demonstration of...
impaired response to ACTH stimulation
standard
C
65
9. A reciprocal relationship exists between...
have a negative charge
electric current
5
Calcium - phosphorus
10. These enzymes of heme biosynthesis are inhibited by lead
respiratory ACIDOSIS
faster than gamma
porphobilinogen synthetase
BUN increased
11. The anticonvulsant used to control tonic-clonic (grand mal) seizures is...
phenytoin
fraction absorbed into systemic circulation
low pH
scattered at a right angle
12. This enzyme substrates for prostatic acid phosphatase determination results in the highest specificity
5
viral hepatitis
thymolpthalein monophosphate
Temperature is a function of the number of particles in solution
13. 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?
show a decrease in glycosylated hgb
Solute moves half the distance of the solvent front
creatinine clearance
run a new set of controls
14. The formula for calculating serum osmolality that incorporates a correction for the water content of plasma is...
increased vasoconstriction
hyperthyroidism
freezing point
2Na + glucose over 20 + BUN over 3
15. In the fasting state - the arterial and capillary blood glucose concentration varies from the venous glucose concentration by approximately how many mg/dL?
5mg higher
hyperventilation
effluent line is obstructed
lactic acidosis
16. 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...
GGT
have a negative charge
1 micromole per minute
prostate
17. 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
pCO2
increased vasoconstriction
para-hydroxylphenyl...
creatinine
18. In competitive inhibition of an enzyme reaction the...
band width
chloride
catalyze redox reactions
inhibitor binds to enzyme at same site as substrate
19. High levels of which lipoprotein class are associated with decreased risk of accelerated atherosclerosis?
porphobilinigen SCREEN
thymolpthalein monophosphate
TSH
HDL
20. On immunoassays using enzyme-labeled antibodies or antigens: ___________ can be carried out with a spectrophotometer
quantitation of label
5
glycerol
CO2
21. The greatest activities of serum AST and ALT are seen in...
fresh morning urine for delta-aminolevulinic acid
fetal and placenta function
prostate
acute hepatitis
22. A fresh urine sample is received for "porphyrins" or "porphyria" without further information or specifications. Initial analysis should include...
340
increased O2 decreased HCO3
porphyrin and porphobilinogen screen
WITHOUT a disease with a negative test
23. A serum sample was assayed for bilirubin at 10 AM and the result was 12 mg/dL. The same sample was retested at 3 PM. The result now is 8 mg/dL. The most likely explanation for this discrepancy is...
sample exposed to light
specimen exposure to light
increase in total circulating T4
whole blood can be used
24. The osmolality of a urine or serum specimen is measured by a change in the...
freezing point
improving state of metabolic control (as indicated by fructosamine)
1.9
bilirubin
25. An HPLC operator notes that the column pressure is too high - is rising too rapidly - and the recorder output is not producing normal peaks. The most probable cause of the problem is...
sample exposed to light
effluent line is obstructed
coulometry
tissue and serum levels need to reach equilibrium
26. This electrolyte is the chief plasma cation whose main function is maintaining osmotic pressure
<1%
sodium
beta
biuret
27. How many grams of sodium chloride are needed to prepare 1 L of 0.9% normal saline?
apoenzyme
5
spun separated iced and tested immediately
9
28. A patient in her 33rd week of pregnancy is hospitalized with toxemia. Her doctor would like to deliver the baby early because the toxemia is becoming more severe. The baby's best chance of delivery without respiratory distress due to lung immaturity
thiamine
high carbohydrate diet for 3 days
serum aliquots - one heated
L/S ratio > 3.5
29. Detection of carriers of hereditary coproporphyria should include analysis of...
potassium dichromate in SA
TLC
fresh morning urine for delta-aminolevulinic acid
acute hepatitis
30. 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?
100nmol
the fetus is at risk for respiratory distress
parathyroid
enzyme immunoassay
31. Serum concentrations of vitamin B12 are elevated in...
sodium potassium chloride CO2
CML
sodium
measurement of absorbance at 450
32. This elevates carboxyhemoglobin?
elevated lactic acid - elevated pyruvate
A1c
pCO2
exposure to CO
33. The chemical composition of HDL- cholesterol corresponds to...
5 tri 15 cholesterol 50 protein
acute hepatitis
Hb S
measurement of absorbance at 450
34. In familial hypercholesterolemia - the hallmark finding is an elevation of...
inclusion of smokers and nonsmokers in the study population
specimen exposure to light
LDL
atomic absorption
35. Total iron-binding capacity measures the serum iron transporting capacity of...
transferrin
TSH
conjugated hyperbilirubinemia - hepatocellular obstruction
Solute moves half the distance of the solvent front
36. The concentration of serum carotene is affected MOST by...
chylomicrons VLDL
purulent
diet
obstructive jaundice
37. In an internal standard flame photometer - the internal standard is used to...
correct for variations in flame and atomizer
glucose
porphobilinogen screen
phenytoin
38. 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...
corticosterone
the same as plasma glucose
exposure to CO
3500
39. Serum haptoglobin...
can be separated into distinct phenotypes
phenytoin
changes in the fuel
agarose
40. Clinical assays for tumor markers are the most important for...
attaching them to protein molecules
prevent phosphate interference
monitoring the course of a known cancer
(testing of urine for) delta-am.. acid
41. A carbonate salt used to control manic-depressive disorders is...
2-log(T)
lithium
one micromole/minute
glucose tolerance test
42. A 9-month-old boy from Israel has gradually lost the ability to sit up and develops seizures. He has an increased amount of a phospholipid called GM2-ganglioside in his neurons - and he lacks the enzyme hexosaminidase A in his leukocytes. These findi
correct for variations in light intensity
Tay-sachs
iron deficiency anemia
5
43. The formula for coefficient of variation?
high carbohydrate diet for 3 days
breast cancer
the fetus is at risk for respiratory distress
SD over mean
44. 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?
endosmosis
CO2 and pH elevated
parathyroid hormone
MI
45. This serum protein migrates with the beta-globulins on cellulose acetate at pH 8.6...
intestinal malabsorption
viral hepatitis
HDL
C3 complement
46. Most automated blood gas analyzers directly measure...
glycerol
thymolpthalein monophosphate
urobilin
pH pCO2 pO2
47. 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...
O2
porphobilinogen synthetase
A1c
TSH
48. Scurvy is associated with deficiency of...
C3 complement
acute hepatitis
thiamine
C
49. The TRH (thyrotropin-releasing hormone) stimulation test is useful in assessing...
2-log(T)
A1c
parathyroid
hyperthyroidism
50. Cocaine is metabolized to...
valine leucine isoleucine
amylase and lipase
hyperventilation
benzoylecogine