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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. Serum concentrations of vitamin B12 are elevated in...
CML
scattered at a right angle
measures one ion more than others
cancel test
2. A common cause of a falsely increased LD1 fraction of lactic dehydrogenase is...
hemolysis
200
O2
2-log(T)
3. 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...
occult blood
absorptivity x light path x concentration
respiratory acidosis
prisms and grating
4. The principle of the occult blood test depends on the...
peroxidase-like activity of hemoglobin
ALP with fresh draw
scattered at a right angle
Tangier
5. 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.
chylomicrons VLDL
TLC
591
iron hemochromatosis
6. In a normal individual - injection of thyrotropin-releasing hormone (TRH) causes an increase in blood concentrations of this hormone
crigler
Prolactin
volumetric flask
carbohydrate hyperalimentation
7. Hydrogen ion concentration (pH) in blood is usually determined by means of these electrodes?
5 tri 15 cholesterol 50 protein
endogenous triglycerides
lipase
glass
8. The following laboratory results were obtained: Serum Calcium: Increased - Urine Calcium: Increased - Serum Phosphate: Decreased - Urine Phosphate: Increased Serum Alkaline Phosphatase: Normal or Increased These results are most compatible with...
cholesterol normal triglycerides elevated
be able to detect 9/10 simple instrument malfunctions
measures one ion more than others
primary hyperparathyroidism
9. Lasting serum phosphate concentration is controlled primarily by the...
correct for variations in flame and atomizer
parathyroid
<1%
acute hepatitis
10. 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...
conjugated hyperbilirubinemia - hepatocellular obstruction
attaching them to protein molecules
32
L/S ratio > 3.5
11. Zinc protoporphyrin or free erythrocyte protoporphyrin measurements are useful to assess blood concentrations of...
exchange of amino and keto groups
no decrease in serum growth hormone after 90 minutes
primary hyperparathyroidism
lead
12. The electrophoretic pattern of a plasma sample compared with a serum sample shows a...
dirty electrodes
sharp fibrinogen peak
a small concentration of APO-B containing lipoproteins after precipitation
D
13. A stool specimen that appears black and tarry should be tested for the presence of...
@ 100
cholesterol normal triglycerides elevated
high carbohydrate diet for 3 days
occult blood
14. The biuret reaction for the analysis of serum protein depends on the number...
pCO2
primary hyperparathyroidism
TSH
peptide bonds
15. One means of checking a spectrophotometer wavelength calibration in the visible range is by using a...
metabolic acidosis
HPLC analysis of porpobilinogen on 24hr urine
didymium filter
serum cortisol > 15
16. A reciprocal relationship exists between...
sodium potassium chloride CO2
Calcium - phosphorus
hemolysis
M subunit is inactivated
17. The most consistent analytical error involved in the routine determination of HDLcholesterol is caused by...
whole blood can be used
32
lead
a small concentration of APO-B containing lipoproteins after precipitation
18. Enzymes used in the diagnosis of acute pancreatitis?
monitoring the course of a known cancer
amylase and lipase
potassium dichromate in SA
ALP with fresh draw
19. Acidosis and alkalosis are best defined as fluctuations in blood pH and CO2 content due to changes in...
metabolic acidosis
chylomicrons
decreased lecithin
bicarbonate buffer
20. Measurement of total T4 by competitive protein binding or displacement is based on the specific binding properties of...
TSH
thyroxine binding globulin
diet
serum aliquots - one heated
21. 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...
manic-depression
Temperature is a function of the number of particles in solution
HCT
triglycerides
22. The preparation of a patient for standard tolerance testing should include...
changes in the fuel
high carbohydrate diet for 3 days
LDL
measure the total volume
23. This chemical determination may be of help in establishing the presence of seminal fluid
carbohydrate hyperalimentation
no ice clots bubbles
1.1
acid phosphatase
24. Bile acid concentrations are useful to assess...
hepatobiliary (obstruction?)
act as carriers for ions
apoenzyme
pO2 increased HCO3 decreased
25. Amniotic fluid submitted for a lecithin/sphingomyelin (US) ratio has been left in a brown container since the night before. You would expect...
<1%
decreased lecithin
turn off
check serum for hemolysis
26. In the fasting state - the arterial and capillary blood glucose concentration varies from the venous glucose concentration by approximately how many mg/dL?
g/MW
5mg higher
metabolic acidosis
primary hyperparathyroidism
27. Nephelometers measure light...
acid phosphatase
scattered at a right angle
<1%
amylase
28. The most heat labile fraction of alkaline phosphatase is obtained from...
there is an absence of correlation
heparin
parathyroid
bone
29. A blood creatinine value of 5.0 mg/dL is most likely to be found with this blood value?
BUN 80
bicarbonate buffer
wavelength
BUN increased
30. The relative migration rate of proteins on cellulose acetate is based on...
thiamine
ionic charge
cysteine
glucose tolerance test
31. Ninety percent of the copper present in plasma is bound to...
HDL
valine leucine isoleucine
ceruplasmin
accuracy
32. The TRH (thyrotropin-releasing hormone) stimulation test is useful in assessing...
hyperthyroidism
hemolysis
9
urinary free cortisol
33. 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...
pO2 increased HCO3 decreased
nondiagnostic for MS
Tay-sachs
freezing point
34. The glucose level in normal peritoneal fluid should be...
atomic absorption
thiamine
volumetric flask
the same as plasma glucose
35. Coulometry is used to measure...
pO2 increased HCO3 decreased
acid phosphatase
increase in total circulating T4
chloride
36. A blood sample was received from the emergency room with a request for narcotic analysis. The request slip indicated that the patient (a known heroin addict) responded to naloxone administration. The serum was negative for morphine by EIA. What other
heparin
exchange of amino and keto groups
volumetric flask
methadone
37. The greatest activities of serum AST and ALT are seen in...
acute hepatitis
coulometry
absorptivity x light path x concentration
valine leucine isoleucine
38. In familial hypercholesterolemia - the hallmark finding is an elevation of...
diet
monitoring the course of a known cancer
LDL
didymium filter
39. This enzymes catalyzes the conversion of starch to glucose and maltose
pO2 increased HCO3 decreased
lead
amylase
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
40. 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...
attaching them to protein molecules
creatine kinase
GLC
conjugated hyperbilirubinemia - hepatocellular obstruction
41. This method offers the greatest sensitivity for HBsAg testing
thiamine
parathyroid hormone
enzyme immunoassay
bilirubindiglucuronide
42. The biologically most active - naturally occuring androgen is...
primidone
testosterone
C
show a decrease in glycosylated hgb
43. 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...
glucose oxidase
sample exposed to light
whole blood can be used
amytriptyline 104
44. The normal concentration of proteins in cerebrospinal fluid - relative to serum protein - is...
bone
triglycerides
<1%
alkaline picrate
45. A course of instruction is being planned to teach laboratory employees to correct simple malfunctions in selected laboratory instruments. In writing the objectives for this course - this would be most appropriate?
glucose oxidase
prevent phosphate interference
GFR
be able to detect 9/10 simple instrument malfunctions
46. A serum potassium is 19.5 mg/100 mL. This value is equal to how many mEq/L (MW of K = 39)?
glucose oxidase
5
B12 deficiency
ammonia
47. 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...
cancel test
testing heparinized plasma
GLC
adding an acid stabilizer
48. Estrogen and progesterone receptor assays are useful in assessing prognosis in...?
emphysema
ionization of carboxyl groups (yielding a net negative charge)
65
breast cancer
49. In the sweat test - the sweating stimulant is introduced to the skin by application of...
one micromole/minute
BUN increased
electric current
thiamine
50. 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...
correct for variations in light intensity
emphysema
corticosterone
chloride