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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 greatest activities of serum AST and ALT are seen in...
acute hepatitis
high carbohydrate diet for 3 days
urobilin
attaching them to protein molecules
2. This applies to cryoscopic osmometry
creatine kinase
transferrin
parathyroid
Temperature is a function of the number of particles in solution
3. Regan isoenzyme has the same properties as alkaline phosphatase that originates in the...
F
sodium
growth - third trimester of pregnancy
placenta
4. This enzymes catalyzes the conversion of starch to glucose and maltose
amylase
digoxin
270
thiamine
5. In respiratory acidosis - a compensatory mechanism is the increase in...
plasma bicarbonate
enzyme induction
cyclic antidepressants
carbohydrate hyperalimentation
6. The reason carbon monoxide is so toxic is because it...
200x affinity for oxygen
Solute moves half the distance of the solvent front
inclusion of smokers and nonsmokers in the study population
occult blood
7. 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
Hb S
parathyroid
standard
methadone
8. 4 mL of water is added to 1 mL of serum. This represents this serum dilutions
testing heparinized plasma
run a new set of controls
1:5
100 nmol
9. A 68-year-old man arrives in the emergency room with a glucose level of 722 mg/dL and serum acetone of 4+ undiluted. An arterial blood gas from this patient is likely to indicate...
low pH
primidone
atomic absorption
measure the total volume
10. The methodology based on the amount of energy absorbed by a subtance as a function of its concentration and using a specific source of the same material as the substance analyzed is...
respiratory ACIDOSIS
atomic absorption
increased vasoconstriction
<45
11. The Porter-Silber method (phenylhydrazine in alcohol and sulfuric acid) involves which part of the steroid molecule?
1.1
100 nmol
fall in pH - rise in pCO2
dihydroxyacetone side chain
12. Turbidity in serum suggests elevation of...
amytriptyline 104
<45
chylomicrons
0
13. The most specific enzyme test for acute pancreatitis is...
ammonia
C
HPLC analysis of porpobilinogen on 24hr urine
lipase
14. Most automated blood gas analyzers directly measure...
pH pCO2 pO2
normal - liver breakdown
thiamine
Mg
15. A patient is admitted to the emergency room in a state of metabolic alkalosis.This would be consistent with this diagnosis?
serum aliquots - one heated
binding capacity of thyroxine-binding globulin
high co2 and hco3
amylase and lipase
16. Lithium therapy is widely used in the treatment of...
9
coulometry
manic-depression
@ 100
17. Given the following values:100;120;150;140;130;What is the mean?
thyroxine binding globulin
be able to detect 9/10 simple instrument malfunctions
128
A1c
18. Serum and urine copper levels are assayed on a hospital patient with the following results: Patient Serum Cu: 58 ug/dL; Reference Value:70-140 ug/dL Patient Urine Cu: 83 ug/dL ; Reference Value: < 40 ug/dL This is most consistent with...
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183
19. The formation of estriol in a pregnant woman is dependent on...
0
act as carriers for ions
g/MW
fetal and placenta function
20. 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
fresh morning urine for delta-aminolevulinic acid
acute hepatitis
TSH
run a new set of controls
21. Gel filtration chromatography is used to separate...
thyroxine binding globulin
65
cmpds based on molecular weight and size
lead
22. A carbonate salt used to control manic-depressive disorders is...
elevated lactic acid - elevated pyruvate
chemical ionization matrix
lithium
chloride
23. This elevates carboxyhemoglobin?
normal - liver breakdown
conjugated hyperbilirubinemia - hepatocellular obstruction
exposure to CO
sharp fibrinogen peak
24. Characteristic of the Bence Jones protein that is used to distinguish it from other urinary proteins is its solubility...
@ 100
C
lead
parathyroid
25. At blood pH 7.40 what is the ratio between bicarbonate and carbonic acid?
plasma bicarbonate
20:1
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
1:5
26. The function of the major lipid components of the very low density lipoproteins (VLDL) is to transport...
lactic acidosis
multiplied by 4
591
endogenous triglycerides
27. The nanometer is a measurement of...
standard
prevent phosphate interference
no ice clots bubbles
wavelength
28. 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...
hemolysis
atomic absorption
120 minutes
respiratory ACIDOSIS
29. This condition does decrease activity of glucuronyl transferase result in increased unconjugated bilirubin and kernicterus in neonates
fresh morning urine for delta-aminolevulinic acid
thyroxine
crigler
HDL
30. 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?
270
HCT
peroxidase-like activity of hemoglobin
ALP with fresh draw
31. 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...
parathyroid hormone
elevated lactic acid - elevated pyruvate
boderline results test should be repeated
high co2 and hco3
32. The most widely employed screening technique for drug abuse is...
1:5
there is an absence of correlation
TLC
120 minutes
33. Acidosis and alkalosis are best defined as fluctuations in blood pH and CO2 content due to changes in...
fresh morning urine for delta-aminolevulinic acid
L/S ratio > 3.5
bicarbonate buffer
the same as plasma glucose
34. The relative migration rate of proteins on cellulose acetate is based on...
chylomicrons
peptide bonds
C
ionic charge
35. The following bilirubin results are obtained on a patient: Day 1: 4.3 mg/dL Day 4: 2.2 mg/dL Day 2: 4.6 mg/dL Day 5: 4.4 mg/dL Day 3: 4.5 mg/dL Day 6: 4.5 mg/dL - Given that the controls were within range each day - what is a probable explanation for
high co2 and hco3
specimen exposure to light
beta
CK-MB
36. The T3 resin uptake test is a measure of...
measure the total volume
binding capacity of thyroxine-binding globulin
20:1
5
37. What substance gives feces its normal color?
200
urobilin
beta
peptide bonds
38. Creatinine clearance is used to estimate the...
potassium dichromate in SA
check serum for hemolysis
GFR
atomic absorption
39. In spectrophotometric determination - this is the formula for calculating the absorbance of a solution
absorptivity x light path x concentration
WITHOUT a disease with a negative test
SD over mean
CO2 and pH elevated
40. A patient with malabsorption receives 25 g of d-xylose orally; during the subsequent 5-hour period - the urine excretion of d-xylose is less than 3 g. This would indicate...
intestinal malabsorption
iron deficiency anemia
whole blood can be used
@ 100
41. The formula for calculating serum osmolality that incorporates a correction for the water content of plasma is...
maintain colloidal osmotic pressure
2Na + glucose over 20 + BUN over 3
agarose
WITHOUT a disease with a negative test
42. A cardiac glycoside that is used in the treatment of congenital heart failure and arrhythmias by increasing the force and velocity of myocardial contraction is...
show a decrease in glycosylated hgb
is quantitated by the amount of light produced
digoxin
chemical ionization matrix
43. 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...
glucose tolerance test
effluent line is obstructed
triglycerides
Tay-sachs
44. How many grams of sodium chloride are needed to prepare 1 L of 0.9% normal saline?
O2
9
TSH
patient noncompliance
45. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) are both elevated in this disease
phenytoin
carbohydrate hyperalimentation
viral hepatitis
pilocarpine
46. This would be an example of a glucose-specific colorimetric method
CO2 and pH elevated
bicarbonate buffer
testosterone
glucose oxidase
47. This is a glycolytic enzyme that catalyzes the cleavage of fructose-1 - 6-diphosphate to glyceraldehyde-3-phosphate and dihydroxyacetone phosphate
porphobilinigen SCREEN
specificity
measurement of absorbance at 450
aldolase
48. 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...
manic-depression
lactic acidosis
65
5mg higher
49. Kernicterus is an abnormal accumulation of bilirubin in...
brain
freezing point
amylase
L/S ratio > 3.5
50. Analysis of erythrocytes for uroporphyrinogen I synthetase detects...
120 minutes
acute intermittent porphyria
bicarbonate carbonic acid
plasma bicarbonate