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Chemistry Certification
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Study First
Subject
:
certifications
Instructions:
Answer 50 questions in 15 minutes.
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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. This 2-hour postprandial glucose values demonstrates unequivocal hyperglycemia diagnostic for diabetes mellitus
200
immunofixation
one micromole/minute
CK
2. 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...
digoxin
HPLC analysis of porpobilinogen on 24hr urine
endosmosis
volumetric flask
3. This would be an example of a glucose-specific colorimetric method
glucose oxidase
show a decrease in glycosylated hgb
diet
T4 by RIA
4. In using ion-exchange chromatographicbmethods - falsely increased levels of Hgb A1c will be demonstrated in presence of...
thyroxine binding globulin
multiplied by 4
Hb S
atomic absorption
5. An increase in serum acetone is indicative of a defect in the metabolism of...
trig
carbs
D
the same as plasma glucose
6. The protein portion of an enzyme complex is called the...
be able to detect 9/10 simple instrument malfunctions
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
standard
apoenzyme
7. The most widely used support medium for electrophoretic separation of lipoproteins is...
thyroxine binding globulin
binding capacity of thyroxine-binding globulin
peptide bonds
agarose
8. The buffering capacity of blood is maintained by a reversible exchange process between bicarbonate and...
attaching them to protein molecules
digoxin
LDH
chloride
9. Kernicterus is an abnormal accumulation of bilirubin in...
SD over mean
brain
freezing point
attaching them to protein molecules
10. Turbidity in serum suggests elevation of...
cysteine
methyl alcohol
sharp cutoff filter
chylomicrons
11. Measurement of total T4 by competitive protein binding or displacement is based on the specific binding properties of...
testosterone
A1c
chylomicrons VLDL
thyroxine binding globulin
12. A true statement about high performance liquid chromatography (HPLC) is that it...
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
increased vasoconstriction
amytriptyline 104
hepatobiliary (obstruction?)
13. The most consistent analytical error involved in the routine determination of HDLcholesterol is caused by...
impaired response to ACTH stimulation
a small concentration of APO-B containing lipoproteins after precipitation
testing heparinized plasma
LDL
14. An automated method for measuring chloride that generates silver ions in the reaction is...
immunofixation
quantitation of label
GGT
coulometry
15. The major fraction of organic iodine in the circulation is in the form of...
agarose
albumin
thyroxine
<45
16. How many grams of sodium chloride are needed to prepare 1 L of 0.9% normal saline?
heparin
dihydroxyacetone side chain
9
fraction absorbed into systemic circulation
17. The preparation of a patient for standard tolerance testing should include...
normal - liver breakdown
high carbohydrate diet for 3 days
bilirubindiglucuronide
quantitation of label
18. 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?
acute hepatitis
TSH
enzyme induction
thyroxine
19. 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...
draw blood for glucose and discontinue test
TSH
acute intermittent porphyria
methadone
20. The TRH (thyrotropin-releasing hormone) stimulation test is useful in assessing...
apoenzyme
hyperthyroidism
pilocarpine
sharp fibrinogen peak
21. In monitoring glomerular function - this test has the highest sensitivity
nondiagnostic for MS
1 micromole per minute
endosmosis
creatinine clearance
22. The concentration of serum carotene is affected MOST by...
C
bone
diet
enzyme immunoassay
23. A spectrophotometer is being considered for purchase by a small laboratory. This specification reflects the spectral purity of the instrument
pituitary
can be separated into distinct phenotypes
band width
D
24. Creatinine clearance is used to estimate the...
GFR
sample exposed to light
binding capacity of thyroxine-binding globulin
absorptivity x light path x concentration
25. 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
a small concentration of APO-B containing lipoproteins after precipitation
have a negative charge
creatinine
alpha 2 beta
26. A reciprocal relationship exists between...
urinary free cortisol
Calcium - phosphorus
conjugated hyperbilirubinemia - hepatocellular obstruction
monitoring the course of a known cancer
27. A one MOLAL solution is equivalent to...
oxalacetate to malate
parathyroid
1 mol/kg
have a negative charge
28. 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...
lead
absorptivity x light path x concentration
low pH
biuret
29. The most heat labile fraction of alkaline phosphatase is obtained from...
bone
ceruplasmin
TSH
glucose tolerance test
30. Which two conditions can "physiologically" elevate serum alkaline phosphatase?
Mg
prostate
BUN increased
growth - third trimester of pregnancy
31. This serum constituent is unstable if a blood specimen is left standing at room temperature for 8 hours before processing
electric current
5mg higher
effluent line is obstructed
glucose
32. The first step in analyzing a 24-hour urine specimen for quantitative urine protein is...
L/S ratio > 3.5
endogenous triglycerides
dirty applicators
measure the total volume
33. Bromcresol purple at a pH of 5.2 is used in a colorimetric method to measure...
have a negative charge
albumin
1:5
no ice clots bubbles
34. Serum haptoglobin...
pO2 increased HCO3 decreased
can be separated into distinct phenotypes
5mg higher
increased vasoconstriction
35. The reason carbon monoxide is so toxic is because it...
200x affinity for oxygen
glucose oxidase
trig
@ 100
36. Analysis of erythrocytes for uroporphyrinogen I synthetase detects...
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
parathyroid hormone
enzyme induction
acute intermittent porphyria
37. This chemical determination may be of help in establishing the presence of seminal fluid
methadone
HDL
acid phosphatase
trig
38. The primary function of serum albumin in the peripheral blood is to...
albumin
changes in the fuel
maintain colloidal osmotic pressure
bicarbonate buffer
39. The normal concentration of proteins in cerebrospinal fluid - relative to serum protein - is...
<1%
LDH
chemical ionization matrix
inclusion of smokers and nonsmokers in the study population
40. Most drugs and intracellular metabolites measured by radioimmunoassay have molecular weights between 200 and 1000 and can be made immunogenic by...
5
270
scattered at a right angle
attaching them to protein molecules
41. This electrolyte is the chief plasma cation whose main function is maintaining osmotic pressure
hemolysis
parathyroid
run a new set of controls
sodium
42. The formation of estriol in a pregnant woman is dependent on...
fetal and placenta function
prostate
porphyrin and porphobilinogen screen
attaching them to protein molecules
43. A 21-year-old man with nausea - vomiting - and jaundice has the following laboratory findings: Total serum bilirubin level: 8.5 mg/dL (normal - 0-1.0) Conjugated serum bilirubin level: 6.1 mg/dL (normal - 0-0.5) Urine urobilinogen: Increased Fecal u
@ 100
A1
conjugated hyperbilirubinemia - hepatocellular obstruction
3500
44. In competitive inhibition of an enzyme reaction the...
inhibitor binds to enzyme at same site as substrate
amylase
heparin
corticosterone
45. The expected blood gas results for a patient in chronic renal failure would match the pattern of...
fraction absorbed into systemic circulation
apoenzyme
viral hepatitis
metabolic acidosis
46. This lipid results would be expected to be falsely elevated on a serum specimen from a nonfasting patient
occult blood
trig
placenta
para-hydroxylphenyl...
47. A person suspected of having metabolic alkalosis would have these laboratory findings
peptide bonds
CO2 and pH elevated
whole blood can be used
5mg higher
48. What substance gives feces its normal color?
urobilin
porphobilinigen SCREEN
chloride
have a negative charge
49. When myocardial infarction occurs - the first enzyme to become elevated is...
chemical ionization matrix
act as carriers for ions
CO2
CK
50. A pH of 7.0 represents a H+ concentration of...
urobilin
100 nmol
fetal and placenta function
volumetric flask
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