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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. Which two conditions can "physiologically" elevate serum alkaline phosphatase?
pituitary
pCO2
tissue and serum levels need to reach equilibrium
growth - third trimester of pregnancy
2. In respiratory acidosis - a compensatory mechanism is the increase in...
plasma bicarbonate
thiamine
CML
ammonia
3. The major fraction of organic iodine in the circulation is in the form of...
dirty applicators
thyroxine
carbohydrate hyperalimentation
pH = pKa + log (salt/acid)
4. The unit of measure for a standard solution is...
thyroxine binding globulin
iron hemochromatosis
mg/ml
<45
5. 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...
testosterone
electric current
primidone
TSH
6. Most chemical methods for determining total protein utilize this reaction?
biuret
measures one ion more than others
chylomicrons VLDL
peroxidase-like activity of hemoglobin
7. An electrode has a silver/silver chloride anode and a platinum wire cathode. It is suspended in KCl solution and separated from the blood to be analyzed by a selectively permeable membrane. Such an electrode is used to measure...
O2
parathyroid
lower than in adults
increased vasoconstriction
8. In developing the reference for a new EIA for CEA - the range for the normal population was broader than that published by the vendor. Controls are acceptable with a narrow coefficient of variation. This may be explained by...
Calcium - phosphorus
inclusion of smokers and nonsmokers in the study population
lead
agarose
9. The test for adrenal cortical hyperfunction that has the greatest diagnostic sensitivity is measurement of...
Prolactin
mg/ml
urinary free cortisol
5 tri 15 cholesterol 50 protein
10. Phenobarbital is a metabolite of...
Wilson's disease
Calcium - phosphorus
fetal and placenta function
primidone
11. The ability of a procedure to measure only the component(s) it claims to measure is called...
parathyroid hormone
1.1
specificity
Tangier
12. The concentration of serum carotene is affected MOST by...
thymolpthalein monophosphate
diet
5mg higher
bilirubin
13. In electrophoresis of serum proteins - arifacts at the application point are most frequently caused by...
serum cortisol > 15
5
chloride
dirty applicators
14. A pH of 7.0 represents a H+ concentration of...
manic-depression
ALP with fresh draw
100 nmol
parathyroid hormone
15. 4 mL of water is added to 1 mL of serum. This represents this serum dilutions
methadone
1:5
a small concentration of APO-B containing lipoproteins after precipitation
21-hydroxylase deficiency
16. Kernicterus is an abnormal accumulation of bilirubin in...
phenytoin
adding an acid stabilizer
brain
electric current
17. 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...
measurement of absorbance at 450
pituitary
increased O2 decreased HCO3
M subunit is inactivated
18. A 45-year-old woman has a fasting serum glucose concentration of 95 mg/dL and a 2-hour postprandial glucose concentration of 105 mg/dL. The statement that best describes this patient's fasting serum glucose concentration is...
correct for variations in light intensity
normal - liver breakdown
M subunit is inactivated
atomic absorption
19. 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...
B12 deficiency
triglycerides
testing heparinized plasma
atomic absorption
20. The most important buffer pair in plasma is the...
sample exposed to light
bicarbonate carbonic acid
Prolactin
prevent phosphate interference
21. The most sensitive enzymatic indicator for liver damage from ethanol intake is...
HDL
agarose
GGT
glass
22. Isoenzyme assays are preformed to improve...
1.1
improving state of metabolic control (as indicated by fructosamine)
specificity
dihydroxyacetone side chain
23. 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...
respiratory acidosis
O2
coulometry
the fetus is at risk for respiratory distress
24. An electrophoretic separation of lactate dehydrogenase isoenzymes that demonstrates an elevation in LD-l and LD-2 in a "flipped" pattern is consistent with...
minimize the effects of interference
viral hepatitis
glucose tolerance test
MI
25. Serum anion gap is increased in patients with...
serum cortisol > 15
respiratory acidosis
emphysema
lactic acidosis
26. The anticonvulsant used to control tonic-clonic (grand mal) seizures is...
lactic acidosis
cyclic antidepressants
phenytoin
Mg
27. Patients with Cushing's syndrome exhibit...
BUN 80
serum cortisol > 15
340
amytriptyline 104
28. A fresh urine sample is received for "porphyrins" or "porphyria" without further information or specifications. Initial analysis should include...
serum aliquots - one heated
no decrease in serum growth hormone after 90 minutes
porphyrin and porphobilinogen screen
C3 complement
29. This enzymes catalyzes the conversion of starch to glucose and maltose
LDL
the fetus is at risk for respiratory distress
amylase
591
30. The selectivity of an ion-selective electrode is determined by the...
C
fraction absorbed into systemic circulation
properties of the membrane
cholesterol normal triglycerides elevated
31. A serum potassium is 19.5 mg/100 mL. This value is equal to how many mEq/L (MW of K = 39)?
trig
amylase
ratio of distance moved by solvent to distance moved by compound
5
32. Hydrogen ion concentration (pH) in blood is usually determined by means of these electrodes?
dirty electrodes
591
Temperature is a function of the number of particles in solution
glass
33. A potentiometric electrode that measures an analyte that passes through a selectively premeable membrane and rapidly enters into an equilibrium with an electrolyte solution is...
ammonia
incorrect aqueous to nonaqueous mixture
properties of the membrane
pCO2
34. Bioavailability of a drug refers to the...
coulometry
fraction absorbed into systemic circulation
didymium filter
dirty electrodes
35. Testing for the diagnosis of lead poisoning should include...
(testing of urine for) delta-am.. acid
increased vasoconstriction
bone
creatinine
36. On immunoassays using enzyme-labeled antibodies or antigens: ___________ can be carried out with a spectrophotometer
5 tri 15 cholesterol 50 protein
CK-MB
run a new set of controls
quantitation of label
37. 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
effluent line is obstructed
creatinine
CO2 and pH elevated
benzoylecogine
38. This is a characteristic shared by lactate dehydrogenase - malate dehydrogenase - isocitrate dehydrogenase - and hydroxybutyrate dehydrogenase?
catalyze redox reactions
5mg higher
amylase and lipase
pilocarpine
39. The direction in which albumin migrates (ie - toward anode or cathode) during electrophoretic separation of serum proteins - at pH 8.6 - is determined by...
methadone
ionization of carboxyl groups (yielding a net negative charge)
parathyroid
amytriptyline 104
40. This is a regulatory hormone.
parathyroid hormone
GLC
glass
ceruplasmin
41. Gas chromatography with the nitrogen/phosphorus detector is the most commonly used technique for the analysis of...
absorptivity x light path x concentration
show a decrease in glycosylated hgb
cyclic antidepressants
patient noncompliance
42. Serum from a patient with metastatic carcinoma of the prostate was separated from the clot and stored at room temperature. The following results were obtained: Patient Reference Range Calcium: 10.8 mg/dL 8.8-10.3 mg/dL LD:420 U/L 50-150 U/L Acid phos
ALP with fresh draw
GGT
creatinine
occult blood
43. In monitoring glomerular function - this test has the highest sensitivity
creatinine clearance
CO2 and pH elevated
cancel test
increased O2 decreased HCO3
44. Maple syrup urine disease is characterized by an increase in this urinary amino acids
chylomicrons
freezing point
200
valine leucine isoleucine
45. 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
metabolic acidosis
Prolactin
120 minutes
46. 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...
CK
chemical ionization matrix
120 minutes
iron hemochromatosis
47. Ninety percent of the copper present in plasma is bound to...
wavelength
corticosterone
21-hydroxylase deficiency
ceruplasmin
48. Characteristic of the Bence Jones protein that is used to distinguish it from other urinary proteins is its solubility...
B12 deficiency
trig
@ 100
respiratory acidosis
49. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) are both elevated in this disease
growth - third trimester of pregnancy
prostate
viral hepatitis
respiratory ACIDOSIS
50. The presence of this isoenzymes indicates acute myocardial damage
T4 by RIA
specificity
CK-MB
cyclic antidepressants