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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. Patients with Cushing's syndrome exhibit...
freezing point
M subunit is inactivated
serum cortisol > 15
BUN increased
2. While performing a serum lithium determination on a flame photometer with cesium as the internal standard - the technologist noticed that there was a flickering flame. The most probable cause of this problem is...
chylomicrons VLDL
changes in the fuel
freezing point
agarose
3. A serum sample for acid phosphatase determination is best prepared for room temperature storage by...
have a negative charge
adding an acid stabilizer
alpha 2 beta
peptide bonds
4. A low concentrarion of serum phosphorus is commonly found in...
carbs
carbohydrate hyperalimentation
32
draw blood for glucose and discontinue test
5. Unless blood gas measurements are made immediately after sampling - in vitro glycolysis of the blood causes a...
1.1
fall in pH - rise in pCO2
breast cancer
F
6. The unit of measure for a standard solution is...
atomic absorption
TSH
mg/ml
emphysema
7. The fast hemoglobin fraction is...
A1
1:5
alpha 2 beta
measurement of absorbance at 450
8. The principle of the occult blood test depends on the...
run a new set of controls
faster than gamma
peroxidase-like activity of hemoglobin
impaired response to ACTH stimulation
9. This method offers the greatest sensitivity for HBsAg testing
A1c
primidone
properties of the membrane
enzyme immunoassay
10. 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...
normal - liver breakdown
bicarbonate buffer
exchange of amino and keto groups
120 minutes
11. A patient with hemolytic anemia will...
LDL
show a decrease in glycosylated hgb
specimen exposure to light
lower than in adults
12. The formation of estriol in a pregnant woman is dependent on...
methyl alcohol
iron hemochromatosis
thiamine
fetal and placenta function
13. Serum anion gap is increased in patients with...
lactic acidosis
chylomicrons
ammonia
freezing point
14. 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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15. In an internal standard flame photometer - the internal standard is used to...
urobilin
correct for variations in flame and atomizer
5mg higher
measures one ion more than others
16. Gas chromatography with the nitrogen/phosphorus detector is the most commonly used technique for the analysis of...
cyclic antidepressants
measurement of absorbance at 450
BUN increased
thymolpthalein monophosphate
17. Serum concentrations of vitamin B12 are elevated in...
the same as plasma glucose
band width
1:5
CML
18. 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 carbohydrate diet for 3 days
specimen exposure to light
MI
sodium potassium chloride CO2
19. The chemical composition of HDL- cholesterol corresponds to...
hepatobiliary (obstruction?)
low pH
5 tri 15 cholesterol 50 protein
lower than in adults
20. Which two conditions can "physiologically" elevate serum alkaline phosphatase?
faster than gamma
carbs
growth - third trimester of pregnancy
can be separated into distinct phenotypes
21. In the fasting state - the arterial and capillary blood glucose concentration varies from the venous glucose concentration by approximately how many mg/dL?
Wilson's disease
5mg higher
BUN 80
can be separated into distinct phenotypes
22. A thick white turbid specimen was received in the laboratory labeled as pericardial fluid. A microscopic examination was performed - and the differential included 90% PMNs. The fluid is...
purulent
albumin
lead
amylase
23. This is a regulatory hormone.
parathyroid hormone
inclusion of smokers and nonsmokers in the study population
cysteine
quantitation of label
24. Certain enzymes are activated to metabolize drugs as a result of another drug action. This is referred to as...
chloride
increased O2 decreased HCO3
nephelometry
enzyme induction
25. Respiratory acidosis is described as a(n): ______ increase in CO2 decrease in pH
bicarbonate buffer
can be separated into distinct phenotypes
glycerol
improving state of metabolic control (as indicated by fructosamine)
26. Currently the most common method for specific identification and quantitation of serum barbiturates is...
oxalacetate to malate
a small concentration of APO-B containing lipoproteins after precipitation
incorrect aqueous to nonaqueous mixture
GLC
27. 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...
HCT
TSH
B12 deficiency
check serum for hemolysis
28. Aminotransferase enzymes catalyze the...
the same as plasma glucose
exchange of amino and keto groups
prevent phosphate interference
no decrease in serum growth hormone after 90 minutes
29. The reason carbon monoxide is so toxic is because it...
the fetus is at risk for respiratory distress
creatine kinase
200x affinity for oxygen
emphysema
30. The Henderson-Hasselbalch equation
peroxidase-like activity of hemoglobin
pH pCO2 pO2
pH = pKa + log (salt/acid)
thiamine
31. This lipid results would be expected to be falsely elevated on a serum specimen from a nonfasting patient
can be separated into distinct phenotypes
trig
GFR
high co2 and hco3
32. A patient with glomerulonephritis would present the following serum results...
100nmol
pH = pKa + log (salt/acid)
pH pCO2 pO2
BUN increased
33. 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?
LDL
prevent phosphate interference
BUN increased
the fetus is at risk for respiratory distress
34. Most drugs and intracellular metabolites measured by radioimmunoassay have molecular weights between 200 and 1000 and can be made immunogenic by...
primidone
ALP with fresh draw
attaching them to protein molecules
decreased lecithin
35. 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...
5mg higher
hyperthyroidism
32
changes in the fuel
36. The extent to which measurements agree with or approach the true value of the quantity being measured is referred to as...
creatinine
accuracy
O2
impaired response to ACTH stimulation
37. Lasting serum phosphate concentration is controlled primarily by the...
parathyroid
pituitary
128
impaired response to ACTH stimulation
38. The most important buffer pair in plasma is the...
increased vasoconstriction
parathyroid
porphobilinogen screen
bicarbonate carbonic acid
39. Hydrogen ion concentration (pH) in blood is usually determined by means of these electrodes?
<1%
glass
attaching them to protein molecules
A1c
40. The function of the major lipid components of the very low density lipoproteins (VLDL) is to transport...
endogenous triglycerides
exposure to CO
growth - third trimester of pregnancy
C
41. In the sweat test - the sweating stimulant is introduced to the skin by application of...
electric current
purulent
20:1
ceruplasmin
42. 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?
decreased lecithin
SD over mean
amylase and lipase
TSH
43. Testing for the diagnosis of lead poisoning should include...
methyl alcohol
valine leucine isoleucine
(testing of urine for) delta-am.. acid
HPLC analysis of porpobilinogen on 24hr urine
44. The anticonvulsant used to control tonic-clonic (grand mal) seizures is...
CO2 and pH elevated
chylomicrons VLDL
Solute moves half the distance of the solvent front
phenytoin
45. The expected blood gas results for a patient in chronic renal failure would match the pattern of...
metabolic acidosis
multiplied by 4
<45
brain
46. 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.
591
parathyroid
MI
bicarbonate carbonic acid
47. Blood received in the laboratory for blood gas analysis must meet these requirements
without a disease with a negative test result
no ice clots bubbles
multiplied by 4
sample exposed to light
48. This calcium procedure utilizes lanthanum chloride to emliminate iterfering substances
potassium dichromate in SA
atomic absorption
transferrin
100 nmol
49. 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...
triglycerides
CK-MB
TSH
B12 deficiency
50. A pH of 7.0 represents a H+ concentration of...
100nmol
CK
exposure to CO
urobilin