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Chemistry Certification
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Subject
:
certifications
Instructions:
Answer 50 questions in 15 minutes.
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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. Alkaline phosphatase Slight increase - Aminotransferase Marked increase - Aspartate aminotransferase Marked increase - Alanine gamma-glutamyl transferase Slight increase
5 tri 15 cholesterol 50 protein
fresh morning urine for delta-aminolevulinic acid
acute hepatitis
triglycerides
2. Beriberi is associated with deficiency of...
chemical ionization matrix
MI
band width
thiamine
3. Serum concentrations of vitamin B12 are elevated in...
chylomicrons
CML
normal - liver breakdown
fetal and placenta function
4. An Rf value of 0.5 in thin-layer chromatography means...
dirty applicators
Solute moves half the distance of the solvent front
1 mol/kg
measurement of absorbance at 450
5. When taken by a euthyroid individual - oral contraceptives containing estrogens will have this effects on the thyroid function studies
sodium potassium chloride CO2
increase in total circulating T4
cyclic antidepressants
occult blood
6. In monitoring glomerular function - this test has the highest sensitivity
creatinine clearance
improving state of metabolic control (as indicated by fructosamine)
properties of the membrane
metabolic acidosis
7. A reciprocal relationship exists between...
crigler
Calcium - phosphorus
increased vasoconstriction
endogenous triglycerides
8. This serum protein migrates with the beta-globulins on cellulose acetate at pH 8.6...
C3 complement
1.9
1.1
testing heparinized plasma
9. In competitive inhibition of an enzyme reaction the...
inhibitor binds to enzyme at same site as substrate
respiratory ACIDOSIS
beta
glucose tolerance test
10. Maple syrup urine disease is characterized by an increase in this urinary amino acids
valine leucine isoleucine
thiamine
C3 complement
alkaline picrate
11. A blood creatinine value of 5.0 mg/dL is most likely to be found with this blood value?
elevated lactic acid - elevated pyruvate
heparin
pCO2
BUN 80
12. This serum constituent is unstable if a blood specimen is left standing at room temperature for 8 hours before processing
glucose
2Na + glucose over 20 + BUN over 3
maintain colloidal osmotic pressure
CK
13. This 2-hour postprandial glucose values demonstrates unequivocal hyperglycemia diagnostic for diabetes mellitus
hepatobiliary (obstruction?)
200
ionization of carboxyl groups (yielding a net negative charge)
a small concentration of APO-B containing lipoproteins after precipitation
14. Cerebrospinal fluid for glucose assay should be...
endosmosis
the fetus is at risk for respiratory distress
boderline results test should be repeated
analyzed immediately
15. High levels of which lipoprotein class are associated with decreased risk of accelerated atherosclerosis?
iron deficiency anemia
enzyme induction
C3 complement
HDL
16. 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...
catalyze redox reactions
the fetus is at risk for respiratory distress
atomic absorption
ionization of carboxyl groups (yielding a net negative charge)
17. Stray light can be detected in a spectrophotometer by utilizing a...
sharp cutoff filter
NADH
aldolase
F
18. 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...
spun separated iced and tested immediately
4.5
run a new set of controls
purulent
19. A pH of 7.0 represents a H+ concentration of...
TSH
100nmol
porphyrin and porphobilinogen screen
5
20. Specimens for blood gas determination should be drawn into a syringe containing...
thymolpthalein monophosphate
heparin
HCT
iron deficiency anemia
21. Quantitation of NA+ and K+ by ion-selective electrode is more rapid than flame photometry because...
crigler
cmpds based on molecular weight and size
g/MW
whole blood can be used
22. 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...
ratio of distance moved by solvent to distance moved by compound
there is an absence of correlation
chylomicrons VLDL
emphysema
23. A patient with type I insulin-dependent diabetes mellitus has the following results: Fasting blood glucose: 150 mg/dL (70-110 rng/dL) Hemoglobin A1c: 25% (6.0%-19.5%) Fructosamine: 3.0 mmol/L ( 2.0-5.3 mmol/L)
inclusion of smokers and nonsmokers in the study population
improving state of metabolic control (as indicated by fructosamine)
adding an acid stabilizer
digoxin
24. This method employs a highly specific antibody to thyroxine
100 nmol
T4 by RIA
without a disease with a negative test result
remove excess unbound iron
25. Enzymes used in the diagnosis of acute pancreatitis?
Wilson's disease
amylase and lipase
metabolic acidosis
Tay-sachs
26. In electrophoresis of serum proteins - arifacts at the application point are most frequently caused by...
dirty applicators
bicarbonate buffer
turn off
transferrin
27. This is a characteristic shared by lactate dehydrogenase - malate dehydrogenase - isocitrate dehydrogenase - and hydroxybutyrate dehydrogenase?
200x affinity for oxygen
carbohydrate hyperalimentation
catalyze redox reactions
low pH
28. In the sweat test - the sweating stimulant is introduced to the skin by application of...
electric current
porphobilinigen SCREEN
improving state of metabolic control (as indicated by fructosamine)
pO2 increased HCO3 decreased
29. TSH is produced by the...
one micromole/minute
M subunit is inactivated
primary hyperparathyroidism
pituitary
30. Pregnant women with symptoms of thirst - frequent urination - or unexplained weight loss should have this test performed?
albumin
thymolpthalein monophosphate
glucose tolerance test
digoxin
31. Fluctuation of the needle on a coulometric type titrator is most probably due to...
the same as plasma glucose
D
potassium dichromate in SA
dirty electrodes
32. An automated method for measuring chloride that generates silver ions in the reaction is...
coulometry
acute intermittent porphyria
primary hyperparathyroidism
inclusion of smokers and nonsmokers in the study population
33. Phenobarbital is a metabolite of...
2-log(T)
sharp fibrinogen peak
biuret
primidone
34. The chemical composition of HDL- cholesterol corresponds to...
albumin
5 tri 15 cholesterol 50 protein
TSH
pituitary
35. In a double-beam photometer - the additional beam is used to...
bilirubin
correct for variations in light intensity
growth - third trimester of pregnancy
@ 100
36. The buffer pH most effective at allowing amphoteric proteins to migrate toward the cathode in an electrophoretic system would be...
freezing point
4.5
pH pCO2 pO2
breast cancer
37. This steroid is an adrenal cortical hormone
corticosterone
lower than in adults
act as carriers for ions
CK
38. The formation of estriol in a pregnant woman is dependent on...
CO2
testing heparinized plasma
fetal and placenta function
TLC
39. The glucose level in normal peritoneal fluid should be...
the same as plasma glucose
MI
parathyroid
g/MW
40. The electrophoretic pattern of a plasma sample compared with a serum sample shows a...
electric current
lithium
oxalacetate to malate
sharp fibrinogen peak
41. 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...
C3 complement
ceruplasmin
1 micromole per minute
TSH
42. Zinc protoporphyrin or free erythrocyte protoporphyrin measurements are useful to assess blood concentrations of...
Tangier
amytriptyline 104
WITHOUT a disease with a negative test
lead
43. A patient is admitted with biliary cirrhosis. If a serum protein electrophoresis is preformed - these globulin fractions will be most elevated?
beta
primidone
exchange of amino and keto groups
T4 by RIA
44. Amino acid associated with a sulfhydryl group
5mg higher
atomic absorption
improving state of metabolic control (as indicated by fructosamine)
cysteine
45. The buffering capacity of blood is maintained by a reversible exchange process between bicarbonate and...
potassium dichromate in SA
correct for variations in flame and atomizer
chloride
lead
46. Nephelometers measure light...
hyperthyroidism
scattered at a right angle
improving state of metabolic control (as indicated by fructosamine)
potassium dichromate in SA
47. Regan isoenzyme has the same properties as alkaline phosphatase that originates in the...
multiplied by 4
placenta
cholesterol normal triglycerides elevated
carbohydrate hyperalimentation
48. Ion selective electrodes are called selective rather than specific because they actually measure the...
testing heparinized plasma
measures one ion more than others
exchange of amino and keto groups
LDH
49. This lipid results would be expected to be falsely elevated on a serum specimen from a nonfasting patient
high co2 and hco3
trig
para-hydroxylphenyl...
respiratory ACIDOSIS
50. 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
plasma bicarbonate
exchange of amino and keto groups
coulometry
creatinine
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