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Chemistry Certification
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Study First
Subject
:
certifications
Instructions:
Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can
study here
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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. An emphysema patient suffering from fluid accumulation in the alveolar spaves is likely to be in what metabolic state?
cyclic antidepressants
respiratory ACIDOSIS
prevent phosphate interference
5 tri 15 cholesterol 50 protein
2. Cocaine is metabolized to...
benzoylecogine
coulometry
carbohydrate hyperalimentation
HCT
3. 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
methadone
nondiagnostic for MS
metabolic acidosis
270
4. In performing a spinal fluid protein determination - the specimen is diluted 1 part spinal fluid to 3 parts saline to obtain a result low enough to measure. To calculate the protein concentration the result must be...
hyperthyroidism
inhibitor binds to enzyme at same site as substrate
testosterone
multiplied by 4
5. 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...
ionization of carboxyl groups (yielding a net negative charge)
5
digoxin
prisms and grating
6. 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...
A1c
is quantitated by the amount of light produced
the same as plasma glucose
effluent line is obstructed
7. The Henderson-Hasselbalch equation
CK-MB
pH = pKa + log (salt/acid)
ratio of distance moved by solvent to distance moved by compound
mg/ml
8. The biuret reaction for the analysis of serum protein depends on the number...
alkaline picrate
peptide bonds
hepatobiliary (obstruction?)
increased vasoconstriction
9. Following overnight fasting - hypoglycemia in adults is defined as a glucose of...
exposure to CO
<45
primary hyperparathyroidism
SD over mean
10. Specimens for blood gas determination should be drawn into a syringe containing...
porphobilinogen screen
inclusion of smokers and nonsmokers in the study population
pilocarpine
heparin
11. The principle of the occult blood test depends on the...
peroxidase-like activity of hemoglobin
ammonia
creatinine
bicarbonate carbonic acid
12. A blood creatinine value of 5.0 mg/dL is most likely to be found with this blood value?
BUN 80
acute intermittent porphyria
GGT
minimize the effects of interference
13. This electrolyte is the chief plasma cation whose main function is maintaining osmotic pressure
atomic absorption
sodium
measure the total volume
fetal and placenta function
14. The stimulant that causes localized sweating for the sweat test is...
biuret
128
cysteine
pilocarpine
15. A patient with hemolytic anemia will...
nephelometry
show a decrease in glycosylated hgb
improving state of metabolic control (as indicated by fructosamine)
GLC
16. The anion gap is useful for quality control of laboratory results for...
sodium potassium chloride CO2
no decrease in serum growth hormone after 90 minutes
freezing point
heparin
17. In amniotic fluid - the procedure used to detect Rh isosensitization is...
parathyroid hormone
acid phosphatase
measurement of absorbance at 450
chylomicrons VLDL
18. The T3 resin uptake test is a measure of...
intestinal malabsorption
binding capacity of thyroxine-binding globulin
electric current
mg/ml
19. The anticonvulsant used to control tonic-clonic (grand mal) seizures is...
incorrect aqueous to nonaqueous mixture
phenytoin
measures one ion more than others
specificity
20. Most automated blood gas analyzers directly measure...
cysteine
high carbohydrate diet for 3 days
pH pCO2 pO2
measurement of absorbance at 450
21. This lipid results would be expected to be falsely elevated on a serum specimen from a nonfasting patient
trig
specimen exposure to light
ceruplasmin
@ 100
22. This serum constituent is unstable if a blood specimen is left standing at room temperature for 8 hours before processing
TLC
alkaline picrate
prisms and grating
glucose
23. Clinical assays for tumor markers are the most important for...
adding an acid stabilizer
primidone
monitoring the course of a known cancer
sharp fibrinogen peak
24. This serum protein migrates with the beta-globulins on cellulose acetate at pH 8.6...
<45
TSH
C3 complement
atomic absorption
25. In the Jaffe reaction - creatine reacts with...
340
sample exposed to light
porphobilinogen screen
alkaline picrate
26. If a drug has a half-life of 7 hours - how many doses given at 7-hour intervals does it usually take to achieve a steady state or plateau level?
incorrect aqueous to nonaqueous mixture
creatinine clearance
5
bilirubindiglucuronide
27. A patient with glomerulonephritis would present the following serum results...
HPLC analysis of porpobilinogen on 24hr urine
primidone
dihydroxyacetone side chain
BUN increased
28. The formula for calculating serum osmolality that incorporates a correction for the water content of plasma is...
potassium dichromate in SA
(testing of urine for) delta-am.. acid
2Na + glucose over 20 + BUN over 3
mg/ml
29. Nephelometers measure light...
pH pCO2 pO2
scattered at a right angle
200x affinity for oxygen
high carbohydrate diet for 3 days
30. A true statement about high performance liquid chromatography (HPLC) is that it...
is quantitated by the amount of light produced
agarose
endogenous triglycerides
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
31. The method of choice for diagnosis of a protracted attack of porphyria is...
HPLC analysis of porpobilinogen on 24hr urine
respiratory ACIDOSIS
4.5
testosterone
32. The normal concentration of proteins in cerebrospinal fluid - relative to serum protein - is...
run a new set of controls
<1%
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
5mg higher
33. An increase in serum acetone is indicative of a defect in the metabolism of...
chylomicrons VLDL
sample exposed to light
high carbohydrate diet for 3 days
carbs
34. 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?
TSH
TLC
electric current
9
35. Respiratory acidosis is described as a(n): ______ increase in CO2 decrease in pH
sodium
show a decrease in glycosylated hgb
SD over mean
glycerol
36. A critically ill patient becomes comatose. The physician believes the coma is due to hepatic failure. The assay most helpful in this diagnosis is...
show a decrease in glycosylated hgb
ammonia
measurement of absorbance at 450
9
37. Turbidity in serum suggests elevation of...
measurement of absorbance at 450
chylomicrons
90%
high co2 and hco3
38. One means of checking a spectrophotometer wavelength calibration in the visible range is by using a...
valine leucine isoleucine
thymolpthalein monophosphate
one micromole/minute
didymium filter
39. Assay of transketolase activity in blood is used to detect deficiency of...
no ice clots bubbles
thiamine
placenta
valine leucine isoleucine
40. A patient has signs and symptoms suggestive of acromegaly. The diagnosis would be confirmed if the patient had...
no decrease in serum growth hormone after 90 minutes
Wilson's disease
fresh morning urine for delta-aminolevulinic acid
Hb S
41. The unit of measure for a standard solution is...
testosterone
mg/ml
specificity
hemolysis
42. After a difficult venipuncture requiring prolonged application of the tourniquet - the serum K+ was found to be 6.8 mEq/L. The best course of action is to...
parathyroid hormone
cancel test
spun separated iced and tested immediately
check serum for hemolysis
43. Enzymes used in the diagnosis of acute pancreatitis?
amylase and lipase
sodium potassium chloride CO2
amylase
Hb S
44. A one MOLAL solution is equivalent to...
atomic absorption
corticosterone
1 mol/kg
porphobilinogen synthetase
45. How many grams of sodium chloride are needed to prepare 1 L of 0.9% normal saline?
growth - third trimester of pregnancy
sodium
9
fetal and placenta function
46. An Rf value of 0.5 in thin-layer chromatography means...
scattered at a right angle
Solute moves half the distance of the solvent front
minimize the effects of interference
fresh morning urine for delta-aminolevulinic acid
47. Lasting serum phosphate concentration is controlled primarily by the...
340
placenta
parathyroid
T4 by RIA
48. Amino acid associated with a sulfhydryl group
cysteine
cmpds based on molecular weight and size
improving state of metabolic control (as indicated by fructosamine)
immunofixation
49. Ion selective electrodes are called selective rather than specific because they actually measure the...
measures one ion more than others
porphyrin and porphobilinogen screen
TLC
urobilin
50. Analysis of erythrocytes for uroporphyrinogen I synthetase detects...
can be separated into distinct phenotypes
40-50
acute intermittent porphyria
4.5
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