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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
.
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. The selectivity of an ion-selective electrode is determined by the...
40-50
acute hepatitis
LDH
properties of the membrane
2. Most chemical methods for determining total protein utilize this reaction?
0
1:5
biuret
fraction absorbed into systemic circulation
3. 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?
sodium potassium chloride CO2
be able to detect 9/10 simple instrument malfunctions
sodium
TSH
4. The chemical composition of HDL- cholesterol corresponds to...
biuret
Calcium - phosphorus
respiratory ACIDOSIS
5 tri 15 cholesterol 50 protein
5. Aminotransferase enzymes catalyze the...
<1%
exchange of amino and keto groups
bone
Prolactin
6. In electrophoresis of proteins - when the sample is placed in an electric field connected to a buffer of pH 8.6 - all of the proteins...
prisms and grating
BUN increased
have a negative charge
specimen exposure to light
7. A blood creatinine value of 5.0 mg/dL is most likely to be found with this blood value?
creatinine clearance
BUN 80
carbs
alpha 2 beta
8. The protein portion of an enzyme complex is called the...
diet
1 micromole per minute
apoenzyme
prisms and grating
9. Assay of transketolase activity in blood is used to detect deficiency of...
metabolic acidosis
obstructive jaundice
thiamine
CO2 and pH elevated
10. A potassium level of 6.8 mEq/L is obtained. Before reporting the results - the first step the technologist should take is to...
attaching them to protein molecules
check serum for hemolysis
L/S ratio > 3.5
0
11. Given the following results: Alkaline phosphatase Marked increase Aminotransferase Slight increase Aspartate aminotransferase Slight increase Alanine gamma-glutamyl transferase Marked increase This is most consistent with...
obstructive jaundice
ionization of carboxyl groups (yielding a net negative charge)
CK-MB
iron hemochromatosis
12. 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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13. This steroid is an adrenal cortical hormone
increased O2 decreased HCO3
one micromole/minute
phenytoin
corticosterone
14. Magnesium carbonate is added in an iron binding capacity determination in order to...
TSH
remove excess unbound iron
atomic absorption
CK
15. 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...
parathyroid
5mg higher
changes in the fuel
a small concentration of APO-B containing lipoproteins after precipitation
16. When taken by a euthyroid individual - oral contraceptives containing estrogens will have this effects on the thyroid function studies
L/S ratio > 3.5
increase in total circulating T4
standard
<1%
17. This method offers the greatest sensitivity for HBsAg testing
occult blood
2Na + glucose over 20 + BUN over 3
acid phosphatase
enzyme immunoassay
18. In the fasting state - the arterial and capillary blood glucose concentration varies from the venous glucose concentration by approximately how many mg/dL?
enzyme induction
5mg higher
HDL
minimize the effects of interference
19. 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...
one micromole/minute
multiplied by 4
high carbohydrate diet for 3 days
cyclic antidepressants
20. The formula for calculating absorbance given the percent transmittance (%T) of a solution
2-log(T)
sample exposed to light
valine leucine isoleucine
CO2 and pH elevated
21. The osmolal gap is defined as measured Osm/kg minus the calculated Osm/kg. The average osmolal gap is near...
TLC
para-hydroxylphenyl...
0
21-hydroxylase deficiency
22. The definitive diagnosis of primary adrenal insufficiency requires demonstration of...
be able to detect 9/10 simple instrument malfunctions
aldolase
impaired response to ACTH stimulation
albumin
23. The measurement of light scattered by particles in the sample is the principle of...
respiratory acidosis
endosmosis
the fetus is at risk for respiratory distress
nephelometry
24. 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
D
methadone
dihydroxyacetone side chain
glass
25. Thiis serum protein fraction is most likely to be elevated in patients with nephrotic syndrome?
a small concentration of APO-B containing lipoproteins after precipitation
acute hepatitis
fetal and placenta function
alpha 2 beta
26. Patients with Cushing's syndrome exhibit...
chemical ionization matrix
sodium
(testing of urine for) delta-am.. acid
serum cortisol > 15
27. This would be an example of a glucose-specific colorimetric method
1:5
thiamine
nondiagnostic for MS
glucose oxidase
28. Malic dehydrogenase is added to the aspartate aminotransaminase (AST) reaction to catalyze the conversion of...
oxalacetate to malate
specificity
A1c
M subunit is inactivated
29. At a pH of 8.6 the gamma globulins move toward the cathode - despite the fact that they are negatively charged. What is this phenomenon called?
endosmosis
peptide bonds
plasma bicarbonate
porphobilinogen synthetase
30. Analysis of erythrocytes for uroporphyrinogen I synthetase detects...
freezing point
acute intermittent porphyria
pilocarpine
parathyroid
31. The most widely used support medium for electrophoretic separation of lipoproteins is...
TSH
CO2 and pH elevated
plasma bicarbonate
agarose
32. This diseases results from a familial absence of high-density lioprotein
Tangier
90%
exchange of amino and keto groups
5 tri 15 cholesterol 50 protein
33. 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...
hemolysis
120 minutes
didymium filter
B12 deficiency
34. 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...
alkaline picrate
<45
low pH
inhibitor binds to enzyme at same site as substrate
35. Bile acid concentrations are useful to assess...
340
hepatobiliary (obstruction?)
run a new set of controls
albumin
36. This wavelengths is within the ultraviolet rang.
340
have a negative charge
increase in total circulating T4
lipase
37. In a double-beam photometer - the additional beam is used to...
be able to detect 9/10 simple instrument malfunctions
glucose tolerance test
correct for variations in light intensity
porphobilinogen synthetase
38. A common cause of a falsely increased LD1 fraction of lactic dehydrogenase is...
plasma bicarbonate
creatinine clearance
para-hydroxylphenyl...
hemolysis
39. In competitive inhibition of an enzyme reaction the...
absorptivity x light path x concentration
inhibitor binds to enzyme at same site as substrate
CO2
pH pCO2 pO2
40. Detection of carriers of hereditary coproporphyria should include analysis of...
200x affinity for oxygen
4.5
high co2 and hco3
fresh morning urine for delta-aminolevulinic acid
41. A serum sample for acid phosphatase determination is best prepared for room temperature storage by...
100nmol
F
adding an acid stabilizer
@ 100
42. Which two conditions can "physiologically" elevate serum alkaline phosphatase?
corticosterone
growth - third trimester of pregnancy
emphysema
apoenzyme
43. An emphysema patient suffering from fluid accumulation in the alveolar spaves is likely to be in what metabolic state?
elevated lactic acid - elevated pyruvate
specificity
respiratory ACIDOSIS
acute hepatitis
44. The greatest activities of serum AST and ALT are seen in...
340
5
transferrin
acute hepatitis
45. The following laboratory results were obtained: Serum Calcium: Increased - Urine Calcium: Increased - Serum Phosphate: Decreased - Urine Phosphate: Increased Serum Alkaline Phosphatase: Normal or Increased These results are most compatible with...
CK
occult blood
primary hyperparathyroidism
270
46. Beriberi is associated with deficiency of...
thiamine
HPLC analysis of porpobilinogen on 24hr urine
MI
mg/ml
47. A test request slip indicates that an acute porphyric attack is suspected clinically. Analysis should include...
viral hepatitis
is quantitated by the amount of light produced
Solute moves half the distance of the solvent front
porphobilinigen SCREEN
48. Gas chromatography with the nitrogen/phosphorus detector is the most commonly used technique for the analysis of...
cyclic antidepressants
nondiagnostic for MS
thiamine
obstructive jaundice
49. 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...
run a new set of controls
L/S ratio > 3.5
cancel test
pCO2
50. A patient with glomerulonephritis would present the following serum results...
M subunit is inactivated
BUN increased
changes in the fuel
faster than gamma
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