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Chemistry Certification
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Study First
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. The major fraction of organic iodine in the circulation is in the form of...
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
thyroxine
improving state of metabolic control (as indicated by fructosamine)
acute hepatitis
2. Unless blood gas measurements are made immediately after sampling - in vitro glycolysis of the blood causes a...
specificity
hyperventilation
fall in pH - rise in pCO2
exposure to CO
3. This steroid is an adrenal cortical hormone
scattered at a right angle
cancel test
corticosterone
iron hemochromatosis
4. Quantitation of NA+ and K+ by ion-selective electrode is more rapid than flame photometry because...
0
whole blood can be used
lead
parathyroid
5. The main reason for suboptimal drug levels in therapeutic drug monitoring is...
patient noncompliance
serum cortisol > 15
beta
spun separated iced and tested immediately
6. An acid cleaning solution for glassware consists of...
run a new set of controls
potassium dichromate in SA
trig
primary hyperparathyroidism
7. Respiratory acidosis is described as a(n): ______ increase in CO2 decrease in pH
emphysema
lithium
glycerol
40-50
8. The most specific enzyme test for acute pancreatitis is...
increased vasoconstriction
high co2 and hco3
lipase
TSH
9. Analysis of erythrocytes for uroporphyrinogen I synthetase detects...
porphobilinogen synthetase
acute intermittent porphyria
is quantitated by the amount of light produced
thyroxine
10. The greatest activities of serum AST and ALT are seen in...
Temperature is a function of the number of particles in solution
serum aliquots - one heated
methadone
acute hepatitis
11. Aminotransferase enzymes catalyze the...
bilirubin
sharp fibrinogen peak
exchange of amino and keto groups
manic-depression
12. 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...
pH = pKa + log (salt/acid)
spun separated iced and tested immediately
32
fresh morning urine for delta-aminolevulinic acid
13. Isoenzyme assays are preformed to improve...
specificity
amylase
freezing point
changes in the fuel
14. The reason carbon monoxide is so toxic is because it...
multiplied by 4
acute hepatitis
1.9
200x affinity for oxygen
15. Ninety percent of the copper present in plasma is bound to...
ceruplasmin
LDL
Mg
spun separated iced and tested immediately
16. A psychiatric patient was experiencing sever depression - but responded to treatment with amitriptyline with no apparent side effects. A blood sample was sent to the laboratory for therapeutic monitoring. Which drug level would be MOST reflective of
have a negative charge
100 nmol
amytriptyline 104
no decrease in serum growth hormone after 90 minutes
17. 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?
serum cortisol > 15
TSH
para-hydroxylphenyl...
absorptivity x light path x concentration
18. Nephelometers measure light...
crigler
591
alkaline picrate
scattered at a right angle
19. Characteristic of the Bence Jones protein that is used to distinguish it from other urinary proteins is its solubility...
@ 100
primidone
no decrease in serum growth hormone after 90 minutes
attaching them to protein molecules
20. The method of choice for diagnosis of a protracted attack of porphyria is...
HPLC analysis of porpobilinogen on 24hr urine
tissue and serum levels need to reach equilibrium
prostate
cholesterol normal triglycerides elevated
21. A common cause of a falsely increased LD1 fraction of lactic dehydrogenase is...
breast cancer
incorrect aqueous to nonaqueous mixture
hemolysis
Hb S
22. 4 mL of water is added to 1 mL of serum. This represents this serum dilutions
serum cortisol > 15
plasma bicarbonate
immunofixation
1:5
23. Detection of carriers of hereditary coproporphyria should include analysis of...
specificity
nephelometry
fresh morning urine for delta-aminolevulinic acid
glucose oxidase
24. The expected blood gas results for a patient in chronic renal failure would match the pattern of...
metabolic acidosis
trig
increased O2 decreased HCO3
thiamine
25. 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?
volumetric flask
128
acute hepatitis
5
26. The first step in analyzing a 24-hour urine specimen for quantitative urine protein is...
measure the total volume
Tay-sachs
cyclic antidepressants
sodium
27. Cocaine is metabolized to...
bicarbonate buffer
TSH
5
benzoylecogine
28. A patient in her 33rd week of pregnancy is hospitalized with toxemia. Her doctor would like to deliver the baby early because the toxemia is becoming more severe. The baby's best chance of delivery without respiratory distress due to lung immaturity
L/S ratio > 3.5
enzyme induction
draw blood for glucose and discontinue test
parathyroid
29. In respiratory acidosis - a compensatory mechanism is the increase in...
hyperthyroidism
catalyze redox reactions
pO2 increased HCO3 decreased
plasma bicarbonate
30. When the exact concentration of the solute of a solution is known and is used to evaluate the concentration of an unknown solution - the known solution is...
standard
incorrect aqueous to nonaqueous mixture
hemolysis
BUN 80
31. Thiis serum protein fraction is most likely to be elevated in patients with nephrotic syndrome?
nondiagnostic for MS
21-hydroxylase deficiency
alpha 2 beta
cysteine
32. Acidosis and alkalosis are best defined as fluctuations in blood pH and CO2 content due to changes in...
1 mol/kg
check serum for hemolysis
bicarbonate buffer
dihydroxyacetone side chain
33. Assay of transketolase activity in blood is used to detect deficiency of...
F
manic-depression
dirty applicators
thiamine
34. Before unconjugated bilirubin can react with Ehrlich's diazo reagent - this must be added
bicarbonate carbonic acid
methyl alcohol
benzoylecogine
200
35. This chemical determination may be of help in establishing the presence of seminal fluid
acid phosphatase
conjugated hyperbilirubinemia - hepatocellular obstruction
A1c
wavelength
36. The formula for calculating serum osmolality that incorporates a correction for the water content of plasma is...
benzoylecogine
2Na + glucose over 20 + BUN over 3
wavelength
M subunit is inactivated
37. The measurement of light scattered by particles in the sample is the principle of...
WITHOUT a disease with a negative test
0
occult blood
nephelometry
38. The most widely used support medium for electrophoretic separation of lipoproteins is...
enzyme immunoassay
agarose
minimize the effects of interference
coulometry
39. Amniotic fluid submitted for a lecithin/sphingomyelin (US) ratio has been left in a brown container since the night before. You would expect...
alkaline picrate
decreased lecithin
A1c
the same as plasma glucose
40. The anticonvulsant used to control tonic-clonic (grand mal) seizures is...
phenytoin
40-50
lead
L/S ratio > 3.5
41. A one MOLAL solution is equivalent to...
Hb S
1 mol/kg
peroxidase-like activity of hemoglobin
Temperature is a function of the number of particles in solution
42. In the sweat test - the sweating stimulant is introduced to the skin by application of...
lower than in adults
changes in the fuel
electric current
LDL
43. The general types of interference in atomic absorption spectrophotometry...
CK
<1%
chemical ionization matrix
bicarbonate buffer
44. Testing for the diagnosis of lead poisoning should include...
fetal and placenta function
(testing of urine for) delta-am.. acid
carbs
wavelength
45. A test request slip indicates that an acute porphyric attack is suspected clinically. Analysis should include...
methadone
freezing point
porphobilinogen screen
nondiagnostic for MS
46. 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...
128
one micromole/minute
cancel test
3500
47. A new method is being evaluated. A recovery experiment is performed with the following results: 0.9 mL serum sample + 0.1 mL H20 = 89 mEq/L 0.9 mL serum sample + 0.1 mL analyte std. @ 800 mEq/L = 161 mEq/L The percent recovery of the added analyt
90%
BUN 80
low pH
diet
48. At blood pH 7.40 what is the ratio between bicarbonate and carbonic acid?
20:1
g/MW
200x affinity for oxygen
didymium filter
49. Which blood gas electrode is composed of calomel and glass?
CO2 and pH elevated
CO2
(testing of urine for) delta-am.. acid
2-log(T)
50. Bromcresol purple at a pH of 5.2 is used in a colorimetric method to measure...
A1c
albumin
heparin
properties of the membrane
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