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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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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. 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?
<1%
electric current
TSH
specificity
2. The major fraction of organic iodine in the circulation is in the form of...
glass
hepatobiliary (obstruction?)
high co2 and hco3
thyroxine
3. Oligoclonal bands are present on electrophoresis of concentrated CSF and also on concurrently tested serum of the same patient. The proper interpretation is...
Prolactin
transferrin
nondiagnostic for MS
increase in total circulating T4
4. Amino acid associated with a sulfhydryl group
ALP with fresh draw
correct for variations in light intensity
O2
cysteine
5. High levels of which lipoprotein class are associated with decreased risk of accelerated atherosclerosis?
1:5
parathyroid hormone
pO2 increased HCO3 decreased
HDL
6. An electrode has a silver/silver chloride anode and a platinum wire cathode. It is suspended in KCl solution and separated from the blood to be analyzed by a selectively permeable membrane. Such an electrode is used to measure...
LDL
HPLC analysis of porpobilinogen on 24hr urine
viral hepatitis
O2
7. Which percentage of total serum calcium is nondiffusible protein bound?
prisms and grating
40-50
a small concentration of APO-B containing lipoproteins after precipitation
1.1
8. An Rf value of 0.5 in thin-layer chromatography means...
minimize the effects of interference
hemolysis
immunofixation
Solute moves half the distance of the solvent front
9. This hemoglobin has glucose-6-phosphate on the amino-terminal valine of the beta chain?
fresh morning urine for delta-aminolevulinic acid
band width
Prolactin
A1c
10. The most sensitive enzymatic indicator for liver damage from ethanol intake is...
electric current
acute hepatitis
no ice clots bubbles
GGT
11. The primary function of serum albumin in the peripheral blood is to...
whole blood can be used
5
a small concentration of APO-B containing lipoproteins after precipitation
maintain colloidal osmotic pressure
12. This serum protein migrates with the beta-globulins on cellulose acetate at pH 8.6...
cholesterol normal triglycerides elevated
correct for variations in light intensity
C3 complement
brain
13. The main reason for suboptimal drug levels in therapeutic drug monitoring is...
5
TSH
patient noncompliance
GFR
14. The formula for coefficient of variation?
spun separated iced and tested immediately
prisms and grating
SD over mean
Tay-sachs
15. Testing for the diagnosis of lead poisoning should include...
fetal and placenta function
(testing of urine for) delta-am.. acid
cysteine
hyperventilation
16. 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...
cholesterol normal triglycerides elevated
act as carriers for ions
ceruplasmin
emphysema
17. A serum sample was assayed for bilirubin at 10 AM and the result was 12 mg/dL. The same sample was retested at 3 PM. The result now is 8 mg/dL. The most likely explanation for this discrepancy is...
Hb S
CK
sample exposed to light
ceruplasmin
18. The most important buffer pair in plasma is the...
bicarbonate carbonic acid
methadone
5
200x affinity for oxygen
19. The test for adrenal cortical hyperfunction that has the greatest diagnostic sensitivity is measurement of...
urinary free cortisol
scattered at a right angle
dihydroxyacetone side chain
pO2 increased HCO3 decreased
20. Diagnostic specificity is defined as the percentage of individuals...
WITHOUT a disease with a negative test
21-hydroxylase deficiency
scattered at a right angle
32
21. A technician is asked by the supervisor to prepare a standard solution from the stock standard. What is the glassware of choice for this solution?
volumetric flask
incorrect aqueous to nonaqueous mixture
creatinine
Tangier
22. Most automated blood gas analyzers directly measure...
lower than in adults
amylase and lipase
CML
pH pCO2 pO2
23. The definitive diagnosis of primary adrenal insufficiency requires demonstration of...
sharp fibrinogen peak
impaired response to ACTH stimulation
binding capacity of thyroxine-binding globulin
NADH
24. This enzyme substrates for prostatic acid phosphatase determination results in the highest specificity
purulent
thymolpthalein monophosphate
9
band width
25. To ensure an accurate ammonia level result - the specimen should be...
spun separated iced and tested immediately
acid phosphatase
thymolpthalein monophosphate
g/MW
26. A blood gas sample was sent to the lab on ice - and a bubble was present in the syringe. The blood had been exposed to room air for at least 30 minutes. The following change in blood gases occurred...
glucose
pO2 increased HCO3 decreased
absorptivity x light path x concentration
lactic acidosis
27. What specimen preparation is commonly used to perform the alkaline phosphatase isoenzyme determination?
GLC
TSH
scattered at a right angle
serum aliquots - one heated
28. 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
show a decrease in glycosylated hgb
atomic absorption
didymium filter
29. 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...
cancel test
trig
lithium
obstructive jaundice
30. A one MOLAL solution is equivalent to...
Tay-sachs
C
1 mol/kg
brain
31. This electrolyte is the chief plasma cation whose main function is maintaining osmotic pressure
sodium
carbohydrate hyperalimentation
WITHOUT a disease with a negative test
21-hydroxylase deficiency
32. The greatest activities of serum AST and ALT are seen in...
acute hepatitis
band width
Prolactin
primary hyperparathyroidism
33. An increase in serum acetone is indicative of a defect in the metabolism of...
Tay-sachs
CK-MB
carbs
90%
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?
creatine kinase
thyroxine
TSH
g/MW
35. A pH of 7.0 represents a H+ concentration of...
porphobilinogen synthetase
apoenzyme
100 nmol
5 tri 15 cholesterol 50 protein
36. Lithium therapy is widely used in the treatment of...
HCT
manic-depression
A1c
serum cortisol > 15
37. This disease is associated with the greatest elevation of lactate dehydrogenase isoenzyme 1?
specificity
atomic absorption
LDH
B12 deficiency
38. 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
corticosterone
5
apoenzyme
39. In thin layer chromatography - the Rf value for a compound is given by the...
brain
Hb S
ratio of distance moved by solvent to distance moved by compound
120 minutes
40. This is a regulatory hormone.
chloride
dirty applicators
parathyroid hormone
boderline results test should be repeated
41. In spectrophotometric determination - this is the formula for calculating the absorbance of a solution
absorptivity x light path x concentration
pO2 increased HCO3 decreased
TSH
fraction absorbed into systemic circulation
42. A reciprocal relationship exists between...
pH pCO2 pO2
analyzed immediately
chylomicrons
Calcium - phosphorus
43. The T3 resin uptake test is a measure of...
without a disease with a negative test result
binding capacity of thyroxine-binding globulin
atomic absorption
LDH
44. At blood pH 7.40 what is the ratio between bicarbonate and carbonic acid?
the fetus is at risk for respiratory distress
dihydroxyacetone side chain
chloride
20:1
45. A patient with hemolytic anemia will...
conjugated hyperbilirubinemia - hepatocellular obstruction
show a decrease in glycosylated hgb
obstructive jaundice
manic-depression
46. Upon completion of a run of cholesterol tests - the technician recognizes that the controls are not within the two standard deviations confidence range. What is the appropriate course of action?
thiamine
show a decrease in glycosylated hgb
chloride
run a new set of controls
47. When myocardial infarction occurs - the first enzyme to become elevated is...
boderline results test should be repeated
CK
20:1
draw blood for glucose and discontinue test
48. The most heat labile fraction of alkaline phosphatase is obtained from...
hepatobiliary (obstruction?)
bone
atomic absorption
increased vasoconstriction
49. In the assay of lactate dehydrogenase - this product is actually measured
NADH
adding an acid stabilizer
dirty applicators
cyclic antidepressants
50. 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...
is quantitated by the amount of light produced
NADH
L/S ratio > 3.5
pCO2
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