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Test your basic knowledge |
Chemistry Certification
Start Test
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. 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...
pH pCO2 pO2
changes in the fuel
triglycerides
T4 by RIA
2. A patient with hemolytic anemia will...
iron hemochromatosis
changes in the fuel
show a decrease in glycosylated hgb
correct for variations in light intensity
3. Most most likely to be ordered in addition to serum calcium to determine the cause of tetany?
Mg
parathyroid hormone
dihydroxyacetone side chain
TSH
4. 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...
3500
endogenous triglycerides
have a negative charge
the same as plasma glucose
5. A chemiluminescent EIA...
is quantitated by the amount of light produced
biuret
normal - liver breakdown
measurement of absorbance at 450
6. When taken by a euthyroid individual - oral contraceptives containing estrogens will have this effects on the thyroid function studies
increase in total circulating T4
mg/ml
prevent phosphate interference
dirty electrodes
7. A fasting serum sample from an asymptomatic 43-year-old woman is examined visually chemically with the following results: Initial appearance of serum: Milky Appearance of serum after overnight refrigeration: Cream layer over turbid serum Triglyceri
chylomicrons VLDL
20:1
peroxidase-like activity of hemoglobin
D
8. In the atomic absorption method for calcium - lanthanum is used...
prevent phosphate interference
cancel test
testing heparinized plasma
can be separated into distinct phenotypes
9. 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
fetal and placenta function
correct for variations in light intensity
BUN 80
methadone
10. Given the following values:100;120;150;140;130;What is the mean?
128
pCO2
lead
manic-depression
11. The definitive diagnosis of primary adrenal insufficiency requires demonstration of...
respiratory acidosis
prisms and grating
impaired response to ACTH stimulation
591
12. This disease is associated with the greatest elevation of lactate dehydrogenase isoenzyme 1?
lithium
standard
exchange of amino and keto groups
B12 deficiency
13. Total iron-binding capacity measures the serum iron transporting capacity of...
transferrin
normal - liver breakdown
alkaline picrate
corticosterone
14. The presence of this isoenzymes indicates acute myocardial damage
run a new set of controls
CK-MB
serum aliquots - one heated
lipase
15. Serum from a patient with metastatic carcinoma of the prostate was separated from the clot and stored at room temperature. The following results were obtained: Patient Reference Range Calcium: 10.8 mg/dL 8.8-10.3 mg/dL LD:420 U/L 50-150 U/L Acid phos
Calcium - phosphorus
oxalacetate to malate
ALP with fresh draw
improving state of metabolic control (as indicated by fructosamine)
16. In automated methods utilizing a bichromatic analyzer - dual wavelengths are employed to...
CO2
C
minimize the effects of interference
340
17. What specimen preparation is commonly used to perform the alkaline phosphatase isoenzyme determination?
serum aliquots - one heated
bicarbonate carbonic acid
Tay-sachs
0
18. The electrophoretic pattern of a plasma sample compared with a serum sample shows a...
sharp fibrinogen peak
prevent phosphate interference
tissue and serum levels need to reach equilibrium
porphobilinigen SCREEN
19. Malic dehydrogenase is added to the aspartate aminotransaminase (AST) reaction to catalyze the conversion of...
3500
oxalacetate to malate
O2
pH = pKa + log (salt/acid)
20. The formation of estriol in a pregnant woman is dependent on...
no decrease in serum growth hormone after 90 minutes
TSH
fetal and placenta function
emphysema
21. The first step in analyzing a 24-hour urine specimen for quantitative urine protein is...
serum cortisol > 15
M subunit is inactivated
measure the total volume
inclusion of smokers and nonsmokers in the study population
22. A test request slip indicates that an acute porphyric attack is suspected clinically. Analysis should include...
catalyze redox reactions
scattered at a right angle
porphobilinigen SCREEN
cyclic antidepressants
23. The following five sodium control values (mEq/L) were obtained:140 - 135 - 138 - 140 - 142Calculate the coefficient of variation.
<1%
1.9
lead
the same as plasma glucose
24. This would be an example of a glucose-specific colorimetric method
respiratory acidosis
check serum for hemolysis
glucose oxidase
Temperature is a function of the number of particles in solution
25. Blood specimens for digoxin assays should be obtained between 8 hours or more after drug administration because...
porphobilinigen SCREEN
chylomicrons VLDL
tissue and serum levels need to reach equilibrium
specificity
26. The formula for calculating serum osmolality that incorporates a correction for the water content of plasma is...
the same as plasma glucose
volumetric flask
2Na + glucose over 20 + BUN over 3
brain
27. A fresh urine sample is received for "porphyrins" or "porphyria" without further information or specifications. Initial analysis should include...
pCO2
porphyrin and porphobilinogen screen
urinary free cortisol
cyclic antidepressants
28. The general types of interference in atomic absorption spectrophotometry...
chemical ionization matrix
check serum for hemolysis
decreased lecithin
primary hyperparathyroidism
29. 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...
1.1
no ice clots bubbles
TSH
1 mol/kg
30. These enzymes of heme biosynthesis are inhibited by lead
prisms and grating
F
porphobilinogen synthetase
have a negative charge
31. The different water content of erythrocytes and plasma makes true glucose concentrations in whole blood a function of the...
glycerol
inclusion of smokers and nonsmokers in the study population
act as carriers for ions
HCT
32. 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...
ionic charge
low pH
run a new set of controls
chloride
33. 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
Prolactin
multiplied by 4
fresh morning urine for delta-aminolevulinic acid
run a new set of controls
34. The TRH (thyrotropin-releasing hormone) stimulation test is useful in assessing...
hyperthyroidism
check serum for hemolysis
9
changes in the fuel
35. One international unit of enzyme activity is the amount of enzyme that - under specified reaction conditions of substrate concentration - pH - and temperature - causes utilization of substrate at the rate of...
lipase
one micromole/minute
serum cortisol > 15
low pH
36. Calcium concentration in the serum is regulated by...
340
thiamine
20:1
parathyroid hormone
37. 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...
acute hepatitis
impaired response to ACTH stimulation
primary hyperparathyroidism
Solute moves half the distance of the solvent front
38. The test for adrenal cortical hyperfunction that has the greatest diagnostic sensitivity is measurement of...
standard
porphobilinigen SCREEN
amytriptyline 104
urinary free cortisol
39. The greatest activities of serum AST and ALT are seen in...
para-hydroxylphenyl...
peroxidase-like activity of hemoglobin
carbs
acute hepatitis
40. What substance gives feces its normal color?
5
urobilin
amylase and lipase
CO2 and pH elevated
41. Amino acid associated with a sulfhydryl group
can be separated into distinct phenotypes
9
ammonia
cysteine
42. In amniotic fluid - the procedure used to detect Rh isosensitization is...
quantitation of label
changes in the fuel
measurement of absorbance at 450
act as carriers for ions
43. 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...
multiplied by 4
hemolysis
run a new set of controls
ionic charge
44. In electrophoretic analysis - buffers...
act as carriers for ions
ionization of carboxyl groups (yielding a net negative charge)
measures one ion more than others
parathyroid hormone
45. Gas chromatography with the nitrogen/phosphorus detector is the most commonly used technique for the analysis of...
cyclic antidepressants
exposure to CO
Calcium - phosphorus
amylase
46. Maple syrup urine disease is characterized by an increase in this urinary amino acids
is quantitated by the amount of light produced
valine leucine isoleucine
occult blood
5
47. In competitive inhibition of an enzyme reaction the...
inhibitor binds to enzyme at same site as substrate
lower than in adults
primary hyperparathyroidism
standard
48. Lithium therapy is widely used in the treatment of...
pH = pKa + log (salt/acid)
manic-depression
fetal and placenta function
thyroxine
49. The first step to be taken when attempting to repair a piece of electronic equipment is...
turn off
L/S ratio > 3.5
hemolysis
nephelometry
50. 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...
cholesterol normal triglycerides elevated
monitoring the course of a known cancer
quantitation of label
standard