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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. Following overnight fasting - hypoglycemia in adults is defined as a glucose of...
1 micromole per minute
porphyrin and porphobilinogen screen
<45
spun separated iced and tested immediately
2. The following bilirubin results are obtained on a patient: Day 1: 4.3 mg/dL Day 4: 2.2 mg/dL Day 2: 4.6 mg/dL Day 5: 4.4 mg/dL Day 3: 4.5 mg/dL Day 6: 4.5 mg/dL - Given that the controls were within range each day - what is a probable explanation for
ratio of distance moved by solvent to distance moved by compound
patient noncompliance
specimen exposure to light
(testing of urine for) delta-am.. acid
3. One means of checking a spectrophotometer wavelength calibration in the visible range is by using a...
didymium filter
bicarbonate buffer
draw blood for glucose and discontinue test
effluent line is obstructed
4. A test request slip indicates that an acute porphyric attack is suspected clinically. Analysis should include...
porphobilinigen SCREEN
fetal and placenta function
endogenous triglycerides
CK-MB
5. This would be an example of a glucose-specific colorimetric method
high co2 and hco3
dirty electrodes
L/S ratio > 3.5
glucose oxidase
6. A patient with myeloproliferative disorder has the following values: Hgb = 13 g/dL Hct = 38% WBC = 30 x 10^3/uL Platelets = 1000 x 10^3/uL Serum Na+ = 140 mEq/L Serum K+ = 7 mEq/L The serum K+ should be confirmed by...
MI
1:5
thyroxine
testing heparinized plasma
7. Lasting serum phosphate concentration is controlled primarily by the...
urobilin
triglycerides
lead
parathyroid
8. Oligoclonal bands are present on electrophoresis of concentrated CSF and also on concurrently tested serum of the same patient. The proper interpretation is...
nondiagnostic for MS
@ 100
electric current
effluent line is obstructed
9. This chemical determination may be of help in establishing the presence of seminal fluid
parathyroid hormone
LDL
amylase and lipase
acid phosphatase
10. 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...
testosterone
lead
sharp fibrinogen peak
sample exposed to light
11. Testing for the diagnosis of lead poisoning should include...
parathyroid hormone
(testing of urine for) delta-am.. acid
freezing point
Temperature is a function of the number of particles in solution
12. Alkaline phosphatase Slight increase - Aminotransferase Marked increase - Aspartate aminotransferase Marked increase - Alanine gamma-glutamyl transferase Slight increase
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
HCT
manic-depression
acute hepatitis
13. This applies to cryoscopic osmometry
intestinal malabsorption
Temperature is a function of the number of particles in solution
ratio of distance moved by solvent to distance moved by compound
M subunit is inactivated
14. Which blood gas electrode is composed of calomel and glass?
CO2
glycerol
340
BUN 80
15. This lipid results would be expected to be falsely elevated on a serum specimen from a nonfasting patient
L/S ratio > 3.5
acute hepatitis
trig
wavelength
16. The enzyme that exists chiefly in skeletal muscle - heart - and brain; is grossly elevated in active muscular dystrophy; and rises early in myocardial infarction is...
creatine kinase
testing heparinized plasma
fresh morning urine for delta-aminolevulinic acid
measurement of absorbance at 450
17. Technical problems encountered during the collection of an amniotic fluid specimen caused doubt as to whether the specimen was amniotic in origin. This procedure would establish that the fluid is amniotic in origin
Tay-sachs
LDH
32
creatinine
18. 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...
GGT
4.5
have a negative charge
21-hydroxylase deficiency
19. The following results were obtained in a creatinine clearance evaluation: Urine concentration 84 mg/dL Urine volume 1440 mL/24 hr Serum concentration 1.4 mg/dL Body surface area 1.60 m2 (average = 1.73 m2) The creatinine cle~trance in mL/min is...
0
WITHOUT a disease with a negative test
65
transferrin
20. A 45-year-old woman has a fasting serum glucose concentration of 95 mg/dL and a 2-hour postprandial glucose concentration of 105 mg/dL. The statement that best describes this patient's fasting serum glucose concentration is...
normal - liver breakdown
TSH
C
sample exposed to light
21. Blood received in the laboratory for blood gas analysis must meet these requirements
no ice clots bubbles
specimen exposure to light
para-hydroxylphenyl...
T4 by RIA
22. 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
immunofixation
run a new set of controls
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
B12 deficiency
23. The selectivity of an ion-selective electrode is determined by the...
specificity
peptide bonds
decreased lecithin
properties of the membrane
24. The definitive diagnosis of primary adrenal insufficiency requires demonstration of...
fall in pH - rise in pCO2
impaired response to ACTH stimulation
biuret
creatine kinase
25. The most specific enzyme test for acute pancreatitis is...
lipase
HPLC analysis of porpobilinogen on 24hr urine
triglycerides
CO2
26. The expected blood gas results for a patient in chronic renal failure would match the pattern of...
prostate
coulometry
340
metabolic acidosis
27. Estrogen and progesterone receptor assays are useful in assessing prognosis in...?
act as carriers for ions
boderline results test should be repeated
porphobilinigen SCREEN
breast cancer
28. The normal concentration of proteins in cerebrospinal fluid - relative to serum protein - is...
<1%
LDH
cysteine
HCT
29. Most automated blood gas analyzers directly measure...
pH pCO2 pO2
improving state of metabolic control (as indicated by fructosamine)
g/MW
manic-depression
30. As part of a hyperlipidemia screening program - the following results were obtained on a 25 year old woman 6 hours after eating:Triglycerides = 260 mg/dLCholesterol = 120 mg/dL - This is the BEST interpretation of these results?
high carbohydrate diet for 3 days
cholesterol normal triglycerides elevated
draw blood for glucose and discontinue test
lithium
31. The most heat labile fraction of alkaline phosphatase is obtained from...
bone
alpha 2 beta
parathyroid hormone
faster than gamma
32. The formula for calculating the amount of moles of a chemical?
nondiagnostic for MS
primary hyperparathyroidism
g/MW
atomic absorption
33. Analysis of erythrocytes for uroporphyrinogen I synthetase detects...
acute intermittent porphyria
alkaline picrate
biuret
adding an acid stabilizer
34. A fresh urine sample is received for "porphyrins" or "porphyria" without further information or specifications. Initial analysis should include...
metabolic acidosis
porphobilinogen screen
crigler
porphyrin and porphobilinogen screen
35. 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
dihydroxyacetone side chain
methadone
BUN 80
ionization of carboxyl groups (yielding a net negative charge)
36. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) are both elevated in this disease
viral hepatitis
pituitary
electric current
sharp cutoff filter
37. In the immunoinhibition phase of the CK-MB procedure...
sodium potassium chloride CO2
methyl alcohol
M subunit is inactivated
atomic absorption
38. The different water content of erythrocytes and plasma makes true glucose concentrations in whole blood a function of the...
ammonia
hyperthyroidism
oxalacetate to malate
HCT
39. 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
thiamine
multiplied by 4
pO2 increased HCO3 decreased
40. Detection of carriers of hereditary coproporphyria should include analysis of...
@ 100
40-50
corticosterone
fresh morning urine for delta-aminolevulinic acid
41. This steroid is an adrenal cortical hormone
cholesterol normal triglycerides elevated
specimen exposure to light
faster than gamma
corticosterone
42. 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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183
43. The presence of this isoenzymes indicates acute myocardial damage
tissue and serum levels need to reach equilibrium
thymolpthalein monophosphate
CK-MB
parathyroid hormone
44. In amniotic fluid - the procedure used to detect Rh isosensitization is...
glucose
measurement of absorbance at 450
HPLC analysis of porpobilinogen on 24hr urine
increase in total circulating T4
45. A blood creatinine value of 5.0 mg/dL is most likely to be found with this blood value?
one micromole/minute
BUN 80
manic-depression
the same as plasma glucose
46. In automated methods utilizing a bichromatic analyzer - dual wavelengths are employed to...
Tay-sachs
minimize the effects of interference
phenytoin
sodium
47. 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?
C3 complement
thymolpthalein monophosphate
pilocarpine
volumetric flask
48. 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
ALP with fresh draw
BUN increased
impaired response to ACTH stimulation
respiratory acidosis
49. Most chemical methods for determining total protein utilize this reaction?
pilocarpine
acid phosphatase
exchange of amino and keto groups
biuret
50. A patient has the following results: Patient Values : Reference Values: Serum iron 250 ug/dL 60-150 ug/dL TIBC 350 ug/dL 300-35O ug/dL The best conclusion is that this patient has...
obstructive jaundice
porphobilinogen screen
iron hemochromatosis
sample exposed to light