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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. The fast hemoglobin fraction is...
A1
acid phosphatase
correct for variations in flame and atomizer
endosmosis
2. Assay of transketolase activity in blood is used to detect deficiency of...
creatine kinase
40-50
methyl alcohol
thiamine
3. Oligoclonal bands are present on electrophoresis of concentrated CSF and also on concurrently tested serum of the same patient. The proper interpretation is...
1 micromole per minute
nondiagnostic for MS
Tay-sachs
boderline results test should be repeated
4. A pH of 7.0 represents a H+ concentration of...
CML
quantitation of label
100nmol
TSH
5. The relative migration rate of proteins on cellulose acetate is based on...
<45
ionic charge
patient noncompliance
cancel test
6. Amniotic fluid submitted for a lecithin/sphingomyelin (US) ratio has been left in a brown container since the night before. You would expect...
bicarbonate carbonic acid
BUN increased
decreased lecithin
standard
7. The greatest activities of serum AST and ALT are seen in...
endosmosis
endogenous triglycerides
acute hepatitis
increased O2 decreased HCO3
8. The regulation of calcium and phosphorus metabolism is accomplished by which gland?
parathyroid
obstructive jaundice
O2
albumin
9. An automated method for measuring chloride that generates silver ions in the reaction is...
chylomicrons
coulometry
pH pCO2 pO2
Tangier
10. Pregnant women with symptoms of thirst - frequent urination - or unexplained weight loss should have this test performed?
porphobilinigen SCREEN
breast cancer
catalyze redox reactions
glucose tolerance test
11. In the liver - bilirubin is converted to...
HCT
bilirubindiglucuronide
glucose oxidase
1:5
12. In spectrophotometric determination - this is the formula for calculating the absorbance of a solution
no decrease in serum growth hormone after 90 minutes
urobilin
conjugated hyperbilirubinemia - hepatocellular obstruction
absorptivity x light path x concentration
13. In thin layer chromatography - the Rf value for a compound is given by the...
creatinine
LDH
Tay-sachs
ratio of distance moved by solvent to distance moved by compound
14. 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...
a small concentration of APO-B containing lipoproteins after precipitation
bilirubindiglucuronide
trig
cancel test
15. In the Jaffe reaction - creatine reacts with...
boderline results test should be repeated
alkaline picrate
3500
purulent
16. Given the following values:100;120;150;140;130;What is the mean?
3500
128
100 nmol
200
17. 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
enzyme immunoassay
TSH
inclusion of smokers and nonsmokers in the study population
18. The method of choice for diagnosis of a protracted attack of porphyria is...
HPLC analysis of porpobilinogen on 24hr urine
metabolic acidosis
minimize the effects of interference
amylase and lipase
19. A common cause of respiratory alkalosis is...
check serum for hemolysis
increased vasoconstriction
intestinal malabsorption
hyperventilation
20. The presence of this isoenzymes indicates acute myocardial damage
CK-MB
LDH
transferrin
40-50
21. The normal concentration of proteins in cerebrospinal fluid - relative to serum protein - is...
act as carriers for ions
didymium filter
<1%
M subunit is inactivated
22. This method employs a highly specific antibody to thyroxine
lipase
amylase
T4 by RIA
2-log(T)
23. Beriberi is associated with deficiency of...
specimen exposure to light
biuret
HCT
thiamine
24. Blood specimens for digoxin assays should be obtained between 8 hours or more after drug administration because...
dirty applicators
tissue and serum levels need to reach equilibrium
5
parathyroid hormone
25. A patient is admitted with biliary cirrhosis. If a serum protein electrophoresis is preformed - these globulin fractions will be most elevated?
D
sodium
beta
elevated lactic acid - elevated pyruvate
26. The following laboratory results were obtained on arterial blood: Sodium 136 mEq/L pH 7.32 Potassium 4.4 mEq/L PCO2 79 mm Hg Chloride 92 mEq/L Bicarbonate 40 mEq/L These results are most compatible with...
didymium filter
respiratory acidosis
acute hepatitis
TSH
27. Alkaline phosphatase Slight increase - Aminotransferase Marked increase - Aspartate aminotransferase Marked increase - Alanine gamma-glutamyl transferase Slight increase
acute hepatitis
GFR
cholesterol normal triglycerides elevated
beta
28. This lipid results would be expected to be falsely elevated on a serum specimen from a nonfasting patient
<1%
trig
prisms and grating
peroxidase-like activity of hemoglobin
29. The most consistent analytical error involved in the routine determination of HDLcholesterol is caused by...
glycerol
TLC
a small concentration of APO-B containing lipoproteins after precipitation
90%
30. 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...
340
is quantitated by the amount of light produced
placenta
normal - liver breakdown
31. A blood creatinine value of 5.0 mg/dL is most likely to be found with this blood value?
BUN 80
ceruplasmin
ratio of distance moved by solvent to distance moved by compound
GGT
32. 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...
3500
potassium dichromate in SA
pO2 increased HCO3 decreased
emphysema
33. The test for adrenal cortical hyperfunction that has the greatest diagnostic sensitivity is measurement of...
impaired response to ACTH stimulation
urinary free cortisol
5mg higher
albumin
34. The expected blood gas results for a patient in chronic renal failure would match the pattern of...
carbs
ionization of carboxyl groups (yielding a net negative charge)
metabolic acidosis
show a decrease in glycosylated hgb
35. This would be an example of a glucose-specific colorimetric method
glucose oxidase
thiamine
exchange of amino and keto groups
peroxidase-like activity of hemoglobin
36. The biologically most active - naturally occuring androgen is...
inclusion of smokers and nonsmokers in the study population
testosterone
LDH
Prolactin
37. This chemical determination may be of help in establishing the presence of seminal fluid
g/MW
normal - liver breakdown
200x affinity for oxygen
acid phosphatase
38. Testing for the diagnosis of lead poisoning should include...
purulent
properties of the membrane
(testing of urine for) delta-am.. acid
mg/ml
39. 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...
iron hemochromatosis
metabolic acidosis
lead
65
40. 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
LDL
have a negative charge
5
amytriptyline 104
41. 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...
changes in the fuel
benzoylecogine
primary hyperparathyroidism
cyclic antidepressants
42. A carbonate salt used to control manic-depressive disorders is...
2Na + glucose over 20 + BUN over 3
beta
lithium
Prolactin
43. When separating serum proteins by cellulose acetate electrophoresis using veronal buffer at pH 8.6 - beta globulin migrates...
prevent phosphate interference
sample exposed to light
faster than gamma
C
44. Which percentage of total serum calcium is nondiffusible protein bound?
adding an acid stabilizer
5
the same as plasma glucose
40-50
45. The TRH (thyrotropin-releasing hormone) stimulation test is useful in assessing...
freezing point
128
hyperthyroidism
nondiagnostic for MS
46. A sweat chloride result of 55 mEq/L and a sweat sodium of 52 mEq/L were obtained ona patient who has a history of respiratory problems. The bestc interpretation of these results is...
TSH
measures one ion more than others
Calcium - phosphorus
boderline results test should be repeated
47. 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...
electric current
sample exposed to light
trig
urobilin
48. Major actions of angiotensin II include...
5
100nmol
increased vasoconstriction
accuracy
49. The selectivity of an ion-selective electrode is determined by the...
iron hemochromatosis
properties of the membrane
lactic acidosis
TSH
50. The formula for calculating serum osmolality that incorporates a correction for the water content of plasma is...
2Na + glucose over 20 + BUN over 3
no ice clots bubbles
amylase and lipase
pCO2