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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. A patient is admitted to the emergency room in a state of metabolic alkalosis.This would be consistent with this diagnosis?
creatine kinase
5
high co2 and hco3
C
2. 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
normal - liver breakdown
acid phosphatase
measures one ion more than others
3. This steroid is an adrenal cortical hormone
9
GGT
glucose
corticosterone
4. The osmolality of a urine or serum specimen is measured by a change in the...
peptide bonds
Calcium - phosphorus
freezing point
F
5. This serum constituent is unstable if a blood specimen is left standing at room temperature for 8 hours before processing
be able to detect 9/10 simple instrument malfunctions
measurement of absorbance at 450
emphysema
glucose
6. Amino acid associated with a sulfhydryl group
cysteine
GFR
D
prostate
7. Certain enzymes are activated to metabolize drugs as a result of another drug action. This is referred to as...
enzyme induction
bicarbonate buffer
decreased lecithin
cancel test
8. The chemical composition of HDL- cholesterol corresponds to...
5
5 tri 15 cholesterol 50 protein
no ice clots bubbles
enzyme immunoassay
9. A pH of 7.0 represents a H+ concentration of...
100 nmol
biuret
5mg higher
acid phosphatase
10. A spectrophotometer is being considered for purchase by a small laboratory. This specification reflects the spectral purity of the instrument
be able to detect 9/10 simple instrument malfunctions
measurement of absorbance at 450
1 mol/kg
band width
11. In a double-beam photometer - the additional beam is used to...
correct for variations in light intensity
100nmol
ALP with fresh draw
dihydroxyacetone side chain
12. This wavelengths is within the ultraviolet rang.
enzyme induction
viral hepatitis
HPLC analysis of porpobilinogen on 24hr urine
340
13. This hemoglobin has glucose-6-phosphate on the amino-terminal valine of the beta chain?
A1c
thiamine
purulent
carbs
14. 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...
one micromole/minute
pilocarpine
amytriptyline 104
multiplied by 4
15. This applies to cryoscopic osmometry
ALP with fresh draw
Temperature is a function of the number of particles in solution
endosmosis
fall in pH - rise in pCO2
16. If the correlation coefficient (r) of two variables is zero...
200x affinity for oxygen
minimize the effects of interference
there is an absence of correlation
is quantitated by the amount of light produced
17. The Porter-Silber method (phenylhydrazine in alcohol and sulfuric acid) involves which part of the steroid molecule?
dihydroxyacetone side chain
porphobilinigen SCREEN
ionization of carboxyl groups (yielding a net negative charge)
immunofixation
18. Aminotransferase enzymes catalyze the...
corticosterone
no ice clots bubbles
benzoylecogine
exchange of amino and keto groups
19. In respiratory acidosis - a compensatory mechanism is the increase in...
boderline results test should be repeated
plasma bicarbonate
glass
high co2 and hco3
20. In the fasting state - the arterial and capillary blood glucose concentration varies from the venous glucose concentration by approximately how many mg/dL?
faster than gamma
5mg higher
amylase and lipase
digoxin
21. A patient with glomerulonephritis would present the following serum results...
BUN increased
M subunit is inactivated
primidone
acute intermittent porphyria
22. Nephelometers measure light...
scattered at a right angle
band width
the same as plasma glucose
LDL
23. This electrolyte is the chief plasma cation whose main function is maintaining osmotic pressure
no ice clots bubbles
sodium
591
3500
24. The normal concentration of proteins in cerebrospinal fluid - relative to serum protein - is...
chloride
B12 deficiency
serum aliquots - one heated
<1%
25. 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
21-hydroxylase deficiency
run a new set of controls
peroxidase-like activity of hemoglobin
alpha 2 beta
26. When myocardial infarction occurs - the first enzyme to become elevated is...
monitoring the course of a known cancer
Calcium - phosphorus
HCT
CK
27. Beriberi is associated with deficiency of...
thiamine
specificity
increase in total circulating T4
attaching them to protein molecules
28. The extent to which measurements agree with or approach the true value of the quantity being measured is referred to as...
accuracy
lead
high co2 and hco3
correct for variations in light intensity
29. 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?
cholesterol normal triglycerides elevated
g/MW
chemical ionization matrix
primidone
30. 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...
diet
increased vasoconstriction
Tay-sachs
pCO2
31. Sixty to seventy-five percent of the plasma cholesterol is transported by...
standard
LDL
parathyroid
binding capacity of thyroxine-binding globulin
32. The buffering capacity of blood is maintained by a reversible exchange process between bicarbonate and...
brain
chloride
wavelength
increased vasoconstriction
33. 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
TSH
normal - liver breakdown
dihydroxyacetone side chain
34. 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?
adding an acid stabilizer
run a new set of controls
fraction absorbed into systemic circulation
pCO2
35. Pregnant women with symptoms of thirst - frequent urination - or unexplained weight loss should have this test performed?
Temperature is a function of the number of particles in solution
glucose tolerance test
5
remove excess unbound iron
36. 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?
90%
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
TSH
testosterone
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...
sodium
manic-depression
porphobilinogen screen
primary hyperparathyroidism
38. A serum sample for acid phosphatase determination is best prepared for room temperature storage by...
100nmol
growth - third trimester of pregnancy
B12 deficiency
adding an acid stabilizer
39. This serum protein migrates with the beta-globulins on cellulose acetate at pH 8.6...
200x affinity for oxygen
sharp cutoff filter
act as carriers for ions
C3 complement
40. Four children are admitted with malaise - anorexia - and abdominal pain. Further evaluations reveal mild anemia - erythrocyte basophilic stippling - and profound pica habits. Poisoning by which heavy metal is most likely responsible?
no ice clots bubbles
MI
cholesterol normal triglycerides elevated
lead
41. The most widely used support medium for electrophoretic separation of lipoproteins is...
agarose
SD over mean
one micromole/minute
bicarbonate buffer
42. The following data were obtained on amniotic fluid from a gestation of 36 weeks' duration by menstrual dates: L/S = 2 Phosphatidyl glycerol not present This can be concluded from these data?
acute intermittent porphyria
the fetus is at risk for respiratory distress
1.1
methadone
43. 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?
Tangier
TSH
atomic absorption
sharp cutoff filter
44. The electrophoretic pattern of a plasma sample compared with a serum sample shows a...
sharp fibrinogen peak
porphobilinogen screen
measures one ion more than others
standard
45. Analysis of erythrocytes for uroporphyrinogen I synthetase detects...
transferrin
occult blood
endosmosis
acute intermittent porphyria
46. A patient had the following serum results: Na+ 140 mEq/L K+ 4.0 mEq/L Glucose 95 mg/dL BUN 10 mg/dL Which osmolality is consistent with these results?
hepatobiliary (obstruction?)
270
remove excess unbound iron
high carbohydrate diet for 3 days
47. A common cause of a falsely increased LD1 fraction of lactic dehydrogenase is...
act as carriers for ions
biuret
hemolysis
pH pCO2 pO2
48. This diseases results from a familial absence of high-density lioprotein
100nmol
lipase
cyclic antidepressants
Tangier
49. The major fraction of organic iodine in the circulation is in the form of...
prostate
chemical ionization matrix
no decrease in serum growth hormone after 90 minutes
thyroxine
50. Most chemical methods for determining total protein utilize this reaction?
biuret
fetal and placenta function
whole blood can be used
pH = pKa + log (salt/acid)