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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 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
Hb S
bone
can be separated into distinct phenotypes
2. This method employs a highly specific antibody to thyroxine
porphobilinogen synthetase
aldolase
T4 by RIA
2-log(T)
3. The protein portion of an enzyme complex is called the...
crigler
effluent line is obstructed
albumin
apoenzyme
4. An automated CK assay gives a reading that is above the limits of linearity. A dilution of the serum sample is made by adding 1 mL of serum to 9 mL of water. The instrument now rew 350 U/L. The correct report on the undiluted serum should be...
crigler
3500
wavelength
binding capacity of thyroxine-binding globulin
5. This applies to cryoscopic osmometry
A1
2-log(T)
run a new set of controls
Temperature is a function of the number of particles in solution
6. The primary function of serum albumin in the peripheral blood is to...
prisms and grating
maintain colloidal osmotic pressure
volumetric flask
immunofixation
7. The methodology based on the amount of energy absorbed by a subtance as a function of its concentration and using a specific source of the same material as the substance analyzed is...
specificity
atomic absorption
correct for variations in light intensity
beta
8. A breakdown product of hemoglobin is...
bilirubin
591
270
agarose
9. Blood was collected in a serum separator tube from a patient who had been fasting since midnight. The time of collection was 7:00 AM. The laboratory test that should be re-collected is...
there is an absence of correlation
high co2 and hco3
<1%
triglycerides
10. A fresh urine sample is received for "porphyrins" or "porphyria" without further information or specifications. Initial analysis should include...
porphyrin and porphobilinogen screen
placenta
Hb S
is quantitated by the amount of light produced
11. In a double-beam photometer - the additional beam is used to...
ionic charge
manic-depression
cysteine
correct for variations in light intensity
12. A serum potassium is 19.5 mg/100 mL. This value is equal to how many mEq/L (MW of K = 39)?
aldolase
5
thymolpthalein monophosphate
GFR
13. The method of choice for diagnosis of a protracted attack of porphyria is...
HPLC analysis of porpobilinogen on 24hr urine
parathyroid
g/MW
creatine kinase
14. Most chemical methods for determining total protein utilize this reaction?
nondiagnostic for MS
TSH
biuret
peroxidase-like activity of hemoglobin
15. Zinc protoporphyrin or free erythrocyte protoporphyrin measurements are useful to assess blood concentrations of...
glucose tolerance test
lead
respiratory acidosis
biuret
16. Pregnant women with symptoms of thirst - frequent urination - or unexplained weight loss should have this test performed?
beta
standard
peroxidase-like activity of hemoglobin
glucose tolerance test
17. A potassium level of 6.8 mEq/L is obtained. Before reporting the results - the first step the technologist should take is to...
creatinine clearance
check serum for hemolysis
respiratory acidosis
obstructive jaundice
18. 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
testosterone
a small concentration of APO-B containing lipoproteins after precipitation
Tay-sachs
19. This enzyme substrates for prostatic acid phosphatase determination results in the highest specificity
accuracy
chylomicrons VLDL
thymolpthalein monophosphate
M subunit is inactivated
20. The different water content of erythrocytes and plasma makes true glucose concentrations in whole blood a function of the...
20:1
cysteine
HCT
bicarbonate carbonic acid
21. The nanometer is a measurement of...
no decrease in serum growth hormone after 90 minutes
thyroxine
40-50
wavelength
22. 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?
ammonia
endosmosis
O2
prisms and grating
23. Spectrophotometers isolate a narrow band pass by means of...
emphysema
check serum for hemolysis
parathyroid hormone
prisms and grating
24. A critically ill patient becomes comatose. The physician believes the coma is due to hepatic failure. The assay most helpful in this diagnosis is...
parathyroid
plasma bicarbonate
didymium filter
ammonia
25. The osmolality of a urine or serum specimen is measured by a change in the...
9
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
freezing point
L/S ratio > 3.5
26. A 21-year-old man with nausea - vomiting - and jaundice has the following laboratory findings: Total serum bilirubin level: 8.5 mg/dL (normal - 0-1.0) Conjugated serum bilirubin level: 6.1 mg/dL (normal - 0-0.5) Urine urobilinogen: Increased Fecal u
270
2Na + glucose over 20 + BUN over 3
alkaline picrate
conjugated hyperbilirubinemia - hepatocellular obstruction
27. 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...
adding an acid stabilizer
emphysema
thiamine
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
28. In the fasting state - the arterial and capillary blood glucose concentration varies from the venous glucose concentration by approximately how many mg/dL?
cysteine
5
5mg higher
carbohydrate hyperalimentation
29. A low concentrarion of serum phosphorus is commonly found in...
T4 by RIA
carbohydrate hyperalimentation
bicarbonate buffer
didymium filter
30. A new method is being evaluated. A recovery experiment is performed with the following results: 0.9 mL serum sample + 0.1 mL H20 = 89 mEq/L 0.9 mL serum sample + 0.1 mL analyte std. @ 800 mEq/L = 161 mEq/L The percent recovery of the added analyt
chylomicrons
Wilson's disease
90%
primary hyperparathyroidism
31. A true statement about high performance liquid chromatography (HPLC) is that it...
improving state of metabolic control (as indicated by fructosamine)
porphobilinogen synthetase
M subunit is inactivated
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
32. Ninety percent of the copper present in plasma is bound to...
ceruplasmin
sharp fibrinogen peak
be able to detect 9/10 simple instrument malfunctions
65
33. A patient with glomerulonephritis would present the following serum results...
GFR
corticosterone
BUN increased
ionization of carboxyl groups (yielding a net negative charge)
34. Enzymes used in the diagnosis of acute pancreatitis?
amylase and lipase
porphobilinogen screen
21-hydroxylase deficiency
lithium
35. The following data were obtained from a cellulose acetate protein electrophoresis scan: Albumin area 75 units Gamma globulin area 30 units Total area 180 units Total protein 6.5 g/dL The gamma globulin content in g/dL is...
cysteine
enzyme immunoassay
run a new set of controls
1.1
36. Which blood gas electrode is composed of calomel and glass?
chylomicrons VLDL
D
adding an acid stabilizer
CO2
37. This wavelengths is within the ultraviolet rang.
thymolpthalein monophosphate
carbohydrate hyperalimentation
breast cancer
340
38. Diagnostic specificity is defined as the percentage of individuals...
MI
dirty electrodes
without a disease with a negative test result
fraction absorbed into systemic circulation
39. The anticonvulsant used to control tonic-clonic (grand mal) seizures is...
increased vasoconstriction
phenytoin
dirty applicators
corticosterone
40. The biuret reaction for the analysis of serum protein depends on the number...
C3 complement
peptide bonds
creatinine clearance
specimen exposure to light
41. The test for adrenal cortical hyperfunction that has the greatest diagnostic sensitivity is measurement of...
adding an acid stabilizer
chylomicrons VLDL
40-50
urinary free cortisol
42. This calcium procedure utilizes lanthanum chloride to emliminate iterfering substances
lead
pituitary
CO2
atomic absorption
43. Estrogen and progesterone receptor assays are useful in assessing prognosis in...?
<45
breast cancer
GLC
be able to detect 9/10 simple instrument malfunctions
44. At blood pH 7.40 what is the ratio between bicarbonate and carbonic acid?
tissue and serum levels need to reach equilibrium
amylase and lipase
20:1
plasma bicarbonate
45. Serum anion gap is increased in patients with...
Hb S
lactic acidosis
beta
1.9
46. The identification of Bence Jones protein is best accomplished by...
immunofixation
beta
inhibitor binds to enzyme at same site as substrate
amytriptyline 104
47. The selectivity of an ion-selective electrode is determined by the...
properties of the membrane
plasma bicarbonate
pilocarpine
enzyme induction
48. Measurement of the serum acid phosphatase is used to detect neoplastic disease of the...
cancel test
freezing point
enzyme induction
prostate
49. The fast hemoglobin fraction is...
A1
increased O2 decreased HCO3
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
accuracy
50. A course of instruction is being planned to teach laboratory employees to correct simple malfunctions in selected laboratory instruments. In writing the objectives for this course - this would be most appropriate?
5
g/MW
be able to detect 9/10 simple instrument malfunctions
A1c