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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 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...
glycerol
acute intermittent porphyria
65
methyl alcohol
2. The presence of this isoenzymes indicates acute myocardial damage
2Na + glucose over 20 + BUN over 3
correct for variations in flame and atomizer
CK-MB
freezing point
3. Specimens for blood gas determination should be drawn into a syringe containing...
enzyme induction
TLC
heparin
lead
4. This diseases results from a familial absence of high-density lioprotein
Hb S
ionic charge
Tangier
thyroxine
5. This steroid is an adrenal cortical hormone
enzyme immunoassay
agarose
respiratory acidosis
corticosterone
6. This disease is associated with the greatest elevation of lactate dehydrogenase isoenzyme 1?
B12 deficiency
high co2 and hco3
increased vasoconstriction
thyroxine binding globulin
7. Serum levels that define hypoglycemia in preterm or low birth weight infants are...
lower than in adults
pituitary
urobilin
pH = pKa + log (salt/acid)
8. Serum anion gap is increased in patients with...
lactic acidosis
specificity
effluent line is obstructed
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
9. A patient with malabsorption receives 25 g of d-xylose orally; during the subsequent 5-hour period - the urine excretion of d-xylose is less than 3 g. This would indicate...
591
intestinal malabsorption
methyl alcohol
pCO2
10. A patient with hemolytic anemia will...
apoenzyme
show a decrease in glycosylated hgb
32
measure the total volume
11. How many grams of sodium chloride are needed to prepare 1 L of 0.9% normal saline?
9
TSH
lipase
a small concentration of APO-B containing lipoproteins after precipitation
12. A test request slip indicates that an acute porphyric attack is suspected clinically. Analysis should include...
porphobilinogen screen
L/S ratio > 3.5
creatinine clearance
inhibitor binds to enzyme at same site as substrate
13. The anion gap is useful for quality control of laboratory results for...
LDH
crigler
sodium potassium chloride CO2
pCO2
14. The fast hemoglobin fraction is...
check serum for hemolysis
A1
occult blood
nondiagnostic for MS
15. At blood pH 7.40 what is the ratio between bicarbonate and carbonic acid?
20:1
100nmol
340
hemolysis
16. 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...
O2
LDH
the fetus is at risk for respiratory distress
boderline results test should be repeated
17. In familial hypercholesterolemia - the hallmark finding is an elevation of...
LDL
standard
90%
carbs
18. 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...
prisms and grating
ceruplasmin
adding an acid stabilizer
pCO2
19. Testing for the diagnosis of lead poisoning should include...
(testing of urine for) delta-am.. acid
thyroxine binding globulin
the same as plasma glucose
serum cortisol > 15
20. This method offers the greatest sensitivity for HBsAg testing
O2
enzyme immunoassay
obstructive jaundice
benzoylecogine
21. An emphysema patient suffering from fluid accumulation in the alveolar spaves is likely to be in what metabolic state?
properties of the membrane
effluent line is obstructed
beta
respiratory ACIDOSIS
22. Patients with Cushing's syndrome exhibit...
mg/ml
benzoylecogine
no decrease in serum growth hormone after 90 minutes
serum cortisol > 15
23. 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...
hemolysis
can be separated into distinct phenotypes
testosterone
triglycerides
24. The most widely used support medium for electrophoretic separation of lipoproteins is...
HPLC analysis of porpobilinogen on 24hr urine
CK-MB
no decrease in serum growth hormone after 90 minutes
agarose
25. A person suspected of having metabolic alkalosis would have these laboratory findings
2-log(T)
coulometry
CO2 and pH elevated
attaching them to protein molecules
26. The unit of measure for a standard solution is...
improving state of metabolic control (as indicated by fructosamine)
mg/ml
1 mol/kg
340
27. Rickets is associated with deficiency of...
TSH
D
multiplied by 4
specificity
28. Turbidity in serum suggests elevation of...
spun separated iced and tested immediately
LDL
fetal and placenta function
chylomicrons
29. 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?
freezing point
270
lead
Wilson's disease
30. 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?
be able to detect 9/10 simple instrument malfunctions
amylase and lipase
A1c
normal - liver breakdown
31. 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
200
GGT
dirty applicators
chylomicrons VLDL
32. A fresh urine sample is received for "porphyrins" or "porphyria" without further information or specifications. Initial analysis should include...
3500
porphyrin and porphobilinogen screen
acute hepatitis
high carbohydrate diet for 3 days
33. Enzymes used in the diagnosis of acute pancreatitis?
specificity
measures one ion more than others
amylase and lipase
lipase
34. Coulometry is used to measure...
21-hydroxylase deficiency
chloride
bone
LDL
35. The regulation of calcium and phosphorus metabolism is accomplished by which gland?
parathyroid
band width
carbohydrate hyperalimentation
Mg
36. Blood specimens for digoxin assays should be obtained between 8 hours or more after drug administration because...
amylase
tissue and serum levels need to reach equilibrium
decreased lecithin
have a negative charge
37. 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
ceruplasmin
acute intermittent porphyria
exchange of amino and keto groups
conjugated hyperbilirubinemia - hepatocellular obstruction
38. In electrophoretic analysis - buffers...
TSH
act as carriers for ions
40-50
g/MW
39. In electrophoresis of serum proteins - arifacts at the application point are most frequently caused by...
exchange of amino and keto groups
dirty applicators
ionic charge
testing heparinized plasma
40. The buffering capacity of blood is maintained by a reversible exchange process between bicarbonate and...
cysteine
lead
spun separated iced and tested immediately
chloride
41. The direction in which albumin migrates (ie - toward anode or cathode) during electrophoretic separation of serum proteins - at pH 8.6 - is determined by...
trig
conjugated hyperbilirubinemia - hepatocellular obstruction
ionization of carboxyl groups (yielding a net negative charge)
porphobilinigen SCREEN
42. 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...
lipase
standard
occult blood
one micromole/minute
43. Alkaline phosphatase Slight increase - Aminotransferase Marked increase - Aspartate aminotransferase Marked increase - Alanine gamma-glutamyl transferase Slight increase
multiplied by 4
acute hepatitis
enzyme induction
whole blood can be used
44. In competitive inhibition of an enzyme reaction the...
nondiagnostic for MS
crigler
porphobilinigen SCREEN
inhibitor binds to enzyme at same site as substrate
45. When taken by a euthyroid individual - oral contraceptives containing estrogens will have this effects on the thyroid function studies
nondiagnostic for MS
hemolysis
pituitary
increase in total circulating T4
46. This enzymes catalyzes the conversion of starch to glucose and maltose
1.1
amylase
porphobilinigen SCREEN
ceruplasmin
47. The formula for calculating absorbance given the percent transmittance (%T) of a solution
effluent line is obstructed
electric current
2-log(T)
thymolpthalein monophosphate
48. Thiis serum protein fraction is most likely to be elevated in patients with nephrotic syndrome?
5mg higher
hepatobiliary (obstruction?)
primary hyperparathyroidism
alpha 2 beta
49. The enzyme present in almost all tissues that may be separated by electrophoresis into five components is...
LDH
ceruplasmin
LDL
dihydroxyacetone side chain
50. The normal concentration of proteins in cerebrospinal fluid - relative to serum protein - is...
fetal and placenta function
run a new set of controls
Tangier
<1%