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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. Phenobarbital is a metabolite of...
WITHOUT a disease with a negative test
atomic absorption
primidone
the fetus is at risk for respiratory distress
2. This chemical determination may be of help in establishing the presence of seminal fluid
parathyroid
NADH
acid phosphatase
correct for variations in light intensity
3. The stimulant that causes localized sweating for the sweat test is...
normal - liver breakdown
pilocarpine
cmpds based on molecular weight and size
methadone
4. Quantitation of NA+ and K+ by ion-selective electrode is more rapid than flame photometry because...
1.9
normal - liver breakdown
porphobilinigen SCREEN
whole blood can be used
5. 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
Tangier
amytriptyline 104
increased vasoconstriction
porphyrin and porphobilinogen screen
6. Malic dehydrogenase is added to the aspartate aminotransaminase (AST) reaction to catalyze the conversion of...
chemical ionization matrix
B12 deficiency
oxalacetate to malate
ionization of carboxyl groups (yielding a net negative charge)
7. Before unconjugated bilirubin can react with Ehrlich's diazo reagent - this must be added
methyl alcohol
correct for variations in light intensity
BUN 80
impaired response to ACTH stimulation
8. The first step to be taken when attempting to repair a piece of electronic equipment is...
turn off
digoxin
binding capacity of thyroxine-binding globulin
amytriptyline 104
9. Specimens for blood gas determination should be drawn into a syringe containing...
heparin
T4 by RIA
chemical ionization matrix
normal - liver breakdown
10. This applies to cryoscopic osmometry
BUN 80
draw blood for glucose and discontinue test
Temperature is a function of the number of particles in solution
cholesterol normal triglycerides elevated
11. The hemoglobin that is resistant to alkali (KOH) denaturation is...
amytriptyline 104
trig
agarose
F
12. High levels of which lipoprotein class are associated with decreased risk of accelerated atherosclerosis?
can be separated into distinct phenotypes
HDL
4.5
LDL
13. A patient has signs and symptoms suggestive of acromegaly. The diagnosis would be confirmed if the patient had...
CK-MB
4.5
no decrease in serum growth hormone after 90 minutes
placenta
14. The direction in which albumin migrates (ie - toward anode or cathode) during electrophoretic separation of serum proteins - at pH 8.6 - is determined by...
ionization of carboxyl groups (yielding a net negative charge)
5 tri 15 cholesterol 50 protein
NADH
inhibitor binds to enzyme at same site as substrate
15. This wavelengths is within the ultraviolet rang.
340
A1c
absorptivity x light path x concentration
TLC
16. Diagnostic specificity is defined as the percentage of individuals...
C3 complement
aldolase
alpha 2 beta
without a disease with a negative test result
17. 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?
testosterone
run a new set of controls
endosmosis
coulometry
18. Analysis of erythrocytes for uroporphyrinogen I synthetase detects...
patient noncompliance
specificity
acute intermittent porphyria
ionic charge
19. The formation of estriol in a pregnant woman is dependent on...
fetal and placenta function
growth - third trimester of pregnancy
enzyme induction
endosmosis
20. 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?
volumetric flask
high co2 and hco3
the fetus is at risk for respiratory distress
albumin
21. Isoenzyme assays are preformed to improve...
4.5
specificity
GGT
correct for variations in flame and atomizer
22. The reason carbon monoxide is so toxic is because it...
200x affinity for oxygen
boderline results test should be repeated
Temperature is a function of the number of particles in solution
high co2 and hco3
23. 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?
plasma bicarbonate
run a new set of controls
Prolactin
improving state of metabolic control (as indicated by fructosamine)
24. Fluctuation of the needle on a coulometric type titrator is most probably due to...
fetal and placenta function
C
volumetric flask
dirty electrodes
25. 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
thiamine
thiamine
creatinine
alkaline picrate
26. Serum anion gap is increased in patients with...
inclusion of smokers and nonsmokers in the study population
lactic acidosis
4.5
act as carriers for ions
27. 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...
intestinal malabsorption
boderline results test should be repeated
elevated lactic acid - elevated pyruvate
metabolic acidosis
28. A blood gas sample was sent to the lab on ice - and a bubble was present in the syringe. The blood had been exposed to room air for at least 30 minutes. The following change in blood gases occurred...
lead
sharp fibrinogen peak
creatinine clearance
pO2 increased HCO3 decreased
29. Clinical assays for tumor markers are the most important for...
standard
ammonia
monitoring the course of a known cancer
primidone
30. A common cause of respiratory alkalosis is...
emphysema
sodium potassium chloride CO2
minimize the effects of interference
hyperventilation
31. The unit of measure for a standard solution is...
biuret
obstructive jaundice
WITHOUT a disease with a negative test
mg/ml
32. The principle of the occult blood test depends on the...
parathyroid hormone
triglycerides
peroxidase-like activity of hemoglobin
didymium filter
33. This method offers the greatest sensitivity for HBsAg testing
enzyme immunoassay
one micromole/minute
acute hepatitis
specificity
34. This enzyme substrates for prostatic acid phosphatase determination results in the highest specificity
thymolpthalein monophosphate
C
pH pCO2 pO2
bicarbonate buffer
35. The most sensitive enzymatic indicator for liver damage from ethanol intake is...
GGT
urinary free cortisol
bicarbonate buffer
thiamine
36. Most automated blood gas analyzers directly measure...
pH pCO2 pO2
1 micromole per minute
acid phosphatase
ionic charge
37. 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
specimen exposure to light
5
exchange of amino and keto groups
run a new set of controls
38. This serum constituent is unstable if a blood specimen is left standing at room temperature for 8 hours before processing
enzyme induction
340
glucose
Wilson's disease
39. The relative migration rate of proteins on cellulose acetate is based on...
improving state of metabolic control (as indicated by fructosamine)
spun separated iced and tested immediately
ionic charge
nondiagnostic for MS
40. The chemical composition of HDL- cholesterol corresponds to...
4.5
5 tri 15 cholesterol 50 protein
(testing of urine for) delta-am.. acid
alpha 2 beta
41. Currently the most common method for specific identification and quantitation of serum barbiturates is...
cysteine
digoxin
GLC
remove excess unbound iron
42. The anticonvulsant used to control tonic-clonic (grand mal) seizures is...
prostate
phenytoin
plasma bicarbonate
the fetus is at risk for respiratory distress
43. Lasting serum phosphate concentration is controlled primarily by the...
parathyroid
parathyroid hormone
chylomicrons
oxalacetate to malate
44. A patient is admitted with biliary cirrhosis. If a serum protein electrophoresis is preformed - these globulin fractions will be most elevated?
beta
catalyze redox reactions
O2
bicarbonate carbonic acid
45. 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...
lipase
hyperthyroidism
attaching them to protein molecules
cancel test
46. Amniotic fluid submitted for a lecithin/sphingomyelin (US) ratio has been left in a brown container since the night before. You would expect...
volumetric flask
decreased lecithin
increase in total circulating T4
cysteine
47. One means of checking a spectrophotometer wavelength calibration in the visible range is by using a...
100 nmol
didymium filter
a small concentration of APO-B containing lipoproteins after precipitation
NADH
48. The test for adrenal cortical hyperfunction that has the greatest diagnostic sensitivity is measurement of...
urinary free cortisol
crigler
patient noncompliance
inhibitor binds to enzyme at same site as substrate
49. Patients with Cushing's syndrome exhibit...
Temperature is a function of the number of particles in solution
CK-MB
primary hyperparathyroidism
serum cortisol > 15
50. This method employs a highly specific antibody to thyroxine
T4 by RIA
testosterone
5
boderline results test should be repeated