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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. Turbidity in serum suggests elevation of...
acute hepatitis
breast cancer
chylomicrons
3500
2. Magnesium carbonate is added in an iron binding capacity determination in order to...
1.9
BUN increased
remove excess unbound iron
primary hyperparathyroidism
3. 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
thiamine
chylomicrons VLDL
Tay-sachs
one micromole/minute
4. Cerebrospinal fluid for glucose assay should be...
growth - third trimester of pregnancy
bilirubin
analyzed immediately
brain
5. Alkaline phosphatase Slight increase - Aminotransferase Marked increase - Aspartate aminotransferase Marked increase - Alanine gamma-glutamyl transferase Slight increase
acute hepatitis
endosmosis
hyperventilation
draw blood for glucose and discontinue test
6. Lasting serum phosphate concentration is controlled primarily by the...
obstructive jaundice
parathyroid
scattered at a right angle
<1%
7. Total iron-binding capacity measures the serum iron transporting capacity of...
viral hepatitis
Temperature is a function of the number of particles in solution
591
transferrin
8. 4 mL of water is added to 1 mL of serum. This represents this serum dilutions
obstructive jaundice
1:5
intestinal malabsorption
be able to detect 9/10 simple instrument malfunctions
9. A 2-year-old child with a decreased serum T4 is described as being somewhat dwarfed - stocky - overweight - and having coarse features. Of the following - the most informative additional laboratory test would be the serum...
digoxin
TSH
beta
mg/ml
10. The first step in analyzing a 24-hour urine specimen for quantitative urine protein is...
heparin
measure the total volume
A1
act as carriers for ions
11. 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
5
binding capacity of thyroxine-binding globulin
<45
12. The definitive diagnosis of primary adrenal insufficiency requires demonstration of...
impaired response to ACTH stimulation
atomic absorption
porphobilinigen SCREEN
emphysema
13. If the correlation coefficient (r) of two variables is zero...
65
there is an absence of correlation
incorrect aqueous to nonaqueous mixture
340
14. The extent to which measurements agree with or approach the true value of the quantity being measured is referred to as...
multiplied by 4
accuracy
emphysema
measurement of absorbance at 450
15. In automated methods utilizing a bichromatic analyzer - dual wavelengths are employed to...
chemical ionization matrix
sharp cutoff filter
minimize the effects of interference
B12 deficiency
16. One international unit of enzyme activity is the amount of enzyme that - under specified reaction conditions of substrate concentration - pH - and temperature - causes utilization of substrate at the rate of...
measures one ion more than others
pCO2
one micromole/minute
chloride
17. A test request slip indicates that an acute porphyric attack is suspected clinically. Analysis should include...
porphobilinogen screen
GFR
5 tri 15 cholesterol 50 protein
chylomicrons
18. In electrophoresis of proteins - when the sample is placed in an electric field connected to a buffer of pH 8.6 - all of the proteins...
have a negative charge
is quantitated by the amount of light produced
CML
CK-MB
19. 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?
run a new set of controls
65
respiratory ACIDOSIS
serum cortisol > 15
20. Specimens for blood gas determination should be drawn into a syringe containing...
C3 complement
sodium potassium chloride CO2
bilirubindiglucuronide
heparin
21. A reciprocal relationship exists between...
chloride
Calcium - phosphorus
catalyze redox reactions
Tay-sachs
22. 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?
128
lead
analyzed immediately
sodium potassium chloride CO2
23. An automated method for measuring chloride that generates silver ions in the reaction is...
coulometry
specificity
one micromole/minute
occult blood
24. The biuret reaction for the analysis of serum protein depends on the number...
peptide bonds
freezing point
CO2
coulometry
25. The main reason for suboptimal drug levels in therapeutic drug monitoring is...
run a new set of controls
BUN 80
ratio of distance moved by solvent to distance moved by compound
patient noncompliance
26. Patients with Cushing's syndrome exhibit...
breast cancer
can be separated into distinct phenotypes
serum cortisol > 15
lead
27. A thick white turbid specimen was received in the laboratory labeled as pericardial fluid. A microscopic examination was performed - and the differential included 90% PMNs. The fluid is...
viral hepatitis
glucose tolerance test
purulent
thiamine
28. The method of choice for diagnosis of a protracted attack of porphyria is...
HPLC analysis of porpobilinogen on 24hr urine
atomic absorption
GGT
pCO2
29. 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
Prolactin
scattered at a right angle
primary hyperparathyroidism
30. This method offers the greatest sensitivity for HBsAg testing
enzyme immunoassay
multiplied by 4
bicarbonate buffer
endogenous triglycerides
31. Enzymes used in the diagnosis of acute pancreatitis?
amylase and lipase
adding an acid stabilizer
270
2-log(T)
32. A potassium level of 6.8 mEq/L is obtained. Before reporting the results - the first step the technologist should take is to...
the same as plasma glucose
BUN 80
check serum for hemolysis
100nmol
33. 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...
lipase
340
triglycerides
GFR
34. A patient with myeloproliferative disorder has the following values: Hgb = 13 g/dL Hct = 38% WBC = 30 x 10^3/uL Platelets = 1000 x 10^3/uL Serum Na+ = 140 mEq/L Serum K+ = 7 mEq/L The serum K+ should be confirmed by...
patient noncompliance
testing heparinized plasma
chloride
Tangier
35. This serum constituent is unstable if a blood specimen is left standing at room temperature for 8 hours before processing
lead
glucose
270
increased O2 decreased HCO3
36. In a normal individual - injection of thyrotropin-releasing hormone (TRH) causes an increase in blood concentrations of this hormone
LDL
potassium dichromate in SA
Prolactin
hepatobiliary (obstruction?)
37. A stool specimen that appears black and tarry should be tested for the presence of...
analyzed immediately
oxalacetate to malate
occult blood
correct for variations in light intensity
38. In familial hypercholesterolemia - the hallmark finding is an elevation of...
respiratory ACIDOSIS
prostate
diet
LDL
39. 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...
pO2 increased HCO3 decreased
1.1
M subunit is inactivated
biuret
40. A 25-year-old man became nauseated and vomited 90 minutes after receiving a standard 75-g carbohydrate dose for an oral glucose tolerance test. The best course of action is...
draw blood for glucose and discontinue test
high carbohydrate diet for 3 days
breast cancer
9
41. Aminotransferase enzymes catalyze the...
exchange of amino and keto groups
SD over mean
g/MW
impaired response to ACTH stimulation
42. Cocaine is metabolized to...
HDL
benzoylecogine
impaired response to ACTH stimulation
9
43. Most automated blood gas analyzers directly measure...
draw blood for glucose and discontinue test
accuracy
potassium dichromate in SA
pH pCO2 pO2
44. A pH of 7.0 represents a H+ concentration of...
100nmol
bicarbonate carbonic acid
wavelength
Hb S
45. The function of the major lipid components of the very low density lipoproteins (VLDL) is to transport...
endogenous triglycerides
lithium
200x affinity for oxygen
monitoring the course of a known cancer
46. This condition does decrease activity of glucuronyl transferase result in increased unconjugated bilirubin and kernicterus in neonates
1.9
crigler
sharp fibrinogen peak
spun separated iced and tested immediately
47. Diagnostic specificity is defined as the percentage of individuals...
0
aldolase
without a disease with a negative test result
serum aliquots - one heated
48. Most most likely to be ordered in addition to serum calcium to determine the cause of tetany?
porphobilinigen SCREEN
TSH
Solute moves half the distance of the solvent front
Mg
49. Given the following results: Alkaline phosphatase Marked increase Aminotransferase Slight increase Aspartate aminotransferase Slight increase Alanine gamma-glutamyl transferase Marked increase This is most consistent with...
whole blood can be used
obstructive jaundice
specificity
creatinine clearance
50. The TRH (thyrotropin-releasing hormone) stimulation test is useful in assessing...
sample exposed to light
hyperthyroidism
amylase
Hb S