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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. Zinc protoporphyrin or free erythrocyte protoporphyrin measurements are useful to assess blood concentrations of...
120 minutes
transferrin
lead
obstructive jaundice
2. Cocaine is metabolized to...
primary hyperparathyroidism
benzoylecogine
purulent
measurement of absorbance at 450
3. 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
O2
hepatobiliary (obstruction?)
creatinine
conjugated hyperbilirubinemia - hepatocellular obstruction
4. The regulation of calcium and phosphorus metabolism is accomplished by which gland?
obstructive jaundice
immunofixation
parathyroid
5
5. 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
a small concentration of APO-B containing lipoproteins after precipitation
lactic acidosis
NADH
6. The glucose level in normal peritoneal fluid should be...
65
591
glucose oxidase
the same as plasma glucose
7. The selectivity of an ion-selective electrode is determined by the...
amylase and lipase
agarose
properties of the membrane
chloride
8. Blood samples were collected at the beginning of an exercise class and after 30 minutes of aerobic activity. This would be most consistent with the postexercise sample
remove excess unbound iron
amylase and lipase
elevated lactic acid - elevated pyruvate
200
9. This method offers the greatest sensitivity for HBsAg testing
Wilson's disease
valine leucine isoleucine
enzyme immunoassay
0
10. Serum from a patient with metastatic carcinoma of the prostate was separated from the clot and stored at room temperature. The following results were obtained: Patient Reference Range Calcium: 10.8 mg/dL 8.8-10.3 mg/dL LD:420 U/L 50-150 U/L Acid phos
TSH
acute intermittent porphyria
ALP with fresh draw
respiratory acidosis
11. 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...
3500
methyl alcohol
fresh morning urine for delta-aminolevulinic acid
pH pCO2 pO2
12. The electrophoretic pattern of a plasma sample compared with a serum sample shows a...
sharp fibrinogen peak
is quantitated by the amount of light produced
show a decrease in glycosylated hgb
NADH
13. In a double-beam photometer - the additional beam is used to...
spun separated iced and tested immediately
quantitation of label
340
correct for variations in light intensity
14. This is a glycolytic enzyme that catalyzes the cleavage of fructose-1 - 6-diphosphate to glyceraldehyde-3-phosphate and dihydroxyacetone phosphate
exchange of amino and keto groups
aldolase
carbohydrate hyperalimentation
chylomicrons VLDL
15. A 45-year-old woman has a fasting serum glucose concentration of 95 mg/dL and a 2-hour postprandial glucose concentration of 105 mg/dL. The statement that best describes this patient's fasting serum glucose concentration is...
acute hepatitis
band width
correct for variations in light intensity
normal - liver breakdown
16. In respiratory acidosis - a compensatory mechanism is the increase in...
HCT
plasma bicarbonate
inhibitor binds to enzyme at same site as substrate
peptide bonds
17. The presence of this isoenzymes indicates acute myocardial damage
CK-MB
hemolysis
enzyme induction
glucose tolerance test
18. The method of choice for diagnosis of a protracted attack of porphyria is...
HPLC analysis of porpobilinogen on 24hr urine
changes in the fuel
BUN increased
32
19. The formula for calculating serum osmolality that incorporates a correction for the water content of plasma is...
heparin
pilocarpine
2Na + glucose over 20 + BUN over 3
GGT
20. Patients with Cushing's syndrome exhibit...
GGT
porphobilinogen screen
acute hepatitis
serum cortisol > 15
21. The anion gap is useful for quality control of laboratory results for...
parathyroid
acute intermittent porphyria
sodium potassium chloride CO2
emphysema
22. The ability of a procedure to measure only the component(s) it claims to measure is called...
TSH
WITHOUT a disease with a negative test
specificity
65
23. A person suspected of having metabolic alkalosis would have these laboratory findings
methadone
exposure to CO
thiamine
CO2 and pH elevated
24. A patient has signs and symptoms suggestive of acromegaly. The diagnosis would be confirmed if the patient had...
BUN increased
no decrease in serum growth hormone after 90 minutes
fall in pH - rise in pCO2
check serum for hemolysis
25. 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...
patient noncompliance
conjugated hyperbilirubinemia - hepatocellular obstruction
thymolpthalein monophosphate
intestinal malabsorption
26. The major fraction of organic iodine in the circulation is in the form of...
didymium filter
thyroxine
run a new set of controls
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
27. A patient in her 33rd week of pregnancy is hospitalized with toxemia. Her doctor would like to deliver the baby early because the toxemia is becoming more severe. The baby's best chance of delivery without respiratory distress due to lung immaturity
acute hepatitis
LDH
specificity
L/S ratio > 3.5
28. A pH of 7.0 represents a H+ concentration of...
porphyrin and porphobilinogen screen
LDH
100 nmol
acid phosphatase
29. Beriberi is associated with deficiency of...
CML
340
thiamine
9
30. This elevates carboxyhemoglobin?
dirty applicators
NADH
O2
exposure to CO
31. Pregnant women with symptoms of thirst - frequent urination - or unexplained weight loss should have this test performed?
porphyrin and porphobilinogen screen
thyroxine
glucose tolerance test
LDL
32. A one MOLAL solution is equivalent to...
1 mol/kg
enzyme induction
impaired response to ACTH stimulation
thiamine
33. A patient with glomerulonephritis would present the following serum results...
BUN increased
manic-depression
CO2 and pH elevated
aldolase
34. At blood pH 7.40 what is the ratio between bicarbonate and carbonic acid?
20:1
TSH
hemolysis
Calcium - phosphorus
35. A fresh urine sample is received for "porphyrins" or "porphyria" without further information or specifications. Initial analysis should include...
creatine kinase
A1
dirty electrodes
porphyrin and porphobilinogen screen
36. The normal concentration of proteins in cerebrospinal fluid - relative to serum protein - is...
glucose tolerance test
act as carriers for ions
exposure to CO
<1%
37. The expected blood gas results for a patient in chronic renal failure would match the pattern of...
transferrin
metabolic acidosis
act as carriers for ions
run a new set of controls
38. A potassium level of 6.8 mEq/L is obtained. Before reporting the results - the first step the technologist should take is to...
check serum for hemolysis
acid phosphatase
bone
5 tri 15 cholesterol 50 protein
39. This would be an example of a glucose-specific colorimetric method
65
ceruplasmin
hepatobiliary (obstruction?)
glucose oxidase
40. Serum and urine copper levels are assayed on a hospital patient with the following results: Patient Serum Cu: 58 ug/dL; Reference Value:70-140 ug/dL Patient Urine Cu: 83 ug/dL ; Reference Value: < 40 ug/dL This is most consistent with...
41. A serum potassium is 19.5 mg/100 mL. This value is equal to how many mEq/L (MW of K = 39)?
quantitation of label
glucose tolerance test
5
scattered at a right angle
42. Quantitation of NA+ and K+ by ion-selective electrode is more rapid than flame photometry because...
tissue and serum levels need to reach equilibrium
100nmol
whole blood can be used
(testing of urine for) delta-am.. acid
43. The formula for calculating absorbance given the percent transmittance (%T) of a solution
increase in total circulating T4
2-log(T)
diet
prevent phosphate interference
44. About 90% of phenytoin is excreted in the urine as...
no decrease in serum growth hormone after 90 minutes
band width
accuracy
para-hydroxylphenyl...
45. 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?
TSH
CK-MB
sharp cutoff filter
nondiagnostic for MS
46. The nanometer is a measurement of...
wavelength
digoxin
Solute moves half the distance of the solvent front
cmpds based on molecular weight and size
47. Cerebrospinal fluid for glucose assay should be...
5
128
analyzed immediately
attaching them to protein molecules
48. 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
band width
methadone
<45
measure the total volume
49. Which percentage of total serum calcium is nondiffusible protein bound?
40-50
alpha 2 beta
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
<1%
50. This applies to cryoscopic osmometry
Temperature is a function of the number of particles in solution
WITHOUT a disease with a negative test
high carbohydrate diet for 3 days
plasma bicarbonate