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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. A 24-hour urine specimen (total volume = 1136 mL) is submitted to the laboratory for quantitative urine protein. Calculate the amount of protein excreted per day - if the total protein is 52 mg/dL.
bone
1.1
Hb S
591
2. The method of choice for diagnosis of a protracted attack of porphyria is...
monitoring the course of a known cancer
CO2 and pH elevated
Temperature is a function of the number of particles in solution
HPLC analysis of porpobilinogen on 24hr urine
3. What substance gives feces its normal color?
urobilin
Tangier
electric current
high carbohydrate diet for 3 days
4. An electrode has a silver/silver chloride anode and a platinum wire cathode. It is suspended in KCl solution and separated from the blood to be analyzed by a selectively permeable membrane. Such an electrode is used to measure...
GGT
O2
9
amytriptyline 104
5. About 90% of phenytoin is excreted in the urine as...
band width
para-hydroxylphenyl...
O2
iron hemochromatosis
6. The following data were obtained on amniotic fluid from a gestation of 36 weeks' duration by menstrual dates: L/S = 2 Phosphatidyl glycerol not present This can be concluded from these data?
measurement of absorbance at 450
L/S ratio > 3.5
decreased lecithin
the fetus is at risk for respiratory distress
7. A patient is admitted with biliary cirrhosis. If a serum protein electrophoresis is preformed - these globulin fractions will be most elevated?
amylase and lipase
beta
270
viral hepatitis
8. Fluctuation of the needle on a coulometric type titrator is most probably due to...
32
5mg higher
dirty electrodes
O2
9. Calcium concentration in the serum is regulated by...
parathyroid hormone
turn off
A1
diet
10. The ability of a procedure to measure only the component(s) it claims to measure is called...
270
specificity
A1c
endosmosis
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
testosterone
TSH
is quantitated by the amount of light produced
12. Quantitation of NA+ and K+ by ion-selective electrode is more rapid than flame photometry because...
SD over mean
2Na + glucose over 20 + BUN over 3
act as carriers for ions
whole blood can be used
13. Nephelometers measure light...
viral hepatitis
volumetric flask
TSH
scattered at a right angle
14. The Porter-Silber method (phenylhydrazine in alcohol and sulfuric acid) involves which part of the steroid molecule?
dihydroxyacetone side chain
thyroxine
draw blood for glucose and discontinue test
90%
15. The most common type of congenital adrenal hyperplasia associated with increased plasma concentrations of 17 a-hydroxyprogesterone and increased urinary excretion of pregnanetriol is...
21-hydroxylase deficiency
200
digoxin
pCO2
16. The following five sodium control values (mEq/L) were obtained:140 - 135 - 138 - 140 - 142Calculate the coefficient of variation.
lead
specimen exposure to light
inhibitor binds to enzyme at same site as substrate
1.9
17. 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
elevated lactic acid - elevated pyruvate
triglycerides
1.1
freezing point
18. The main reason for suboptimal drug levels in therapeutic drug monitoring is...
urobilin
intestinal malabsorption
patient noncompliance
32
19. Aminotransferase enzymes catalyze the...
scattered at a right angle
exchange of amino and keto groups
para-hydroxylphenyl...
BUN 80
20. In the atomic absorption method for calcium - lanthanum is used...
glucose
changes in the fuel
atomic absorption
prevent phosphate interference
21. The formula for calculating serum osmolality that incorporates a correction for the water content of plasma is...
2Na + glucose over 20 + BUN over 3
1.9
normal - liver breakdown
correct for variations in flame and atomizer
22. This 2-hour postprandial glucose values demonstrates unequivocal hyperglycemia diagnostic for diabetes mellitus
draw blood for glucose and discontinue test
CO2 and pH elevated
200
glucose oxidase
23. If the correlation coefficient (r) of two variables is zero...
porphobilinogen synthetase
enzyme immunoassay
dirty applicators
there is an absence of correlation
24. This diseases results from a familial absence of high-density lioprotein
binding capacity of thyroxine-binding globulin
NADH
3500
Tangier
25. Patients with Cushing's syndrome exhibit...
testing heparinized plasma
can be separated into distinct phenotypes
serum cortisol > 15
parathyroid hormone
26. In electrophoresis of serum proteins - arifacts at the application point are most frequently caused by...
HCT
MI
SD over mean
dirty applicators
27. Specimens for blood gas determination should be drawn into a syringe containing...
breast cancer
D
bone
heparin
28. Stray light can be detected in a spectrophotometer by utilizing a...
Tangier
sharp cutoff filter
elevated lactic acid - elevated pyruvate
amylase and lipase
29. A patient has signs and symptoms suggestive of acromegaly. The diagnosis would be confirmed if the patient had...
properties of the membrane
multiplied by 4
adding an acid stabilizer
no decrease in serum growth hormone after 90 minutes
30. The biologically most active - naturally occuring androgen is...
testosterone
aldolase
whole blood can be used
electric current
31. The buffering capacity of blood is maintained by a reversible exchange process between bicarbonate and...
340
cysteine
chloride
9
32. 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?
multiplied by 4
5mg higher
TSH
nephelometry
33. The selectivity of an ion-selective electrode is determined by the...
C
breast cancer
properties of the membrane
dirty applicators
34. The first step in analyzing a 24-hour urine specimen for quantitative urine protein is...
fraction absorbed into systemic circulation
carbs
measure the total volume
be able to detect 9/10 simple instrument malfunctions
35. 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...
340
acid phosphatase
normal - liver breakdown
lactic acidosis
36. 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
5 tri 15 cholesterol 50 protein
bone
lead
37. The test for adrenal cortical hyperfunction that has the greatest diagnostic sensitivity is measurement of...
placenta
binding capacity of thyroxine-binding globulin
urinary free cortisol
transferrin
38. Thiis serum protein fraction is most likely to be elevated in patients with nephrotic syndrome?
lithium
LDH
alpha 2 beta
remove excess unbound iron
39. Amino acid associated with a sulfhydryl group
viral hepatitis
(testing of urine for) delta-am.. acid
cysteine
CO2
40. The electrophoretic pattern of a plasma sample compared with a serum sample shows a...
CK
sharp fibrinogen peak
increased vasoconstriction
one micromole/minute
41. This disease is associated with the greatest elevation of lactate dehydrogenase isoenzyme 1?
B12 deficiency
measurement of absorbance at 450
BUN 80
CO2 and pH elevated
42. Analysis of erythrocytes for uroporphyrinogen I synthetase detects...
pilocarpine
cyclic antidepressants
acute intermittent porphyria
5mg higher
43. An increase in serum acetone is indicative of a defect in the metabolism of...
porphobilinigen SCREEN
A1c
carbs
urinary free cortisol
44. A serum sample for acid phosphatase determination is best prepared for room temperature storage by...
amytriptyline 104
adding an acid stabilizer
ionic charge
1.9
45. Turbidity in serum suggests elevation of...
CK-MB
chylomicrons
atomic absorption
wavelength
46. Amniotic fluid submitted for a lecithin/sphingomyelin (US) ratio has been left in a brown container since the night before. You would expect...
high carbohydrate diet for 3 days
binding capacity of thyroxine-binding globulin
Mg
decreased lecithin
47. 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?
D
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
the fetus is at risk for respiratory distress
lead
48. When taken by a euthyroid individual - oral contraceptives containing estrogens will have this effects on the thyroid function studies
thiamine
increase in total circulating T4
whole blood can be used
Tangier
49. Sixty to seventy-five percent of the plasma cholesterol is transported by...
270
LDL
respiratory ACIDOSIS
TSH
50. 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
chloride
3500
glass