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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 preparation of a patient for standard tolerance testing should include...
high carbohydrate diet for 3 days
acid phosphatase
2-log(T)
cysteine
2. The definitive diagnosis of primary adrenal insufficiency requires demonstration of...
bone
minimize the effects of interference
thyroxine binding globulin
impaired response to ACTH stimulation
3. Stray light can be detected in a spectrophotometer by utilizing a...
D
sharp cutoff filter
270
hyperventilation
4. Cocaine is metabolized to...
GGT
remove excess unbound iron
TLC
benzoylecogine
5. 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...
creatinine clearance
GLC
standard
chloride
6. Following overnight fasting - hypoglycemia in adults is defined as a glucose of...
low pH
C3 complement
<45
alkaline picrate
7. The Porter-Silber method (phenylhydrazine in alcohol and sulfuric acid) involves which part of the steroid molecule?
GGT
270
dihydroxyacetone side chain
Hb S
8. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) are both elevated in this disease
Tay-sachs
specificity
viral hepatitis
turn off
9. In respiratory acidosis - a compensatory mechanism is the increase in...
bilirubindiglucuronide
CO2 and pH elevated
plasma bicarbonate
specimen exposure to light
10. Serum concentrations of vitamin B12 are elevated in...
CML
Hb S
high co2 and hco3
normal - liver breakdown
11. A serum sample was assayed for bilirubin at 10 AM and the result was 12 mg/dL. The same sample was retested at 3 PM. The result now is 8 mg/dL. The most likely explanation for this discrepancy is...
sample exposed to light
thyroxine binding globulin
placenta
multiplied by 4
12. The measurement of light scattered by particles in the sample is the principle of...
triglycerides
nephelometry
nondiagnostic for MS
respiratory acidosis
13. A 9-month-old boy from Israel has gradually lost the ability to sit up and develops seizures. He has an increased amount of a phospholipid called GM2-ganglioside in his neurons - and he lacks the enzyme hexosaminidase A in his leukocytes. These findi
volumetric flask
minimize the effects of interference
Tay-sachs
1 mol/kg
14. The chemical composition of HDL- cholesterol corresponds to...
1 micromole per minute
C3 complement
5 tri 15 cholesterol 50 protein
lead
15. Gel filtration chromatography is used to separate...
O2
cmpds based on molecular weight and size
lithium
can be separated into distinct phenotypes
16. A test request slip indicates that an acute porphyric attack is suspected clinically. Analysis should include...
urinary free cortisol
porphobilinogen screen
Wilson's disease
prostate
17. Most most likely to be ordered in addition to serum calcium to determine the cause of tetany?
Mg
check serum for hemolysis
phenytoin
respiratory ACIDOSIS
18. The enzyme present in almost all tissues that may be separated by electrophoresis into five components is...
ratio of distance moved by solvent to distance moved by compound
respiratory ACIDOSIS
breast cancer
LDH
19. The buffering capacity of blood is maintained by a reversible exchange process between bicarbonate and...
chloride
sodium
ionic charge
maintain colloidal osmotic pressure
20. An emphysema patient suffering from fluid accumulation in the alveolar spaves is likely to be in what metabolic state?
cancel test
parathyroid hormone
respiratory ACIDOSIS
Wilson's disease
21. Quantitation of NA+ and K+ by ion-selective electrode is more rapid than flame photometry because...
sodium potassium chloride CO2
potassium dichromate in SA
whole blood can be used
binding capacity of thyroxine-binding globulin
22. The function of the major lipid components of the very low density lipoproteins (VLDL) is to transport...
specificity
pO2 increased HCO3 decreased
didymium filter
endogenous triglycerides
23. Respiratory acidosis is described as a(n): ______ increase in CO2 decrease in pH
measures one ion more than others
atomic absorption
draw blood for glucose and discontinue test
glycerol
24. The most common type of congenital adrenal hyperplasia associated with increased plasma concentrations of 17 a-hydroxyprogesterone and increased urinary excretion of pregnanetriol is...
B12 deficiency
21-hydroxylase deficiency
lead
iron hemochromatosis
25. Total iron-binding capacity measures the serum iron transporting capacity of...
turn off
measure the total volume
transferrin
serum cortisol > 15
26. This chemical determination may be of help in establishing the presence of seminal fluid
340
acid phosphatase
measure the total volume
120 minutes
27. Amniotic fluid submitted for a lecithin/sphingomyelin (US) ratio has been left in a brown container since the night before. You would expect...
prostate
decreased lecithin
valine leucine isoleucine
thymolpthalein monophosphate
28. When taken by a euthyroid individual - oral contraceptives containing estrogens will have this effects on the thyroid function studies
primidone
bone
increase in total circulating T4
alkaline picrate
29. The osmolal gap is defined as measured Osm/kg minus the calculated Osm/kg. The average osmolal gap is near...
mg/ml
multiplied by 4
properties of the membrane
0
30. A chemiluminescent EIA...
exchange of amino and keto groups
methyl alcohol
1 micromole per minute
is quantitated by the amount of light produced
31. A cardiac glycoside that is used in the treatment of congenital heart failure and arrhythmias by increasing the force and velocity of myocardial contraction is...
digoxin
diet
inhibitor binds to enzyme at same site as substrate
no decrease in serum growth hormone after 90 minutes
32. The main reason for suboptimal drug levels in therapeutic drug monitoring is...
100 nmol
patient noncompliance
cyclic antidepressants
measures one ion more than others
33. 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?
<45
TSH
serum aliquots - one heated
120 minutes
34. 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...
glass
O2
the same as plasma glucose
primidone
35. Kernicterus is an abnormal accumulation of bilirubin in...
lead
C3 complement
brain
TSH
36. This hemoglobin has glucose-6-phosphate on the amino-terminal valine of the beta chain?
A1c
1 micromole per minute
trig
oxalacetate to malate
37. Testing for the diagnosis of lead poisoning should include...
HCT
(testing of urine for) delta-am.. acid
T4 by RIA
mg/ml
38. A true statement about high performance liquid chromatography (HPLC) is that it...
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
correct for variations in light intensity
multiplied by 4
occult blood
39. 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
amytriptyline 104
run a new set of controls
ionization of carboxyl groups (yielding a net negative charge)
Calcium - phosphorus
40. 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...
digoxin
have a negative charge
5
exposure to CO
41. The formation of estriol in a pregnant woman is dependent on...
fetal and placenta function
atomic absorption
band width
pilocarpine
42. While performing a serum lithium determination on a flame photometer with cesium as the internal standard - the technologist noticed that there was a flickering flame. The most probable cause of this problem is...
amylase
cholesterol normal triglycerides elevated
C3 complement
changes in the fuel
43. This electrolyte is the chief plasma cation whose main function is maintaining osmotic pressure
placenta
sodium
porphyrin and porphobilinogen screen
respiratory ACIDOSIS
44. The different water content of erythrocytes and plasma makes true glucose concentrations in whole blood a function of the...
thyroxine
boderline results test should be repeated
there is an absence of correlation
HCT
45. An HPLC operator notes that the column pressure is too high - is rising too rapidly - and the recorder output is not producing normal peaks. The most probable cause of the problem is...
prisms and grating
is quantitated by the amount of light produced
effluent line is obstructed
be able to detect 9/10 simple instrument malfunctions
46. A carbonate salt used to control manic-depressive disorders is...
carbs
90%
phenytoin
lithium
47. 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
CO2 and pH elevated
analyzed immediately
hyperventilation
48. 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...
properties of the membrane
pO2 increased HCO3 decreased
sodium potassium chloride CO2
hemolysis
49. About 90% of phenytoin is excreted in the urine as...
high carbohydrate diet for 3 days
para-hydroxylphenyl...
inclusion of smokers and nonsmokers in the study population
act as carriers for ions
50. In electrophoretic analysis - buffers...
amylase
show a decrease in glycosylated hgb
act as carriers for ions
ionic charge