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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 stool specimen that appears black and tarry should be tested for the presence of...
32
run a new set of controls
occult blood
TSH
2. Thiis serum protein fraction is most likely to be elevated in patients with nephrotic syndrome?
alpha 2 beta
coulometry
pH = pKa + log (salt/acid)
ammonia
3. Lasting serum phosphate concentration is controlled primarily by the...
bilirubindiglucuronide
lipase
parathyroid
the same as plasma glucose
4. A patient with glomerulonephritis would present the following serum results...
2Na + glucose over 20 + BUN over 3
BUN increased
increased vasoconstriction
200
5. This applies to cryoscopic osmometry
GFR
porphyrin and porphobilinogen screen
Temperature is a function of the number of particles in solution
A1c
6. An automated method for measuring chloride that generates silver ions in the reaction is...
porphobilinogen synthetase
coulometry
5 tri 15 cholesterol 50 protein
CK-MB
7. How many grams of sodium chloride are needed to prepare 1 L of 0.9% normal saline?
lactic acidosis
9
5
@ 100
8. The following laboratory results were obtained on arterial blood: Sodium 136 mEq/L pH 7.32 Potassium 4.4 mEq/L PCO2 79 mm Hg Chloride 92 mEq/L Bicarbonate 40 mEq/L These results are most compatible with...
Prolactin
coulometry
exposure to CO
respiratory acidosis
9. The formation of estriol in a pregnant woman is dependent on...
maintain colloidal osmotic pressure
B12 deficiency
C
fetal and placenta function
10. The presence of this isoenzymes indicates acute myocardial damage
CK-MB
freezing point
no decrease in serum growth hormone after 90 minutes
ratio of distance moved by solvent to distance moved by compound
11. A course of instruction is being planned to teach laboratory employees to correct simple malfunctions in selected laboratory instruments. In writing the objectives for this course - this would be most appropriate?
be able to detect 9/10 simple instrument malfunctions
lead
measure the total volume
chloride
12. The hemoglobin that is resistant to alkali (KOH) denaturation is...
run a new set of controls
prostate
F
sharp cutoff filter
13. A breakdown product of hemoglobin is...
HPLC analysis of porpobilinogen on 24hr urine
<1%
immunofixation
bilirubin
14. Gel filtration chromatography is used to separate...
primidone
cmpds based on molecular weight and size
acute hepatitis
ALP with fresh draw
15. The most consistent analytical error involved in the routine determination of HDLcholesterol is caused by...
9
1 micromole per minute
a small concentration of APO-B containing lipoproteins after precipitation
acute intermittent porphyria
16. The function of the major lipid components of the very low density lipoproteins (VLDL) is to transport...
hyperventilation
improving state of metabolic control (as indicated by fructosamine)
40-50
endogenous triglycerides
17. In automated methods utilizing a bichromatic analyzer - dual wavelengths are employed to...
hepatobiliary (obstruction?)
serum cortisol > 15
minimize the effects of interference
endosmosis
18. 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...
primary hyperparathyroidism
pH = pKa + log (salt/acid)
HCT
3500
19. Gas chromatography with the nitrogen/phosphorus detector is the most commonly used technique for the analysis of...
cyclic antidepressants
testing heparinized plasma
impaired response to ACTH stimulation
viral hepatitis
20. A sweat chloride result of 55 mEq/L and a sweat sodium of 52 mEq/L were obtained ona patient who has a history of respiratory problems. The bestc interpretation of these results is...
128
MI
boderline results test should be repeated
100nmol
21. Spectrophotometers isolate a narrow band pass by means of...
potassium dichromate in SA
maintain colloidal osmotic pressure
prisms and grating
pH = pKa + log (salt/acid)
22. A fresh urine sample is received for "porphyrins" or "porphyria" without further information or specifications. Initial analysis should include...
5 tri 15 cholesterol 50 protein
specificity
pilocarpine
porphyrin and porphobilinogen screen
23. 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
creatinine
1 mol/kg
ionization of carboxyl groups (yielding a net negative charge)
albumin
24. Malic dehydrogenase is added to the aspartate aminotransaminase (AST) reaction to catalyze the conversion of...
purulent
oxalacetate to malate
acute hepatitis
potassium dichromate in SA
25. In using ion-exchange chromatographicbmethods - falsely increased levels of Hgb A1c will be demonstrated in presence of...
Hb S
340
didymium filter
testosterone
26. 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?
SD over mean
peroxidase-like activity of hemoglobin
volumetric flask
primary hyperparathyroidism
27. This serum protein migrates with the beta-globulins on cellulose acetate at pH 8.6...
21-hydroxylase deficiency
iron hemochromatosis
turn off
C3 complement
28. Acidosis and alkalosis are best defined as fluctuations in blood pH and CO2 content due to changes in...
ionization of carboxyl groups (yielding a net negative charge)
bicarbonate buffer
lactic acidosis
lead
29. A 21-year-old man with nausea - vomiting - and jaundice has the following laboratory findings: Total serum bilirubin level: 8.5 mg/dL (normal - 0-1.0) Conjugated serum bilirubin level: 6.1 mg/dL (normal - 0-0.5) Urine urobilinogen: Increased Fecal u
conjugated hyperbilirubinemia - hepatocellular obstruction
band width
porphobilinogen screen
nondiagnostic for MS
30. An electrophoretic separation of lactate dehydrogenase isoenzymes that demonstrates an elevation in LD-l and LD-2 in a "flipped" pattern is consistent with...
check serum for hemolysis
lactic acidosis
MI
sample exposed to light
31. Serum haptoglobin...
have a negative charge
electric current
can be separated into distinct phenotypes
wavelength
32. The primary function of serum albumin in the peripheral blood is to...
HPLC analysis of porpobilinogen on 24hr urine
maintain colloidal osmotic pressure
ALP with fresh draw
65
33. Patients with Cushing's syndrome exhibit...
testosterone
biuret
1:5
serum cortisol > 15
34. A patient has signs and symptoms suggestive of acromegaly. The diagnosis would be confirmed if the patient had...
measure the total volume
lipase
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
no decrease in serum growth hormone after 90 minutes
35. Hydrogen ion concentration (pH) in blood is usually determined by means of these electrodes?
glass
acid phosphatase
LDL
cancel test
36. 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...
ceruplasmin
obstructive jaundice
normal - liver breakdown
200
37. 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
glucose oxidase
potassium dichromate in SA
crigler
38. Aminotransferase enzymes catalyze the...
a small concentration of APO-B containing lipoproteins after precipitation
measure the total volume
3500
exchange of amino and keto groups
39. A patient had the following serum results: Na+ 140 mEq/L K+ 4.0 mEq/L Glucose 95 mg/dL BUN 10 mg/dL Which osmolality is consistent with these results?
270
testing heparinized plasma
standard
40-50
40. In thin layer chromatography - the Rf value for a compound is given by the...
591
ratio of distance moved by solvent to distance moved by compound
monitoring the course of a known cancer
pilocarpine
41. The serum glucose concentration of a diabetic patient undergoing a 2-hour glucose tolerance test should return to the baseline (fasting level) after a minimum of...
hyperthyroidism
120 minutes
fresh morning urine for delta-aminolevulinic acid
increased O2 decreased HCO3
42. The chemical composition of HDL- cholesterol corresponds to...
5 tri 15 cholesterol 50 protein
ammonia
CML
intestinal malabsorption
43. 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.
manic-depression
pCO2
thiamine
591
44. Serum levels that define hypoglycemia in preterm or low birth weight infants are...
sharp cutoff filter
lower than in adults
respiratory acidosis
specificity
45. Most automated blood gas analyzers directly measure...
pH pCO2 pO2
(testing of urine for) delta-am.. acid
metabolic acidosis
200x affinity for oxygen
46. A common cause of respiratory alkalosis is...
LDL
hyperventilation
C
glucose
47. The anticonvulsant used to control tonic-clonic (grand mal) seizures is...
HPLC analysis of porpobilinogen on 24hr urine
lead
phenytoin
endogenous triglycerides
48. This steroid is an adrenal cortical hormone
corticosterone
WITHOUT a disease with a negative test
increased vasoconstriction
thyroxine binding globulin
49. Upon development of a thin layer chromatogram for the drug analysis - all drug spots (including the standards) had migrated with the solvent front. The most probable cause for this would be...
endogenous triglycerides
parathyroid
incorrect aqueous to nonaqueous mixture
adding an acid stabilizer
50. The buffering capacity of blood is maintained by a reversible exchange process between bicarbonate and...
chloride
enzyme induction
atomic absorption
fresh morning urine for delta-aminolevulinic acid