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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 Henderson-Hasselbalch equation
pH = pKa + log (salt/acid)
4.5
porphobilinigen SCREEN
dihydroxyacetone side chain
2. 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...
normal - liver breakdown
@ 100
ALP with fresh draw
20:1
3. Lasting serum phosphate concentration is controlled primarily by the...
diet
parathyroid
didymium filter
acute hepatitis
4. In the immunoinhibition phase of the CK-MB procedure...
wavelength
para-hydroxylphenyl...
M subunit is inactivated
amylase and lipase
5. This is a regulatory hormone.
trig
C
CK
parathyroid hormone
6. 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
lactic acidosis
porphyrin and porphobilinogen screen
alpha 2 beta
methadone
7. Serum concentrations of vitamin B12 are elevated in...
hyperventilation
CML
Hb S
fresh morning urine for delta-aminolevulinic acid
8. The principle of the occult blood test depends on the...
triglycerides
show a decrease in glycosylated hgb
O2
peroxidase-like activity of hemoglobin
9. The most consistent analytical error involved in the routine determination of HDLcholesterol is caused by...
impaired response to ACTH stimulation
a small concentration of APO-B containing lipoproteins after precipitation
ratio of distance moved by solvent to distance moved by compound
inclusion of smokers and nonsmokers in the study population
10. 4 mL of water is added to 1 mL of serum. This represents this serum dilutions
increased O2 decreased HCO3
TSH
correct for variations in light intensity
1:5
11. Sixty to seventy-five percent of the plasma cholesterol is transported by...
ratio of distance moved by solvent to distance moved by compound
100nmol
LDL
potassium dichromate in SA
12. A test request slip indicates that an acute porphyric attack is suspected clinically. Analysis should include...
WITHOUT a disease with a negative test
aldolase
L/S ratio > 3.5
porphobilinogen screen
13. The first step in analyzing a 24-hour urine specimen for quantitative urine protein is...
measure the total volume
improving state of metabolic control (as indicated by fructosamine)
hepatobiliary (obstruction?)
primary hyperparathyroidism
14. The presence of this isoenzymes indicates acute myocardial damage
mg/ml
2Na + glucose over 20 + BUN over 3
thyroxine binding globulin
CK-MB
15. The reason carbon monoxide is so toxic is because it...
chylomicrons VLDL
200x affinity for oxygen
ceruplasmin
maintain colloidal osmotic pressure
16. At blood pH 7.40 what is the ratio between bicarbonate and carbonic acid?
transferrin
obstructive jaundice
run a new set of controls
20:1
17. In automated methods utilizing a bichromatic analyzer - dual wavelengths are employed to...
brain
minimize the effects of interference
sharp cutoff filter
CML
18. The most widely used support medium for electrophoretic separation of lipoproteins is...
prostate
pCO2
agarose
properties of the membrane
19. TSH is produced by the...
pituitary
the fetus is at risk for respiratory distress
decreased lecithin
lead
20. This chemical determination may be of help in establishing the presence of seminal fluid
turn off
dirty applicators
measurement of absorbance at 450
acid phosphatase
21. Coulometry is used to measure...
chloride
4.5
TSH
aldolase
22. A new method is being evaluated. A recovery experiment is performed with the following results: 0.9 mL serum sample + 0.1 mL H20 = 89 mEq/L 0.9 mL serum sample + 0.1 mL analyte std. @ 800 mEq/L = 161 mEq/L The percent recovery of the added analyt
200
changes in the fuel
testosterone
90%
23. This enzymes catalyzes the conversion of starch to glucose and maltose
amylase
testosterone
porphobilinogen synthetase
bone
24. 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...
thiamine
5 tri 15 cholesterol 50 protein
dirty applicators
obstructive jaundice
25. 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...
Temperature is a function of the number of particles in solution
testing heparinized plasma
5mg higher
run a new set of controls
26. 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...
prevent phosphate interference
pituitary
incorrect aqueous to nonaqueous mixture
120 minutes
27. This diseases results from a familial absence of high-density lioprotein
spun separated iced and tested immediately
lactic acidosis
prevent phosphate interference
Tangier
28. The definitive diagnosis of primary adrenal insufficiency requires demonstration of...
tissue and serum levels need to reach equilibrium
brain
TSH
impaired response to ACTH stimulation
29. This is a characteristic shared by lactate dehydrogenase - malate dehydrogenase - isocitrate dehydrogenase - and hydroxybutyrate dehydrogenase?
catalyze redox reactions
brain
respiratory acidosis
band width
30. A fresh urine sample is received for "porphyrins" or "porphyria" without further information or specifications. Initial analysis should include...
porphyrin and porphobilinogen screen
340
acid phosphatase
ratio of distance moved by solvent to distance moved by compound
31. In the Jaffe reaction - creatine reacts with...
is quantitated by the amount of light produced
alkaline picrate
purulent
check serum for hemolysis
32. Maple syrup urine disease is characterized by an increase in this urinary amino acids
porphyrin and porphobilinogen screen
hemolysis
lithium
valine leucine isoleucine
33. 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...
3500
inhibitor binds to enzyme at same site as substrate
carbohydrate hyperalimentation
TSH
34. If a drug has a half-life of 7 hours - how many doses given at 7-hour intervals does it usually take to achieve a steady state or plateau level?
no decrease in serum growth hormone after 90 minutes
dirty applicators
5
glycerol
35. Certain enzymes are activated to metabolize drugs as a result of another drug action. This is referred to as...
chylomicrons
thiamine
M subunit is inactivated
enzyme induction
36. Aminotransferase enzymes catalyze the...
exchange of amino and keto groups
MI
20:1
enzyme induction
37. Diagnostic specificity is defined as the percentage of individuals...
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
WITHOUT a disease with a negative test
A1c
thiamine
38. In developing the reference for a new EIA for CEA - the range for the normal population was broader than that published by the vendor. Controls are acceptable with a narrow coefficient of variation. This may be explained by...
inclusion of smokers and nonsmokers in the study population
thyroxine
whole blood can be used
porphobilinogen screen
39. The test for adrenal cortical hyperfunction that has the greatest diagnostic sensitivity is measurement of...
no ice clots bubbles
urinary free cortisol
pH = pKa + log (salt/acid)
digoxin
40. 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
sodium potassium chloride CO2
CML
glucose tolerance test
41. Ion selective electrodes are called selective rather than specific because they actually measure the...
g/MW
measures one ion more than others
Tay-sachs
alpha 2 beta
42. A carbonate salt used to control manic-depressive disorders is...
1.9
<45
TLC
lithium
43. The stimulant that causes localized sweating for the sweat test is...
increased vasoconstriction
1 micromole per minute
exchange of amino and keto groups
pilocarpine
44. Most drugs and intracellular metabolites measured by radioimmunoassay have molecular weights between 200 and 1000 and can be made immunogenic by...
didymium filter
no decrease in serum growth hormone after 90 minutes
BUN 80
attaching them to protein molecules
45. A potentiometric electrode that measures an analyte that passes through a selectively premeable membrane and rapidly enters into an equilibrium with an electrolyte solution is...
pCO2
measurement of absorbance at 450
carbohydrate hyperalimentation
benzoylecogine
46. The primary function of serum albumin in the peripheral blood is to...
specificity
decreased lecithin
maintain colloidal osmotic pressure
thyroxine
47. The different water content of erythrocytes and plasma makes true glucose concentrations in whole blood a function of the...
HCT
amylase and lipase
1 mol/kg
amytriptyline 104
48. Measurement of total T4 by competitive protein binding or displacement is based on the specific binding properties of...
triglycerides
trig
thyroxine binding globulin
hepatobiliary (obstruction?)
49. Estrogen and progesterone receptor assays are useful in assessing prognosis in...?
primidone
respiratory ACIDOSIS
dirty electrodes
breast cancer
50. A patient is admitted to the emergency room in a state of metabolic alkalosis.This would be consistent with this diagnosis?
high co2 and hco3
low pH
peptide bonds
1 mol/kg