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Chemistry Certification
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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. This serum protein migrates with the beta-globulins on cellulose acetate at pH 8.6...
multiplied by 4
correct for variations in light intensity
C3 complement
CK-MB
2. 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
increased vasoconstriction
1:5
sodium
elevated lactic acid - elevated pyruvate
3. In using ion-exchange chromatographicbmethods - falsely increased levels of Hgb A1c will be demonstrated in presence of...
(testing of urine for) delta-am.. acid
amylase and lipase
cysteine
Hb S
4. An Rf value of 0.5 in thin-layer chromatography means...
L/S ratio > 3.5
Temperature is a function of the number of particles in solution
fall in pH - rise in pCO2
Solute moves half the distance of the solvent front
5. This diseases results from a familial absence of high-density lioprotein
cyclic antidepressants
5
Tangier
diet
6. About 90% of phenytoin is excreted in the urine as...
bicarbonate buffer
para-hydroxylphenyl...
A1c
primidone
7. 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...
breast cancer
primary hyperparathyroidism
NADH
intestinal malabsorption
8. This method offers the greatest sensitivity for HBsAg testing
porphyrin and porphobilinogen screen
enzyme immunoassay
(testing of urine for) delta-am.. acid
iron hemochromatosis
9. Diagnostic specificity is defined as the percentage of individuals...
band width
WITHOUT a disease with a negative test
changes in the fuel
lipase
10. 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?
respiratory ACIDOSIS
adding an acid stabilizer
benzoylecogine
TSH
11. Aminotransferase enzymes catalyze the...
0
prostate
A1
exchange of amino and keto groups
12. In an internal standard flame photometer - the internal standard is used to...
porphobilinogen synthetase
sharp cutoff filter
MI
correct for variations in flame and atomizer
13. An acid cleaning solution for glassware consists of...
cholesterol normal triglycerides elevated
LDL
potassium dichromate in SA
glass
14. Most most likely to be ordered in addition to serum calcium to determine the cause of tetany?
carbohydrate hyperalimentation
Mg
high co2 and hco3
tissue and serum levels need to reach equilibrium
15. The electrophoretic pattern of a plasma sample compared with a serum sample shows a...
sharp fibrinogen peak
breast cancer
hepatobiliary (obstruction?)
there is an absence of correlation
16. A pH of 7.0 represents a H+ concentration of...
is quantitated by the amount of light produced
100 nmol
bicarbonate buffer
dihydroxyacetone side chain
17. In a normal individual - injection of thyrotropin-releasing hormone (TRH) causes an increase in blood concentrations of this hormone
sharp cutoff filter
32
low pH
Prolactin
18. 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
90%
atomic absorption
bilirubindiglucuronide
porphobilinigen SCREEN
19. Thiis serum protein fraction is most likely to be elevated in patients with nephrotic syndrome?
transferrin
metabolic acidosis
1:5
alpha 2 beta
20. In electrophoretic analysis - buffers...
urobilin
act as carriers for ions
LDL
glycerol
21. 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
D
lactic acidosis
591
22. Serum levels that define hypoglycemia in preterm or low birth weight infants are...
dirty applicators
TLC
lower than in adults
parathyroid hormone
23. Blood was collected in a serum separator tube from a patient who had been fasting since midnight. The time of collection was 7:00 AM. The laboratory test that should be re-collected is...
triglycerides
carbohydrate hyperalimentation
lithium
parathyroid
24. Spectrophotometers isolate a narrow band pass by means of...
<1%
respiratory acidosis
prisms and grating
measurement of absorbance at 450
25. The following laboratory results were obtained: Serum Calcium: Increased - Urine Calcium: Increased - Serum Phosphate: Decreased - Urine Phosphate: Increased Serum Alkaline Phosphatase: Normal or Increased These results are most compatible with...
alkaline picrate
increase in total circulating T4
<1%
primary hyperparathyroidism
26. 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.
creatine kinase
boderline results test should be repeated
respiratory ACIDOSIS
591
27. The formula for coefficient of variation?
agarose
SD over mean
without a disease with a negative test result
B12 deficiency
28. Serum concentrations of vitamin B12 are elevated in...
CML
Temperature is a function of the number of particles in solution
1.9
fall in pH - rise in pCO2
29. Diagnostic specificity is defined as the percentage of individuals...
apoenzyme
without a disease with a negative test result
correct for variations in flame and atomizer
multiplied by 4
30. A stool specimen that appears black and tarry should be tested for the presence of...
exchange of amino and keto groups
Mg
exposure to CO
occult blood
31. To ensure an accurate ammonia level result - the specimen should be...
GLC
spun separated iced and tested immediately
ceruplasmin
4.5
32. Bromcresol purple at a pH of 5.2 is used in a colorimetric method to measure...
albumin
CO2 and pH elevated
T4 by RIA
the fetus is at risk for respiratory distress
33. This electrolyte is the chief plasma cation whose main function is maintaining osmotic pressure
glucose tolerance test
beta
65
sodium
34. 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...
iron deficiency anemia
aldolase
standard
spun separated iced and tested immediately
35. One international unit of enzyme activity is the amount of enzyme that - under specified reaction conditions of substrate concentration - pH - and temperature - causes utilization of substrate at the rate of...
bone
BUN increased
1 micromole per minute
GLC
36. High levels of which lipoprotein class are associated with decreased risk of accelerated atherosclerosis?
viral hepatitis
HDL
parathyroid
NADH
37. The selectivity of an ion-selective electrode is determined by the...
sharp cutoff filter
properties of the membrane
@ 100
TSH
38. In the fasting state - the arterial and capillary blood glucose concentration varies from the venous glucose concentration by approximately how many mg/dL?
5mg higher
measure the total volume
Mg
absorptivity x light path x concentration
39. The measurement of light scattered by particles in the sample is the principle of...
a small concentration of APO-B containing lipoproteins after precipitation
nephelometry
1:5
acute hepatitis
40. This enzyme substrates for prostatic acid phosphatase determination results in the highest specificity
fall in pH - rise in pCO2
thymolpthalein monophosphate
Tangier
90%
41. In a double-beam photometer - the additional beam is used to...
multiplied by 4
porphobilinogen synthetase
enzyme immunoassay
correct for variations in light intensity
42. 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...
cysteine
testing heparinized plasma
0
enzyme induction
43. The general types of interference in atomic absorption spectrophotometry...
prostate
normal - liver breakdown
have a negative charge
chemical ionization matrix
44. A test request slip indicates that an acute porphyric attack is suspected clinically. Analysis should include...
acid phosphatase
porphobilinogen screen
obstructive jaundice
conjugated hyperbilirubinemia - hepatocellular obstruction
45. Serum anion gap is increased in patients with...
amylase and lipase
lower than in adults
lactic acidosis
20:1
46. 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...
hyperventilation
whole blood can be used
increased O2 decreased HCO3
1 mol/kg
47. This 2-hour postprandial glucose values demonstrates unequivocal hyperglycemia diagnostic for diabetes mellitus
decreased lecithin
200
O2
properties of the membrane
48. An increase in serum acetone is indicative of a defect in the metabolism of...
5
1 mol/kg
Tay-sachs
carbs
49. Patients with Cushing's syndrome exhibit...
specificity
impaired response to ACTH stimulation
serum cortisol > 15
chylomicrons VLDL
50. The direction in which albumin migrates (ie - toward anode or cathode) during electrophoretic separation of serum proteins - at pH 8.6 - is determined by...
ionization of carboxyl groups (yielding a net negative charge)
heparin
increased vasoconstriction
growth - third trimester of pregnancy
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