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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. The unit of measure for a standard solution is...
mg/ml
nondiagnostic for MS
without a disease with a negative test result
hyperventilation
2. 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?
5
adding an acid stabilizer
(testing of urine for) delta-am.. acid
obstructive jaundice
3. High levels of which lipoprotein class are associated with decreased risk of accelerated atherosclerosis?
scattered at a right angle
HDL
sample exposed to light
respiratory ACIDOSIS
4. Serum anion gap is increased in patients with...
fraction absorbed into systemic circulation
LDL
chylomicrons
lactic acidosis
5. The primary function of serum albumin in the peripheral blood is to...
GLC
iron deficiency anemia
purulent
maintain colloidal osmotic pressure
6. A 68-year-old man arrives in the emergency room with a glucose level of 722 mg/dL and serum acetone of 4+ undiluted. An arterial blood gas from this patient is likely to indicate...
primary hyperparathyroidism
low pH
9
obstructive jaundice
7. This serum constituent is unstable if a blood specimen is left standing at room temperature for 8 hours before processing
lead
inhibitor binds to enzyme at same site as substrate
glucose
3500
8. 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...
340
increased O2 decreased HCO3
O2
Wilson's disease
9. In amniotic fluid - the procedure used to detect Rh isosensitization is...
decreased lecithin
measurement of absorbance at 450
270
peroxidase-like activity of hemoglobin
10. The osmolality of a urine or serum specimen is measured by a change in the...
A1
parathyroid hormone
respiratory acidosis
freezing point
11. Pregnant women with symptoms of thirst - frequent urination - or unexplained weight loss should have this test performed?
alkaline picrate
glucose tolerance test
prostate
creatinine clearance
12. Beriberi is associated with deficiency of...
turn off
thiamine
TSH
is quantitated by the amount of light produced
13. Which percentage of total serum calcium is nondiffusible protein bound?
40-50
amylase
fetal and placenta function
enzyme induction
14. In performing a spinal fluid protein determination - the specimen is diluted 1 part spinal fluid to 3 parts saline to obtain a result low enough to measure. To calculate the protein concentration the result must be...
multiplied by 4
glucose
TLC
effluent line is obstructed
15. 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?
carbohydrate hyperalimentation
TLC
lead
O2
16. The expected blood gas results for a patient in chronic renal failure would match the pattern of...
is quantitated by the amount of light produced
metabolic acidosis
1 micromole per minute
respiratory acidosis
17. This enzyme substrates for prostatic acid phosphatase determination results in the highest specificity
exposure to CO
mg/ml
fetal and placenta function
thymolpthalein monophosphate
18. Alkaline phosphatase Slight increase - Aminotransferase Marked increase - Aspartate aminotransferase Marked increase - Alanine gamma-glutamyl transferase Slight increase
acute hepatitis
triglycerides
quantitation of label
immunofixation
19. An automated method for measuring chloride that generates silver ions in the reaction is...
check serum for hemolysis
coulometry
L/S ratio > 3.5
lead
20. A breakdown product of hemoglobin is...
bilirubin
porphobilinigen SCREEN
absorptivity x light path x concentration
cmpds based on molecular weight and size
21. When myocardial infarction occurs - the first enzyme to become elevated is...
CK
carbs
purulent
quantitation of label
22. Diagnostic specificity is defined as the percentage of individuals...
acid phosphatase
TSH
creatinine clearance
WITHOUT a disease with a negative test
23. When separating serum proteins by cellulose acetate electrophoresis using veronal buffer at pH 8.6 - beta globulin migrates...
inhibitor binds to enzyme at same site as substrate
faster than gamma
emphysema
<1%
24. A critically ill patient becomes comatose. The physician believes the coma is due to hepatic failure. The assay most helpful in this diagnosis is...
porphobilinigen SCREEN
ammonia
1.1
TSH
25. Measurement of total T4 by competitive protein binding or displacement is based on the specific binding properties of...
porphobilinogen synthetase
urinary free cortisol
thyroxine binding globulin
no ice clots bubbles
26. Analysis of erythrocytes for uroporphyrinogen I synthetase detects...
peroxidase-like activity of hemoglobin
acute intermittent porphyria
CK
volumetric flask
27. 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...
one micromole/minute
mg/ml
GGT
bilirubindiglucuronide
28. In familial hypercholesterolemia - the hallmark finding is an elevation of...
measures one ion more than others
LDL
1 mol/kg
5
29. A person suspected of having metabolic alkalosis would have these laboratory findings
sharp fibrinogen peak
pilocarpine
show a decrease in glycosylated hgb
CO2 and pH elevated
30. 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...
increased vasoconstriction
LDH
digoxin
purulent
31. The preparation of a patient for standard tolerance testing should include...
CML
bilirubin
turn off
high carbohydrate diet for 3 days
32. Calcium concentration in the serum is regulated by...
sodium potassium chloride CO2
have a negative charge
parathyroid hormone
the same as plasma glucose
33. 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
ceruplasmin
normal - liver breakdown
hyperthyroidism
34. The regulation of calcium and phosphorus metabolism is accomplished by which gland?
nephelometry
128
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
parathyroid
35. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) are both elevated in this disease
A1
acute hepatitis
viral hepatitis
occult blood
36. Upon completion of a run of cholesterol tests - the technician recognizes that the controls are not within the two standard deviations confidence range. What is the appropriate course of action?
0
normal - liver breakdown
crigler
run a new set of controls
37. The formula for coefficient of variation?
occult blood
<45
SD over mean
diet
38. This condition does decrease activity of glucuronyl transferase result in increased unconjugated bilirubin and kernicterus in neonates
LDL
crigler
ionization of carboxyl groups (yielding a net negative charge)
128
39. 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
sharp fibrinogen peak
the same as plasma glucose
methyl alcohol
creatinine
40. After a difficult venipuncture requiring prolonged application of the tourniquet - the serum K+ was found to be 6.8 mEq/L. The best course of action is to...
cancel test
urinary free cortisol
cyclic antidepressants
brain
41. Ninety percent of the copper present in plasma is bound to...
3500
ceruplasmin
remove excess unbound iron
attaching them to protein molecules
42. Gel filtration chromatography is used to separate...
cmpds based on molecular weight and size
prisms and grating
carbohydrate hyperalimentation
lead
43. The anticonvulsant used to control tonic-clonic (grand mal) seizures is...
phenytoin
cancel test
correct for variations in flame and atomizer
TSH
44. Bioavailability of a drug refers to the...
fraction absorbed into systemic circulation
bone
parathyroid
(testing of urine for) delta-am.. acid
45. These enzymes of heme biosynthesis are inhibited by lead
porphobilinogen synthetase
5
hyperventilation
agarose
46. Blood received in the laboratory for blood gas analysis must meet these requirements
increased O2 decreased HCO3
<1%
acute hepatitis
no ice clots bubbles
47. In using ion-exchange chromatographicbmethods - falsely increased levels of Hgb A1c will be demonstrated in presence of...
cmpds based on molecular weight and size
one micromole/minute
Hb S
no decrease in serum growth hormone after 90 minutes
48. 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?
chemical ionization matrix
270
2Na + glucose over 20 + BUN over 3
1 micromole per minute
49. The following results were obtained in a creatinine clearance evaluation: Urine concentration 84 mg/dL Urine volume 1440 mL/24 hr Serum concentration 1.4 mg/dL Body surface area 1.60 m2 (average = 1.73 m2) The creatinine cle~trance in mL/min is...
GGT
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
peptide bonds
65
50. Lasting serum phosphate concentration is controlled primarily by the...
viral hepatitis
parathyroid
WITHOUT a disease with a negative test
pO2 increased HCO3 decreased
Sorry!:) No result found.
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