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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 biologically most active - naturally occuring androgen is...
occult blood
0
testosterone
monitoring the course of a known cancer
2. Sixty to seventy-five percent of the plasma cholesterol is transported by...
LDL
chloride
Hb S
Temperature is a function of the number of particles in solution
3. This applies to cryoscopic osmometry
binding capacity of thyroxine-binding globulin
Temperature is a function of the number of particles in solution
viral hepatitis
nephelometry
4. Specimens for blood gas determination should be drawn into a syringe containing...
C3 complement
heparin
apoenzyme
Calcium - phosphorus
5. TSH is produced by the...
pituitary
O2
L/S ratio > 3.5
ceruplasmin
6. The following bilirubin results are obtained on a patient: Day 1: 4.3 mg/dL Day 4: 2.2 mg/dL Day 2: 4.6 mg/dL Day 5: 4.4 mg/dL Day 3: 4.5 mg/dL Day 6: 4.5 mg/dL - Given that the controls were within range each day - what is a probable explanation for
conjugated hyperbilirubinemia - hepatocellular obstruction
hyperthyroidism
specimen exposure to light
alpha 2 beta
7. This diseases results from a familial absence of high-density lioprotein
Tangier
thiamine
5mg higher
monitoring the course of a known cancer
8. The buffer pH most effective at allowing amphoteric proteins to migrate toward the cathode in an electrophoretic system would be...
para-hydroxylphenyl...
didymium filter
4.5
high carbohydrate diet for 3 days
9. This steroid is an adrenal cortical hormone
(testing of urine for) delta-am.. acid
2Na + glucose over 20 + BUN over 3
corticosterone
270
10. 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?
lead
peroxidase-like activity of hemoglobin
bilirubin
chloride
11. The osmolal gap is defined as measured Osm/kg minus the calculated Osm/kg. The average osmolal gap is near...
wavelength
show a decrease in glycosylated hgb
0
exposure to CO
12. A common cause of a falsely increased LD1 fraction of lactic dehydrogenase is...
hemolysis
cyclic antidepressants
acute hepatitis
bone
13. An acid cleaning solution for glassware consists of...
specificity
potassium dichromate in SA
breast cancer
beta
14. 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
ratio of distance moved by solvent to distance moved by compound
Solute moves half the distance of the solvent front
albumin
15. A person suspected of having metabolic alkalosis would have these laboratory findings
brain
creatine kinase
CO2 and pH elevated
enzyme induction
16. How many grams of sodium chloride are needed to prepare 1 L of 0.9% normal saline?
D
be able to detect 9/10 simple instrument malfunctions
9
hepatobiliary (obstruction?)
17. The expected blood gas results for a patient in chronic renal failure would match the pattern of...
bicarbonate buffer
the fetus is at risk for respiratory distress
metabolic acidosis
A1c
18. 4 mL of water is added to 1 mL of serum. This represents this serum dilutions
peptide bonds
Mg
1:5
nephelometry
19. In automated methods utilizing a bichromatic analyzer - dual wavelengths are employed to...
Mg
coulometry
bilirubin
minimize the effects of interference
20. The ability of a procedure to measure only the component(s) it claims to measure is called...
nephelometry
intestinal malabsorption
adding an acid stabilizer
specificity
21. Coulometry is used to measure...
4.5
increased O2 decreased HCO3
chloride
draw blood for glucose and discontinue test
22. The formula for calculating absorbance given the percent transmittance (%T) of a solution
591
2-log(T)
endosmosis
prostate
23. The hemoglobin that is resistant to alkali (KOH) denaturation is...
F
run a new set of controls
faster than gamma
inclusion of smokers and nonsmokers in the study population
24. Creatinine clearance is used to estimate the...
acute hepatitis
hyperventilation
GFR
properties of the membrane
25. A patient has signs and symptoms suggestive of acromegaly. The diagnosis would be confirmed if the patient had...
no decrease in serum growth hormone after 90 minutes
sodium potassium chloride CO2
40-50
32
26. This method employs a highly specific antibody to thyroxine
T4 by RIA
fetal and placenta function
maintain colloidal osmotic pressure
whole blood can be used
27. The osmolality of a urine or serum specimen is measured by a change in the...
freezing point
CML
inhibitor binds to enzyme at same site as substrate
triglycerides
28. When taken by a euthyroid individual - oral contraceptives containing estrogens will have this effects on the thyroid function studies
increase in total circulating T4
iron deficiency anemia
pilocarpine
dirty applicators
29. 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...
crigler
one micromole/minute
thymolpthalein monophosphate
elevated lactic acid - elevated pyruvate
30. Malic dehydrogenase is added to the aspartate aminotransaminase (AST) reaction to catalyze the conversion of...
decreased lecithin
L/S ratio > 3.5
specimen exposure to light
oxalacetate to malate
31. Serum haptoglobin...
act as carriers for ions
can be separated into distinct phenotypes
CK-MB
creatinine
32. A stool specimen that appears black and tarry should be tested for the presence of...
occult blood
specificity
digoxin
ammonia
33. In competitive inhibition of an enzyme reaction the...
0
exchange of amino and keto groups
inhibitor binds to enzyme at same site as substrate
spun separated iced and tested immediately
34. This enzyme substrates for prostatic acid phosphatase determination results in the highest specificity
g/MW
para-hydroxylphenyl...
tissue and serum levels need to reach equilibrium
thymolpthalein monophosphate
35. 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...
sharp cutoff filter
chloride
Calcium - phosphorus
increased O2 decreased HCO3
36. 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...
MI
120 minutes
the same as plasma glucose
prevent phosphate interference
37. The anion gap is useful for quality control of laboratory results for...
prisms and grating
Temperature is a function of the number of particles in solution
high co2 and hco3
sodium potassium chloride CO2
38. The normal concentration of proteins in cerebrospinal fluid - relative to serum protein - is...
parathyroid hormone
<1%
occult blood
placenta
39. The nanometer is a measurement of...
show a decrease in glycosylated hgb
wavelength
placenta
attaching them to protein molecules
40. 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
HPLC analysis of porpobilinogen on 24hr urine
primary hyperparathyroidism
properties of the membrane
41. 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?
run a new set of controls
Tangier
1.1
1 micromole per minute
42. This is a regulatory hormone.
coulometry
fall in pH - rise in pCO2
placenta
parathyroid hormone
43. 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...
valine leucine isoleucine
analyzed immediately
obstructive jaundice
90%
44. Ion selective electrodes are called selective rather than specific because they actually measure the...
placenta
hepatobiliary (obstruction?)
Wilson's disease
measures one ion more than others
45. A pH of 7.0 represents a H+ concentration of...
one micromole/minute
volumetric flask
100nmol
acute hepatitis
46. Amniotic fluid submitted for a lecithin/sphingomyelin (US) ratio has been left in a brown container since the night before. You would expect...
@ 100
decreased lecithin
lead
Tangier
47. The Porter-Silber method (phenylhydrazine in alcohol and sulfuric acid) involves which part of the steroid molecule?
270
specificity
dihydroxyacetone side chain
ALP with fresh draw
48. Amino acid associated with a sulfhydryl group
cyclic antidepressants
5 tri 15 cholesterol 50 protein
decreased lecithin
cysteine
49. 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
Temperature is a function of the number of particles in solution
no ice clots bubbles
have a negative charge
50. Regan isoenzyme has the same properties as alkaline phosphatase that originates in the...
g/MW
faster than gamma
placenta
viral hepatitis