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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 spectrophotometer is being considered for purchase by a small laboratory. This specification reflects the spectral purity of the instrument
benzoylecogine
band width
200x affinity for oxygen
inclusion of smokers and nonsmokers in the study population
2. Oligoclonal bands are present on electrophoresis of concentrated CSF and also on concurrently tested serum of the same patient. The proper interpretation is...
measure the total volume
Prolactin
200x affinity for oxygen
nondiagnostic for MS
3. The general types of interference in atomic absorption spectrophotometry...
chemical ionization matrix
nondiagnostic for MS
electric current
run a new set of controls
4. Bioavailability of a drug refers to the...
4.5
fraction absorbed into systemic circulation
porphyrin and porphobilinogen screen
chloride
5. Major actions of angiotensin II include...
chylomicrons
increased vasoconstriction
para-hydroxylphenyl...
the same as plasma glucose
6. The methodology based on the amount of energy absorbed by a subtance as a function of its concentration and using a specific source of the same material as the substance analyzed is...
32
bilirubindiglucuronide
128
atomic absorption
7. 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
pCO2
Calcium - phosphorus
catalyze redox reactions
8. A patient with type I insulin-dependent diabetes mellitus has the following results: Fasting blood glucose: 150 mg/dL (70-110 rng/dL) Hemoglobin A1c: 25% (6.0%-19.5%) Fructosamine: 3.0 mmol/L ( 2.0-5.3 mmol/L)
improving state of metabolic control (as indicated by fructosamine)
100 nmol
brain
glycerol
9. Cocaine is metabolized to...
prisms and grating
benzoylecogine
phenytoin
impaired response to ACTH stimulation
10. A patient in her 33rd week of pregnancy is hospitalized with toxemia. Her doctor would like to deliver the baby early because the toxemia is becoming more severe. The baby's best chance of delivery without respiratory distress due to lung immaturity
HDL
occult blood
L/S ratio > 3.5
chemical ionization matrix
11. 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...
chloride
Calcium - phosphorus
sample exposed to light
5
12. Serum and urine copper levels are assayed on a hospital patient with the following results: Patient Serum Cu: 58 ug/dL; Reference Value:70-140 ug/dL Patient Urine Cu: 83 ug/dL ; Reference Value: < 40 ug/dL This is most consistent with...
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183
13. Given the following values:100;120;150;140;130;What is the mean?
SD over mean
pH = pKa + log (salt/acid)
0
128
14. 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
oxalacetate to malate
increased vasoconstriction
Calcium - phosphorus
15. This is a glycolytic enzyme that catalyzes the cleavage of fructose-1 - 6-diphosphate to glyceraldehyde-3-phosphate and dihydroxyacetone phosphate
pilocarpine
aldolase
hyperthyroidism
catalyze redox reactions
16. Sixty to seventy-five percent of the plasma cholesterol is transported by...
LDL
without a disease with a negative test result
wavelength
no decrease in serum growth hormone after 90 minutes
17. The definitive diagnosis of primary adrenal insufficiency requires demonstration of...
endosmosis
lithium
270
impaired response to ACTH stimulation
18. 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...
brain
128
triglycerides
Wilson's disease
19. Beriberi is associated with deficiency of...
sodium
CK-MB
bilirubindiglucuronide
thiamine
20. Which percentage of total serum calcium is nondiffusible protein bound?
40-50
GLC
peptide bonds
sharp fibrinogen peak
21. This is a characteristic shared by lactate dehydrogenase - malate dehydrogenase - isocitrate dehydrogenase - and hydroxybutyrate dehydrogenase?
0
creatinine clearance
plasma bicarbonate
catalyze redox reactions
22. In the assay of lactate dehydrogenase - this product is actually measured
is quantitated by the amount of light produced
NADH
bilirubindiglucuronide
effluent line is obstructed
23. A psychiatric patient was experiencing sever depression - but responded to treatment with amitriptyline with no apparent side effects. A blood sample was sent to the laboratory for therapeutic monitoring. Which drug level would be MOST reflective of
inclusion of smokers and nonsmokers in the study population
amytriptyline 104
endogenous triglycerides
NADH
24. 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
dirty applicators
elevated lactic acid - elevated pyruvate
quantitation of label
100 nmol
25. The first step to be taken when attempting to repair a piece of electronic equipment is...
turn off
340
cholesterol normal triglycerides elevated
TSH
26. How many grams of sodium chloride are needed to prepare 1 L of 0.9% normal saline?
pH pCO2 pO2
porphobilinigen SCREEN
amylase
9
27. The most specific enzyme test for acute pancreatitis is...
thyroxine binding globulin
albumin
parathyroid
lipase
28. A patient with glomerulonephritis would present the following serum results...
monitoring the course of a known cancer
40-50
freezing point
BUN increased
29. 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?
peroxidase-like activity of hemoglobin
transferrin
freezing point
TSH
30. Serum from a patient with metastatic carcinoma of the prostate was separated from the clot and stored at room temperature. The following results were obtained: Patient Reference Range Calcium: 10.8 mg/dL 8.8-10.3 mg/dL LD:420 U/L 50-150 U/L Acid phos
glucose tolerance test
corticosterone
chylomicrons VLDL
ALP with fresh draw
31. In the Jaffe reaction - creatine reacts with...
specificity
chemical ionization matrix
binding capacity of thyroxine-binding globulin
alkaline picrate
32. Phenobarbital is a metabolite of...
primidone
catalyze redox reactions
200x affinity for oxygen
chemical ionization matrix
33. This electrolyte is the chief plasma cation whose main function is maintaining osmotic pressure
no decrease in serum growth hormone after 90 minutes
sodium
remove excess unbound iron
O2
34. Diagnostic specificity is defined as the percentage of individuals...
porphyrin and porphobilinogen screen
carbohydrate hyperalimentation
pituitary
WITHOUT a disease with a negative test
35. Serum concentrations of vitamin B12 are elevated in...
prisms and grating
no decrease in serum growth hormone after 90 minutes
CML
5
36. In electrophoresis of proteins - when the sample is placed in an electric field connected to a buffer of pH 8.6 - all of the proteins...
crigler
have a negative charge
1:5
iron deficiency anemia
37. The protein portion of an enzyme complex is called the...
<45
apoenzyme
spun separated iced and tested immediately
electric current
38. This condition does decrease activity of glucuronyl transferase result in increased unconjugated bilirubin and kernicterus in neonates
immunofixation
pO2 increased HCO3 decreased
pCO2
crigler
39. The first step in analyzing a 24-hour urine specimen for quantitative urine protein is...
creatinine
measure the total volume
thiamine
urobilin
40. In monitoring glomerular function - this test has the highest sensitivity
TLC
creatinine clearance
A1
occult blood
41. 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
128
occult blood
conjugated hyperbilirubinemia - hepatocellular obstruction
1 micromole per minute
42. A serum sample for acid phosphatase determination is best prepared for room temperature storage by...
whole blood can be used
adding an acid stabilizer
glucose tolerance test
g/MW
43. Isoenzyme assays are preformed to improve...
A1c
4.5
the same as plasma glucose
specificity
44. A 9-month-old boy from Israel has gradually lost the ability to sit up and develops seizures. He has an increased amount of a phospholipid called GM2-ganglioside in his neurons - and he lacks the enzyme hexosaminidase A in his leukocytes. These findi
standard
200
Tay-sachs
MI
45. Which blood gas electrode is composed of calomel and glass?
pilocarpine
g/MW
correct for variations in flame and atomizer
CO2
46. A potassium level of 6.8 mEq/L is obtained. Before reporting the results - the first step the technologist should take is to...
atomic absorption
check serum for hemolysis
pH = pKa + log (salt/acid)
bilirubin
47. Most most likely to be ordered in addition to serum calcium to determine the cause of tetany?
Mg
exchange of amino and keto groups
cmpds based on molecular weight and size
diet
48. Malic dehydrogenase is added to the aspartate aminotransaminase (AST) reaction to catalyze the conversion of...
4.5
immunofixation
hyperventilation
oxalacetate to malate
49. 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...
hyperthyroidism
incorrect aqueous to nonaqueous mixture
3500
ammonia
50. On immunoassays using enzyme-labeled antibodies or antigens: ___________ can be carried out with a spectrophotometer
Solute moves half the distance of the solvent front
fraction absorbed into systemic circulation
quantitation of label
methyl alcohol