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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 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...
improving state of metabolic control (as indicated by fructosamine)
65
chemical ionization matrix
measures one ion more than others
2. A chemiluminescent EIA...
is quantitated by the amount of light produced
brain
exposure to CO
methyl alcohol
3. Specimens for blood gas determination should be drawn into a syringe containing...
high carbohydrate diet for 3 days
heparin
0
obstructive jaundice
4. The primary function of serum albumin in the peripheral blood is to...
correct for variations in light intensity
maintain colloidal osmotic pressure
wavelength
sodium potassium chloride CO2
5. This serum protein migrates with the beta-globulins on cellulose acetate at pH 8.6...
90%
C3 complement
carbs
catalyze redox reactions
6. The urea nitrogen concentration of a serum sample was measured as 15 mg/dL (atomic weights: carbon = 12 - oxygen = 16 - nitrogen = 14 - hydrogen = 1). The urea concentration of the same sample - in mg/dL - is...
32
GLC
prisms and grating
Calcium - phosphorus
7. Spectrophotometers isolate a narrow band pass by means of...
lead
binding capacity of thyroxine-binding globulin
corticosterone
prisms and grating
8. Phenobarbital is a metabolite of...
primidone
measures one ion more than others
Mg
HPLC analysis of porpobilinogen on 24hr urine
9. Regan isoenzyme has the same properties as alkaline phosphatase that originates in the...
draw blood for glucose and discontinue test
creatine kinase
placenta
D
10. Turbidity in serum suggests elevation of...
intestinal malabsorption
properties of the membrane
chylomicrons
fall in pH - rise in pCO2
11. The stimulant that causes localized sweating for the sweat test is...
spun separated iced and tested immediately
ALP with fresh draw
alpha 2 beta
pilocarpine
12. 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...
increased O2 decreased HCO3
ammonia
the fetus is at risk for respiratory distress
TSH
13. 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...
<1%
thymolpthalein monophosphate
obstructive jaundice
TLC
14. 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
21-hydroxylase deficiency
1 mol/kg
lead
methadone
15. About 90% of phenytoin is excreted in the urine as...
acute hepatitis
turn off
benzoylecogine
para-hydroxylphenyl...
16. In the fasting state - the arterial and capillary blood glucose concentration varies from the venous glucose concentration by approximately how many mg/dL?
bicarbonate buffer
primidone
5mg higher
bicarbonate carbonic acid
17. A test request slip indicates that an acute porphyric attack is suspected clinically. Analysis should include...
porphobilinigen SCREEN
peroxidase-like activity of hemoglobin
atomic absorption
effluent line is obstructed
18. Certain enzymes are activated to metabolize drugs as a result of another drug action. This is referred to as...
multiplied by 4
prostate
enzyme induction
Prolactin
19. Measurement of the serum acid phosphatase is used to detect neoplastic disease of the...
prostate
trig
atomic absorption
21-hydroxylase deficiency
20. Before unconjugated bilirubin can react with Ehrlich's diazo reagent - this must be added
methyl alcohol
cmpds based on molecular weight and size
porphobilinogen screen
hyperthyroidism
21. In using ion-exchange chromatographicbmethods - falsely increased levels of Hgb A1c will be demonstrated in presence of...
Hb S
ionic charge
volumetric flask
standard
22. This lipid results would be expected to be falsely elevated on a serum specimen from a nonfasting patient
trig
iron hemochromatosis
HCT
pH = pKa + log (salt/acid)
23. The protein portion of an enzyme complex is called the...
sharp fibrinogen peak
ceruplasmin
serum aliquots - one heated
apoenzyme
24. 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
creatinine
lead
dirty electrodes
cancel test
25. The formula for calculating the amount of moles of a chemical?
g/MW
biuret
pilocarpine
albumin
26. This 2-hour postprandial glucose values demonstrates unequivocal hyperglycemia diagnostic for diabetes mellitus
200
crigler
Hb S
attaching them to protein molecules
27. The formula for coefficient of variation?
1:5
SD over mean
improving state of metabolic control (as indicated by fructosamine)
porphobilinogen screen
28. The extent to which measurements agree with or approach the true value of the quantity being measured is referred to as...
thymolpthalein monophosphate
show a decrease in glycosylated hgb
elevated lactic acid - elevated pyruvate
accuracy
29. The enzyme that exists chiefly in skeletal muscle - heart - and brain; is grossly elevated in active muscular dystrophy; and rises early in myocardial infarction is...
ratio of distance moved by solvent to distance moved by compound
urobilin
D
creatine kinase
30. An automated method for measuring chloride that generates silver ions in the reaction is...
LDL
coulometry
scattered at a right angle
multiplied by 4
31. The concentration of serum carotene is affected MOST by...
diet
200x affinity for oxygen
BUN increased
TSH
32. In monitoring glomerular function - this test has the highest sensitivity
creatinine clearance
thiamine
porphobilinogen synthetase
5
33. This steroid is an adrenal cortical hormone
creatine kinase
corticosterone
respiratory acidosis
remove excess unbound iron
34. An emphysema patient suffering from fluid accumulation in the alveolar spaves is likely to be in what metabolic state?
iron deficiency anemia
bicarbonate buffer
respiratory ACIDOSIS
testing heparinized plasma
35. The formation of estriol in a pregnant woman is dependent on...
lithium
WITHOUT a disease with a negative test
remove excess unbound iron
fetal and placenta function
36. 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...
without a disease with a negative test result
GGT
testing heparinized plasma
measure the total volume
37. 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
measures one ion more than others
inclusion of smokers and nonsmokers in the study population
5
amytriptyline 104
38. 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
a small concentration of APO-B containing lipoproteins after precipitation
128
conjugated hyperbilirubinemia - hepatocellular obstruction
specimen exposure to light
39. What specimen preparation is commonly used to perform the alkaline phosphatase isoenzyme determination?
serum aliquots - one heated
no ice clots bubbles
<45
chloride
40. A patient is admitted to the emergency room in a state of metabolic alkalosis.This would be consistent with this diagnosis?
A1
lactic acidosis
low pH
high co2 and hco3
41. A common cause of respiratory alkalosis is...
4.5
NADH
hyperventilation
pilocarpine
42. The following blood gas results were obtained: pH : 7.18 PO2: 86 mm Hg PCO2: 60 mm Hg O2 saturation: 92% HCO3-: 21 mEq/L TCO2: 23 mEq/L Base excess: -8.0 mEq/L The patient's results are compatible with...
emphysema
be able to detect 9/10 simple instrument malfunctions
BUN 80
90%
43. 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)
freezing point
32
4.5
improving state of metabolic control (as indicated by fructosamine)
44. 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...
have a negative charge
TSH
oxalacetate to malate
Tay-sachs
45. The fast hemoglobin fraction is...
lead
no decrease in serum growth hormone after 90 minutes
A1
corticosterone
46. In the atomic absorption method for calcium - lanthanum is used...
100 nmol
hyperthyroidism
prevent phosphate interference
glass
47. In electrophoresis of serum proteins - arifacts at the application point are most frequently caused by...
freezing point
wavelength
transferrin
dirty applicators
48. 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
measurement of absorbance at 450
porphobilinogen screen
GLC
49. The most specific enzyme test for acute pancreatitis is...
analyzed immediately
lipase
fetal and placenta function
hepatobiliary (obstruction?)
50. Rickets is associated with deficiency of...
heparin
Mg
D
@ 100