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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 person suspected of having metabolic alkalosis would have these laboratory findings
5mg higher
CO2 and pH elevated
90%
creatinine
2. This calcium procedure utilizes lanthanum chloride to emliminate iterfering substances
dirty applicators
atomic absorption
glucose
fresh morning urine for delta-aminolevulinic acid
3. In amniotic fluid - the procedure used to detect Rh isosensitization is...
one micromole/minute
maintain colloidal osmotic pressure
coulometry
measurement of absorbance at 450
4. The expected blood gas results for a patient in chronic renal failure would match the pattern of...
metabolic acidosis
increased O2 decreased HCO3
increase in total circulating T4
viral hepatitis
5. How many grams of sodium chloride are needed to prepare 1 L of 0.9% normal saline?
ceruplasmin
<1%
obstructive jaundice
9
6. Coulometry is used to measure...
without a disease with a negative test result
chloride
ionic charge
HCT
7. Total iron-binding capacity measures the serum iron transporting capacity of...
LDH
sample exposed to light
pilocarpine
transferrin
8. The formation of estriol in a pregnant woman is dependent on...
act as carriers for ions
fetal and placenta function
parathyroid hormone
TSH
9. 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?
spun separated iced and tested immediately
sharp cutoff filter
lead
freezing point
10. 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
Tay-sachs
TSH
21-hydroxylase deficiency
a small concentration of APO-B containing lipoproteins after precipitation
11. 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
serum cortisol > 15
90%
enzyme immunoassay
didymium filter
12. The stimulant that causes localized sweating for the sweat test is...
porphobilinogen screen
have a negative charge
GFR
pilocarpine
13. 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.
591
parathyroid hormone
beta
200x affinity for oxygen
14. The following data were obtained from a cellulose acetate protein electrophoresis scan: Albumin area 75 units Gamma globulin area 30 units Total area 180 units Total protein 6.5 g/dL The gamma globulin content in g/dL is...
1.1
glass
improving state of metabolic control (as indicated by fructosamine)
32
15. Respiratory acidosis is described as a(n): ______ increase in CO2 decrease in pH
glucose tolerance test
high co2 and hco3
glycerol
C
16. Spectrophotometers isolate a narrow band pass by means of...
freezing point
prisms and grating
band width
sodium
17. A serum sample for acid phosphatase determination is best prepared for room temperature storage by...
carbs
trig
conjugated hyperbilirubinemia - hepatocellular obstruction
adding an acid stabilizer
18. The following data were obtained on amniotic fluid from a gestation of 36 weeks' duration by menstrual dates: L/S = 2 Phosphatidyl glycerol not present This can be concluded from these data?
cancel test
100nmol
the fetus is at risk for respiratory distress
exposure to CO
19. A common cause of a falsely increased LD1 fraction of lactic dehydrogenase is...
hemolysis
parathyroid hormone
120 minutes
LDL
20. This wavelengths is within the ultraviolet rang.
phenytoin
<1%
340
HPLC analysis of porpobilinogen on 24hr urine
21. To ensure an accurate ammonia level result - the specimen should be...
spun separated iced and tested immediately
transferrin
diet
Calcium - phosphorus
22. An HPLC operator notes that the column pressure is too high - is rising too rapidly - and the recorder output is not producing normal peaks. The most probable cause of the problem is...
M subunit is inactivated
effluent line is obstructed
enzyme induction
incorrect aqueous to nonaqueous mixture
23. The biologically most active - naturally occuring androgen is...
correct for variations in flame and atomizer
20:1
testosterone
5mg higher
24. TSH is produced by the...
pituitary
TLC
creatine kinase
TSH
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
whole blood can be used
fall in pH - rise in pCO2
patient noncompliance
26. Blood received in the laboratory for blood gas analysis must meet these requirements
1:5
no ice clots bubbles
viral hepatitis
serum cortisol > 15
27. Serum levels that define hypoglycemia in preterm or low birth weight infants are...
lower than in adults
nondiagnostic for MS
bicarbonate buffer
acid phosphatase
28. An emphysema patient suffering from fluid accumulation in the alveolar spaves is likely to be in what metabolic state?
LDH
testing heparinized plasma
respiratory ACIDOSIS
enzyme immunoassay
29. A patient is admitted with biliary cirrhosis. If a serum protein electrophoresis is preformed - these globulin fractions will be most elevated?
the same as plasma glucose
iron hemochromatosis
beta
g/MW
30. The concentration of serum carotene is affected MOST by...
growth - third trimester of pregnancy
diet
specificity
glucose tolerance test
31. The Henderson-Hasselbalch equation
have a negative charge
porphobilinogen screen
prisms and grating
pH = pKa + log (salt/acid)
32. The TRH (thyrotropin-releasing hormone) stimulation test is useful in assessing...
hyperthyroidism
Hb S
iron hemochromatosis
testing heparinized plasma
33. While performing a serum lithium determination on a flame photometer with cesium as the internal standard - the technologist noticed that there was a flickering flame. The most probable cause of this problem is...
tissue and serum levels need to reach equilibrium
Temperature is a function of the number of particles in solution
changes in the fuel
exchange of amino and keto groups
34. In the immunoinhibition phase of the CK-MB procedure...
endogenous triglycerides
M subunit is inactivated
measures one ion more than others
digoxin
35. The most important buffer pair in plasma is the...
GFR
inhibitor binds to enzyme at same site as substrate
standard
bicarbonate carbonic acid
36. Assay of transketolase activity in blood is used to detect deficiency of...
hyperventilation
chloride
thiamine
plasma bicarbonate
37. One means of checking a spectrophotometer wavelength calibration in the visible range is by using a...
C
didymium filter
faster than gamma
heparin
38. This serum constituent is unstable if a blood specimen is left standing at room temperature for 8 hours before processing
plasma bicarbonate
one micromole/minute
glucose
triglycerides
39. A pH of 7.0 represents a H+ concentration of...
TSH
ratio of distance moved by solvent to distance moved by compound
fall in pH - rise in pCO2
100nmol
40. A thick white turbid specimen was received in the laboratory labeled as pericardial fluid. A microscopic examination was performed - and the differential included 90% PMNs. The fluid is...
effluent line is obstructed
purulent
Solute moves half the distance of the solvent front
increased vasoconstriction
41. Analysis of erythrocytes for uroporphyrinogen I synthetase detects...
CML
Hb S
270
acute intermittent porphyria
42. Specimens for blood gas determination should be drawn into a syringe containing...
conjugated hyperbilirubinemia - hepatocellular obstruction
maintain colloidal osmotic pressure
heparin
phenytoin
43. A stool specimen that appears black and tarry should be tested for the presence of...
occult blood
prostate
thymolpthalein monophosphate
bone
44. The most widely employed screening technique for drug abuse is...
TLC
340
5mg higher
1.1
45. Enzymes used in the diagnosis of acute pancreatitis?
270
amylase and lipase
hepatobiliary (obstruction?)
pO2 increased HCO3 decreased
46. 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
1.1
L/S ratio > 3.5
creatine kinase
tissue and serum levels need to reach equilibrium
47. 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...
MI
Calcium - phosphorus
iron deficiency anemia
testing heparinized plasma
48. In monitoring glomerular function - this test has the highest sensitivity
200
maintain colloidal osmotic pressure
creatinine clearance
biuret
49. Regan isoenzyme has the same properties as alkaline phosphatase that originates in the...
cyclic antidepressants
brain
freezing point
placenta
50. The first step in analyzing a 24-hour urine specimen for quantitative urine protein is...
dirty applicators
sodium potassium chloride CO2
5mg higher
measure the total volume