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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. Amniotic fluid submitted for a lecithin/sphingomyelin (US) ratio has been left in a brown container since the night before. You would expect...
ceruplasmin
apoenzyme
Prolactin
decreased lecithin
2. The most heat labile fraction of alkaline phosphatase is obtained from...
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
there is an absence of correlation
120 minutes
bone
3. The definitive diagnosis of primary adrenal insufficiency requires demonstration of...
LDL
impaired response to ACTH stimulation
respiratory ACIDOSIS
GLC
4. When the exact concentration of the solute of a solution is known and is used to evaluate the concentration of an unknown solution - the known solution is...
Tangier
iron deficiency anemia
standard
340
5. Kernicterus is an abnormal accumulation of bilirubin in...
brain
primary hyperparathyroidism
minimize the effects of interference
porphobilinogen synthetase
6. When separating serum proteins by cellulose acetate electrophoresis using veronal buffer at pH 8.6 - beta globulin migrates...
carbs
effluent line is obstructed
faster than gamma
band width
7. In monitoring glomerular function - this test has the highest sensitivity
low pH
nondiagnostic for MS
creatinine clearance
120 minutes
8. 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?
BUN 80
coulometry
run a new set of controls
cysteine
9. 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...
whole blood can be used
testing heparinized plasma
lactic acidosis
sample exposed to light
10. This lipid results would be expected to be falsely elevated on a serum specimen from a nonfasting patient
C
changes in the fuel
inclusion of smokers and nonsmokers in the study population
trig
11. This steroid is an adrenal cortical hormone
corticosterone
nephelometry
decreased lecithin
freezing point
12. 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.
respiratory ACIDOSIS
591
CK
GGT
13. Ion selective electrodes are called selective rather than specific because they actually measure the...
bicarbonate carbonic acid
2Na + glucose over 20 + BUN over 3
potassium dichromate in SA
measures one ion more than others
14. This diseases results from a familial absence of high-density lioprotein
the same as plasma glucose
Tangier
100 nmol
benzoylecogine
15. The following laboratory results were obtained on arterial blood: Sodium 136 mEq/L pH 7.32 Potassium 4.4 mEq/L PCO2 79 mm Hg Chloride 92 mEq/L Bicarbonate 40 mEq/L These results are most compatible with...
respiratory acidosis
correct for variations in light intensity
amylase
C
16. This serum protein migrates with the beta-globulins on cellulose acetate at pH 8.6...
impaired response to ACTH stimulation
parathyroid
Mg
C3 complement
17. In an internal standard flame photometer - the internal standard is used to...
F
lead
correct for variations in flame and atomizer
viral hepatitis
18. This is a characteristic shared by lactate dehydrogenase - malate dehydrogenase - isocitrate dehydrogenase - and hydroxybutyrate dehydrogenase?
digoxin
diet
catalyze redox reactions
glucose
19. This 2-hour postprandial glucose values demonstrates unequivocal hyperglycemia diagnostic for diabetes mellitus
200
parathyroid hormone
ceruplasmin
bilirubin
20. The most consistent analytical error involved in the routine determination of HDLcholesterol is caused by...
crigler
a small concentration of APO-B containing lipoproteins after precipitation
dirty electrodes
placenta
21. A condition in which erythrocyte protoporphyrin is increased is...
iron deficiency anemia
properties of the membrane
5 tri 15 cholesterol 50 protein
glass
22. Measurement of total T4 by competitive protein binding or displacement is based on the specific binding properties of...
acid phosphatase
thyroxine binding globulin
fresh morning urine for delta-aminolevulinic acid
incorrect aqueous to nonaqueous mixture
23. Blood specimens for digoxin assays should be obtained between 8 hours or more after drug administration because...
draw blood for glucose and discontinue test
tissue and serum levels need to reach equilibrium
wavelength
thiamine
24. The formula for coefficient of variation?
attaching them to protein molecules
SD over mean
high carbohydrate diet for 3 days
L/S ratio > 3.5
25. The expected blood gas results for a patient in chronic renal failure would match the pattern of...
measures one ion more than others
metabolic acidosis
there is an absence of correlation
standard
26. When myocardial infarction occurs - the first enzyme to become elevated is...
biuret
CK
CML
pO2 increased HCO3 decreased
27. An Rf value of 0.5 in thin-layer chromatography means...
attaching them to protein molecules
lithium
Solute moves half the distance of the solvent front
freezing point
28. Major actions of angiotensin II include...
increased vasoconstriction
transferrin
40-50
wavelength
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...
one micromole/minute
fetal and placenta function
creatinine clearance
increased O2 decreased HCO3
30. Lasting serum phosphate concentration is controlled primarily by the...
specimen exposure to light
parathyroid
placenta
bone
31. An electrophoretic separation of lactate dehydrogenase isoenzymes that demonstrates an elevation in LD-l and LD-2 in a "flipped" pattern is consistent with...
MI
testing heparinized plasma
act as carriers for ions
alkaline picrate
32. The most widely employed screening technique for drug abuse is...
TLC
cyclic antidepressants
100nmol
act as carriers for ions
33. TSH is produced by the...
cancel test
pituitary
attaching them to protein molecules
alpha 2 beta
34. A potentiometric electrode that measures an analyte that passes through a selectively premeable membrane and rapidly enters into an equilibrium with an electrolyte solution is...
pCO2
<1%
hyperthyroidism
run a new set of controls
35. The protein portion of an enzyme complex is called the...
apoenzyme
Temperature is a function of the number of particles in solution
ionic charge
L/S ratio > 3.5
36. Most drugs and intracellular metabolites measured by radioimmunoassay have molecular weights between 200 and 1000 and can be made immunogenic by...
manic-depression
peptide bonds
atomic absorption
attaching them to protein molecules
37. Characteristic of the Bence Jones protein that is used to distinguish it from other urinary proteins is its solubility...
exchange of amino and keto groups
porphyrin and porphobilinogen screen
hemolysis
@ 100
38. An automated method for measuring chloride that generates silver ions in the reaction is...
ionization of carboxyl groups (yielding a net negative charge)
remove excess unbound iron
chylomicrons
coulometry
39. A spectrophotometer is being considered for purchase by a small laboratory. This specification reflects the spectral purity of the instrument
band width
CML
creatinine clearance
pO2 increased HCO3 decreased
40. The most specific enzyme test for acute pancreatitis is...
5mg higher
lipase
increase in total circulating T4
C3 complement
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
4.5
conjugated hyperbilirubinemia - hepatocellular obstruction
lactic acidosis
maintain colloidal osmotic pressure
42. The osmolality of a urine or serum specimen is measured by a change in the...
freezing point
tissue and serum levels need to reach equilibrium
diet
5 tri 15 cholesterol 50 protein
43. A patient has signs and symptoms suggestive of acromegaly. The diagnosis would be confirmed if the patient had...
2Na + glucose over 20 + BUN over 3
improving state of metabolic control (as indicated by fructosamine)
no decrease in serum growth hormone after 90 minutes
biuret
44. A 45-year-old woman has a fasting serum glucose concentration of 95 mg/dL and a 2-hour postprandial glucose concentration of 105 mg/dL. The statement that best describes this patient's fasting serum glucose concentration is...
CO2 and pH elevated
1.9
volumetric flask
normal - liver breakdown
45. 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...
TSH
pH = pKa + log (salt/acid)
acute hepatitis
120 minutes
46. The anion gap is useful for quality control of laboratory results for...
dirty electrodes
sodium potassium chloride CO2
atomic absorption
digoxin
47. The unit of measure for a standard solution is...
Mg
parathyroid
acute hepatitis
mg/ml
48. A critically ill patient becomes comatose. The physician believes the coma is due to hepatic failure. The assay most helpful in this diagnosis is...
standard
ammonia
conjugated hyperbilirubinemia - hepatocellular obstruction
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
49. This enzymes catalyzes the conversion of starch to glucose and maltose
conjugated hyperbilirubinemia - hepatocellular obstruction
enzyme immunoassay
<45
amylase
50. Zinc protoporphyrin or free erythrocyte protoporphyrin measurements are useful to assess blood concentrations of...
20:1
270
without a disease with a negative test result
lead