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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. 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
9
crigler
T4 by RIA
2. Most automated blood gas analyzers directly measure...
placenta
pH pCO2 pO2
A1c
lithium
3. After a difficult venipuncture requiring prolonged application of the tourniquet - the serum K+ was found to be 6.8 mEq/L. The best course of action is to...
lactic acidosis
(testing of urine for) delta-am.. acid
cancel test
120 minutes
4. A technician is asked by the supervisor to prepare a standard solution from the stock standard. What is the glassware of choice for this solution?
ionic charge
purulent
volumetric flask
dirty electrodes
5. Blood received in the laboratory for blood gas analysis must meet these requirements
no ice clots bubbles
TSH
respiratory ACIDOSIS
32
6. The biuret reaction for the analysis of serum protein depends on the number...
F
peptide bonds
40-50
respiratory acidosis
7. The hemoglobin that is resistant to alkali (KOH) denaturation is...
L/S ratio > 3.5
F
patient noncompliance
pituitary
8. Quantitation of NA+ and K+ by ion-selective electrode is more rapid than flame photometry because...
porphobilinogen synthetase
GFR
2Na + glucose over 20 + BUN over 3
whole blood can be used
9. 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...
increased O2 decreased HCO3
120 minutes
thyroxine
respiratory acidosis
10. The preparation of a patient for standard tolerance testing should include...
improving state of metabolic control (as indicated by fructosamine)
high carbohydrate diet for 3 days
WITHOUT a disease with a negative test
thymolpthalein monophosphate
11. This serum constituent is unstable if a blood specimen is left standing at room temperature for 8 hours before processing
atomic absorption
glucose
hemolysis
measure the total volume
12. 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
respiratory acidosis
obstructive jaundice
L/S ratio > 3.5
can be separated into distinct phenotypes
13. The glucose level in normal peritoneal fluid should be...
respiratory acidosis
CK-MB
manic-depression
the same as plasma glucose
14. The most important buffer pair in plasma is the...
bicarbonate carbonic acid
Hb S
porphobilinogen synthetase
2Na + glucose over 20 + BUN over 3
15. A one MOLAL solution is equivalent to...
BUN 80
1 mol/kg
effluent line is obstructed
metabolic acidosis
16. The expected blood gas results for a patient in chronic renal failure would match the pattern of...
metabolic acidosis
5
TSH
BUN increased
17. The following five sodium control values (mEq/L) were obtained:140 - 135 - 138 - 140 - 142Calculate the coefficient of variation.
nephelometry
testosterone
peroxidase-like activity of hemoglobin
1.9
18. Which blood gas electrode is composed of calomel and glass?
3500
CO2
aldolase
increase in total circulating T4
19. This enzyme substrates for prostatic acid phosphatase determination results in the highest specificity
sodium potassium chloride CO2
thymolpthalein monophosphate
measure the total volume
faster than gamma
20. This hemoglobin has glucose-6-phosphate on the amino-terminal valine of the beta chain?
atomic absorption
A1c
have a negative charge
2-log(T)
21. The formula for coefficient of variation?
Mg
bilirubindiglucuronide
SD over mean
correct for variations in light intensity
22. A pH of 7.0 represents a H+ concentration of...
100 nmol
primidone
quantitation of label
multiplied by 4
23. The regulation of calcium and phosphorus metabolism is accomplished by which gland?
turn off
be able to detect 9/10 simple instrument malfunctions
2Na + glucose over 20 + BUN over 3
parathyroid
24. The anion gap is useful for quality control of laboratory results for...
sodium potassium chloride CO2
bicarbonate buffer
standard
placenta
25. A patient had the following serum results: Na+ 140 mEq/L K+ 4.0 mEq/L Glucose 95 mg/dL BUN 10 mg/dL Which osmolality is consistent with these results?
Mg
electric current
270
F
26. In spectrophotometric determination - this is the formula for calculating the absorbance of a solution
measurement of absorbance at 450
absorptivity x light path x concentration
aldolase
L/S ratio > 3.5
27. The primary function of serum albumin in the peripheral blood is to...
measurement of absorbance at 450
carbs
maintain colloidal osmotic pressure
sample exposed to light
28. Total iron-binding capacity measures the serum iron transporting capacity of...
pO2 increased HCO3 decreased
ALP with fresh draw
Prolactin
transferrin
29. 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...
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
sharp fibrinogen peak
pO2 increased HCO3 decreased
respiratory ACIDOSIS
30. This would be an example of a glucose-specific colorimetric method
wavelength
glucose oxidase
band width
urinary free cortisol
31. 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
nephelometry
without a disease with a negative test result
faster than gamma
methadone
32. The fast hemoglobin fraction is...
A1
elevated lactic acid - elevated pyruvate
Solute moves half the distance of the solvent front
attaching them to protein molecules
33. The Porter-Silber method (phenylhydrazine in alcohol and sulfuric acid) involves which part of the steroid molecule?
B12 deficiency
faster than gamma
dihydroxyacetone side chain
Solute moves half the distance of the solvent front
34. 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?
low pH
the fetus is at risk for respiratory distress
increased O2 decreased HCO3
immunofixation
35. Upon development of a thin layer chromatogram for the drug analysis - all drug spots (including the standards) had migrated with the solvent front. The most probable cause for this would be...
incorrect aqueous to nonaqueous mixture
measurement of absorbance at 450
5
1 micromole per minute
36. In the Jaffe reaction - creatine reacts with...
have a negative charge
can be separated into distinct phenotypes
alkaline picrate
2-log(T)
37. Sixty to seventy-five percent of the plasma cholesterol is transported by...
Tangier
LDL
biuret
measure the total volume
38. 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
phenytoin
amytriptyline 104
methadone
chemical ionization matrix
39. In a normal individual - injection of thyrotropin-releasing hormone (TRH) causes an increase in blood concentrations of this hormone
serum aliquots - one heated
TLC
Prolactin
inhibitor binds to enzyme at same site as substrate
40. The osmolality of a urine or serum specimen is measured by a change in the...
whole blood can be used
GGT
freezing point
ratio of distance moved by solvent to distance moved by compound
41. Cocaine is metabolized to...
TSH
TSH
primary hyperparathyroidism
benzoylecogine
42. To ensure an accurate ammonia level result - the specimen should be...
ammonia
bilirubindiglucuronide
spun separated iced and tested immediately
Mg
43. The different water content of erythrocytes and plasma makes true glucose concentrations in whole blood a function of the...
endosmosis
turn off
LDH
HCT
44. Enzymes used in the diagnosis of acute pancreatitis?
ALP with fresh draw
amylase and lipase
pCO2
270
45. In the atomic absorption method for calcium - lanthanum is used...
prevent phosphate interference
enzyme induction
without a disease with a negative test result
biuret
46. Oligoclonal bands are present on electrophoresis of concentrated CSF and also on concurrently tested serum of the same patient. The proper interpretation is...
there is an absence of correlation
nondiagnostic for MS
A1
turn off
47. Turbidity in serum suggests elevation of...
3500
2Na + glucose over 20 + BUN over 3
electric current
chylomicrons
48. In the assay of lactate dehydrogenase - this product is actually measured
specificity
ALP with fresh draw
aldolase
NADH
49. This 2-hour postprandial glucose values demonstrates unequivocal hyperglycemia diagnostic for diabetes mellitus
bilirubindiglucuronide
0
200
O2
50. A carbonate salt used to control manic-depressive disorders is...
measure the total volume
acute intermittent porphyria
lithium
3500