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Chemistry Certification
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Study First
Subject
:
certifications
Instructions:
Answer 50 questions in 15 minutes.
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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 serum sample for acid phosphatase determination is best prepared for room temperature storage by...
check serum for hemolysis
adding an acid stabilizer
changes in the fuel
GFR
2. Amniotic fluid submitted for a lecithin/sphingomyelin (US) ratio has been left in a brown container since the night before. You would expect...
thyroxine
aldolase
decreased lecithin
20:1
3. 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...
120 minutes
chemical ionization matrix
21-hydroxylase deficiency
chylomicrons
4. The expected blood gas results for a patient in chronic renal failure would match the pattern of...
metabolic acidosis
acute intermittent porphyria
sharp fibrinogen peak
5mg higher
5. In the Jaffe reaction - creatine reacts with...
urinary free cortisol
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
Temperature is a function of the number of particles in solution
alkaline picrate
6. Most most likely to be ordered in addition to serum calcium to determine the cause of tetany?
breast cancer
Mg
scattered at a right angle
potassium dichromate in SA
7. Enzymes used in the diagnosis of acute pancreatitis?
amylase and lipase
respiratory ACIDOSIS
4.5
elevated lactic acid - elevated pyruvate
8. Pregnant women with symptoms of thirst - frequent urination - or unexplained weight loss should have this test performed?
glucose tolerance test
B12 deficiency
1.1
(testing of urine for) delta-am.. acid
9. 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
Wilson's disease
T4 by RIA
methadone
there is an absence of correlation
10. A low concentrarion of serum phosphorus is commonly found in...
340
B12 deficiency
Prolactin
carbohydrate hyperalimentation
11. A patient with glomerulonephritis would present the following serum results...
BUN increased
glycerol
591
120 minutes
12. The TRH (thyrotropin-releasing hormone) stimulation test is useful in assessing...
lactic acidosis
hyperthyroidism
run a new set of controls
one micromole/minute
13. The test for adrenal cortical hyperfunction that has the greatest diagnostic sensitivity is measurement of...
Calcium - phosphorus
check serum for hemolysis
BUN increased
urinary free cortisol
14. The selectivity of an ion-selective electrode is determined by the...
D
effluent line is obstructed
properties of the membrane
mg/ml
15. A reciprocal relationship exists between...
200x affinity for oxygen
turn off
Calcium - phosphorus
GFR
16. A fasting serum sample from an asymptomatic 43-year-old woman is examined visually chemically with the following results: Initial appearance of serum: Milky Appearance of serum after overnight refrigeration: Cream layer over turbid serum Triglyceri
hyperventilation
chylomicrons VLDL
the fetus is at risk for respiratory distress
chloride
17. A breakdown product of hemoglobin is...
albumin
oxalacetate to malate
C
bilirubin
18. The most specific enzyme test for acute pancreatitis is...
lipase
multiplied by 4
benzoylecogine
Temperature is a function of the number of particles in solution
19. 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
oxalacetate to malate
iron hemochromatosis
ionic charge
20. The T3 resin uptake test is a measure of...
increased vasoconstriction
parathyroid hormone
exchange of amino and keto groups
binding capacity of thyroxine-binding globulin
21. The formula for coefficient of variation?
hepatobiliary (obstruction?)
SD over mean
1.9
acute hepatitis
22. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) are both elevated in this disease
TLC
correct for variations in light intensity
viral hepatitis
acute hepatitis
23. Creatinine clearance is used to estimate the...
pilocarpine
lactic acidosis
GFR
O2
24. A serum potassium is 19.5 mg/100 mL. This value is equal to how many mEq/L (MW of K = 39)?
5
check serum for hemolysis
porphobilinogen screen
20:1
25. Turbidity in serum suggests elevation of...
fraction absorbed into systemic circulation
placenta
chylomicrons
low pH
26. The biologically most active - naturally occuring androgen is...
testing heparinized plasma
testosterone
effluent line is obstructed
show a decrease in glycosylated hgb
27. The measurement of light scattered by particles in the sample is the principle of...
acute hepatitis
nephelometry
5
bilirubin
28. 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...
purulent
1.1
GFR
lithium
29. Specimens for blood gas determination should be drawn into a syringe containing...
parathyroid
pH pCO2 pO2
heparin
adding an acid stabilizer
30. Fluctuation of the needle on a coulometric type titrator is most probably due to...
dirty electrodes
serum cortisol > 15
cholesterol normal triglycerides elevated
Wilson's disease
31. Gel filtration chromatography is used to separate...
biuret
cmpds based on molecular weight and size
beta
hyperthyroidism
32. The following five sodium control values (mEq/L) were obtained:140 - 135 - 138 - 140 - 142Calculate the coefficient of variation.
benzoylecogine
faster than gamma
1.9
urobilin
33. This wavelengths is within the ultraviolet rang.
manic-depression
conjugated hyperbilirubinemia - hepatocellular obstruction
heparin
340
34. A person suspected of having metabolic alkalosis would have these laboratory findings
CO2 and pH elevated
HPLC analysis of porpobilinogen on 24hr urine
200x affinity for oxygen
HCT
35. 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...
lower than in adults
apoenzyme
changes in the fuel
120 minutes
36. This steroid is an adrenal cortical hormone
corticosterone
@ 100
there is an absence of correlation
bicarbonate buffer
37. Rickets is associated with deficiency of...
TLC
D
enzyme immunoassay
SD over mean
38. Characteristic of the Bence Jones protein that is used to distinguish it from other urinary proteins is its solubility...
volumetric flask
@ 100
methyl alcohol
chemical ionization matrix
39. 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...
128
65
tissue and serum levels need to reach equilibrium
alpha 2 beta
40. 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...
cmpds based on molecular weight and size
scattered at a right angle
lactic acidosis
creatine kinase
41. A spectrophotometer is being considered for purchase by a small laboratory. This specification reflects the spectral purity of the instrument
Prolactin
freezing point
CK-MB
band width
42. The osmolality of a urine or serum specimen is measured by a change in the...
carbs
freezing point
faster than gamma
coulometry
43. This serum protein migrates with the beta-globulins on cellulose acetate at pH 8.6...
immunofixation
specimen exposure to light
cancel test
C3 complement
44. Acidosis and alkalosis are best defined as fluctuations in blood pH and CO2 content due to changes in...
parathyroid hormone
whole blood can be used
bicarbonate buffer
HPLC analysis of porpobilinogen on 24hr urine
45. The primary function of serum albumin in the peripheral blood is to...
maintain colloidal osmotic pressure
Temperature is a function of the number of particles in solution
pH = pKa + log (salt/acid)
diet
46. 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
amytriptyline 104
diet
thymolpthalein monophosphate
trig
47. In monitoring glomerular function - this test has the highest sensitivity
creatinine clearance
standard
boderline results test should be repeated
draw blood for glucose and discontinue test
48. 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
transferrin
O2
manic-depression
49. A common cause of a falsely increased LD1 fraction of lactic dehydrogenase is...
chemical ionization matrix
hemolysis
thiamine
heparin
50. The following laboratory results were obtained: Serum Calcium: Increased - Urine Calcium: Increased - Serum Phosphate: Decreased - Urine Phosphate: Increased Serum Alkaline Phosphatase: Normal or Increased These results are most compatible with...
specificity
primary hyperparathyroidism
nondiagnostic for MS
thiamine
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