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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. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) are both elevated in this disease
peroxidase-like activity of hemoglobin
prisms and grating
viral hepatitis
cyclic antidepressants
2. 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...
<45
TSH
1.1
TSH
3. The definitive diagnosis of primary adrenal insufficiency requires demonstration of...
cysteine
triglycerides
impaired response to ACTH stimulation
5
4. 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
cyclic antidepressants
fresh morning urine for delta-aminolevulinic acid
lactic acidosis
5. In the atomic absorption method for calcium - lanthanum is used...
prevent phosphate interference
endosmosis
increase in total circulating T4
128
6. Diagnostic specificity is defined as the percentage of individuals...
sample exposed to light
GGT
chylomicrons VLDL
without a disease with a negative test result
7. Assay of transketolase activity in blood is used to detect deficiency of...
amylase
creatinine clearance
thiamine
CK
8. These enzymes of heme biosynthesis are inhibited by lead
porphobilinogen synthetase
measurement of absorbance at 450
glucose oxidase
acute hepatitis
9. A pH of 7.0 represents a H+ concentration of...
100nmol
is quantitated by the amount of light produced
effluent line is obstructed
Prolactin
10. A breakdown product of hemoglobin is...
Wilson's disease
Hb S
bilirubin
pituitary
11. 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...
without a disease with a negative test result
triglycerides
32
pH pCO2 pO2
12. The primary function of serum albumin in the peripheral blood is to...
maintain colloidal osmotic pressure
100nmol
A1
transferrin
13. This would be an example of a glucose-specific colorimetric method
fraction absorbed into systemic circulation
HDL
glucose oxidase
plasma bicarbonate
14. How many grams of sodium chloride are needed to prepare 1 L of 0.9% normal saline?
can be separated into distinct phenotypes
immunofixation
dirty electrodes
9
15. In a double-beam photometer - the additional beam is used to...
(testing of urine for) delta-am.. acid
absorptivity x light path x concentration
correct for variations in light intensity
testing heparinized plasma
16. The identification of Bence Jones protein is best accomplished by...
Mg
immunofixation
primary hyperparathyroidism
high carbohydrate diet for 3 days
17. What specimen preparation is commonly used to perform the alkaline phosphatase isoenzyme determination?
serum aliquots - one heated
faster than gamma
is quantitated by the amount of light produced
porphyrin and porphobilinogen screen
18. Blood samples were collected at the beginning of an exercise class and after 30 minutes of aerobic activity. This would be most consistent with the postexercise sample
bicarbonate carbonic acid
carbohydrate hyperalimentation
elevated lactic acid - elevated pyruvate
standard
19. The extent to which measurements agree with or approach the true value of the quantity being measured is referred to as...
emphysema
accuracy
CO2 and pH elevated
CML
20. The T3 resin uptake test is a measure of...
fall in pH - rise in pCO2
there is an absence of correlation
correct for variations in light intensity
binding capacity of thyroxine-binding globulin
21. This steroid is an adrenal cortical hormone
corticosterone
wavelength
chloride
BUN 80
22. When myocardial infarction occurs - the first enzyme to become elevated is...
pituitary
cmpds based on molecular weight and size
CK
inhibitor binds to enzyme at same site as substrate
23. A test request slip indicates that an acute porphyric attack is suspected clinically. Analysis should include...
creatine kinase
increased vasoconstriction
thymolpthalein monophosphate
porphobilinigen SCREEN
24. A pH of 7.0 represents a H+ concentration of...
specificity
run a new set of controls
100 nmol
urobilin
25. Estrogen and progesterone receptor assays are useful in assessing prognosis in...?
the fetus is at risk for respiratory distress
pH pCO2 pO2
acute hepatitis
breast cancer
26. Pregnant women with symptoms of thirst - frequent urination - or unexplained weight loss should have this test performed?
HDL
measure the total volume
hemolysis
glucose tolerance test
27. An electrophoretic separation of lactate dehydrogenase isoenzymes that demonstrates an elevation in LD-l and LD-2 in a "flipped" pattern is consistent with...
lipase
MI
thyroxine binding globulin
cyclic antidepressants
28. Ion selective electrodes are called selective rather than specific because they actually measure the...
changes in the fuel
exposure to CO
high carbohydrate diet for 3 days
measures one ion more than others
29. The unit of measure for a standard solution is...
aldolase
mg/ml
thiamine
urobilin
30. In the immunoinhibition phase of the CK-MB procedure...
M subunit is inactivated
LDL
parathyroid hormone
agarose
31. Major actions of angiotensin II include...
aldolase
increased vasoconstriction
pCO2
bicarbonate buffer
32. The normal concentration of proteins in cerebrospinal fluid - relative to serum protein - is...
<1%
CO2 and pH elevated
65
chemical ionization matrix
33. 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...
standard
without a disease with a negative test result
apoenzyme
lead
34. The expected blood gas results for a patient in chronic renal failure would match the pattern of...
incorrect aqueous to nonaqueous mixture
metabolic acidosis
Solute moves half the distance of the solvent front
specificity
35. 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?
wavelength
bilirubindiglucuronide
run a new set of controls
g/MW
36. 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...
effluent line is obstructed
improving state of metabolic control (as indicated by fructosamine)
T4 by RIA
urinary free cortisol
37. A blood creatinine value of 5.0 mg/dL is most likely to be found with this blood value?
trig
BUN 80
the fetus is at risk for respiratory distress
breast cancer
38. In performing a spinal fluid protein determination - the specimen is diluted 1 part spinal fluid to 3 parts saline to obtain a result low enough to measure. To calculate the protein concentration the result must be...
5 tri 15 cholesterol 50 protein
multiplied by 4
methyl alcohol
remove excess unbound iron
39. The osmolal gap is defined as measured Osm/kg minus the calculated Osm/kg. The average osmolal gap is near...
freezing point
0
(testing of urine for) delta-am.. acid
nondiagnostic for MS
40. The concentration of serum carotene is affected MOST by...
4.5
diet
ionization of carboxyl groups (yielding a net negative charge)
ratio of distance moved by solvent to distance moved by compound
41. To ensure an accurate ammonia level result - the specimen should be...
128
cholesterol normal triglycerides elevated
spun separated iced and tested immediately
the fetus is at risk for respiratory distress
42. A common cause of respiratory alkalosis is...
hyperventilation
can be separated into distinct phenotypes
bilirubin
1 mol/kg
43. The following five sodium control values (mEq/L) were obtained:140 - 135 - 138 - 140 - 142Calculate the coefficient of variation.
be able to detect 9/10 simple instrument malfunctions
cmpds based on molecular weight and size
1.9
Solute moves half the distance of the solvent front
44. Which percentage of total serum calcium is nondiffusible protein bound?
CK-MB
cyclic antidepressants
40-50
chylomicrons
45. In electrophoretic analysis - buffers...
the same as plasma glucose
whole blood can be used
intestinal malabsorption
act as carriers for ions
46. On immunoassays using enzyme-labeled antibodies or antigens: ___________ can be carried out with a spectrophotometer
high carbohydrate diet for 3 days
GFR
5
quantitation of label
47. Quantitation of NA+ and K+ by ion-selective electrode is more rapid than flame photometry because...
pCO2
whole blood can be used
impaired response to ACTH stimulation
CK-MB
48. The first step in analyzing a 24-hour urine specimen for quantitative urine protein is...
measure the total volume
primidone
32
1.1
49. Respiratory acidosis is described as a(n): ______ increase in CO2 decrease in pH
endosmosis
glycerol
Calcium - phosphorus
thiamine
50. Most most likely to be ordered in addition to serum calcium to determine the cause of tetany?
primary hyperparathyroidism
trig
enzyme immunoassay
Mg