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Chemistry Certification
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Subject
:
certifications
Instructions:
Answer 50 questions in 15 minutes.
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study here
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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. Aminotransferase enzymes catalyze the...
exchange of amino and keto groups
NADH
20:1
wavelength
2. A potassium level of 6.8 mEq/L is obtained. Before reporting the results - the first step the technologist should take is to...
iron hemochromatosis
agarose
boderline results test should be repeated
check serum for hemolysis
3. A 2-year-old child with a decreased serum T4 is described as being somewhat dwarfed - stocky - overweight - and having coarse features. Of the following - the most informative additional laboratory test would be the serum...
TSH
cyclic antidepressants
Calcium - phosphorus
phenytoin
4. When myocardial infarction occurs - the first enzyme to become elevated is...
potassium dichromate in SA
whole blood can be used
specificity
CK
5. High levels of which lipoprotein class are associated with decreased risk of accelerated atherosclerosis?
HDL
manic-depression
brain
increased vasoconstriction
6. The presence of this isoenzymes indicates acute myocardial damage
CK-MB
sodium
increase in total circulating T4
TSH
7. These enzymes of heme biosynthesis are inhibited by lead
creatine kinase
porphobilinogen synthetase
ammonia
alkaline picrate
8. Spectrophotometers isolate a narrow band pass by means of...
lactic acidosis
prisms and grating
can be separated into distinct phenotypes
metabolic acidosis
9. A true statement about high performance liquid chromatography (HPLC) is that it...
correct for variations in light intensity
SD over mean
conjugated hyperbilirubinemia - hepatocellular obstruction
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
10. The extent to which measurements agree with or approach the true value of the quantity being measured is referred to as...
accuracy
chloride
specificity
attaching them to protein molecules
11. The glucose level in normal peritoneal fluid should be...
iron hemochromatosis
the fetus is at risk for respiratory distress
prevent phosphate interference
the same as plasma glucose
12. The most common type of congenital adrenal hyperplasia associated with increased plasma concentrations of 17 a-hydroxyprogesterone and increased urinary excretion of pregnanetriol is...
atomic absorption
sharp fibrinogen peak
21-hydroxylase deficiency
specificity
13. Magnesium carbonate is added in an iron binding capacity determination in order to...
200x affinity for oxygen
remove excess unbound iron
cyclic antidepressants
M subunit is inactivated
14. In electrophoresis of serum proteins - arifacts at the application point are most frequently caused by...
270
LDH
1 micromole per minute
dirty applicators
15. A patient is admitted to the emergency room in a state of metabolic alkalosis.This would be consistent with this diagnosis?
metabolic acidosis
WITHOUT a disease with a negative test
serum cortisol > 15
high co2 and hco3
16. A carbonate salt used to control manic-depressive disorders is...
brain
hyperventilation
lithium
acute hepatitis
17. The enzyme present in almost all tissues that may be separated by electrophoresis into five components is...
LDH
occult blood
tissue and serum levels need to reach equilibrium
pH = pKa + log (salt/acid)
18. Technical problems encountered during the collection of an amniotic fluid specimen caused doubt as to whether the specimen was amniotic in origin. This procedure would establish that the fluid is amniotic in origin
Wilson's disease
primidone
urobilin
creatinine
19. Which two conditions can "physiologically" elevate serum alkaline phosphatase?
growth - third trimester of pregnancy
acid phosphatase
carbohydrate hyperalimentation
chloride
20. 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...
bicarbonate buffer
Tay-sachs
respiratory acidosis
porphobilinogen screen
21. Gas chromatography with the nitrogen/phosphorus detector is the most commonly used technique for the analysis of...
cyclic antidepressants
run a new set of controls
triglycerides
exchange of amino and keto groups
22. The most widely employed screening technique for drug abuse is...
creatinine
there is an absence of correlation
TLC
parathyroid hormone
23. The most specific enzyme test for acute pancreatitis is...
triglycerides
pH = pKa + log (salt/acid)
enzyme induction
lipase
24. Fluctuation of the needle on a coulometric type titrator is most probably due to...
GGT
peptide bonds
dirty electrodes
act as carriers for ions
25. The reason carbon monoxide is so toxic is because it...
porphobilinogen synthetase
mg/ml
inclusion of smokers and nonsmokers in the study population
200x affinity for oxygen
26. Lithium therapy is widely used in the treatment of...
manic-depression
270
pH pCO2 pO2
placenta
27. 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...
increased O2 decreased HCO3
CO2 and pH elevated
A1
oxalacetate to malate
28. Patients with Cushing's syndrome exhibit...
TLC
para-hydroxylphenyl...
BUN increased
serum cortisol > 15
29. 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
beta
albumin
M subunit is inactivated
30. The normal concentration of proteins in cerebrospinal fluid - relative to serum protein - is...
bilirubin
bicarbonate carbonic acid
<1%
5mg higher
31. The regulation of calcium and phosphorus metabolism is accomplished by which gland?
BUN increased
hyperventilation
parathyroid
9
32. If the correlation coefficient (r) of two variables is zero...
mg/ml
there is an absence of correlation
spun separated iced and tested immediately
biuret
33. To ensure an accurate ammonia level result - the specimen should be...
spun separated iced and tested immediately
5
boderline results test should be repeated
metabolic acidosis
34. The unit of measure for a standard solution is...
valine leucine isoleucine
improving state of metabolic control (as indicated by fructosamine)
mg/ml
show a decrease in glycosylated hgb
35. Characteristic of the Bence Jones protein that is used to distinguish it from other urinary proteins is its solubility...
changes in the fuel
@ 100
chemical ionization matrix
glucose tolerance test
36. A serum potassium is 19.5 mg/100 mL. This value is equal to how many mEq/L (MW of K = 39)?
C3 complement
show a decrease in glycosylated hgb
pH pCO2 pO2
5
37. 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...
40-50
creatine kinase
plasma bicarbonate
120 minutes
38. A reciprocal relationship exists between...
benzoylecogine
Calcium - phosphorus
ceruplasmin
is quantitated by the amount of light produced
39. The Porter-Silber method (phenylhydrazine in alcohol and sulfuric acid) involves which part of the steroid molecule?
adding an acid stabilizer
1.9
dihydroxyacetone side chain
HCT
40. An emphysema patient suffering from fluid accumulation in the alveolar spaves is likely to be in what metabolic state?
specificity
growth - third trimester of pregnancy
respiratory ACIDOSIS
CK
41. A common cause of a falsely increased LD1 fraction of lactic dehydrogenase is...
M subunit is inactivated
freezing point
emphysema
hemolysis
42. Bile acid concentrations are useful to assess...
the same as plasma glucose
no decrease in serum growth hormone after 90 minutes
hepatobiliary (obstruction?)
turn off
43. As part of a hyperlipidemia screening program - the following results were obtained on a 25 year old woman 6 hours after eating:Triglycerides = 260 mg/dLCholesterol = 120 mg/dL - This is the BEST interpretation of these results?
LDH
B12 deficiency
100 nmol
cholesterol normal triglycerides elevated
44. Unless blood gas measurements are made immediately after sampling - in vitro glycolysis of the blood causes a...
porphyrin and porphobilinogen screen
minimize the effects of interference
fall in pH - rise in pCO2
a small concentration of APO-B containing lipoproteins after precipitation
45. Blood received in the laboratory for blood gas analysis must meet these requirements
no ice clots bubbles
adding an acid stabilizer
agarose
32
46. Beriberi is associated with deficiency of...
200x affinity for oxygen
chloride
thiamine
brain
47. Most drugs and intracellular metabolites measured by radioimmunoassay have molecular weights between 200 and 1000 and can be made immunogenic by...
adding an acid stabilizer
amytriptyline 104
attaching them to protein molecules
glucose oxidase
48. 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?
CO2 and pH elevated
volumetric flask
200x affinity for oxygen
band width
49. Clinical assays for tumor markers are the most important for...
spun separated iced and tested immediately
monitoring the course of a known cancer
LDL
chylomicrons VLDL
50. This elevates carboxyhemoglobin?
100nmol
exposure to CO
urobilin
urinary free cortisol
Sorry!:) No result found.
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