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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. A pH of 7.0 represents a H+ concentration of...
turn off
didymium filter
100 nmol
B12 deficiency
2. A patient has signs and symptoms suggestive of acromegaly. The diagnosis would be confirmed if the patient had...
CK
3500
no decrease in serum growth hormone after 90 minutes
chloride
3. A serum sample was assayed for bilirubin at 10 AM and the result was 12 mg/dL. The same sample was retested at 3 PM. The result now is 8 mg/dL. The most likely explanation for this discrepancy is...
a small concentration of APO-B containing lipoproteins after precipitation
bilirubindiglucuronide
ALP with fresh draw
sample exposed to light
4. This serum constituent is unstable if a blood specimen is left standing at room temperature for 8 hours before processing
5 tri 15 cholesterol 50 protein
incorrect aqueous to nonaqueous mixture
act as carriers for ions
glucose
5. This is a regulatory hormone.
parathyroid hormone
chemical ionization matrix
pH pCO2 pO2
methyl alcohol
6. Given the following values:100;120;150;140;130;What is the mean?
128
lead
HPLC analysis of porpobilinogen on 24hr urine
faster than gamma
7. Given the following results: Alkaline phosphatase Marked increase Aminotransferase Slight increase Aspartate aminotransferase Slight increase Alanine gamma-glutamyl transferase Marked increase This is most consistent with...
bicarbonate buffer
obstructive jaundice
quantitation of label
WITHOUT a disease with a negative test
8. The stimulant that causes localized sweating for the sweat test is...
128
didymium filter
improving state of metabolic control (as indicated by fructosamine)
pilocarpine
9. In the atomic absorption method for calcium - lanthanum is used...
chloride
prevent phosphate interference
nephelometry
porphobilinigen SCREEN
10. 4 mL of water is added to 1 mL of serum. This represents this serum dilutions
Prolactin
bicarbonate carbonic acid
1:5
cmpds based on molecular weight and size
11. 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?
volumetric flask
have a negative charge
phenytoin
5
12. At a pH of 8.6 the gamma globulins move toward the cathode - despite the fact that they are negatively charged. What is this phenomenon called?
endosmosis
changes in the fuel
hepatobiliary (obstruction?)
1:5
13. The test for adrenal cortical hyperfunction that has the greatest diagnostic sensitivity is measurement of...
urinary free cortisol
glucose
exchange of amino and keto groups
creatinine clearance
14. 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...
normal - liver breakdown
bilirubindiglucuronide
porphobilinogen synthetase
phenytoin
15. Sixty to seventy-five percent of the plasma cholesterol is transported by...
LDL
conjugated hyperbilirubinemia - hepatocellular obstruction
transferrin
32
16. This hemoglobin has glucose-6-phosphate on the amino-terminal valine of the beta chain?
Hb S
alpha 2 beta
A1c
prisms and grating
17. Certain enzymes are activated to metabolize drugs as a result of another drug action. This is referred to as...
lead
enzyme induction
2Na + glucose over 20 + BUN over 3
manic-depression
18. A common cause of respiratory alkalosis is...
hyperventilation
BUN 80
enzyme immunoassay
run a new set of controls
19. In an internal standard flame photometer - the internal standard is used to...
correct for variations in flame and atomizer
GLC
pH pCO2 pO2
<1%
20. 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?
placenta
hemolysis
Hb S
lead
21. The method of choice for diagnosis of a protracted attack of porphyria is...
HPLC analysis of porpobilinogen on 24hr urine
pituitary
growth - third trimester of pregnancy
diet
22. An emphysema patient suffering from fluid accumulation in the alveolar spaves is likely to be in what metabolic state?
200
respiratory ACIDOSIS
128
<45
23. A cardiac glycoside that is used in the treatment of congenital heart failure and arrhythmias by increasing the force and velocity of myocardial contraction is...
BUN 80
prevent phosphate interference
digoxin
fraction absorbed into systemic circulation
24. Bromcresol purple at a pH of 5.2 is used in a colorimetric method to measure...
sodium potassium chloride CO2
specificity
methadone
albumin
25. Lasting serum phosphate concentration is controlled primarily by the...
fraction absorbed into systemic circulation
parathyroid
can be separated into distinct phenotypes
<45
26. In competitive inhibition of an enzyme reaction the...
inhibitor binds to enzyme at same site as substrate
2Na + glucose over 20 + BUN over 3
creatinine
increased vasoconstriction
27. The different water content of erythrocytes and plasma makes true glucose concentrations in whole blood a function of the...
CML
cyclic antidepressants
HCT
TSH
28. Amino acid associated with a sulfhydryl group
run a new set of controls
cysteine
incorrect aqueous to nonaqueous mixture
brain
29. The presence of this isoenzymes indicates acute myocardial damage
breast cancer
CK-MB
TLC
bilirubin
30. A condition in which erythrocyte protoporphyrin is increased is...
pituitary
TSH
phenytoin
iron deficiency anemia
31. Calcium concentration in the serum is regulated by...
porphobilinogen synthetase
lactic acidosis
parathyroid hormone
crigler
32. 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
glucose tolerance test
freezing point
properties of the membrane
33. This chemical determination may be of help in establishing the presence of seminal fluid
acid phosphatase
1:5
measures one ion more than others
measurement of absorbance at 450
34. 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
elevated lactic acid - elevated pyruvate
catalyze redox reactions
<45
glycerol
35. In automated methods utilizing a bichromatic analyzer - dual wavelengths are employed to...
20:1
testing heparinized plasma
minimize the effects of interference
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
36. Blood received in the laboratory for blood gas analysis must meet these requirements
iron hemochromatosis
creatinine
BUN 80
no ice clots bubbles
37. Measurement of total T4 by competitive protein binding or displacement is based on the specific binding properties of...
bicarbonate buffer
thyroxine binding globulin
5
Temperature is a function of the number of particles in solution
38. The reason carbon monoxide is so toxic is because it...
200x affinity for oxygen
chylomicrons VLDL
cysteine
apoenzyme
39. The main reason for suboptimal drug levels in therapeutic drug monitoring is...
patient noncompliance
quantitation of label
21-hydroxylase deficiency
specimen exposure to light
40. A new method is being evaluated. A recovery experiment is performed with the following results: 0.9 mL serum sample + 0.1 mL H20 = 89 mEq/L 0.9 mL serum sample + 0.1 mL analyte std. @ 800 mEq/L = 161 mEq/L The percent recovery of the added analyt
90%
CML
electric current
HCT
41. Diagnostic specificity is defined as the percentage of individuals...
WITHOUT a disease with a negative test
normal - liver breakdown
correct for variations in light intensity
120 minutes
42. Specimens for blood gas determination should be drawn into a syringe containing...
normal - liver breakdown
heparin
32
respiratory ACIDOSIS
43. Cocaine is metabolized to...
ALP with fresh draw
GLC
benzoylecogine
HPLC analysis of porpobilinogen on 24hr urine
44. Kernicterus is an abnormal accumulation of bilirubin in...
atomic absorption
brain
volumetric flask
0
45. The most consistent analytical error involved in the routine determination of HDLcholesterol is caused by...
glycerol
a small concentration of APO-B containing lipoproteins after precipitation
enzyme immunoassay
no ice clots bubbles
46. 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...
nephelometry
Mg
scattered at a right angle
increased O2 decreased HCO3
47. Before unconjugated bilirubin can react with Ehrlich's diazo reagent - this must be added
g/MW
methyl alcohol
fresh morning urine for delta-aminolevulinic acid
high co2 and hco3
48. Serum and urine copper levels are assayed on a hospital patient with the following results: Patient Serum Cu: 58 ug/dL; Reference Value:70-140 ug/dL Patient Urine Cu: 83 ug/dL ; Reference Value: < 40 ug/dL This is most consistent with...
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on line
183
49. Total iron-binding capacity measures the serum iron transporting capacity of...
transferrin
enzyme induction
scattered at a right angle
CK-MB
50. 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.
binding capacity of thyroxine-binding globulin
brain
591
bilirubindiglucuronide