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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 68-year-old man arrives in the emergency room with a glucose level of 722 mg/dL and serum acetone of 4+ undiluted. An arterial blood gas from this patient is likely to indicate...
9
catalyze redox reactions
21-hydroxylase deficiency
low pH
2. The Porter-Silber method (phenylhydrazine in alcohol and sulfuric acid) involves which part of the steroid molecule?
nondiagnostic for MS
WITHOUT a disease with a negative test
dihydroxyacetone side chain
A1
3. The concentration of serum carotene is affected MOST by...
diet
potassium dichromate in SA
without a disease with a negative test result
correct for variations in flame and atomizer
4. In electrophoresis of serum proteins - arifacts at the application point are most frequently caused by...
CO2
dirty applicators
biuret
urobilin
5. When separating serum proteins by cellulose acetate electrophoresis using veronal buffer at pH 8.6 - beta globulin migrates...
can be separated into distinct phenotypes
albumin
faster than gamma
lead
6. In monitoring glomerular function - this test has the highest sensitivity
para-hydroxylphenyl...
creatinine clearance
fall in pH - rise in pCO2
ALP with fresh draw
7. The TRH (thyrotropin-releasing hormone) stimulation test is useful in assessing...
hyperthyroidism
correct for variations in light intensity
270
CO2 and pH elevated
8. The most widely used support medium for electrophoretic separation of lipoproteins is...
no decrease in serum growth hormone after 90 minutes
acute intermittent porphyria
B12 deficiency
agarose
9. Ninety percent of the copper present in plasma is bound to...
carbs
atomic absorption
2-log(T)
ceruplasmin
10. A blood creatinine value of 5.0 mg/dL is most likely to be found with this blood value?
one micromole/minute
faster than gamma
is quantitated by the amount of light produced
BUN 80
11. In respiratory acidosis - a compensatory mechanism is the increase in...
128
intestinal malabsorption
methadone
plasma bicarbonate
12. An acid cleaning solution for glassware consists of...
lead
potassium dichromate in SA
viral hepatitis
5
13. 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...
porphobilinigen SCREEN
phenytoin
amytriptyline 104
purulent
14. The relative migration rate of proteins on cellulose acetate is based on...
dirty applicators
creatinine
ionic charge
TSH
15. The most specific enzyme test for acute pancreatitis is...
creatine kinase
5mg higher
cyclic antidepressants
lipase
16. A pH of 7.0 represents a H+ concentration of...
lactic acidosis
<45
100 nmol
growth - third trimester of pregnancy
17. Blood specimens for digoxin assays should be obtained between 8 hours or more after drug administration because...
HCT
a small concentration of APO-B containing lipoproteins after precipitation
tissue and serum levels need to reach equilibrium
incorrect aqueous to nonaqueous mixture
18. These enzymes of heme biosynthesis are inhibited by lead
1.1
alpha 2 beta
porphobilinogen synthetase
high co2 and hco3
19. To ensure an accurate ammonia level result - the specimen should be...
atomic absorption
270
spun separated iced and tested immediately
potassium dichromate in SA
20. Most chemical methods for determining total protein utilize this reaction?
boderline results test should be repeated
growth - third trimester of pregnancy
turn off
biuret
21. 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...
GFR
fetal and placenta function
1 mol/kg
incorrect aqueous to nonaqueous mixture
22. A test request slip indicates that an acute porphyric attack is suspected clinically. Analysis should include...
potassium dichromate in SA
accuracy
porphobilinigen SCREEN
manic-depression
23. The first step in analyzing a 24-hour urine specimen for quantitative urine protein is...
measure the total volume
respiratory ACIDOSIS
boderline results test should be repeated
O2
24. A critically ill patient becomes comatose. The physician believes the coma is due to hepatic failure. The assay most helpful in this diagnosis is...
parathyroid hormone
peptide bonds
MI
ammonia
25. A 45-year-old woman complains of fatigue - heat intolerance - and hair loss. Serum thyroxine and 125I-T3 resin uptake are abnormally low. What test would confirm that this is a pituitary deficiency?
porphobilinogen screen
TSH
parathyroid hormone
dirty applicators
26. Bile acid concentrations are useful to assess...
hepatobiliary (obstruction?)
BUN 80
atomic absorption
lower than in adults
27. The regulation of calcium and phosphorus metabolism is accomplished by which gland?
100 nmol
breast cancer
parathyroid
properties of the membrane
28. A breakdown product of hemoglobin is...
<1%
iron deficiency anemia
standard
bilirubin
29. Thiis serum protein fraction is most likely to be elevated in patients with nephrotic syndrome?
65
B12 deficiency
alpha 2 beta
check serum for hemolysis
30. The enzyme present in almost all tissues that may be separated by electrophoresis into five components is...
LDH
bicarbonate buffer
hyperthyroidism
acute hepatitis
31. This steroid is an adrenal cortical hormone
impaired response to ACTH stimulation
metabolic acidosis
agarose
corticosterone
32. 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...
32
creatine kinase
Wilson's disease
thyroxine
33. The anticonvulsant used to control tonic-clonic (grand mal) seizures is...
hyperthyroidism
phenytoin
amytriptyline 104
standard
34. In the liver - bilirubin is converted to...
cancel test
bilirubindiglucuronide
pituitary
Mg
35. In the sweat test - the sweating stimulant is introduced to the skin by application of...
1.9
dirty electrodes
electric current
atomic absorption
36. Analysis of erythrocytes for uroporphyrinogen I synthetase detects...
freezing point
endosmosis
acute intermittent porphyria
can be used for absorbtion - partition - ion exchange - and gel permeation chromatography
37. Diagnostic specificity is defined as the percentage of individuals...
occult blood
diet
without a disease with a negative test result
CK-MB
38. In thin layer chromatography - the Rf value for a compound is given by the...
ratio of distance moved by solvent to distance moved by compound
nephelometry
immunofixation
chylomicrons
39. In the Jaffe reaction - creatine reacts with...
alkaline picrate
monitoring the course of a known cancer
changes in the fuel
SD over mean
40. 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?
270
boderline results test should be repeated
lead
C
41. This calcium procedure utilizes lanthanum chloride to emliminate iterfering substances
atomic absorption
manic-depression
O2
wavelength
42. Serum haptoglobin...
prevent phosphate interference
there is an absence of correlation
can be separated into distinct phenotypes
dirty electrodes
43. Which percentage of total serum calcium is nondiffusible protein bound?
40-50
90%
oxalacetate to malate
dirty applicators
44. The chemical composition of HDL- cholesterol corresponds to...
lower than in adults
viral hepatitis
5 tri 15 cholesterol 50 protein
amytriptyline 104
45. 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...
plasma bicarbonate
ratio of distance moved by solvent to distance moved by compound
standard
LDL
46. This would be an example of a glucose-specific colorimetric method
obstructive jaundice
200
40-50
glucose oxidase
47. The presence of this isoenzymes indicates acute myocardial damage
glucose
parathyroid
CK-MB
BUN increased
48. Rickets is associated with deficiency of...
standard
D
no decrease in serum growth hormone after 90 minutes
urobilin
49. 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...
plasma bicarbonate
catalyze redox reactions
2Na + glucose over 20 + BUN over 3
120 minutes
50. The unit of measure for a standard solution is...
glycerol
mg/ml
120 minutes
4.5
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