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Chemistry Certification
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Subject
:
certifications
Instructions:
Answer 50 questions in 15 minutes.
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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. A breakdown product of hemoglobin is...
patient noncompliance
benzoylecogine
bilirubin
sodium potassium chloride CO2
2. Most automated blood gas analyzers directly measure...
pH pCO2 pO2
HDL
B12 deficiency
viral hepatitis
3. The most important buffer pair in plasma is the...
prostate
bicarbonate carbonic acid
methadone
porphobilinigen SCREEN
4. The TRH (thyrotropin-releasing hormone) stimulation test is useful in assessing...
CO2 and pH elevated
hyperthyroidism
urobilin
@ 100
5. TSH is produced by the...
pituitary
parathyroid
aldolase
specificity
6. This calcium procedure utilizes lanthanum chloride to emliminate iterfering substances
100nmol
atomic absorption
lithium
can be separated into distinct phenotypes
7. A patient with myeloproliferative disorder has the following values: Hgb = 13 g/dL Hct = 38% WBC = 30 x 10^3/uL Platelets = 1000 x 10^3/uL Serum Na+ = 140 mEq/L Serum K+ = 7 mEq/L The serum K+ should be confirmed by...
atomic absorption
testing heparinized plasma
one micromole/minute
NADH
8. The general types of interference in atomic absorption spectrophotometry...
digoxin
2-log(T)
D
chemical ionization matrix
9. A potassium level of 6.8 mEq/L is obtained. Before reporting the results - the first step the technologist should take is to...
thymolpthalein monophosphate
check serum for hemolysis
hyperthyroidism
correct for variations in light intensity
10. A condition in which erythrocyte protoporphyrin is increased is...
bilirubindiglucuronide
measures one ion more than others
iron deficiency anemia
g/MW
11. The definitive diagnosis of primary adrenal insufficiency requires demonstration of...
crigler
properties of the membrane
B12 deficiency
impaired response to ACTH stimulation
12. The protein portion of an enzyme complex is called the...
apoenzyme
intestinal malabsorption
monitoring the course of a known cancer
increased vasoconstriction
13. Bioavailability of a drug refers to the...
heparin
fraction absorbed into systemic circulation
quantitation of label
improving state of metabolic control (as indicated by fructosamine)
14. The method of choice for diagnosis of a protracted attack of porphyria is...
HPLC analysis of porpobilinogen on 24hr urine
intestinal malabsorption
pH pCO2 pO2
g/MW
15. A serum potassium is 19.5 mg/100 mL. This value is equal to how many mEq/L (MW of K = 39)?
5
show a decrease in glycosylated hgb
para-hydroxylphenyl...
the same as plasma glucose
16. In monitoring glomerular function - this test has the highest sensitivity
creatinine clearance
amylase and lipase
run a new set of controls
is quantitated by the amount of light produced
17. The osmolal gap is defined as measured Osm/kg minus the calculated Osm/kg. The average osmolal gap is near...
multiplied by 4
increased O2 decreased HCO3
atomic absorption
0
18. Before unconjugated bilirubin can react with Ehrlich's diazo reagent - this must be added
maintain colloidal osmotic pressure
serum cortisol > 15
methyl alcohol
CO2
19. The hemoglobin that is resistant to alkali (KOH) denaturation is...
alkaline picrate
5mg higher
F
g/MW
20. Ninety percent of the copper present in plasma is bound to...
270
TSH
pO2 increased HCO3 decreased
ceruplasmin
21. This chemical determination may be of help in establishing the presence of seminal fluid
pilocarpine
turn off
creatine kinase
acid phosphatase
22. A patient is admitted to the emergency room in a state of metabolic alkalosis.This would be consistent with this diagnosis?
volumetric flask
high co2 and hco3
porphobilinigen SCREEN
quantitation of label
23. One international unit of enzyme activity is the amount of enzyme that - under specified reaction conditions of substrate concentration - pH - and temperature - causes utilization of substrate at the rate of...
immunofixation
properties of the membrane
1 micromole per minute
boderline results test should be repeated
24. A spectrophotometer is being considered for purchase by a small laboratory. This specification reflects the spectral purity of the instrument
creatinine
oxalacetate to malate
band width
bilirubindiglucuronide
25. The anion gap is useful for quality control of laboratory results for...
5 tri 15 cholesterol 50 protein
sodium potassium chloride CO2
mg/ml
enzyme induction
26. 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...
MI
TSH
aldolase
check serum for hemolysis
27. 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...
digoxin
nephelometry
urobilin
120 minutes
28. What substance gives feces its normal color?
5 tri 15 cholesterol 50 protein
5
fall in pH - rise in pCO2
urobilin
29. A patient with glomerulonephritis would present the following serum results...
MI
270
normal - liver breakdown
BUN increased
30. The most heat labile fraction of alkaline phosphatase is obtained from...
100 nmol
potassium dichromate in SA
the fetus is at risk for respiratory distress
bone
31. Quantitation of NA+ and K+ by ion-selective electrode is more rapid than flame photometry because...
CO2 and pH elevated
high carbohydrate diet for 3 days
whole blood can be used
act as carriers for ions
32. 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
whole blood can be used
creatinine
tissue and serum levels need to reach equilibrium
transferrin
33. A carbonate salt used to control manic-depressive disorders is...
low pH
lithium
accuracy
impaired response to ACTH stimulation
34. In spectrophotometric determination - this is the formula for calculating the absorbance of a solution
scattered at a right angle
hepatobiliary (obstruction?)
absorptivity x light path x concentration
prostate
35. 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
run a new set of controls
parathyroid hormone
chylomicrons VLDL
peroxidase-like activity of hemoglobin
36. A sweat chloride result of 55 mEq/L and a sweat sodium of 52 mEq/L were obtained ona patient who has a history of respiratory problems. The bestc interpretation of these results is...
boderline results test should be repeated
catalyze redox reactions
M subunit is inactivated
volumetric flask
37. Acidosis and alkalosis are best defined as fluctuations in blood pH and CO2 content due to changes in...
potassium dichromate in SA
bicarbonate buffer
check serum for hemolysis
pCO2
38. The concentration of serum carotene is affected MOST by...
analyzed immediately
Solute moves half the distance of the solvent front
diet
absorptivity x light path x concentration
39. 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
run a new set of controls
para-hydroxylphenyl...
measures one ion more than others
90%
40. This electrolyte is the chief plasma cation whose main function is maintaining osmotic pressure
cholesterol normal triglycerides elevated
sodium
benzoylecogine
MI
41. In an internal standard flame photometer - the internal standard is used to...
benzoylecogine
90%
100 nmol
correct for variations in flame and atomizer
42. Respiratory acidosis is described as a(n): ______ increase in CO2 decrease in pH
glycerol
200x affinity for oxygen
properties of the membrane
specimen exposure to light
43. 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...
sharp fibrinogen peak
methyl alcohol
occult blood
low pH
44. 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...
respiratory acidosis
remove excess unbound iron
cysteine
effluent line is obstructed
45. One international unit of enzyme activity is the amount of enzyme that - under specified reaction conditions of substrate concentration - pH - and temperature - causes utilization of substrate at the rate of...
manic-depression
thiamine
one micromole/minute
bilirubindiglucuronide
46. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) are both elevated in this disease
viral hepatitis
catalyze redox reactions
<1%
turn off
47. Hydrogen ion concentration (pH) in blood is usually determined by means of these electrodes?
electric current
glass
benzoylecogine
methadone
48. A critically ill patient becomes comatose. The physician believes the coma is due to hepatic failure. The assay most helpful in this diagnosis is...
128
TLC
ammonia
have a negative charge
49. The chemical composition of HDL- cholesterol corresponds to...
valine leucine isoleucine
thiamine
albumin
5 tri 15 cholesterol 50 protein
50. Creatinine clearance is used to estimate the...
GFR
hemolysis
120 minutes
creatinine
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