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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 patient with type I insulin-dependent diabetes mellitus has the following results: Fasting blood glucose: 150 mg/dL (70-110 rng/dL) Hemoglobin A1c: 25% (6.0%-19.5%) Fructosamine: 3.0 mmol/L ( 2.0-5.3 mmol/L)
benzoylecogine
measure the total volume
improving state of metabolic control (as indicated by fructosamine)
alkaline picrate
2. 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
enzyme immunoassay
4.5
draw blood for glucose and discontinue test
3. This enzymes catalyzes the conversion of starch to glucose and maltose
peroxidase-like activity of hemoglobin
amylase
the same as plasma glucose
quantitation of label
4. Serum anion gap is increased in patients with...
pH = pKa + log (salt/acid)
ionic charge
<1%
lactic acidosis
5. Which percentage of total serum calcium is nondiffusible protein bound?
enzyme immunoassay
40-50
analyzed immediately
thymolpthalein monophosphate
6. Most drugs and intracellular metabolites measured by radioimmunoassay have molecular weights between 200 and 1000 and can be made immunogenic by...
hemolysis
attaching them to protein molecules
2Na + glucose over 20 + BUN over 3
the fetus is at risk for respiratory distress
7. A spectrophotometer is being considered for purchase by a small laboratory. This specification reflects the spectral purity of the instrument
the fetus is at risk for respiratory distress
spun separated iced and tested immediately
carbs
band width
8. The protein portion of an enzyme complex is called the...
enzyme induction
elevated lactic acid - elevated pyruvate
parathyroid
apoenzyme
9. A person suspected of having metabolic alkalosis would have these laboratory findings
pilocarpine
B12 deficiency
incorrect aqueous to nonaqueous mixture
CO2 and pH elevated
10. This serum protein migrates with the beta-globulins on cellulose acetate at pH 8.6...
dihydroxyacetone side chain
C3 complement
fresh morning urine for delta-aminolevulinic acid
acute intermittent porphyria
11. Zinc protoporphyrin or free erythrocyte protoporphyrin measurements are useful to assess blood concentrations of...
lead
270
crigler
correct for variations in flame and atomizer
12. An emphysema patient suffering from fluid accumulation in the alveolar spaves is likely to be in what metabolic state?
respiratory ACIDOSIS
2Na + glucose over 20 + BUN over 3
100 nmol
oxalacetate to malate
13. The following laboratory results were obtained: Serum Calcium: Increased - Urine Calcium: Increased - Serum Phosphate: Decreased - Urine Phosphate: Increased Serum Alkaline Phosphatase: Normal or Increased These results are most compatible with...
200
creatinine
exchange of amino and keto groups
primary hyperparathyroidism
14. The enzyme present in almost all tissues that may be separated by electrophoresis into five components is...
pilocarpine
quantitation of label
inhibitor binds to enzyme at same site as substrate
LDH
15. The identification of Bence Jones protein is best accomplished by...
properties of the membrane
Solute moves half the distance of the solvent front
TSH
immunofixation
16. 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...
testing heparinized plasma
respiratory acidosis
serum cortisol > 15
obstructive jaundice
17. Characteristic of the Bence Jones protein that is used to distinguish it from other urinary proteins is its solubility...
@ 100
high carbohydrate diet for 3 days
amylase
endogenous triglycerides
18. 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?
turn off
TSH
F
endosmosis
19. Respiratory acidosis is described as a(n): ______ increase in CO2 decrease in pH
porphyrin and porphobilinogen screen
glycerol
5
hyperventilation
20. An electrophoretic separation of lactate dehydrogenase isoenzymes that demonstrates an elevation in LD-l and LD-2 in a "flipped" pattern is consistent with...
MI
C3 complement
boderline results test should be repeated
D
21. Regan isoenzyme has the same properties as alkaline phosphatase that originates in the...
improving state of metabolic control (as indicated by fructosamine)
placenta
peptide bonds
TSH
22. A potassium level of 6.8 mEq/L is obtained. Before reporting the results - the first step the technologist should take is to...
check serum for hemolysis
electric current
270
thiamine
23. The major fraction of organic iodine in the circulation is in the form of...
thyroxine
lead
beta
creatine kinase
24. 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...
pH = pKa + log (salt/acid)
LDH
Mg
digoxin
25. The extent to which measurements agree with or approach the true value of the quantity being measured is referred to as...
accuracy
acute intermittent porphyria
improving state of metabolic control (as indicated by fructosamine)
pH = pKa + log (salt/acid)
26. Serum concentrations of vitamin B12 are elevated in...
1.9
Solute moves half the distance of the solvent front
CML
attaching them to protein molecules
27. In the atomic absorption method for calcium - lanthanum is used...
prevent phosphate interference
porphobilinogen screen
fraction absorbed into systemic circulation
potassium dichromate in SA
28. The following results were obtained in a creatinine clearance evaluation: Urine concentration 84 mg/dL Urine volume 1440 mL/24 hr Serum concentration 1.4 mg/dL Body surface area 1.60 m2 (average = 1.73 m2) The creatinine cle~trance in mL/min is...
correct for variations in light intensity
oxalacetate to malate
sharp fibrinogen peak
65
29. An automated CK assay gives a reading that is above the limits of linearity. A dilution of the serum sample is made by adding 1 mL of serum to 9 mL of water. The instrument now rew 350 U/L. The correct report on the undiluted serum should be...
there is an absence of correlation
3500
5
ionization of carboxyl groups (yielding a net negative charge)
30. In the liver - bilirubin is converted to...
4.5
bilirubindiglucuronide
65
freezing point
31. This wavelengths is within the ultraviolet rang.
pilocarpine
340
enzyme induction
normal - liver breakdown
32. 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
chylomicrons VLDL
ionization of carboxyl groups (yielding a net negative charge)
D
normal - liver breakdown
33. The definitive diagnosis of primary adrenal insufficiency requires demonstration of...
TSH
exposure to CO
whole blood can be used
impaired response to ACTH stimulation
34. Measurement of total T4 by competitive protein binding or displacement is based on the specific binding properties of...
dirty applicators
thyroxine binding globulin
tissue and serum levels need to reach equilibrium
specimen exposure to light
35. 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...
incorrect aqueous to nonaqueous mixture
porphyrin and porphobilinogen screen
pO2 increased HCO3 decreased
sample exposed to light
36. The main reason for suboptimal drug levels in therapeutic drug monitoring is...
digoxin
patient noncompliance
LDL
NADH
37. 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...
B12 deficiency
normal - liver breakdown
atomic absorption
acute hepatitis
38. The chemical composition of HDL- cholesterol corresponds to...
5 tri 15 cholesterol 50 protein
Wilson's disease
accuracy
SD over mean
39. Pregnant women with symptoms of thirst - frequent urination - or unexplained weight loss should have this test performed?
is quantitated by the amount of light produced
glucose tolerance test
ratio of distance moved by solvent to distance moved by compound
changes in the fuel
40. Magnesium carbonate is added in an iron binding capacity determination in order to...
parathyroid
remove excess unbound iron
manic-depression
4.5
41. This method offers the greatest sensitivity for HBsAg testing
endosmosis
C
90%
enzyme immunoassay
42. The primary function of serum albumin in the peripheral blood is to...
lead
maintain colloidal osmotic pressure
TLC
glucose tolerance test
43. Aminotransferase enzymes catalyze the...
ALP with fresh draw
methyl alcohol
120 minutes
exchange of amino and keto groups
44. The expected blood gas results for a patient in chronic renal failure would match the pattern of...
absorptivity x light path x concentration
methyl alcohol
metabolic acidosis
corticosterone
45. Alkaline phosphatase Slight increase - Aminotransferase Marked increase - Aspartate aminotransferase Marked increase - Alanine gamma-glutamyl transferase Slight increase
2-log(T)
can be separated into distinct phenotypes
128
acute hepatitis
46. Enzymes used in the diagnosis of acute pancreatitis?
dihydroxyacetone side chain
LDL
measurement of absorbance at 450
amylase and lipase
47. 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
respiratory ACIDOSIS
porphobilinigen SCREEN
chloride
creatinine
48. 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...
obstructive jaundice
dirty applicators
CK
LDL
49. The formula for calculating the amount of moles of a chemical?
100 nmol
urobilin
act as carriers for ions
g/MW
50. High levels of which lipoprotein class are associated with decreased risk of accelerated atherosclerosis?
LDH
TLC
acute hepatitis
HDL