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Practice Test CC

This document contains 45 multiple choice questions related to clinical chemistry. The questions cover topics such as: methods for measuring albumin, interpretation of Westgard multirule quality control parameters, definitions of accuracy and reproducibility, drugs that are antidepressants, substances increased in nephrotic syndrome, collection of arterialized capillary blood, markers for Down syndrome, causes of true hyperkalemia, and old names for liver enzymes. The correct answers to each question are not provided.

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0% found this document useful (0 votes)
147 views3 pages

Practice Test CC

This document contains 45 multiple choice questions related to clinical chemistry. The questions cover topics such as: methods for measuring albumin, interpretation of Westgard multirule quality control parameters, definitions of accuracy and reproducibility, drugs that are antidepressants, substances increased in nephrotic syndrome, collection of arterialized capillary blood, markers for Down syndrome, causes of true hyperkalemia, and old names for liver enzymes. The correct answers to each question are not provided.

Uploaded by

Dee Gee
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Transcribed

By

GEN CAMATO

CLINICAL CHEMISTRY
SEMINAR 2

1.

Bromcresols green is a common method measuring:


a. Albumin
b. Triglyceride
c. Chloride
d. Uric acid

2.

In Westgard multirule, what is the meaning of R4s?


a. The control values exceed 4s due to
systematic errors
b. The control values exceed 4s due to random
errors
c. The difference between upper and lower limits
exceeds 4s due to random errors
d. The difference between upper and lower limits
exceeds 4s due to systematic errors

3.

4.

5.

It is define as the closeness of agreements:


a. Reliability
b. Specificity
c. Reproducibility
d. Accuracy
The following are associated with increased serum uric
acid, except:
a. Leukemia
b. Tophi
c. Lymphoma
d. Cirrhosis
Which
of
the
following
drugs
antidepressant/s?
1) Quinidine 2) Gabapentin 3) Lithium
4) Doxepin
a.
b.
c.
d.

is/are

This protein rises in cirrhosis resulting to beta-gamma


bridging pattern in serum electrophoresis
a. IgA
b. IgM
c. IgG
d. Fibrinogen

9.

This hormone is structurally similar to prolactin and its


main stimulus is long and deep sleep
a. ACTH
b. Thyrotropin
c. Oxytocin
d. Somatotropin

10.

Tophi are composed of:


a. Amorphous crystals
b. Calcium oxalate crystals
c. Monosodium urates crystals
d. Magnesium phosphate

11.

This NPN when increased in plasma is neuro toxic:


a. Creatinine
b. Urea
c. Ammonia
d. Uric acid

12.

A measure of the completeness of 24-hour urine


collection:
a. Glucose
b. Albumin
c. Urea
d. Creatinine

13.

The standard unit for expressing wavelength:


a. Ampere
b. Angstrom
c. Nanometer
d. Millicron

(an)

1 only
1, 2
3, 4
1, 2, 3, 4

6.

Which of the following substances is markedly increased


in the serum of nephrotic syndrome patients?
a. Albumin
b. Ceruloplasmin
c. Alpha-2 macroglobulin
d. Transferrin

14.

This abuse drug is used for the treatment of


narcolepsy:
a. Heroin
b. Cocaine
c. Amphetamine
d. Barbiturates

7.

Arterialized capillary blood is collected by:


a. Radial puncture
b. Venipuncture
c. Brachial puncture
d. Skin puncture

15.

Markers for Down syndrome:


1) HCG 2) AFP 3) Inhibin A 4) Estriol
a.
b.
c.
d.

8.

1,2,3
2,3,4
1,2,3,4
1,3,4

Transcribed By

GEN CAMATO

CLINICAL CHEMISTRY
SEMINAR 2

16.

In alcoholic hepatitis, which of the following is the


correct statement?
a. AST > ALT
b. ALT > AST
c. ALT > GGT
d. ALP > AST

24. Conversion factor for serum total protein from mg/dl


to mmol/L
a. 0.26
b. 10
c. 1
d. 17.1

17.

A shift in
a.
b.
c.
d.

25. Conversion factor used to get the mmol/value of uric


acid:
a. 0.026
b. 0.356
c. 0.059
d. 0.011

18.

Kernicterus is related to elevated serum level of which


analyte?
a. Indirect bilirubin
b. Serum cholesterol
c. AST
d. ALT

26. if serum
a.
b.
c.
d.

19.

This hormone is secreted during increased plasma


osmolality:
a. Oxytocin
b. Prolactin
c. Vasopressin
d. Aldosterone

27. The most heat-labile isoenzyme of ALP is found in this:


a. Intestinal
b. Bone
c. Liver
d. Placental

the mean value indicates an error concerning:


Accuracy
Precision
Specificity
Detection limit

28. This assay is a reflection of short-term glucose control:


a. RBS
b. Glycated albumin
c. FBS
d. Glycated hemoglobin

20. This ions usually not included in the computation of


anion gap due to negligible levels:
a. Sodium
b. Bicarbonate
c. Potassium
d. Chloride
21. It is also known as sodium-retention hormone:
a. Aldosterone
b. Serotonin
c. Epinephrine
d. Cortisol
22.

29. Use of reagents near expiration date may produce:


a. Shift, systematic error
b. Trend, systematic error
c. Shift, random error
d. Trend, random error
30. Most common cause of true hyperkalemia:
a. Pancreatitis
b. Acid-base imbalance
c. Overuse of diuretic drug
d. Renal failure

Which of the following methods is considered as the


most specific for measuring serum glucose?
a. Hexokinase
b. Modified Van Handel and Zilversmith
c. Glucose oxidase
d. Saifer Gernstenfield Method

31.
23.

Wackerham method is used for:


a. GGT
b. ALT
c. LDH
d. ACP

cholesterol is 225 mg/dl, it is interpreted as:


Decreased
Increased
Borderline
Desirable

It is a QC based-technique where the previous


laboratory results of a patient compared to current
laboratory results:
a. Quality patient care
b. Recovery experiment
c. Delta check
d. Point of care testing

Transcribed By

GEN CAMATO

CLINICAL CHEMISTRY
SEMINAR 2

32. Reagent
a.
b.
c.
d.

use for direct measurement of HDL:


Heparin manganese
Glycerol kinase
Diacethylmonixime
Alcoholic KOH + ether

39. In acute myocardial infarction, which of the following


parameters elevates first?
a. LDH
b. AST
c. ALT
d. CK-MB

33. Which of the following are systematic errors?


1) Poorly written procedures
2) Deteriorating reagents
3) Temperature fluctuation
4) Pipetting errors
a. 1,2
b. 2,3
c. 2,3,4
d. 1,23

40. First marker to elevate in case of acute myocardial


infarction:
a. Myoglobin
b. Troponin I
c. CK-MB
d. LDH
41.

34. Which of the following plots is the best for detecting all
types of quality control errors?
a. Cusum
b. Gaussian curve
c. Levy-Jennings
d. Youden

42. Blue-colored quadrant in the


identification symbol indicates:
a. Flammability
b. Stability Hazard
c. Special Information
d. Health Hazard

35. It is the ability of the analytical method to detect the


proportion of individuals with the disease and turn out
positive with the test:
a. Diagnostic sensitivity
b. Sensitivity
c. A and B
d. NOTA
36. Which of the following
hyperkalemia?
1) Chemotherapy
2) Thrombocytosis
3) Muscle injury
4) Hypoaldosteronism
a. 1,2,3,4
b. 1,2,3
c. 1 and 3
d. NOTA

conditions

can

lead

Radioactive wastes are placed in which color-coded


containers?
a. Orange
b. Yellow
c. Red
d. Green
Standard

43. The activities of serum enzymes AST and ALT are


markedly increased in _________.
a. Metastatic hepatic carcinoma
b. Acute hepatitis
c. Primary biliary cirrhosis
d. Alcoholic cirrhosis

to

44. CK-MB activity is normally ________.


a. 25% of total CK
b. More than 10% of total CK
c. Less than 2% of total CK
d. Less than 6% of total CK
45. Old name for ALT:
a. AST
b. SGPT
c. SGOT
d. AchE

37. One of the most sensitive test for early alcoholic liver
disease is ________.
a. GGT
b. ALT
c. ALP
d. Bilirubin

38. Composition of LD3:


a. HHHH
b. HHHM
c. MMMM
d. HHMM

Shoot for the moon. Even if you miss


you ll land among the stars.
- Les Brown
3

Hazard

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