Question 1

Laboratory diagnosis of an acute myocardial infarction (MI)is most accurately determined with which of the following two cardiac markers?

Accepted Answer

A)  CK-MB and homocysteine 
B)  CRP (C-reactive protein) and cardiac troponin 
C)  Myoglobin and lactate dehydrogenase (LDH) 
D)  Myoglobin and cardiac troponin 
A)  CK-MB and homocysteine 
B)  CRP (C-reactive protein) and cardiac troponin 
C)  Myoglobin and lactate dehydrogenase (LDH) 
D)  Myoglobin and cardiac troponin D

Question 2

Which of the following conditions is least likely to contribute to an increased serum uric acid level?

Accepted Answer

A)  Chemotherapy 
B)  Renal disease 
C)  Liver disease 
D)  Gout 
A)  Chemotherapy 
B)  Renal disease 
C)  Liver disease 
D)  Gout C

Question 3

Match the name of the tumor specific marker assay with an appropriate application.
-CA 27.29

Accepted Answer

A) suggests early recurrence of breast cancer 
B) secreted in endodermal sinus tumors 
C) detected in choriocarcinoma 
D) found in 20% of smokers 
A) suggests early recurrence of breast cancer 
B) secreted in endodermal sinus tumors 
C) detected in choriocarcinoma 
D) found in 20% of smokers A

Question 4

The first step in the laboratory determination of serum cholesterol is to ensure that all cholesterol present is in the free form.This is accomplished with the use of:

Accepted Answer

A)  cholesterol esterase. 
B)  glycerol. 
C)  cholesterol oxidase. 
D)  lipase. 
A)  cholesterol esterase. 
B)  glycerol. 
C)  cholesterol oxidase. 
D)  lipase.

Question 5

Estimation of the blood glucose level over the previous 4 to 6 weeks is determined with which test?

Accepted Answer

A)  HbA1c 
B)  Ketones 
C)  Clinitest 
D)  Microalbumin 
A)  HbA1c 
B)  Ketones 
C)  Clinitest 
D)  Microalbumin

Question 6

Match the following terms with the correct description. Use an answer only once.
-respiratory acidosis

Accepted Answer

A) decreased plasma bicarbonate 
B) excess elimination of acid 
C) acid-rich fluids are lost 
D) decreased elimination of CO₂ 
A) decreased plasma bicarbonate 
B) excess elimination of acid 
C) acid-rich fluids are lost 
D) decreased elimination of CO₂

Question 7

Match the name of the tumor specific marker assay with an appropriate application.
-CEA

Accepted Answer

A) suggests early recurrence of breast cancer 
B) secreted in endodermal sinus tumors 
C) detected in choriocarcinoma 
D) found in 20% of smokers 
A) suggests early recurrence of breast cancer 
B) secreted in endodermal sinus tumors 
C) detected in choriocarcinoma 
D) found in 20% of smokers

Question 8

Match the name of the tumor specific marker assay with an appropriate application.
-$\beta$-hCG

Accepted Answer

A) suggests early recurrence of breast cancer 
B) secreted in endodermal sinus tumors 
C) detected in choriocarcinoma 
D) found in 20% of smokers 
A) suggests early recurrence of breast cancer 
B) secreted in endodermal sinus tumors 
C) detected in choriocarcinoma 
D) found in 20% of smokers

Question 9

An increased anion gap may be due to:

Accepted Answer

A)  lactic acidosis. 
B)  hypercalcemia. 
C)  hypermagnesemia. 
D)  hypoproteinemia. 
A)  lactic acidosis. 
B)  hypercalcemia. 
C)  hypermagnesemia. 
D)  hypoproteinemia.

Question 10

The adult reference range for fasting serum glucose is ____ mg/dL.

Accepted Answer

A)  40-75 
B)  55-105 
C)  60-95 
D)  70-110 
A)  40-75 
B)  55-105 
C)  60-95 
D)  70-110

Question 11

The term for the condition associated with elevated serum potassium is:

Accepted Answer

A)  hyponatremia. 
B)  hypernatremia. 
C)  hypokalemia. 
D)  hyperkalemia. 
A)  hyponatremia. 
B)  hypernatremia. 
C)  hypokalemia. 
D)  hyperkalemia.

Question 12

Contributory factors to which form of diabetes include a genetic predisposition and autoimmune destruction of pancreatic b cells?

Accepted Answer

A)  Type 1 
B)  Type 2 
C)  Gestational diabetes mellitus 
D)  Stress-induced hyperglycemia 
A)  Type 1 
B)  Type 2 
C)  Gestational diabetes mellitus 
D)  Stress-induced hyperglycemia

Question 13

It is important to record the exact time and date in relation to the last dose of the drug when drawing a blood specimen for therapeutic drug monitoring.

Accepted Answer

A) True 
 B)False

Question 14

An adult male has a serum BUN of 56 mg/dL and a creatinine of 0.8 mg/dL.These results are consistent with:

Accepted Answer

A)  decreased GFR. 
B)  prerenal azotemia. 
C)  renal azotemia. 
D)  postrenal azotemia. 
A)  decreased GFR. 
B)  prerenal azotemia. 
C)  renal azotemia. 
D)  postrenal azotemia.

Question 15

Free T₄ is ____ and thyroid stimulating hormone is ____ in hypothyroidism.

Accepted Answer

A)  increased; decreased 
B)  decreased; increased 
A)  increased; decreased 
B)  decreased; increased

Question 16

Match the following terms with the correct description. Use an answer only once.
-respiratory alkalosis

Accepted Answer

A) decreased plasma bicarbonate 
B) excess elimination of acid 
C) acid-rich fluids are lost 
D) decreased elimination of CO₂ 
A) decreased plasma bicarbonate 
B) excess elimination of acid 
C) acid-rich fluids are lost 
D) decreased elimination of CO₂

Question 17

Fasting lipid profile results for a 48-year-old male with diabetes are as follows: total cholesterol: 298 mg/dL,HDL cholesterol: 26 mg/dL,and triglycerides: 320 mg/dL.The patient has no evidence of coronary artery disease (CAD).What is the recommended course of action?

Accepted Answer

A)  The LDL is normal, and no action is indicated. 
B)  The LDL is elevated, and the therapeutic goal is to decrease it to less than 100 mg/dL. 
C)  The LDL is elevated, and the therapeutic goal is to decrease it to less than 130 mg/dL. 
D)  The LDL is elevated, and the therapeutic goal is to decrease it to less than 160 mg/dL. 
A)  The LDL is normal, and no action is indicated. 
B)  The LDL is elevated, and the therapeutic goal is to decrease it to less than 100 mg/dL. 
C)  The LDL is elevated, and the therapeutic goal is to decrease it to less than 130 mg/dL. 
D)  The LDL is elevated, and the therapeutic goal is to decrease it to less than 160 mg/dL.

Question 18

A reversal of the normal serum albumin/globulin (A/G)ratio occurs in ____ disease.

Accepted Answer

A)  heart and lung 
B)  kidney and bone 
C)  heart and liver 
D)  kidney and liver 
A)  heart and lung 
B)  kidney and bone 
C)  heart and liver 
D)  kidney and liver

Question 19

Which of the following enzymes is normally found in highest levels in hepatocytes,or liver cells?

Accepted Answer

A)  ALT 
B)  AST 
C)  GGT 
D)  Alkaline phosphatase 
A)  ALT 
B)  AST 
C)  GGT 
D)  Alkaline phosphatase

Question 20

Which of the following is the least utilized role of a tumor marker?

Accepted Answer

A)  Cancer screening 
B)  Cancer diagnosis 
C)  Monitoring of patients for a recurrence of cancer 
D)  Determination of the extent of tumor burden 
A)  Cancer screening 
B)  Cancer diagnosis 
C)  Monitoring of patients for a recurrence of cancer 
D)  Determination of the extent of tumor burden

Laboratory diagnosis of an acute myocardial infarction (MI)is most accurately determined with which of the following two cardiac markers?

Which of the following conditions is least likely to contribute to an increased serum uric acid level?

Match the name of the tumor specific marker assay with an appropriate application. -CA 27.29

The first step in the laboratory determination of serum cholesterol is to ensure that all cholesterol present is in the free form.This is accomplished with the use of:

Estimation of the blood glucose level over the previous 4 to 6 weeks is determined with which test?

Match the following terms with the correct description. Use an answer only once. -respiratory acidosis

Match the name of the tumor specific marker assay with an appropriate application. -CEA

Match the name of the tumor specific marker assay with an appropriate application. - $\beta$ -hCG

An increased anion gap may be due to:

The adult reference range for fasting serum glucose is ____ mg/dL.

The term for the condition associated with elevated serum potassium is:

Contributory factors to which form of diabetes include a genetic predisposition and autoimmune destruction of pancreatic b cells?

It is important to record the exact time and date in relation to the last dose of the drug when drawing a blood specimen for therapeutic drug monitoring.

An adult male has a serum BUN of 56 mg/dL and a creatinine of 0.8 mg/dL.These results are consistent with:

Free T₄ is and thyroid stimulating hormone is in hypothyroidism.

Match the following terms with the correct description. Use an answer only once. -respiratory alkalosis

Fasting lipid profile results for a 48-year-old male with diabetes are as follows: total cholesterol: 298 mg/dL,HDL cholesterol: 26 mg/dL,and triglycerides: 320 mg/dL.The patient has no evidence of coronary artery disease (CAD).What is the recommended course of action?

A reversal of the normal serum albumin/globulin (A/G)ratio occurs in ____ disease.

Which of the following enzymes is normally found in highest levels in hepatocytes,or liver cells?

Which of the following is the least utilized role of a tumor marker?

Fundamentals of the Clinical Laboratory

Safety in the Clinical Laboratory

Quality Assessment and Quality Control in the Clinical Laboratory

Phlebotomy: Collecting and Processing Blood

The Microscope

Systems of Measurement, laboratory Equipment, and Reagents

Laboratory Mathematics and Solution Preparation

Basic and New Techniques in the Clinical Laboratory

Delivery of Laboratory Testing From Point of Care to Total Automation

Principles and Practice of Clinical Hematology

Introduction to Hemostasis

Renal Physiology and Urinalysis

Examination of Body Fluids and Miscellaneous Specimens

Introduction to Microbiology

Immunology and Serology

Immunohematology and Transfusion Medicine

Filters

Exam 10: Introduction to Clinical Chemistry

Laboratory diagnosis of an acute myocardial infarction (MI)is most accurately determined with which of the following two cardiac markers?

Which of the following conditions is least likely to contribute to an increased serum uric acid level?

Match the name of the tumor specific marker assay with an appropriate application. -CA 27.29

The first step in the laboratory determination of serum cholesterol is to ensure that all cholesterol present is in the free form.This is accomplished with the use of:

Estimation of the blood glucose level over the previous 4 to 6 weeks is determined with which test?

Match the following terms with the correct description. Use an answer only once. -respiratory acidosis

Match the name of the tumor specific marker assay with an appropriate application. -CEA

Match the name of the tumor specific marker assay with an appropriate application. - β\betaβ -hCG

An increased anion gap may be due to:

The adult reference range for fasting serum glucose is ____ mg/dL.

The term for the condition associated with elevated serum potassium is:

Contributory factors to which form of diabetes include a genetic predisposition and autoimmune destruction of pancreatic b cells?

It is important to record the exact time and date in relation to the last dose of the drug when drawing a blood specimen for therapeutic drug monitoring.

An adult male has a serum BUN of 56 mg/dL and a creatinine of 0.8 mg/dL.These results are consistent with:

Free T₄ is ____ and thyroid stimulating hormone is ____ in hypothyroidism.

Match the following terms with the correct description. Use an answer only once. -respiratory alkalosis

Fasting lipid profile results for a 48-year-old male with diabetes are as follows: total cholesterol: 298 mg/dL,HDL cholesterol: 26 mg/dL,and triglycerides: 320 mg/dL.The patient has no evidence of coronary artery disease (CAD).What is the recommended course of action?

A reversal of the normal serum albumin/globulin (A/G)ratio occurs in ____ disease.

Which of the following enzymes is normally found in highest levels in hepatocytes,or liver cells?

Which of the following is the least utilized role of a tumor marker?

Fundamentals of the Clinical Laboratory

Safety in the Clinical Laboratory

Quality Assessment and Quality Control in the Clinical Laboratory

Phlebotomy: Collecting and Processing Blood

The Microscope

Systems of Measurement, laboratory Equipment, and Reagents

Laboratory Mathematics and Solution Preparation

Basic and New Techniques in the Clinical Laboratory

Delivery of Laboratory Testing From Point of Care to Total Automation

Principles and Practice of Clinical Hematology

Introduction to Hemostasis

Renal Physiology and Urinalysis

Examination of Body Fluids and Miscellaneous Specimens

Introduction to Microbiology

Immunology and Serology

Immunohematology and Transfusion Medicine

Filters

Match the name of the tumor specific marker assay with an appropriate application. - $\beta$ -hCG

Free T₄ is and thyroid stimulating hormone is in hypothyroidism.