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Clls-302 final exam

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Question
Answer
Glassware calibrated to deliver the amount of liquid that is marked on the instrument is labeled what   TD  
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A substance that is dissolved in a liquid is a   solute  
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A substance that dissolves a substance is a   solvent  
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The combination of a solute and a solvent is a   solution  
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Glassware is calibrated at   20 degrees C  
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Chemical bond in which 2 or more atoms share their valence electrons is a   covalent bond  
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A chemical bond in which 1 or more valence electrons is completely transferred from 1 atom to another   Ionic  
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What is the term for a solution that contains relatively little solute   dilute  
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What is the term for a solution that contains a large amount of dissolved solute   concentrated  
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Beer's Law   (A unknown/A standard) X C standard  
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The purpose of a light filter in the spectrophotometer is   Isolate individual wavelengths of light  
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Icteric   excessive amount of bilirubin  
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Lipemic   excessive amount of fats  
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Hemolyzed   excessive amount of blood  
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Carbohydrates are characterized by what properties   # of sugar units, location of the CO functional group, and size of the base carbon chain  
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Carbohydrate with chainc of 2-10 sugars units is what   oligosaccharides  
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Insulin and glucagon are produced by which cells   cells of the islets of Langerhans  
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Hormone that facilitates the entry of glucose into the cell is   insulin  
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In hypoglycemia, the body responds to low glucose levels by releasing   glucagon and epinephrine  
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Ketoacidosis   an acute complication of diabetes mellitus  
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Autoimmune disorders are associated with what type of diabetes   type 1  
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What is the product measures in the hexokinase method for measuring glucose   amount of NADPH produced from the reduction of NADP  
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Genetic defect in carbohydrate metabolism in which there are deficiencies of specific enzymes that cause an alteration in glycogen metabolism   Galactosemia  
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Glucose is stored in muscle and the liver as   glycogen  
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HbA 1C   The fraction of adult hemoglobin that is often measured to assess glycemic control for the past 3 months  
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What method is the most specific for testing glucose? It only reacts with Beta-D-Glucose   Glucose oxidase  
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Primary function of albumin in the circulation is to   regulate the oncotic pressure  
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Guthrie bacterial inhibition test is used to detect elevated levels of   Phenyalanine  
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The elemental component that sets proteins apart from lipid and carbohydrates is   nitrogen  
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Homocysteinemia is associated with   a nutritional deficiency of folate and vitamin B6  
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Alpha fetoprotein may be included in a testing panel for   prenatal screening for neural tube defects  
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A protein that is formed in response to a specific stimulus and is synthesized by plasma cells is known as   Immunoglobulin  
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Most common method testing for albumin determination   Dye Binding method  
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What are the common dyes us in Dye binding   BCG, BCP, and Methyl Orange  
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A/G ratio is   the calculation commonly used to assess the ratio of the major plasma protein components  
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haptoglobin   the protein that is able to bind free hemoglobin in the plasma  
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Monoclonal band of IgM in gamma globulin region, serum hyperviscosity, less bone pain & fewer infections that multiple myeloma   Waldenstrom's macroglobulinemia  
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higher incidence of infections, monoclonal band of IgG or IgA in the gamma globulin region, severe bone pain   Multiple myeloma  
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What protein is activated by thrombin to form a clot   fibrinogen  
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Classic method for quantification of total proteins is based on what   Kjeldahl method  
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Protein synthesis occurs mainly in what organ   liver  
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C-reactive protein has become an effective tool in predicting what   cardiovascular inflammation  
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Zero-order kinetics   clinical assays that measure enzyme activities  
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What enzyme shows the greatest specificity for hepatocellular liver damage   alanine aminotransferase  
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A woman in her 3rd trimester of pregnancy would be expected to have high levels of what   ALP  
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Coenzyme   an organic, non-protein molecule that is necessary for enzyme activation  
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Extremely elevated activity of what enzyme is consistent with Duchenne type MD   CK  
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What enzyme is used in the diagnosis of prostatic carcinoma   ACP  
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Primary tissue source of amylase   pancreas  
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Enzyme to assess liver function   Alanine aminotransferase, alkaline phosphatase, and gamma-glutamyltransferase  
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Factors determining the rate of enzyme reaction:   pH, temperature, cofactors, substrate concentration  
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what enzymes are generally used quantitatively to help diagnose acute pancreatitis   Amylase and lipase  
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What is the diagnosis: CK-moderately increased, LD-moderately increased, and LD-1 is increased   Myocardial infarcction  
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fatty acids yield energy through   beta oxidation  
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The formula used to calculate indirect LDL cholesterol levels is:   Friedewald equation  
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What lipid fractions are very large molecules with a low density & give plasma a milky appearance when present in increased amounts?   chylomicrons  
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What forms of cholesterol will be measured using the cholesterol oxidase enzymatic method?   esterfied and free  
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Which alipoprotein is a variant of LDL and has been associated with elevated risk of CHD   Lp(a)  
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What tests would be included in a routine lipid profile?   Cholesterol, LDL-cholesterol, HDL cholesterol, triglycerides  
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Liebermann-Burchardt procedure   the reference method for cholesterol analysis that involves an extraction process used to measure free and cholesterol easters  
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Measurement of HDL cholesterol using a direct method that suppresses the enzymatic cholesterol other than HDL is called   hologenous assay  
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The most important use of Phospholipid measurement is to assess   fetal lung maturity  
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The lipoprotein that has the highest ration of lipid to protein is   HDL  
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Increased blood ammonia levels may be associated with   hepatic failure, encephalopathy, and neurological changes  
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What is the major organ for excretion and reabsorption of metabolized materials   kidney  
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Use of a cation exchange resin, and elution step and quantification by Berthelot reaction describes the method to quantify   uric acid  
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In a diacetyl monoxime method, diacetyl reacts directly with urea   urea  
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The Jaffe reaction is used for the quantification of   creatinine  
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Caraway method   uric acid  
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Azotemia is the elevation of what   uric acid, creatinine, and urea  
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The normal ratio for creatinine   10:1 to 20:1  
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What is the most common test used to assess kidney function   urinalysis  
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Hematuria, proteinuria, elevated BUN & Creatinine, and Hyaline & Granular Casts   Acute Glomerularnephritis  
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Endogenous substance used to assess the glomerular filtration rate that affords the most accurate measure of renal clearance   creatinine  
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The nitrogenous end product of catabolism of purines from dietary endogenous sources is   uric acid  
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Creatinine reacts with strong alkaline picrate to form a yellow-red compound. This reaction is   Jaffe reaction  
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Uric acid may be determined with   The enzyme urease and the formation of a blue color with phosphotungstic acid  
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urea ref range   6-20mg/dL  
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Creatinine ref range   0.6-1.1 mg/dL  
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Uric acid ref range   0.5-7.2 mg/dL  
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Ammonia ref range   10-60 microliters/dl  
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The cation present in the greatest concentration extracellularly is   sodium  
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Sodium and potassium levels in the blood are measured using   ion selective electrodes  
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Lab method of choice for detecting cystic fibrosis   sweat test  
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Electrolyte that is the end product of anaerobic glycolysis and is an early indicator of the severity of O2 depletion   lactate  
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Electrolytic anion that is reabsorbed with Na+ in the proximal tubule   chloride  
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Formula for Anion Gap   (Na+ + K+) - (Cl- + HCO3-)  
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Which organs play an important role in the maintaining the blood pH level?   lung and kidney  
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Metabolic acidosis is   a disorder caused by kidney dysfunction  
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Respiratory acidosis is   disorder caused by lung dysfunction  
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Metabolic acidosis   decreased pH, decreased Bicarb  
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Metabolic Alkalosis   increased pH, increased Bicarb  
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Respiratory Acidosis   decreased pH, increased pCO2  
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Respiratory Alkalosis   increased pH, decrease pCO2  
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The iron-transport protein in the blood is   tranferrin  
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Disorder associated with abnormal excessive absorption of iron from normal diet   hemochromotosis  
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TIBC measures the serum iron-transporting capacity for   transferrin  
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The PTH assay that measures both the n and the c-terminal end of molecule   intact PTH assay  
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The chromogen that produce a colored complex with iron is most commonly used in laboratory analysis of total iron levels   hemochromatosis  
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What trace element is a metal cofactor in the reactions of over 300 enzymes within the body   zinc  
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which electrolyte is a cofactor in the reactions of over 300 enzymes in the body   magnesium  
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Physiologically active form of calcium is   ionized  
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The formation of a molybdenum blue complex is associated with the quantification of   phosphate  
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What reagent is used in a colorimetric method to quantify the concentration of serum calcium   Cresolphthalein complexone  
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What is the primary storage form of iron   ferritin  
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A person who is deficient of chromium may develop   insulin resistance and glucose intolerance  
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cobalt is an essential element in which of the following vitamins   vitamin B12  
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Serum iron: decreased, TIBC: increased, Transferrin: decreased, Serum ferritin: decreased   Iron deficiency anemia  
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Enzymes most commonly analyzed to assess liver condition are   ALT and AST  
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What disease is the measurement of brain type natriuretic peptide most useful   congestive heart failure  
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The enzyme system that catalyzes the conjugation of bilirubin is known as   Uridine diphosphate glucotonyl transferase  
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The most common method of bilirubin testing is   Jendrassik and Groff method  
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The enzyme that originates in the liver, correlates with elevated ALP liver isoenzymes and is very sensitive to metastatic liver cancer   5'nucleotidase  
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Chronic hepatitis is diagnosed by the presence of what clinical finding   elevated levels of liver enzymes for greater than 6 month period of time  
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What is the clinical usefulness of measuring Albumin cobalt binding for IMA   Is used to diagnose and monitor Acute MI  
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The most common method of Urobilinogen testing   Malloy and Evelyn  
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Addison's disease corresponds with   decreased cortisol levels  
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Pituitary secretion of ACTH is inhibited by elevated levels of   cortisol  
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Glucocorticoid hormones major function is the regulation of   blood glucose hemostasis  
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A prolactinoma is a _______ that secretes prolactin   pituitary tumor  
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The principle method used to measure hormone levels in blood in most clinical labs   Immunoassays  
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Estrogen is what type of hormone   steroid  
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Follicle Stimulating Hormone is what type of hormone   glycoprotein  
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progesterone is what type of hormone   steroid  
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lutenizing hormone is what type of hormone   glycoprotein  
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androsterone is what type of hormone   steroid  
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Oncogene   a gene which encodes a protein that, when mutated, promotes uncontrolled cell growth  
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Glycolytic enzymes are effective indicators of tumor progression because   malignant cells have high rate of glycolytic activity  
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The most ommon method of tumor marker analysis is   quantitative immunoassay  
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NMP is a tumor marker designed for what purpose   test for recurrence of bladder cancer  
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A markedly elevated clinical usefulness of measuring carcinoembyonic antigen   monitoring for recurrence of colon cancer  
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What is used to assist in diagnosing pancreatic cancer   Serum amylase, CA 50 and CA 19.9  
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Why is the administration of Leucovorin necessary after a methotrexate infusion   to reverse the effects of DNA synthesis inhibition  
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Mechanistic   Cellular and biological effects of toxins  
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clinical   Interrelationship of toxins and disease  
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Descriptive   analysis of animal exposure to toxins  
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forensic   mediolegal consequences of toxin exposure  
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A(unk)/A(std) X C(std) = C(unk)   Beer's law  
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LDL=TC-HDL-(trig/5)   Friedwalds formula  
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