Clls-302 final exam
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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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