Chemistry Study Questions

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1. 98.6 degree F of body temperature is the same as:

Explanation

The correct answer is 37 degrees C. This is because 98.6 degrees Fahrenheit is equivalent to 37 degrees Celsius.

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About This Quiz
Chemistry Study Questions - Quiz

The 'Chemistry Study Questions' quiz assesses key analytical skills, focusing on calculations and preparations essential in chemistry. It covers topics such as mean calculation, solution dilutions, molarity, and... see moreweight measurements for chemical preparations, suitable for students and professionals. see less

2. A gray specimen collection tube contains which additive?

Explanation

The correct answer is fluoride. A gray specimen collection tube is typically used for glucose testing, and it contains an additive called fluoride. This additive helps to prevent the breakdown of glucose in the blood sample, allowing for more accurate glucose measurements.

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3. The most commonly used oil immersion lens magnifies:

Explanation

The most commonly used oil immersion lens magnifies at 100x. Oil immersion is a technique used in microscopy to improve resolution and clarity. By immersing the lens in oil with a similar refractive index as the specimen, light can pass through without being refracted, resulting in sharper images. The 100x magnification allows for high-resolution viewing of microscopic details, making it a commonly used lens in scientific research and medical diagnostics.

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4. Calculate the mean of the following set of data. 12, 10, 4, 7, 8, 15, 7, 8, 9, 10

Explanation

The mean is calculated by adding up all the numbers in the set and then dividing the sum by the total number of values. In this case, the sum of the numbers is 12 + 10 + 4 + 7 + 8 + 15 + 7 + 8 + 9 + 10 = 90. Since there are 10 numbers in the set, the mean is 90/10 = 9.

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5. A lavender specimen collection tube contains which additive?

Explanation

The lavender specimen collection tube contains EDTA as an additive. EDTA, or ethylenediaminetetraacetic acid, is commonly used as an anticoagulant in blood collection tubes. It helps prevent blood from clotting by binding to calcium ions, which are necessary for the coagulation process. This allows the blood to remain in a liquid state for further testing and analysis.

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6. A green specimen collection tube contains which additive?

Explanation

The correct answer is heparin. Heparin is an anticoagulant commonly used in green specimen collection tubes to prevent blood from clotting. It inhibits the formation of blood clots by blocking the activity of certain clotting factors. This allows the blood to remain in a liquid state, making it suitable for various laboratory tests. Heparin is often used for tests that require plasma, such as blood gas analysis and certain chemistry tests.

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7. If someone spilled concentrated acid on the floor, you would:

Explanation

Using a spill kit and cleaning up is the correct answer because concentrated acid is a hazardous substance that can cause harm to people and damage to the environment. It is important to handle such spills carefully and safely. A spill kit contains the necessary materials and equipment to safely clean up hazardous spills, such as absorbent materials, gloves, goggles, and disposal bags. Ignoring the spill or leaving it for the janitor could lead to accidents or further damage. Wiping it up with a towel may not be sufficient to safely contain and dispose of the acid.

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8. What weight of sodium chloride is present in a molar solution?

Explanation

A molar solution is a solution that contains one mole of a substance in one liter of solution. The molar mass of sodium chloride (NaCl) is 58 g/mol. Therefore, in a molar solution of sodium chloride, the weight of sodium chloride present would be 58 grams.

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9. Gout is a pathologic condition that is characterized by the accumulation of which of the following in joints and other body tissues?

Explanation

Gout is a condition characterized by the accumulation of uric acid in joints and other body tissues. Uric acid is a waste product that is produced when the body breaks down purines, which are found in certain foods and drinks. In individuals with gout, there is either an overproduction or underexcretion of uric acid, leading to its buildup in the joints. This accumulation can cause inflammation, pain, and swelling, resulting in the symptoms commonly associated with gout. Therefore, the correct answer is uric acid.

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10. In using a centrifuge:

Explanation

In order to ensure accurate and reliable results, test tubes must be balanced when using a centrifuge. Balancing the test tubes helps to distribute the weight evenly, preventing any imbalances that could cause the centrifuge to vibrate or malfunction. This is important because an unbalanced centrifuge can lead to inaccurate separation of samples and potentially damage the equipment. Therefore, it is necessary to properly balance the test tubes before running the centrifuge.

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11. What is gluconeogensis?

Explanation

Gluconeogenesis is the process by which glucose is formed from non-carbohydrate sources, such as amino acids or glycerol. This process occurs primarily in the liver and kidneys and is important for maintaining blood glucose levels during periods of fasting or low carbohydrate intake. By synthesizing glucose from non-carbohydrate sources, the body can ensure a steady supply of glucose to meet its energy needs.

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12. Which hormone is produced in beta cells of the pancreas and acts to lower blood glucose?

Explanation

Insulin is produced in the beta cells of the pancreas and is responsible for lowering blood glucose levels. It does this by facilitating the uptake of glucose from the bloodstream into cells, where it can be used for energy or stored for later use. Insulin also promotes the storage of excess glucose as glycogen in the liver and muscles. Glucagon, on the other hand, is produced in the alpha cells of the pancreas and acts to increase blood glucose levels. Epinephrine and thyroxine are hormones produced by other glands in the body and do not directly affect blood glucose levels.

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13. A light blue specimen collection tube contains which additive?

Explanation

The correct answer is citrate. A light blue specimen collection tube is typically used for coagulation tests, and it contains citrate as an additive. Citrate is an anticoagulant that prevents blood from clotting by binding to calcium ions, thus allowing accurate testing of coagulation factors. Heparin, fluoride, and EDTA are commonly used additives in other types of collection tubes for different purposes, such as preventing clotting or preserving blood for certain types of tests.

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14. The breakdown of red blood cells is termed:

Explanation

Hemolysis is the correct answer because it refers to the breakdown of red blood cells. Hemolysis can occur due to various factors such as infections, autoimmune disorders, or certain medications. This process leads to the release of hemoglobin from the red blood cells, which can have various effects on the body depending on the extent of hemolysis.

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15. 1 milliliter equals:

Explanation

One milliliter is equal to 1000 microliters. This is because the prefix "milli-" represents one thousandth, while the prefix "micro-" represents one millionth. Therefore, when converting from milliliters to microliters, we multiply by 1000.

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16. Which class includes enzymes that catalyze cleavage of a variety of bonds by the addition of water?

Explanation

Hydrolases are a class of enzymes that catalyze the cleavage of various bonds by adding water. They play a crucial role in breaking down complex molecules into simpler ones through hydrolysis reactions. This process is essential for digestion, as well as for the metabolism of carbohydrates, lipids, and proteins. Hydrolases are responsible for breaking down specific bonds such as ester, peptide, and glycosidic bonds by adding a water molecule, resulting in the formation of two separate molecules. Therefore, hydrolases are the correct class of enzymes for catalyzing bond cleavage by water addition.

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17. The pH range usually accepted as normal in the healthy adult is:

Explanation

The pH range usually accepted as normal in the healthy adult is 7.35-7.45. This range is considered normal because it represents a slightly alkaline state, which is necessary for optimal bodily functions. Any deviation from this range can indicate an imbalance in the body's acid-base balance, which can lead to health issues.

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18. The lungs affect the _______ parameter and are the first compensation for ______ abnormalities.

Explanation

The lungs affect the respiratory parameter, which refers to the body's ability to exchange oxygen and carbon dioxide. They are the first compensation for metabolic abnormalities, which are related to the body's chemical processes and energy production. This means that when there is a metabolic abnormality, the lungs will adjust their function to try and restore balance in the body.

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19. Reference intervals typically represent what range of values in a group of results fromhealthy individuals?

Explanation

Reference intervals typically represent the range of values that are considered normal or healthy for a specific test or measurement. In this case, the correct answer is "the mean + or - 2SD", which means that the reference interval includes values that are within two standard deviations above and below the mean. This range is commonly used to define what is considered normal for a particular test or measurement in a group of healthy individuals.

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20. How much CuSO4 is needed to make up 1 liter of 2.5 M CuSO4?

Explanation

To make up 1 liter of a 2.5 M CuSO4 solution, we need to calculate the mass of CuSO4 required. Molarity (M) is defined as the number of moles of solute per liter of solution. The molar mass of CuSO4 is 159.61 g/mol. Therefore, to find the mass, we can use the formula: Mass = Molarity x Volume x Molar mass. Plugging in the values, we get: Mass = 2.5 mol/L x 1 L x 159.61 g/mol = 399.025 g. Rounding to the nearest gram, the correct answer is 400 g.

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21. Blood specimens are not acceptable for lab testing when which of the following is noted?

Explanation

When blood specimens are being used for lab testing, they are considered unacceptable if any of the following conditions are observed: there is no patient name or identification number on the label, the label on the request form does not match the label on the tube, or the wrong collection tube is used. In all of these cases, the accuracy and reliability of the lab testing may be compromised, making the specimens unacceptable for analysis.

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22. Which of the following should be collected from an adult for a test requiring 4 ml of serum?

Explanation

The correct answer is 10 ml red top tube because the test requires 4 ml of serum, and the red top tube with a capacity of 10 ml would provide enough volume to collect the required amount of serum. The lavender top tube is not suitable for this test as it is typically used for collecting whole blood samples for hematology testing, not serum.

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23. Which of the following is not considered a PPE item?

Explanation

A fume hood is not considered a PPE item because it is not worn or used to protect the individual directly. A fume hood is a piece of equipment used in laboratories to control exposure to hazardous fumes, vapors, or dust. It is a ventilated enclosure that helps to safely contain and remove these harmful substances from the working area. While gloves, lab coats, and face shields are all examples of personal protective equipment that are worn by individuals to protect themselves from various hazards, a fume hood is not worn and does not provide direct protection to the individual.

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24. Which of the following best provides important safety information to a technician about a chemical being used in the laboratory?

Explanation

A material safety data sheet (MSDS) is a document that provides important safety information about a chemical being used in the laboratory. It includes details about the chemical's properties, hazards, handling precautions, emergency procedures, and disposal methods. MSDSs are essential for technicians to understand the potential risks associated with the chemical and to take appropriate safety measures to prevent accidents or injuries. Therefore, an MSDS is the best source of safety information for a technician working with a chemical in the laboratory.

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25. The substances which will act as catalysts for the chemical reactions in the body are called:

Explanation

Enzymes are substances that act as catalysts for chemical reactions in the body. They speed up the rate of these reactions without being consumed or permanently altered in the process. Enzymes play a crucial role in various biological processes, such as digestion, metabolism, and cell signaling. They are highly specific and typically work by binding to specific molecules, known as substrates, and converting them into different products. Unlike buffers and hormones, enzymes specifically facilitate chemical reactions and are essential for the functioning of living organisms.

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26. If the total bilirubin is 4.3 mg/dl and the conjugated bilirubin is 2.1 mg/dl, the unconjugated bilirubin in mg/dl is:

Explanation

The unconjugated bilirubin can be calculated by subtracting the conjugated bilirubin from the total bilirubin. In this case, the total bilirubin is 4.3 mg/dl and the conjugated bilirubin is 2.1 mg/dl. Therefore, the unconjugated bilirubin is 4.3 - 2.1 = 2.2 mg/dl.

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27. What information is included on NFPA labels?

Explanation

NFPA labels include information about flammability hazards, reactivity hazards, and health hazards. These labels are used to communicate the potential dangers and risks associated with a particular substance or product. By including all of this information on the labels, individuals can make informed decisions about how to handle and use these materials safely.

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28. What is glycogenolysis?

Explanation

Glycogenolysis refers to the breakdown of glycogen, which is a stored form of glucose in the body, into glucose and other intermediate products. This process occurs when the body needs to release glucose into the bloodstream for energy. By breaking down glycogen, glucose can be readily available for use by cells. The other intermediate products generated during glycogenolysis can also be used as energy sources or converted into glucose through other metabolic pathways.

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29. Which hormone is produced in the alpha cells of the pancreas and acts to raise blood glucose?

Explanation

Glucagon is produced in the alpha cells of the pancreas and acts to raise blood glucose levels. It does this by stimulating the liver to break down glycogen into glucose, which is then released into the bloodstream. This hormone is released when blood sugar levels are low, signaling the body to increase glucose production and maintain proper blood sugar levels. Insulin, on the other hand, is produced in the beta cells of the pancreas and acts to lower blood glucose levels by facilitating the uptake of glucose by cells.

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30. The major site of cholesterol esterification is:

Explanation

The liver is the major site of cholesterol esterification. This is because the liver plays a crucial role in lipid metabolism, including the synthesis and breakdown of cholesterol. Cholesterol esterification involves the conversion of cholesterol into cholesterol esters, which are more stable and can be stored in cells or transported in the bloodstream. The liver has high levels of the enzyme acyl-CoA:cholesterol acyltransferase (ACAT), which catalyzes this esterification process. Additionally, the liver is responsible for regulating cholesterol levels in the body, producing bile acids, and synthesizing lipoproteins.

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31. What is the name used to describe the liquid part of the blood containing the clotting factor fibrinogen?

Explanation

Plasma is the correct answer because it is the name used to describe the liquid part of the blood that contains the clotting factor fibrinogen. Plasma makes up about 55% of the total blood volume and is responsible for transporting nutrients, hormones, and waste products throughout the body. It also plays a crucial role in blood clotting, as fibrinogen is essential for the formation of blood clots.

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32. The majority of proteins are manufactured in the

Explanation

The liver is responsible for the production of the majority of proteins in the body. It is a vital organ involved in various metabolic processes, including protein synthesis. The liver contains specialized cells called hepatocytes, which are responsible for producing and releasing proteins into the bloodstream. These proteins play crucial roles in maintaining the body's overall health and function. Therefore, it is logical to conclude that the liver is the correct answer for this question.

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33. Perform the conversion of 50 ml to L:

Explanation

To convert milliliters (ml) to liters (L), you divide the value in milliliters by 1000. In this case, 50 ml divided by 1000 equals 0.05 L. Therefore, the correct answer is 0.05.

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34. The National Bureau of Standards determines specifications for calibrations of:

Explanation

The National Bureau of Standards determines specifications for calibrations of volumetric glassware because volumetric glassware is used to accurately measure and dispense specific volumes of liquid. Calibrating the glassware ensures that it is accurate and reliable, which is crucial in various scientific and laboratory applications where precise measurements are required.

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35. Which of the following is an alternation to the ratio of dissolved chemicals and plasma at a blood collection site as a result of prolonged tourniquet application?

Explanation

Prolonged tourniquet application during blood collection can lead to hemoconcentration, which is an alteration in the ratio of dissolved chemicals and plasma. This occurs because the tourniquet restricts blood flow, causing an increase in the concentration of blood cells and dissolved substances in the collected sample. Hemoconcentration can affect the accuracy of laboratory test results, as it can lead to falsely elevated levels of certain substances in the blood.

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36. What is the final dilution of a 0.2 ml of patient sample mixed with 4.8 ml of water?

Explanation

The final dilution of the patient sample mixed with water is 1:25. This means that the original volume of the patient sample (0.2 ml) has been diluted 25 times by adding 4.8 ml of water. The dilution ratio is calculated by dividing the total volume of the diluted solution (5 ml) by the original volume of the patient sample (0.2 ml), resulting in a dilution ratio of 1:25.

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37. The transport protein for iron is:

Explanation

Transferrin is the correct answer because it is a transport protein responsible for carrying iron in the blood. It binds to iron ions and transports them to cells throughout the body. Transcortin is a protein that binds to cortisol, not iron. Ceruloplasmin is a protein that carries copper, not iron. Ferritin is a protein that stores iron within cells, but it is not involved in the transport of iron in the blood. Therefore, the correct answer is transferrin.

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38. Given the following set of data, calculate the mean, SD and CV. Report each to the tenth's position. 101, 103, 105, 99, 108, 101, 100, 98, 102

Explanation

The given set of data consists of 9 numbers. To calculate the mean, we sum up all the numbers and divide by the total count, which gives us a mean of 101.9. To calculate the standard deviation (SD), we find the difference between each number and the mean, square those differences, sum them up, divide by the count, and take the square root of the result. This gives us an SD of 3.1. The coefficient of variation (CV) is calculated by dividing the SD by the mean and multiplying by 100, giving us a CV of 3.0.

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39. In a chemical reaction, loss of electrons is:

Explanation

In a chemical reaction, the loss of electrons is referred to as oxidation. Oxidation involves the transfer of electrons from one atom or molecule to another, resulting in an increase in the oxidation state or positive charge of the atom or molecule that loses the electrons. This process is often associated with the addition of oxygen or the removal of hydrogen from a substance.

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40. A 1x10 to the -6th solution of HCl has pH of:

Explanation

A solution with a pH of 6 indicates that it is slightly acidic. The lower the pH value, the more acidic the solution. Since HCl is a strong acid, a 1x10 to the -6th solution of HCl will have a relatively low pH. A pH of 6 suggests that the concentration of H+ ions in the solution is relatively low, but still acidic in nature.

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41. Which is the major extracellular anion?

Explanation

Chloride is the major extracellular anion because it is found in higher concentrations outside the cells compared to other anions such as sodium, potassium, and magnesium. It plays a crucial role in maintaining fluid balance, regulating osmotic pressure, and assisting in the transport of other ions across cell membranes. Chloride also helps in the formation of hydrochloric acid in the stomach, which aids in digestion. Therefore, chloride is the correct answer as it is the primary extracellular anion in the body.

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42. A potassium level of 6.8 mmol/L is obtained. Before reporting the results, the first step the laboratory technician should take is to:

Explanation

The laboratory technician should check the serum for hemolysis before reporting the results because hemolysis can cause a falsely elevated potassium level. Hemolysis refers to the breakdown of red blood cells, which can release potassium into the serum and artificially increase the potassium level. By checking for hemolysis, the technician can ensure that the potassium level is accurate and not influenced by any external factors.

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43. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) are both elevated in which of the following disease?

Explanation

AST and ALT are enzymes found in the liver. In viral hepatitis, the liver is inflamed and damaged, causing the release of these enzymes into the bloodstream. Therefore, both AST and ALT levels are elevated in viral hepatitis. Muscular dystrophy, pulmonary emboli, and myocardial infarction do not directly affect the liver, so AST and ALT levels would not be elevated in these conditions.

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44. The presence of increased CK-MB activity on a CK electrophoresis pattern is most likely found in a patient suffering from:

Explanation

The presence of increased CK-MB activity on a CK electrophoresis pattern suggests myocardial infarction. CK-MB is a specific isoenzyme of creatine kinase that is predominantly found in the heart muscle. Elevated levels of CK-MB indicate damage to the heart muscle, which is commonly seen in patients with myocardial infarction. Acute muscular stress following strenuous exercise may also cause an increase in CK-MB activity, but it is less likely compared to myocardial infarction. Malignant liver disease and severe head injury are not associated with increased CK-MB activity.

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45. 20 ul is equivalent to:

Explanation

20 ul is equivalent to 0.02 ml because 1 ml is equal to 1000 ul. Therefore, to convert 20 ul to ml, we divide 20 by 1000, which gives us 0.02 ml.

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46. When pipetting concentrated acid or alkali, it should always be done:

Explanation

When pipetting concentrated acid or alkali, it should always be done under the hood. This is because concentrated acids and alkalis can release harmful fumes that can be dangerous to inhale. Working under the hood helps to contain these fumes and provides a safer working environment. Additionally, it helps to prevent any accidental spills or splashes from coming into contact with the skin or eyes, reducing the risk of injury. Therefore, working under the hood is the most appropriate and safe method for pipetting concentrated acid or alkali.

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47. Which of the following is considered a pre-analytical variable?

Explanation

Sample transport is considered a pre-analytical variable because it refers to the process of transporting samples from the collection site to the laboratory for analysis. This step is crucial as it can impact the integrity and quality of the sample, potentially leading to inaccurate test results. Factors such as temperature, handling, and transportation time can all affect the stability and reliability of the sample, making sample transport an important pre-analytical variable to consider in laboratory testing.

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48. A physician suspects his patient has pancreatitis. Which test would be most indicative of this disease?

Explanation

Amylase is an enzyme produced by the pancreas that helps in the digestion of carbohydrates. Elevated levels of amylase in the blood can indicate pancreatitis, which is inflammation of the pancreas. Therefore, the presence of amylase in the given options suggests that it is the most indicative test for diagnosing pancreatitis. Creatinine is a waste product that indicates kidney function, LD isoenzymes are used to diagnose heart attacks, and beta-hydroxybutyrate is a marker for diabetic ketoacidosis, none of which are directly related to pancreatitis.

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49. 1 gram equals

Explanation

The statement "all of these" implies that all the given options are correct. 1 gram is equal to 1 million micrograms, 1000 milligrams, and 0.001 kilograms. Therefore, all the options mentioned are valid conversions for 1 gram.

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50. An absorbence reading of zero is equivalent to transmittance of:

Explanation

An absorbance reading of zero indicates that no light is being absorbed by the sample. This means that all of the light is being transmitted through the sample, resulting in a transmittance of 100%.

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51. As a general rule, what range of values is used as the 95% confidence limits?

Explanation

The 95% confidence limits are typically calculated as the mean plus or minus 2 standard deviations (SD). This range of values is used to estimate the range within which the true population mean is likely to fall with 95% confidence. It is based on the assumption that the data follows a normal distribution. The use of 2 standard deviations provides a wider range than 1 standard deviation, allowing for a higher level of confidence in the estimate. Using a larger number of standard deviations, such as 3 or 4, would result in an even wider range and a higher level of confidence, but it may also include more extreme values that are less likely to represent the true population mean.

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52. In a normal population the mean value plus or minus two standard deviations indicated that a percentage of the population will have a value outside this range and still belong to the normal group. This percentage is:

Explanation

In a normal population, the mean plus or minus two standard deviations covers approximately 95% of the population. This means that only a small percentage, which is 5%, will fall outside this range and still be considered part of the normal group.

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53. A solution which tends to maintain a given hydrogen ion concentration is called a/an:

Explanation

A buffer solution is a solution that resists changes in its hydrogen ion concentration when small amounts of acid or base are added to it. It consists of a weak acid and its conjugate base or a weak base and its conjugate acid. This combination allows the buffer solution to absorb or release hydrogen ions, maintaining a relatively constant pH. Therefore, a buffer solution is the correct answer as it is specifically designed to maintain a given hydrogen ion concentration.

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54. What is the maximum allowable depth for a hell puncture?

Explanation

The maximum allowable depth for a hell puncture is 2.4 mm.

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55. When using a volumetric pipet, the last drop of liquid:

Explanation

The last drop of liquid in a volumetric pipet is constant when the pipet is drained properly. This means that when the liquid is being drained from the pipet, the volume of the last drop will always be the same if the pipet is used correctly. This consistency ensures accurate and precise measurements when using a volumetric pipet.

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56. Which is the major extracellular cation?

Explanation

Sodium is the major extracellular cation because it is the most abundant positively charged ion found outside of cells in the body. It plays a crucial role in maintaining fluid balance, nerve function, and muscle contraction. Sodium is also important for regulating blood pressure and transmitting electrical signals in the body.

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57. The relationship of potassium concentration in the red cells to the plasma is

Explanation

Red cells have about 20 times more potassium (K) than plasma. This means that the concentration of potassium in red blood cells is significantly higher compared to the concentration of potassium in the plasma.

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58. Which of the following refers to reproducibility?

Explanation

Precision refers to the closeness of agreement between individual measurements or test results when repeated under the same conditions. It is a measure of reproducibility, indicating how consistent and exact the results are when the experiment or measurement is repeated multiple times. A high precision means that the measurements or test results are very close to each other, indicating a low amount of random error or variability. Therefore, precision is the most appropriate option that refers to reproducibility among the given choices.

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59. ALT (GPT) is found in the highest concentration in the

Explanation

ALT (alanine aminotransferase) is an enzyme that is primarily found in the liver. It is released into the bloodstream when there is damage or inflammation in the liver cells. Therefore, the highest concentration of ALT is found in the liver. The heart, muscle, and kidney may also have some levels of ALT, but it is most abundant in the liver.

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60. Which of the following represents the end product of nucleic acid and purine metabolism in man?

Explanation

Uric acid is the end product of nucleic acid and purine metabolism in humans. Purines are broken down into uric acid through a series of enzymatic reactions. Uric acid is then excreted from the body through urine. This process is important for maintaining the balance of purines in the body and preventing the accumulation of toxic byproducts. AMP and GMP are nucleotides that are intermediates in nucleic acid synthesis, while DNA and RNA are the genetic material in cells. Allantoin is a product of purine metabolism in some animals, but not in humans.

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61. Amylase and lipase determinations are used to evaluate:

Explanation

Amylase and lipase are enzymes that are produced by the pancreas. Elevated levels of these enzymes in the blood can indicate pancreatic disease. Amylase helps in the digestion of carbohydrates, while lipase aids in the digestion of fats. When the pancreas is not functioning properly, such as in cases of pancreatitis or pancreatic cancer, the levels of amylase and lipase in the blood can be significantly increased. Therefore, measuring the levels of these enzymes can be helpful in evaluating pancreatic disease.

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62. A mildly elevated alkaline phosphatase was found in a sample from a 14 year old child. This finding:

Explanation

A mildly elevated alkaline phosphatase in a sample from a 14-year-old child is normal during periods of rapid bone growth. Alkaline phosphatase is an enzyme found in the liver, bones, and other tissues. In children, it is primarily produced by the bones, and its levels can increase during periods of bone growth. Therefore, this finding suggests that the child is experiencing normal bone growth rather than indicating any bone, liver, or hemolytic disorder.

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63. The ability of a procedure to measure only the analyte it claims to measure is called

Explanation

Specificity refers to the ability of a procedure to measure only the analyte it claims to measure. In other words, it measures the ability of a test to correctly identify individuals without the analyte, avoiding false positive results. This is important in ensuring accurate and reliable measurements in diagnostic tests and research studies. Sensitivity, precision, and reproducibility are related but different concepts. Sensitivity refers to the ability to correctly identify individuals with the analyte, precision refers to the consistency and reproducibility of results, and reproducibility refers to the ability to obtain similar results when the test is repeated.

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64. The following equation can be used to convert solutions of one normality to another:

Explanation

The given equation N1V1 = N2V2 is a common formula used to convert solutions of one normality to another. By rearranging the equation, we can solve for N2 in terms of N1, V1, and V2 (N2 = N1V1/V2), or solve for N1/V2 in terms of N2 and V1 (N1/V2 = N2/V1). Therefore, options a, b, and c are all correct explanations for the given equation.

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65. The most important blood buffer is the

Explanation

The bicarbonate-carbonic acid buffer system is the most important blood buffer because it helps maintain the pH balance in the blood. This buffer system involves the reversible reaction between carbonic acid (H2CO3) and bicarbonate ions (HCO3-) in the blood. When there is an increase in acid levels, the bicarbonate ions act as a base and bind with the excess hydrogen ions, forming carbonic acid. On the other hand, when there is an increase in base levels, carbonic acid dissociates into bicarbonate ions and releases hydrogen ions. This system helps prevent drastic changes in blood pH, ensuring the body's overall acid-base balance is maintained.

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66. Which of the following will happen if serum is allowed to remain on the clot for an extended time?

Explanation

If serum is allowed to remain on the clot for an extended time, the cells in the clot will continue to metabolize glucose and release potassium into the serum. This will result in an increase in serum potassium levels.

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67. A brand or type of glassware most commonly used in laboratory work is:

Explanation

Pyrex is a brand or type of glassware commonly used in laboratory work. It is known for its durability and resistance to high temperatures, making it suitable for various lab applications such as heating, mixing, and storing chemicals. Pyrex glassware is made from borosilicate glass, which has low thermal expansion and can withstand rapid temperature changes without breaking. This makes it a popular choice among scientists and researchers for conducting experiments and handling corrosive substances.

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68. Normality is

Explanation

Normality is a measure of concentration in a solution and is defined as the number of equivalent weights of a given substance in one liter of solution. It is different from molarity, which is the number of moles of solute per liter of solution. Normality takes into account the valence of the substance, as it is calculated by dividing the molecular weight of a molecule by its valence. Therefore, the correct answer is that normality is the number of equivalent weights of a given substance in one liter of solution.

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69. The equivalent weight, in general, is equal to:

Explanation

The equivalent weight is a measure of the amount of a substance that reacts with or is equivalent to one mole of a reference substance. It is calculated by dividing the molecular weight of the substance by its valence. This is because the valence represents the number of chemical bonds that an atom of the substance can form, and dividing the molecular weight by the valence gives the amount of substance that is chemically equivalent to one mole of the reference substance.

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70. Which of the following is a gradual change in the mean?

Explanation

A trend is a gradual change in the mean over time. It represents a consistent and continuous shift in the average value of a variable. This is different from random error, which refers to unpredictable fluctuations around the true value, and shift, which indicates a sudden change in the mean. Therefore, the correct answer is trend as it specifically describes a gradual change in the mean.

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71. The correct anticoagulant to use the blood gas collection is:

Explanation

Heparin is the correct anticoagulant to use for blood gas collection. Heparin prevents blood from clotting by inhibiting the clotting factors, specifically thrombin. This is important for blood gas analysis because clotting can interfere with the accuracy of the results. Heparin is commonly used because it is effective in preventing clotting and does not interfere with the analysis of blood gases.

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72. The element present in all proteins that allows for differentiation of proteins from carbohydrates and lipids is:

Explanation

Nitrogen is the correct answer because it is the only element that is present in all proteins and not in carbohydrates or lipids. Proteins are made up of amino acids, and nitrogen is an essential component of amino acids. Carbohydrates and lipids do not contain nitrogen, making it a distinguishing element for proteins. Sulfur, phosphorus, and hydrogen can be found in various biological molecules but are not exclusive to proteins.

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73. Which of the following statements about blood glucose is FALSE?

Explanation

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74. Which of the following enzymes catalyzed the conversion of starch to glucose and maltose?

Explanation

Amylase is the correct answer because it is an enzyme that catalyzes the hydrolysis of starch, breaking it down into glucose and maltose. This enzyme is produced in the salivary glands and pancreas, and it plays a crucial role in the digestion of carbohydrates in the human body. Amylase works by breaking the glycosidic bonds between the glucose units in starch, resulting in the formation of smaller sugar molecules that can be easily absorbed and utilized by the body.

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75. A molar solution is:

Explanation

A molar solution is defined as one gram molecular weight of a given substance dissolved in a liter of solution. This means that for a molar solution, the amount of the substance is expressed in moles and the volume of the solution is expressed in liters. A molar solution is not necessarily stronger than a normal solution, as the strength of a solution depends on the concentration of the solute, which can vary for different solutions.

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76. Chromatography procedures are most commonly used to measure what substances in the laboratory?

Explanation

Chromatography procedures are commonly used in the laboratory to measure drugs of abuse. This technique allows for the separation and identification of different components in a mixture, making it useful for detecting and quantifying illicit substances in biological samples. By analyzing the retention times and peak areas of the substances, chromatography can provide accurate and reliable results for drug testing purposes.

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77. In ISE analyzers, the sodium electrode is made up of

Explanation

The correct answer is glass. In ISE analyzers, the sodium electrode is made up of glass. Glass is commonly used in electrodes due to its chemical stability and ability to withstand harsh conditions. It is an ideal material for the sodium electrode as it allows for accurate and reliable measurements of sodium ions in a solution.

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78. Ammonia is removed from the body primarily by:

Explanation

Ammonia is a toxic substance that is produced as a byproduct of protein metabolism. The liver plays a crucial role in removing ammonia from the body by converting it into urea through a process called urea synthesis. Urea is a less toxic compound that can be safely excreted in the urine. This process occurs in the liver and is essential for maintaining the body's nitrogen balance. Other options mentioned, such as glutamine synthesis in the brain and excretion as free ammonia in the urine, are not the primary mechanisms for ammonia removal from the body.

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79. Which of the following is the correct sequence of applying the Westgard Multirule when evaluating QC results?

Explanation

The Westgard Multirule is a set of rules used to evaluate quality control (QC) results in laboratory testing. The correct sequence of applying the Westgard Multirule is to first apply the 1-2S rule, followed by the 1-3S rule, then the 2-2S rule, and finally the R-4S rule. The 1-2S rule checks for any data points that are more than 2 standard deviations away from the mean. The 1-3S rule checks for any data points that are more than 3 standard deviations away from the mean. The 2-2S rule checks for any consecutive data points that are more than 2 standard deviations away from the mean. The R-4S rule checks for any range of data points that is more than 4 standard deviations away from the mean.

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80. Which of the following is water soluble and may be found in the urine?

Explanation

Conjugated bilirubin is water soluble and may be found in the urine. Bilirubin is a yellow pigment that is produced when red blood cells are broken down. It is then processed by the liver and converted into conjugated bilirubin, which is water soluble and can be excreted in the urine. Unconjugated bilirubin, indirect bilirubin, and total bilirubin are not water soluble and are not typically found in the urine.

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81. A graduated cylinder is most commonly used for:

Explanation

A graduated cylinder is a laboratory instrument that is specifically designed for measuring the volume of liquids. It is marked with graduated lines that indicate different volume measurements. By pouring a liquid into the graduated cylinder and reading the volume at the meniscus, one can accurately determine the volume of the liquid being measured. Therefore, the correct answer is measuring volumes of solutions.

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82. Freezing whole blood must be avoided because:

Explanation

Freezing whole blood must be avoided because the process of freezing can cause the red cells in the blood to rupture. When blood freezes, ice crystals form and expand, leading to the destruction of red blood cells. This can result in the release of hemoglobin and other cellular components into the surrounding plasma, compromising the integrity and function of the blood. Therefore, freezing whole blood is not recommended to maintain its viability and usefulness.

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83. Carbohydrates are composed primarily of:

Explanation

Carbohydrates are organic compounds that are composed primarily of carbon, hydrogen, and oxygen. These three elements are the building blocks of carbohydrates, with the ratio of hydrogen to oxygen being 2:1, just like in water. Carbohydrates are an essential source of energy for the body and are found in various forms such as sugars, starches, and fibers. Therefore, the correct answer is carbon, hydrogen, and oxygen.

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84. Which of the following will NOT cause a falsely elevated potassium result?

Explanation

A non-fasting patient will not cause a falsely elevated potassium result. Fasting or non-fasting status does not affect the potassium level in the blood. Prolonged tourniquet application can cause hemoconcentration, leading to falsely elevated potassium levels. Excessive clenching of the fist can cause hemolysis, which releases intracellular potassium into the serum, leading to falsely elevated levels. Hemolysis itself can also cause falsely elevated potassium levels. However, a non-fasting status does not directly impact the potassium level and therefore will not cause a falsely elevated result.

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85. Which of the following best represents the correct sequence of events in the metabolism of bilirubin?

Explanation

The correct sequence of events in the metabolism of bilirubin starts with the breakdown of red blood cells (RBCs), which releases unconjugated bilirubin. This unconjugated bilirubin then binds to albumin for transport to the liver. In the liver, the unconjugated bilirubin is conjugated (converted into a water-soluble form) and then excreted into the intestine. In the intestine, the conjugated bilirubin is further metabolized and eventually eliminated in the feces.

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86. The pH of 7.4, the ratio of bicarbonate/carbonic acid will be:

Explanation

The correct answer is 20:1 because a pH of 7.4 indicates a slightly alkaline solution. In an alkaline solution, the ratio of bicarbonate (HCO3-) to carbonic acid (H2CO3) is higher, meaning there is more bicarbonate relative to carbonic acid. Therefore, the ratio of bicarbonate to carbonic acid is 20:1.

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87. CSF protein levels in the healthy adult are

Explanation

CSF protein levels in the healthy adult are lower than serum levels. This is because cerebrospinal fluid (CSF) is a clear, colorless fluid that surrounds the brain and spinal cord. It acts as a protective cushion and helps in the exchange of nutrients and waste products. CSF protein levels are generally lower than serum levels because the blood-brain barrier selectively allows certain substances to pass through, including proteins. Therefore, the CSF has a lower concentration of proteins compared to the blood serum.

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88. Which is the major intracellular cation?

Explanation

Potassium is the major intracellular cation because it is found in higher concentrations inside the cells compared to other cations like sodium, chloride, and magnesium. It plays a crucial role in maintaining the cell's electrical potential and is involved in various cellular processes such as nerve impulse transmission, muscle contraction, and maintaining fluid balance.

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89. Which of the following statements about fluorometry are true?

Explanation

Fluorometry is a technique used to measure the fluorescence emitted by a compound. The statement "a compound is said to fluoresce when it absorbs light at one wavelength and emits light at a second wavelength" is true. This phenomenon occurs because when a compound absorbs light at a specific wavelength, it becomes excited and then emits light at a longer wavelength. This is known as fluorescence. The other statements in the question are false. Detectors in fluorometers are not necessarily placed 180 degrees from the excitation source, and fluorometry can be more sensitive than spectrophotometry depending on the specific application.

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90. Turbidimetry measures

Explanation

Turbidimetry is a technique used to measure the amount of light that is transmitted through particles in a suspension. In this method, a light beam is passed through the sample, and the amount of light that is transmitted through the particles is measured. The more particles present in the suspension, the less light will be transmitted. Therefore, the correct answer is "light transmitted through particles in suspension".

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91. What is the clinical usefulness of a sweat chloride analysis?

Explanation

A sweat chloride analysis is clinically useful for the diagnosis of Cystic Fibrosis. Cystic Fibrosis is a genetic disorder that affects the lungs and other organs, causing the production of thick, sticky mucus. The sweat chloride test measures the amount of chloride in a person's sweat, as individuals with Cystic Fibrosis have higher levels of chloride in their sweat. Therefore, a sweat chloride analysis can help confirm the diagnosis of Cystic Fibrosis.

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92. To prepare a working standard solution from a stock standard, the technician should use which of the following pieces of glassware?

Explanation

A volumetric flask should be used to prepare a working standard solution from a stock standard. This is because a volumetric flask is designed to accurately measure and hold a specific volume of liquid. It has a narrow neck with a mark indicating the desired volume, allowing for precise measurements and dilutions. Graduated cylinders and beakers are not as accurate for measuring specific volumes, and a graduated flask is not a commonly used piece of glassware. Therefore, a volumetric flask is the most appropriate choice for preparing a working standard solution.

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93. Repiratory acidosis is described as a/an?

Explanation

Respiratory acidosis is a condition characterized by an increase in the levels of carbon dioxide (CO2) in the blood and a decrease in pH. This occurs when the lungs are unable to remove enough CO2 from the body, leading to its accumulation and resulting in acidification of the blood. The increased CO2 content and elevated partial pressure of carbon dioxide (pCO2) in the blood cause a decrease in pH, making the blood more acidic.

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94. Acidosis and alkalosis are best defined as flctuations in blood pH and CO2 content due to changes in:

Explanation

Acidosis and alkalosis refer to imbalances in blood pH and CO2 content. The bicarbonate buffer system plays a crucial role in maintaining the acid-base balance in the body. It consists of carbonic acid (H2CO3) and bicarbonate ions (HCO3-), which can shift the pH by accepting or donating hydrogen ions. Changes in the bicarbonate buffer system can lead to fluctuations in blood pH and CO2 content, resulting in acidosis or alkalosis. Therefore, the bicarbonate buffer is the most appropriate choice for defining acidosis and alkalosis.

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95. Which of the following is true of the OGTT in non-pregnant individuals?

Explanation

The OGTT (Oral Glucose Tolerance Test) in non-pregnant individuals involves collecting specimens 1, 2, and 3 hours after ingesting a glucose load. In this test, a glucose load of 75 g is used. Test results greater than 100 g/dl are diagnostic of diabetes mellitus.

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96. The protein with the highest dye-affinity capacity is:

Explanation

Albumin is a protein that has the highest dye-affinity capacity. Dye-affinity refers to the ability of a protein to bind to a specific dye molecule. Albumin is known for its ability to bind to various dyes, making it useful in dye affinity chromatography techniques. This property allows albumin to be easily separated and purified from other proteins in a mixture. In contrast, alpha, beta, and gamma globulins are different types of proteins that do not possess the same high dye-affinity capacity as albumin.

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97. At what angle should a venipuncture needle penetrate the skin?

Explanation

The venipuncture needle should penetrate the skin at an angle of 15 - 30 degrees. This angle allows for proper insertion of the needle into the vein, minimizing the risk of complications such as damage to surrounding tissues or veins. It also ensures that the needle enters the vein at the correct depth, allowing for successful blood collection or administration of fluids or medications.

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98. Which class includes enzymes that catalyze oxidoreductive reactions between two substrates?

Explanation

Oxidoreductases are enzymes that catalyze oxidoreductive reactions between two substrates. These enzymes facilitate the transfer of electrons from one molecule to another, resulting in the oxidation of one substrate and the reduction of the other. This class of enzymes plays a crucial role in various biological processes, including energy production, metabolism, and detoxification. Transferases, on the other hand, catalyze the transfer of functional groups between substrates, while hydrolases catalyze the hydrolysis of chemical bonds. Therefore, oxidoreductases are the correct class of enzymes for catalyzing oxidoreductive reactions between two substrates.

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99. Which test is performed routinely on known diabetics as an early indication or renal disease?

Explanation

Microalbumin test is performed routinely on known diabetics as an early indication of renal disease. This test measures the amount of albumin, a protein, in the urine. Elevated levels of microalbumin in the urine can indicate kidney damage, which is a common complication of diabetes. Monitoring microalbumin levels helps in detecting kidney disease at an early stage, allowing for timely intervention and management to prevent further damage.

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100. Isoenzymes may be defined as

Explanation

Isoenzymes are enzymes that differ in their amino acid composition but perform the same catalytic reaction. This means that they have different structures but can still carry out the same biochemical reaction. The variation in amino acid content allows isoenzymes to have different properties, such as different kinetic parameters or different regulatory mechanisms, while still catalyzing the same overall reaction. This diversity in isoenzymes allows for fine-tuning of enzymatic activity in different tissues or under different physiological conditions.

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101. 1 nanometer equals:

Explanation

One nanometer is equal to 0.000001 millimeters. This means that if you have one millimeter and you divide it into one million equal parts, each part would be one nanometer in length. Therefore, the correct answer is 0.000001 millimeter.

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102. Express 350 mg/dl NaCl as MEq/L

Explanation

The correct answer is 60.3 mEq/L. To convert mg/dl of NaCl to mEq/L, you need to divide the value by the molecular weight of NaCl (58.44) and then multiply by 10. So, (350/58.44) x 10 = 60.3 mEq/L.

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103. The weight of NaOH required to prepare 3000 ml of a 0.5 M solution is:

Explanation

To calculate the weight of NaOH required to prepare a 0.5 M solution, we need to use the formula: weight (g) = molarity (M) x volume (L) x molar mass (g/mol). The molarity is given as 0.5 M and the volume is given as 3000 ml, which is equivalent to 3 L. The molar mass of NaOH is 40 g/mol. Plugging these values into the formula, we get weight (g) = 0.5 M x 3 L x 40 g/mol = 60 g. Therefore, the correct answer is 60 g.

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104. Which of the following statements about potentiometry are true?

Explanation

Potentiometry is a technique used to measure the potential difference between two electrodes in a solution. It involves the measurement of voltage, not current. By using a reference electrode and an indicator electrode, the potential difference can be determined, which is directly related to the concentration of the analyte in the solution. Therefore, the statement "measurements are based on the measurement of voltage" is true as it accurately describes the principle of potentiometry.

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105. White light is:

Explanation

White light is a combination of all colors because it is made up of a spectrum of wavelengths that range from violet to red. When white light passes through a prism or is refracted, it separates into different colors, demonstrating that it contains all the colors of the visible spectrum. This phenomenon can also be observed when white light is passed through a water droplet, creating a rainbow. Therefore, white light is not partially diffracted or absorbed, and it is not the absence of all colors.

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106. The principle excretory form of nitrogen is:

Explanation

Urea is the correct answer because it is the main nitrogenous waste product formed in the liver from the breakdown of amino acids. It is highly soluble in water and can be easily excreted by the kidneys. Urea is less toxic compared to other nitrogenous waste products like uric acid, making it the primary excretory form of nitrogen in mammals. Creatinine is a waste product of muscle metabolism and is also excreted by the kidneys, but it is not the principle excretory form of nitrogen.

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107. A 45 year old male of average height and weight was admitted to the hosptial for renal function studies. His serum creatinine was 1.5 mg/dl and urine creatinine was 120 mg/dl; the total volume o furine collected over a 24 hour period was 1800 ml. Calculate the creatinine clearance for this patinet, in ml/min.

Explanation

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108. Kernicterus is a term used to describe:

Explanation

Kernicterus is a term used to describe the deposition of bilirubin in the brain tissue of newborns. Bilirubin is a yellow pigment that is produced when red blood cells are broken down. In newborns, the liver may not be fully developed and therefore may not be able to effectively process and eliminate bilirubin from the body. As a result, bilirubin can build up in the blood and cross the blood-brain barrier, leading to its deposition in the brain tissue. This can cause severe neurological damage and potentially result in long-term complications such as developmental delays and hearing loss.

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109. Most chemical anticoagulants prevent coagulation by removal of:

Explanation

Chemical anticoagulants work by inhibiting the clotting process in the blood. Calcium plays a crucial role in the coagulation cascade, where it acts as a cofactor for several clotting factors. By removing calcium, the anticoagulant disrupts the clotting process and prevents the formation of blood clots. This inhibitory effect on calcium is essential for the anticoagulant's effectiveness in preventing coagulation.

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110. The most sensitive laboratory test presently available to aid in the diagnosis of chronic alcoholism is:

Explanation

GGT (gamma-glutamyl transferase) is the most sensitive laboratory test for diagnosing chronic alcoholism. GGT levels are elevated in the blood of individuals who consume excessive amounts of alcohol. This enzyme is primarily found in the liver, and its levels increase when there is liver damage or inflammation caused by alcohol abuse. Therefore, measuring GGT levels can help identify individuals who have been chronically consuming alcohol and may be at risk for alcohol-related liver disease. AST (aspartate aminotransferase), ALT (alanine aminotransferase), and ALP (alkaline phosphatase) are also liver enzymes, but GGT is more specific to alcohol-related liver damage.

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111. To check for the completeness of a 24 hour urine collection, the 24 hour urine _____ is measured.

Explanation

To check for the completeness of a 24-hour urine collection, the level of creatinine in the urine is measured. Creatinine is a waste product that is produced by the muscles and filtered out of the blood by the kidneys. By measuring the creatinine level in the urine, healthcare professionals can determine if the collection was done properly and if the urine sample is representative of the individual's kidney function. Creatinine is commonly used as a marker to assess kidney function and the completeness of a 24-hour urine collection.

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112. The upper limit of normal for CSF protein is generally considered to be _____ mg/dl.

Explanation

The upper limit of normal for CSF protein is generally considered to be 45 mg/dl. This means that if the CSF protein level exceeds 45 mg/dl, it may indicate an abnormality or underlying condition. CSF protein levels are measured to evaluate and diagnose various neurological disorders, such as infections, inflammation, and tumors. Monitoring CSF protein levels can help healthcare professionals assess the integrity and function of the central nervous system.

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113. Molarity is equal to:

Explanation

Molarity is a measure of the concentration of a solute in a solution, expressed as the number of moles of solute per liter of solution. It is calculated by dividing the normality (the number of equivalents of solute per liter of solution) by the positive valence (the number of positive charges carried by each ion of solute). This calculation gives us the molarity of the solution.

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114. The temperature at which all volumetric pipettes are calibrated is:

Explanation

Volumetric pipettes are calibrated at a specific temperature to ensure accurate measurements. The correct temperature for calibration is 20 degrees Celsius. This temperature is commonly used because it is close to room temperature and allows for consistent and reliable measurements. Calibrating pipettes at this temperature helps to minimize errors that may occur due to temperature variations.

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115. Which class includes enzymes that catalyze transfer of a specific group other than hydrogen between a pair of substrates?

Explanation

Transferases are a class of enzymes that catalyze the transfer of a specific group, other than hydrogen, between a pair of substrates. They play a crucial role in various biochemical reactions, including the transfer of functional groups such as methyl, acetyl, and phosphate. These enzymes are involved in processes like DNA replication, protein synthesis, and metabolism. Therefore, transferases are the correct class of enzymes that catalyze the transfer of specific groups between substrates.

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116. A cholesterol ester is cholesterol esterification is:

Explanation

Cholesterol esterification is a process in which cholesterol is converted into cholesterol esters. The liver is responsible for this conversion. It takes up cholesterol from the bloodstream and converts it into cholesterol esters, which are then packaged into lipoproteins and transported to various tissues. This process helps regulate cholesterol levels in the body and is important for the synthesis of hormones, bile acids, and cell membranes. The liver plays a crucial role in maintaining cholesterol homeostasis and is therefore the correct answer.

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117. Optical density is defined as:

Explanation

The correct answer is 2-log %T. Optical density is a measure of how much light is absorbed by a substance. It is commonly represented as the logarithm of the reciprocal of the transmittance (%T). By taking the logarithm of the reciprocal of %T, we can express the optical density in a more convenient and practical form. Therefore, the answer 2-log %T is the correct representation of optical density.

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118. What is the minimum serum glucose level at which urine would be positive for the presence of glucose?

Explanation

When the serum glucose level exceeds 180 mg/dl, the renal threshold for glucose is surpassed, leading to the presence of glucose in the urine. This is known as glucosuria. Glucosuria occurs because the renal tubules are unable to reabsorb all the filtered glucose back into the bloodstream when the glucose concentration is high. Therefore, a minimum serum glucose level of 180 mg/dl is required for urine to be positive for the presence of glucose.

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119. A serum sample of 0.5 ml is diluted with 2.0 ml of distilled water. The resulting dilution factor is:

Explanation

The serum sample is diluted with 2.0 ml of distilled water. This means that the total volume of the diluted solution is 0.5 ml + 2.0 ml = 2.5 ml. The dilution factor is calculated by dividing the total volume of the diluted solution by the volume of the original sample. In this case, the dilution factor is 2.5 ml / 0.5 ml = 5. Therefore, the correct answer is 5.

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120. Isoenzymes are best separated by:

Explanation

Electrophoresis is the best method for separating isoenzymes. Isoenzymes are enzymes that have the same catalytic function but differ in their amino acid sequence. Electrophoresis separates molecules based on their size and charge. By applying an electric field, isoenzymes can be separated based on their different electrophoretic mobilities. This technique allows for the separation and identification of different isoenzymes, providing valuable information about their structure and function.

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121. The chemical linkage of amino acids that forms peptide bonds occures between:

Explanation

Peptide bonds are formed through a condensation reaction between the amino group of one amino acid and the carboxyl group of another amino acid. This reaction results in the formation of a covalent bond and the release of a water molecule. Therefore, the correct answer is amino and carboxylic groups.

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122. The kidney affects the _________ parameter and is the first compensation for __________ disorders.

Explanation

The kidney affects the metabolic parameter and is the first compensation for respiratory disorders. This means that the kidney plays a role in regulating metabolic processes in the body and is able to compensate for any imbalances or abnormalities in the respiratory system.

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123. A patient with hemolytic anemia will

Explanation

In hemolytic anemia, there is an increased destruction of red blood cells. Glycosylated hemoglobin (Hgb) values reflect the average blood glucose levels over the past few months. Since hemolytic anemia leads to a decrease in the lifespan of red blood cells, there will be a decrease in the amount of time for glucose to bind to hemoglobin and form glycosylated Hgb. Therefore, a patient with hemolytic anemia will show a decrease in glycosylated Hgb values.

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124. A microgram is:

Explanation

A microgram is a unit of measurement that is equal to 0.001 of a milligram. This means that it is a very small amount, as a milligram is already a small unit of measurement.

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125. The phagocytic cells in the liver are called the ____ and are part of the reticuloendothelial system.

Explanation

The phagocytic cells in the liver are called Kupffer cells and are part of the reticuloendothelial system. These cells play a crucial role in the immune response by engulfing and destroying pathogens, cellular debris, and foreign substances in the liver. Kupffer cells also contribute to the regulation of inflammation and the maintenance of liver homeostasis.

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126. A patient had the following laboratory results: Na=123 mmol/L; Cl=85 mmol/L; TCO2=16 mmol/L. The anion gap is _____. What acid-base disturbance does this patient probably have?

Explanation

The anion gap is calculated by subtracting the sum of chloride and bicarbonate levels from the sodium level. In this case, the anion gap would be 123 - (85 + 16) = 22 mmol/L. A high anion gap indicates the presence of unmeasured anions in the blood, which is commonly seen in metabolic acidosis. Therefore, the patient is likely to have metabolic acidosis.

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127. The percent of oxygen in room air is approximately:

Explanation

The percent of oxygen in room air is approximately 21%. This is the correct answer because the average concentration of oxygen in the Earth's atmosphere is about 21%, which is enough to support human respiration.

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128. The pathway of light in the spectrophotometer is:

Explanation

The correct answer is light source-diffraction grating-cuvette tube-photocell-galvanometer. In a spectrophotometer, the light source emits light which is then passed through a diffraction grating. The diffraction grating helps to separate the different wavelengths of light. The light then passes through the cuvette tube, which contains the sample being analyzed. The light that passes through the sample is detected by a photocell, which converts the light into an electrical signal. Finally, the galvanometer measures the intensity of the electrical signal, which can be used to determine the absorbance or transmittance of the sample.

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129. All of the following are examples of polysaccharides except:

Explanation

Polysaccharides are complex carbohydrates made up of long chains of sugar molecules. Starch, glycogen, and cellulose are all examples of polysaccharides because they consist of repeating units of glucose molecules. However, ribose is a monosaccharide, not a polysaccharide. It is a simple sugar and is a component of RNA, not a long chain of sugar molecules.

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130. What is glycogenesis?

Explanation

Glycogenesis is the process by which glucose is converted into glycogen. This process occurs mainly in the liver and muscles and helps to store excess glucose for later use. Glycogen is a complex carbohydrate that serves as a short-term energy storage molecule in the body. During glycogenesis, glucose molecules are added to a growing glycogen chain, forming a larger molecule that can be broken down when energy is needed. This process is regulated by enzymes and hormones to maintain glucose levels within the body.

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131. What volume of 14N H2SO4 is needed to make 250 ml of 3.2 M H2SO4?

Explanation

To find the volume of 14N H2SO4 needed, we can use the formula for dilution: M1V1 = M2V2. We are given that the initial concentration (M1) is 14N, the final concentration (M2) is 3.2 M, and the final volume (V2) is 250 ml. We need to find V1, the initial volume. Rearranging the formula, V1 = (M2V2) / M1. Plugging in the values, we get V1 = (3.2 M * 250 ml) / 14N = 57.14 ml. Therefore, the correct answer is 114 ml.

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132. What is the correct order of draw for the following tubes if following the CLSI (formerly NCCLS) standard? EDTA, heparin, citrate, no additive, gray

Explanation

According to the CLSI (formerly NCCLS) standard, the correct order of draw for the tubes mentioned is citrate, no additive, heparin, EDTA, and gray. This order is important to prevent cross-contamination and ensure accurate test results. Citrate is drawn first because it is used for coagulation tests, followed by the no additive tube for serum tests. Heparin is drawn next for plasma tests, followed by EDTA for hematological tests, and finally, the gray tube for glucose tests.

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133. A CuSO4 solution looks blue because it

Explanation

A CuSO4 solution looks blue because it transmits blue color. This means that when white light passes through the solution, it allows the blue wavelength of light to pass through while absorbing other colors. As a result, our eyes perceive the solution as blue in color.

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134. The pH most effective at allowing amphoteric proteins to migrate toward the cathode in an electrophoretic system would be:

Explanation

Amphoteric proteins can act as both acids and bases, meaning they can gain or lose protons depending on the pH of their environment. In an electrophoretic system, proteins migrate towards the electrode with the opposite charge. Since the cathode is negatively charged, the proteins would be positively charged and would migrate towards it. The pH at which the proteins would have the highest positive charge and therefore migrate most effectively towards the cathode is around their isoelectric point (pI), which is the pH at which they have a net charge of zero. In this case, the isoelectric point would be around pH 8.6, making it the most effective pH for the migration of amphoteric proteins towards the cathode.

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135. Total carbon dioxide refers to:

Explanation

Total carbon dioxide refers to the sum of all forms of carbon dioxide present, including dissolved CO2, bicarbonate, carbamino CO2, and carbonic acid. This means that all of these forms contribute to the total amount of carbon dioxide in a given system.

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136. The lipoprotein that is the major carrier of cholesterol is:

Explanation

LDL (low-density lipoprotein) is the major carrier of cholesterol. It is often referred to as "bad" cholesterol because high levels of LDL can lead to the buildup of plaque in the arteries, increasing the risk of heart disease. LDL transports cholesterol from the liver to the cells in the body, where it is used for various functions. However, if there is an excess of LDL or if it becomes oxidized, it can contribute to the development of atherosclerosis. HDL (high-density lipoprotein) is often referred to as "good" cholesterol because it helps remove LDL from the arteries and transport it back to the liver for processing. VLDL (very low-density lipoprotein) and chylomicrons are also lipoproteins involved in cholesterol transport, but they are not the major carriers.

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137. First-order kinetics means:

Explanation

First-order kinetics refers to a reaction rate that is dependent on substrate concentration. This means that as the concentration of the substrate increases, the reaction rate also increases. In first-order kinetics, the rate of the reaction is directly proportional to the concentration of the substrate. As the substrate concentration decreases, the reaction rate also decreases. This indicates that the reaction rate is dependent on the amount of substrate available for the reaction to occur.

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138. One equivalent weight per liter equals:

Explanation

One milliequivalent weight per ml is equivalent to one milliequivalent weight per ml.

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139. A 68 year old man arrives in the emergency room with a glucose level of mg/dl and serum acetone of 4+ undiluted. An arterial blood gas from this patient is likely to indicate which of the following?

Explanation

The high serum acetone level in this patient suggests that he may be experiencing diabetic ketoacidosis (DKA), a serious complication of diabetes. DKA is characterized by high blood glucose levels and the production of ketones, such as acetone, due to the breakdown of fatty acids for energy. In DKA, ketones lower the blood pH, resulting in acidosis, which is reflected by a low pH. Therefore, the arterial blood gas from this patient is likely to indicate a low pH.

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140. A patient's BUN level is analyzed using a methodolgy that claims a linear limit of 25 mg/dl. The assayed result is 32 mg/dl. Which of the following is the best course of action?

Explanation

The best course of action is to dilute the serum (1:2) and analyze it again. By diluting the serum, the concentration of BUN will decrease, potentially bringing the result within the linear limit of 25 mg/dl. After analyzing the diluted sample, the result should be multiplied by 2 to account for the dilution factor and reported in mg/dl. This approach ensures that the result is accurate and within the linear range of the methodology.

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141. The NPN substances inclue all of the following EXCEPT:

Explanation

The question asks for the substance that is not included in the NPN substances. NPN stands for non-protein nitrogen, which refers to the nitrogenous waste products in the body that are not derived from protein breakdown. Urea, creatinine, ammonia, and amino acids are all examples of NPN substances. However, albumin is a protein and not a nitrogenous waste product, so it is not included in the NPN substances.

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142. Which enzyme is responsible for the conjugation of bilirubin?

Explanation

Glucuronyl transferase is the enzyme responsible for the conjugation of bilirubin. Conjugation is a process in which bilirubin, a waste product of red blood cell breakdown, is transformed into a water-soluble form that can be excreted from the body. Glucuronyl transferase attaches a glucuronic acid molecule to bilirubin, making it more soluble in water and allowing it to be eliminated through urine and feces. Without sufficient levels of this enzyme, bilirubin cannot be effectively conjugated and can build up in the body, leading to conditions such as jaundice.

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143. The property most responsible for the migration of proteins in electrical field is:

Explanation

The migration of proteins in an electrical field is primarily determined by their molecular weight. Proteins with larger molecular weights tend to migrate more slowly, while proteins with smaller molecular weights migrate faster. This is because larger proteins experience more resistance from the surrounding medium, while smaller proteins can move more easily through the medium. Therefore, molecular weight is the property most responsible for the migration of proteins in an electrical field.

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144. Two kinds of volumetric glassware used in the laboratory are:

Explanation

Pipets and flasks are two kinds of volumetric glassware commonly used in the laboratory. Pipets are used for precise measurement and transfer of small volumes of liquids, while flasks are used for mixing, storing, and heating liquids. Burets are used for precise delivery of liquids, but they are not mentioned in the answer. Beakers and graduated cylinders are also commonly used in the laboratory, but they are not mentioned together in the same option. Therefore, the correct answer is pipets and flasks.

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145. The amount of the Ba(OH)2 required to prepare 1 liter of 0.3 N barium hydroxide solution is:

Explanation

To calculate the amount of Ba(OH)2 required, we need to use the formula for molarity: Molarity (M) = moles of solute / volume of solution in liters. In this case, the molarity is given as 0.3 N (normality), which is equivalent to 0.3 mol/L. The molecular weight of Ba(OH)2 is 171.34 g/mol, so to find the moles of Ba(OH)2 needed, we can rearrange the formula: moles = Molarity x volume. Since the volume is given as 1 liter, the moles of Ba(OH)2 needed is 0.3 mol. Finally, to find the mass of Ba(OH)2, we multiply the moles by the molecular weight: mass = moles x molecular weight = 0.3 mol x 171.34 g/mol = 51.402 g. Rounding to the nearest hundredth, the correct answer is 25.65 g.

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146. How many ml of 0.1 N HCl will be prepared to neutralize 2 ml of 0.0985 N NaOH?

Explanation

To find the volume of 0.1 N HCl needed to neutralize 2 ml of 0.0985 N NaOH, we can use the equation:

Molarity of acid x Volume of acid = Molarity of base x Volume of base

Rearranging the equation, we get:

Volume of acid = (Molarity of base x Volume of base) / Molarity of acid

Plugging in the values, we have:

Volume of acid = (0.0985 N x 2 ml) / 0.1 N

Simplifying the equation, we get:

Volume of acid = 1.97 ml

Therefore, 1.97 ml of 0.1 N HCl will be needed to neutralize 2 ml of 0.0985 N NaOH.

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147. In chromatography procedures, this is considered the sample chamber

Explanation

In chromatography procedures, the column is considered the sample chamber because it is where the sample is introduced into the system. The column contains the stationary phase, which is responsible for separating the components of the sample based on their interactions with the mobile phase. As the mobile phase flows through the column, the different components of the sample interact differently with the stationary phase, leading to their separation. Therefore, the column acts as the sample chamber in chromatography procedures.

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148. A hospitalized patient is experiencing increased neuromuscular irritability (tetany). Which of the following tests should be ordered immediately?

Explanation

In a hospitalized patient experiencing increased neuromuscular irritability (tetany), ordering calcium and potassium tests immediately is essential. Tetany is often associated with electrolyte imbalances, particularly low levels of calcium and potassium. Calcium is crucial for muscle contraction and nerve conduction, while potassium is necessary for maintaining proper neuromuscular function. By ordering these tests, healthcare providers can assess the patient's electrolyte levels and determine if immediate intervention, such as calcium or potassium supplementation, is necessary to alleviate the symptoms of tetany.

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149. The absorbance of a calcium standard containing 9.3 mg/dl of calcium was 0.494. The absorbance of the control sear was 0.504. The procedure follows Beer's. The concentration of the control is _______.

Explanation

The absorbance of a solution is directly proportional to its concentration according to Beer's law. In this case, the absorbance of the control solution is 0.504, which is slightly higher than the absorbance of the calcium standard solution (0.494). This indicates that the concentration of the control solution is slightly higher than the concentration of the calcium standard solution. Therefore, the concentration of the control solution is likely to be 9.5 mg/dl, which is the only option that is higher than the concentration of the calcium standard solution.

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150. A protein in an environment with a pH above the isoelectric point will travel toward the ____ and have a ____ charge.

Explanation

In an environment with a pH above the isoelectric point, the protein will have a net positive charge. Since opposites attract, the protein will be attracted towards the negatively charged electrode, which is the anode. Therefore, the correct answer is "anode, negative".

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151. High alkaline phosphatase activity is found mainly in:

Explanation

High alkaline phosphatase activity is found mainly in liver disease. Alkaline phosphatase is an enzyme that is primarily produced in the liver. When there is liver damage or disease, the liver cells release this enzyme into the bloodstream, causing an increase in alkaline phosphatase activity. Therefore, elevated levels of alkaline phosphatase are often indicative of liver dysfunction or disease.

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152. In metabolic alkalosis, what is the primary parameter affected? Is it decreased or increased?

Explanation

In metabolic alkalosis, the primary parameter affected is bicarbonate. It is increased in this condition. Metabolic alkalosis occurs when there is an excessive loss of acid or an excessive gain of bicarbonate in the body. This leads to an imbalance in the acid-base levels, causing an increase in bicarbonate concentration.

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153. Which of the following represents the effect of obtaining venous rather than arterial blood for blood gas analysis?

Explanation

Obtaining venous blood instead of arterial blood for blood gas analysis would result in increased pCO2 levels, decreased pO2 levels, and decreased pH levels. This is because venous blood has higher levels of carbon dioxide (pCO2) compared to arterial blood, as it has already delivered oxygen to the tissues and picked up carbon dioxide waste. Additionally, venous blood has lower levels of oxygen (pO2) compared to arterial blood, as it has already been used by the tissues. The increased levels of carbon dioxide and decreased levels of oxygen in venous blood would lead to a decrease in pH, making it more acidic.

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154. Amino acids that cannot be synthesized in the body are known as _____ amino acids.

Explanation

Amino acids that cannot be synthesized in the body are known as "essential" amino acids. These amino acids must be obtained from the diet as the body is unable to produce them on its own. They are essential for proper functioning and growth of the body.

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155. Of the methods that measure activity rate, the assay method of choice is:

Explanation

The assay method of choice for measuring activity rate is kinetic or continuous monitoring. This method allows for real-time monitoring of the reaction, providing more accurate and precise measurements compared to colorimetric or end point methods. Colorimetric or end point methods only provide a single measurement at the end of the reaction, which may not capture the full dynamics of the reaction. Therefore, kinetic or continuous monitoring is preferred as it allows for a more comprehensive understanding of the reaction kinetics and activity rate.

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156. The CK in normal persons is thought to be derived from:

Explanation

The correct answer is skeletal muscle. Creatine kinase (CK) is an enzyme that is found in various tissues in the body, including the heart muscle, brain, liver, and skeletal muscle. However, the highest concentration of CK is found in skeletal muscle. Therefore, it is believed that the majority of CK in normal individuals is derived from skeletal muscle.

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157. What is the normality o a solution made with 100 grams of NaCl diluted to 1 liter with distilled water?

Explanation

The normality of a solution is determined by the number of equivalents of solute present in 1 liter of solution. In this case, NaCl is the solute. To calculate the normality, we need to know the molar mass of NaCl and the number of equivalents of NaCl in the solution. The molar mass of NaCl is 58.44 g/mol. Since NaCl is a strong electrolyte, it dissociates completely in water, and each formula unit of NaCl produces 1 equivalent of Na+ and 1 equivalent of Cl-. Therefore, the number of equivalents of NaCl in the solution is equal to the number of moles of NaCl. By dividing the mass of NaCl (100 g) by its molar mass (58.44 g/mol), we find that there are approximately 1.71 moles of NaCl in the solution. Since the solution is diluted to 1 liter, the normality is approximately 1.71 N, which is closest to the answer 1.7.

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158. Perform the conversion of 200 ul to ml

Explanation

The correct answer is 2 x 10 to the -1. To convert from microliters (ul) to milliliters (ml), you divide the value in microliters by 1000. Since 200 divided by 1000 is 0.2, the conversion of 200 ul to ml is 0.2 ml. In scientific notation, this can be written as 2 x 10 to the -1, where -1 represents the negative exponent.

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159. The number of milligrams of Sodium Chloride required to prepare 3 liters of 0.2M solution is:

Explanation

To calculate the number of milligrams of Sodium Chloride required to prepare a 0.2M solution, we need to use the formula: moles = concentration x volume. Given that the volume is 3 liters and the concentration is 0.2M, we can calculate the moles of Sodium Chloride required. To convert moles to milligrams, we need to multiply the moles by the molar mass of Sodium Chloride, which is 58.44 g/mol. Therefore, the number of milligrams required is 0.2M x 3L x 58.44g/mol x 1000mg/g = 34800mg.

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160. The function of the major lipid component of the low density lipoproteins (LDL) is to transport

Explanation

The major lipid component of LDL is responsible for transporting cholesterol and phospholipids to peripheral cells. LDL acts as a carrier for these lipids, delivering them to various tissues and cells throughout the body. This is an important function as cholesterol and phospholipids are essential for cell membrane formation and various cellular processes. By transporting these lipids to peripheral cells, LDL helps maintain the balance and distribution of cholesterol and phospholipids in the body.

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161. In the evaluation of blood glucose levels, all of the following are true except:

Explanation

Capillary blood values will not be lower than venous values. Capillary blood is obtained from the fingertip or earlobe and is known to have higher glucose levels compared to venous blood. This is because capillary blood reflects the glucose levels in the immediate vicinity of the capillaries, while venous blood represents the overall glucose levels in the body. Therefore, capillary blood values are expected to be higher than venous values, making this statement false.

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162. A patient with diabetic ketoacidosis may present all of the following except:

Explanation

Metabolic alkalosis is not a characteristic of diabetic ketoacidosis. Diabetic ketoacidosis is a condition characterized by high blood sugar levels, positive urine sugar, kussmaul respiration (deep and rapid breathing), dehydration with excessive urination, and the presence of ketone bodies in the urine. Metabolic alkalosis, on the other hand, is a condition characterized by elevated blood pH and bicarbonate levels, which is not typically seen in diabetic ketoacidosis.

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163. The pCO2 in normal alveolar space is _____ mm Hg.

Explanation

The correct answer is 35-45 mm Hg. This range represents the normal partial pressure of carbon dioxide (pCO2) in the alveolar space of the lungs. pCO2 is a measure of the concentration of carbon dioxide in the alveoli, and it is regulated by the respiratory system to maintain acid-base balance in the body. A pCO2 level within the range of 35-45 mm Hg indicates that the lungs are effectively removing carbon dioxide from the body and maintaining appropriate gas exchange.

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164. The pigment that gives the brown color to feces is:

Explanation

Urobilin is the pigment responsible for giving feces its brown color. It is formed from the breakdown of bilirubin, a yellow pigment produced during the breakdown of red blood cells in the liver. Urobilin is then excreted in the bile and passes through the intestines, where it gives the feces its characteristic brown color. Urobilinogen, on the other hand, is a colorless compound that is converted into urobilin in the intestines. Therefore, the correct answer is urobilin.

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165. The purpose of the "blank" tube is:

Explanation

The purpose of the "blank" tube is to correct for color due to the reagents or interaction of reagents. By measuring the color in the blank tube, which contains only the reagents and no substance being measured, any color caused by the reagents or their interaction can be subtracted from the color measured in the sample tube. This correction ensures that the color measured in the sample tube is solely due to the substance being measured, allowing for accurate analysis.

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166. In the liver, bilirubin is converted to:

Explanation

Bilirubin is a yellow pigment that is produced when red blood cells are broken down in the liver. It is then converted into bilirubin glucuronide through a process called glucuronidation. This conversion is important for the excretion of bilirubin from the body. Bilirubin glucuronide is a water-soluble form of bilirubin that can be easily eliminated through urine and feces.

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167. The functions of albumin include all except:

Explanation

Albumin is a protein found in the blood that has various functions. It helps in transporting substances such as hormones, fatty acids, and drugs. It also helps in regulating osmotic pressure by maintaining the balance of fluids between blood vessels and tissues. Additionally, albumin acts as a reserve store for amino acids, providing a source of energy when needed. However, it is not directly associated with immune response. Immune responses are primarily mediated by other proteins such as antibodies and immune cells.

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168. Which of the following represents the effect of exposing a blood gas sample to room air before analysis?

Explanation

When a blood gas sample is exposed to room air before analysis, the partial pressure of carbon dioxide (pCO2) decreases because it diffuses from the blood into the air. At the same time, the partial pressure of oxygen (pO2) increases because it diffuses from the air into the blood. Additionally, the pH of the blood increases because the decrease in pCO2 leads to a decrease in carbonic acid, which increases the pH. Therefore, the correct answer is decreased pCO2, increased pO2, increased pH.

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169. A chloride concentration of 355 mg/dl is the same as:

Explanation

The correct answer is 100 mEq/L because the conversion factor for chloride concentration is 1 mg/dl = 0.282 mEq/L. Therefore, by multiplying 355 mg/dl by 0.282, we get 100 mEq/L.

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170. The Beer-Lambert Law states that "color intensity at a constant depth" is:

Explanation

The Beer-Lambert Law states that the color intensity at a constant depth is directly proportional to the concentration of a solution. This means that as the concentration of a solution increases, the color intensity also increases. This relationship can be explained by the fact that a higher concentration of a substance in a solution leads to more molecules or particles that can absorb light, resulting in a greater color intensity.

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171. Which colligative property is most commonly used on osmometers in the clinical laboratory?

Explanation

The colligative property most commonly used on osmometers in the clinical laboratory is freezing point. Osmometers measure the osmolality of a solution, which is the concentration of solute particles in a solvent. Freezing point depression occurs when solute particles are added to a solvent, causing the freezing point of the solution to be lower than that of the pure solvent. By measuring the freezing point depression, osmometers can determine the osmolality of a solution, which is an important parameter in clinical diagnostics.

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172. Which of the following represents the correct order of separation/position of electrophresed total protein?

Explanation

In electrophoresis, proteins are separated based on their charge and size. The anode is the positive electrode, and the cathode is the negative electrode. Proteins with a negative charge will migrate towards the anode, while proteins with a positive charge will migrate towards the cathode. The correct order of separation/position of electrophoresed total protein is from the anode to the cathode. Therefore, the correct answer is "anode, albumin, alpha-1 globulin, alpha-2 globulin, beta globulin, gamma globulin, cathode."

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173. In the Jaffe reaction, creatinine reacts with:

Explanation

The Jaffe reaction is a chemical test used to measure the concentration of creatinine in a sample. Creatinine reacts with alkaline picrate solution to form an orange-red complex. This complex can be measured spectrophotometrically, allowing for the quantification of creatinine levels. The other options listed do not result in the formation of an orange-red complex and are therefore incorrect.

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174. Which of the following about blood ammonia levels is false?

Explanation

The statement that ammonia levels are the most abundant NPN (non-protein nitrogen) substance in the blood is false. While increased levels of ammonia are indeed seen in liver disorders and Reye's syndrome, and false increases can result from not placing the sample on ice immediately after collection, ammonia is not the most abundant NPN substance in the blood. Other NPN substances such as urea and creatinine are more abundant.

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175. PH:

Explanation

pH is a measure of the acidity or alkalinity of a solution. It is defined as the negative logarithm of the concentration of hydrogen ions (H+). The higher the concentration of H+ ions, the lower the pH value, indicating a more acidic solution. Conversely, a lower concentration of H+ ions results in a higher pH value, indicating a more alkaline solution. The reciprocal of the H+ concentration is used in the pH formula to determine the logarithmic value. Therefore, the correct answer is that pH is defined as the log of the reciprocal of the H+ concentration.

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176. A coomon cause of repiratory alkalosis is:

Explanation

Hyperventilation is a common cause of respiratory alkalosis. When a person hyperventilates, they breathe rapidly and deeply, causing excessive elimination of carbon dioxide (CO2) from the body. This leads to a decrease in the concentration of CO2 in the blood, which in turn increases the pH of the blood, making it more alkaline. This condition is known as respiratory alkalosis. Hyperventilation can be caused by various factors, such as anxiety, panic attacks, or respiratory disorders.

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177. The isoenzyme(s) of creatine kinase found in the myocardium is (are):

Explanation

not-available-via-ai

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178. All of the following will affect serum BUN levels except:

Explanation

Muscle mass does not directly affect serum BUN (blood urea nitrogen) levels. BUN is a waste product that is produced when the liver breaks down proteins and is excreted by the kidneys. Therefore, factors that affect liver and kidney function, as well as dietary protein intake, can influence BUN levels. However, muscle mass does not have a direct impact on BUN levels as it does not affect the breakdown of proteins by the liver or the excretion of waste products by the kidneys.

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179. Of the two tests most frequently used for evaluating kidney function, the test that offers the best sensitivity is ____; the test that offers greatest specificity is _____.

Explanation

The test that offers the best sensitivity for evaluating kidney function is serum BUN, while the test that offers the greatest specificity is serum creatinine. Sensitivity refers to the ability of a test to correctly identify individuals with the condition, while specificity refers to the ability of a test to correctly identify individuals without the condition. In this case, serum BUN is more sensitive in detecting kidney dysfunction, while serum creatinine is more specific in ruling out individuals without kidney dysfunction.

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180. A pipette etched with a ring near the mouth end should be:

Explanation

A pipette etched with a ring near the mouth end should be blown out. This is because the ring indicates that the pipette is designed for blowing out the last drop of liquid to ensure accurate volume measurement. By blowing out the pipette, any remaining liquid in the tip is expelled, preventing it from affecting the accuracy of subsequent measurements.

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181. Which Troponin isoforms are useful as indicators of AMI?

Explanation

cTnT, also known as cardiac Troponin T, is a useful indicator of acute myocardial infarction (AMI). Troponins are proteins found in cardiac muscle cells, and their levels increase in the blood when there is damage to the heart muscle. cTnT specifically is released into the bloodstream during an AMI, making it a reliable marker for diagnosing this condition. Therefore, cTnT is a Troponin isoform that is useful as an indicator of AMI.

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182. The weight of sodium sulfate that is needed to prepare 500 ml of a 23% solution is:

Explanation

To prepare a 23% solution of sodium sulfate, we need to calculate the weight of sodium sulfate required. A 23% solution means that 23 grams of sodium sulfate is dissolved in 100 ml of solution. To prepare 500 ml of this solution, we can use the proportion method.

Let x be the weight of sodium sulfate required for 500 ml of solution.

Therefore, (23 g / 100 ml) = (x g / 500 ml)

Cross-multiplying, we get 23 * 500 = 100 * x

Simplifying, we find that x = 115 g.

Hence, the correct answer is 115 g.

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183. How many milliliters of concentrated H2So4 (36N) is required to prepare 500 ml of 2/3 N H2SO4 solution?

Explanation

To calculate the amount of concentrated H2SO4 needed, we can use the formula:

(N1)(V1) = (N2)(V2)

Where N1 is the concentration of the concentrated H2SO4 (36N), V1 is the volume of the concentrated H2SO4 needed, N2 is the desired concentration (2/3 N), and V2 is the final volume (500 ml).

Plugging in the values, we have:

(36N)(V1) = (2/3 N)(500 ml)

Simplifying, we get:

V1 = (2/3 N)(500 ml) / 36N

V1 = 9.25 ml

Therefore, 9.25 ml of concentrated H2SO4 is required to prepare 500 ml of 2/3 N H2SO4 solution.

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184. The lipoprotein that is the major carrier of endogenous triglycerides is:

Explanation

VLDL (very low-density lipoprotein) is the major carrier of endogenous triglycerides. VLDL is synthesized in the liver and transports triglycerides from the liver to other tissues in the body. It is considered a "bad" cholesterol because high levels of VLDL in the blood can contribute to the development of cardiovascular diseases. HDL (high-density lipoprotein) is considered a "good" cholesterol as it helps remove excess cholesterol from the bloodstream. LDL (low-density lipoprotein) is the main carrier of cholesterol to the cells and is also associated with an increased risk of cardiovascular diseases. Chylomicrons are lipoproteins that transport dietary triglycerides from the intestine to the rest of the body.

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185. If 10 milligrams of CaCl2 is diluted with distilled water to 200 ml, what is the concentration in mg/dl?

Explanation

The concentration of CaCl2 in mg/dl can be calculated by dividing the total amount of CaCl2 (10 mg) by the total volume of the solution (200 ml) and then converting it to mg/dl. Therefore, the concentration is 5 mg/dl.

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186. Volumetric flasks are:

Explanation

Volumetric flasks are never used as storage bottles because they are specifically designed for accurate measurement of a specific volume of liquid. They have a narrow neck and a precise graduation mark, which allows for precise measurement of a specific volume. Using them as storage bottles would risk contamination and inaccurate measurements, as they are not designed for long-term storage or to withstand the conditions required for proper storage.

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187. A good analytical balance will have an accuracy to the nearest:

Explanation

A good analytical balance is a highly precise instrument used to measure the mass of substances. It is designed to provide accurate measurements to the nearest decimal place. In this case, the answer of 0.1 mg indicates that the balance can measure with a precision of 0.1 milligrams. This level of accuracy is necessary for precise scientific experiments and analysis, where even small variations in mass can have significant effects on the results.

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188. What wavelength range includes ultraviolet light?

Explanation

Ultraviolet light is a type of electromagnetic radiation that has a shorter wavelength than visible light. It is generally categorized into three types: UVA (315-400 nm), UVB (280-315 nm), and UVC (100-280 nm). The given answer of 200-400 nm falls within the UVC range, which is the shortest wavelength range of ultraviolet light. Therefore, this range includes ultraviolet light.

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189. Creatine kinase requires the presence of magnesium for activity. Magnesium is an example of a/an:

Explanation

Magnesium is classified as an activator because it is required for the activity of creatine kinase. Activators are substances that enhance the activity of enzymes by binding to them and promoting their function. In this case, magnesium plays a crucial role in facilitating the catalytic activity of creatine kinase, an enzyme involved in the conversion of creatine to phosphocreatine. Thus, it can be concluded that magnesium acts as an activator for creatine kinase.

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190. A one molar solution of sulfuric acid contains 98 gm. What would a one normal solution contain?

Explanation

A one molar solution of sulfuric acid contains 98 grams, which means that one mole of sulfuric acid weighs 98 grams. In a one normal solution, the concentration is expressed in terms of the number of equivalents of the solute. Sulfuric acid is a diprotic acid, meaning that each molecule of sulfuric acid can donate two protons (H+ ions). Therefore, in a one normal solution, the concentration would be half of the molar concentration. Since one mole of sulfuric acid weighs 98 grams, a one normal solution would contain 49 grams.

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191. The most common methods for transferrin and ferritin are

Explanation

The correct answer is immunoassay because it is a commonly used method for measuring transferrin and ferritin levels. Immunoassays use specific antibodies to detect and quantify proteins in a sample. In this case, immunoassays can be used to measure the levels of transferrin and ferritin by binding specific antibodies to these proteins and detecting the resulting signal. This method is widely used due to its sensitivity, specificity, and ability to measure proteins in complex biological samples.

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192. Given: serum creatinine = 1.5 mg/dl; urine creatinine = 100 mg/dl; 24 hour urine volume = 1500 mL; patient's body surface = 1.85 m2. Calculate the clearance with correction for body surface area.

Explanation

The clearance with correction for body surface area is calculated using the formula: Clearance = (urine creatinine x urine volume) / serum creatinine x body surface area. Plugging in the given values, we get: (100 mg/dl x 1500 mL) / (1.5 mg/dl x 1.85 m2) = 64.9 ml/min. This means that 64.9 ml of blood is cleared of creatinine per minute, taking into account the patient's body surface area.

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193. A pipette marked TC (to contain) should be:

Explanation

A pipette marked TC (to contain) should be rinsed out with diluting fluid after delivery because TC pipettes are designed to deliver the exact volume indicated on the graduation marks when emptied completely. Rinsing out the pipette with diluting fluid ensures that the entire volume is delivered accurately and no residual liquid is left behind, which could affect the accuracy of subsequent measurements.

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194. Which of the following statements about B-type Natriuretic Peptide (BNP) is FALSE?

Explanation

B-type Natriuretic Peptide (BNP) is released by ventricle cell walls in response to hypertension and volume overload. It acts in opposition to the renin-angiotensin-aldosterone system. Increased levels of BNP are seen in congestive heart failure, as it is a marker for cardiac stress and dysfunction. Therefore, the statement "decreased levels indicate congestive heart failure" is false.

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195. Match the instruments with the principle of operation
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196. What is the normality of a solution prepared by diluting 50 ml of 2.5 N NaOH to a final volume of 1 liter?

Explanation

Normality is defined as the number of gram equivalents of solute present in one liter of solution. In this question, we are diluting 50 ml of 2.5 N NaOH to a final volume of 1 liter. To find the normality of the diluted solution, we can use the formula: Normality1 * Volume1 = Normality2 * Volume2. Plugging in the values, we get: 2.5 N * 50 ml = Normality2 * 1000 ml. Solving for Normality2, we get 0.1250 N. Therefore, the normality of the solution is 0.1250 N.

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197. A serum specimen was diluted 1:10, and this diluted solution was further diluted 1:3. What is the concentration of the final solution if the concentration of the diluted specimen is 20 mg%?

Explanation

The concentration of the diluted specimen is 20 mg%. When the specimen is diluted 1:10, the concentration becomes 1/10th of the original concentration, which is 2 mg%. Then, when this diluted solution is further diluted 1:3, the concentration becomes 1/3rd of the previous concentration, which is 2/3 mg%. Finally, to convert this concentration to mg%, it needs to be multiplied by 100, resulting in a final concentration of 200/3 mg%, which is approximately 66.67 mg%. Therefore, the correct answer is 600 mg%.

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198. What is glycolysis?

Explanation

Glycolysis is the metabolic process in which glucose is converted into either lactate or pyruvate. It is the first step in cellular respiration and occurs in the cytoplasm of cells. During glycolysis, glucose is broken down into two molecules of pyruvate, which can then be further metabolized in the presence of oxygen or converted into lactate in the absence of oxygen. This process produces a small amount of ATP and NADH, which can be used as energy sources by the cell.

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199. Match the following
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200. Which of the following are FALSE about calcium?

Explanation

Calcitonin is a hormone that is released by the thyroid gland and it functions to decrease the levels of calcium in the blood. It does this by inhibiting the activity of osteoclasts, which are cells responsible for breaking down bone tissue and releasing calcium into the blood. Therefore, it is incorrect to say that calcitonin causes increased levels of calcium.

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98.6 degree F of body temperature is the same as:
A gray specimen collection tube contains which additive?
The most commonly used oil immersion lens magnifies:
Calculate the mean of the following set of data....
A lavender specimen collection tube contains which additive?
A green specimen collection tube contains which additive?
If someone spilled concentrated acid on the floor, you would:
What weight of sodium chloride is present in a molar solution?
Gout is a pathologic condition that is characterized by the...
In using a centrifuge:
What is gluconeogensis?
Which hormone is produced in beta cells of the pancreas and acts to...
A light blue specimen collection tube contains which additive?
The breakdown of red blood cells is termed:
1 milliliter equals:
Which class includes enzymes that catalyze cleavage of a variety of...
The pH range usually accepted as normal in the healthy adult is:
The lungs affect the _______ parameter and are the first compensation...
Reference intervals typically represent what range of values in a...
How much CuSO4 is needed to make up 1 liter of 2.5 M CuSO4?
Blood specimens are not acceptable for lab testing when which of the...
Which of the following should be collected from an adult for a test...
Which of the following is not considered a PPE item?
Which of the following best provides important safety information to a...
The substances which will act as catalysts for the chemical reactions...
If the total bilirubin is 4.3 mg/dl and the conjugated bilirubin is...
What information is included on NFPA labels?
What is glycogenolysis?
Which hormone is produced in the alpha cells of the pancreas and acts...
The major site of cholesterol esterification is:
What is the name used to describe the liquid part of the blood...
The majority of proteins are manufactured in the
Perform the conversion of 50 ml to L:
The National Bureau of Standards determines specifications for...
Which of the following is an alternation to the ratio of dissolved...
What is the final dilution of a 0.2 ml of patient sample mixed with...
The transport protein for iron is:
Given the following set of data, calculate the mean, SD and CV. Report...
In a chemical reaction, loss of electrons is:
A 1x10 to the -6th solution of HCl has pH of:
Which is the major extracellular anion?
A potassium level of 6.8 mmol/L is obtained. Before reporting the...
Aspartate aminotransferase (AST) and alanine aminotransferase (ALT)...
The presence of increased CK-MB activity on a CK electrophoresis...
20 ul is equivalent to:
When pipetting concentrated acid or alkali, it should always be done:
Which of the following is considered a pre-analytical variable?
A physician suspects his patient has pancreatitis. Which test would be...
1 gram equals
An absorbence reading of zero is equivalent to transmittance of:
As a general rule, what range of values is used as the 95% confidence...
In a normal population the mean value plus or minus two standard...
A solution which tends to maintain a given hydrogen ion concentration...
What is the maximum allowable depth for a hell puncture?
When using a volumetric pipet, the last drop of liquid:
Which is the major extracellular cation?
The relationship of potassium concentration in the red cells to the...
Which of the following refers to reproducibility?
ALT (GPT) is found in the highest concentration in the
Which of the following represents the end product of nucleic acid and...
Amylase and lipase determinations are used to evaluate:
A mildly elevated alkaline phosphatase was found in a sample from a 14...
The ability of a procedure to measure only the analyte it claims to...
The following equation can be used to convert solutions of one...
The most important blood buffer is the
Which of the following will happen if serum is allowed to remain on...
A brand or type of glassware most commonly used in laboratory work is:
Normality is
The equivalent weight, in general, is equal to:
Which of the following is a gradual change in the mean?
The correct anticoagulant to use the blood gas collection is:
The element present in all proteins that allows for differentiation of...
Which of the following statements about blood glucose is FALSE?
Which of the following enzymes catalyzed the conversion of starch to...
A molar solution is:
Chromatography procedures are most commonly used to measure what...
In ISE analyzers, the sodium electrode is made up of
Ammonia is removed from the body primarily by:
Which of the following is the correct sequence of applying the...
Which of the following is water soluble and may be found in the urine?
A graduated cylinder is most commonly used for:
Freezing whole blood must be avoided because:
Carbohydrates are composed primarily of:
Which of the following will NOT cause a falsely elevated potassium...
Which of the following best represents the correct sequence of events...
The pH of 7.4, the ratio of bicarbonate/carbonic acid will be:
CSF protein levels in the healthy adult are
Which is the major intracellular cation?
Which of the following statements about fluorometry are true?
Turbidimetry measures
What is the clinical usefulness of a sweat chloride analysis?
To prepare a working standard solution from a stock standard, the...
Repiratory acidosis is described as a/an?
Acidosis and alkalosis are best defined as flctuations in blood pH and...
Which of the following is true of the OGTT in non-pregnant...
The protein with the highest dye-affinity capacity is:
At what angle should a venipuncture needle penetrate the skin?
Which class includes enzymes that catalyze oxidoreductive reactions...
Which test is performed routinely on known diabetics as an early...
Isoenzymes may be defined as
1 nanometer equals:
Express 350 mg/dl NaCl as MEq/L
The weight of NaOH required to prepare 3000 ml of a 0.5 M solution is:
Which of the following statements about potentiometry are true?
White light is:
The principle excretory form of nitrogen is:
A 45 year old male of average height and weight was admitted to the...
Kernicterus is a term used to describe:
Most chemical anticoagulants prevent coagulation by removal of:
The most sensitive laboratory test presently available to aid in the...
To check for the completeness of a 24 hour urine collection, the 24...
The upper limit of normal for CSF protein is generally considered to...
Molarity is equal to:
The temperature at which all volumetric pipettes are calibrated is:
Which class includes enzymes that catalyze transfer of a specific...
A cholesterol ester is cholesterol esterification is:
Optical density is defined as:
What is the minimum serum glucose level at which urine would be...
A serum sample of 0.5 ml is diluted with 2.0 ml of distilled water....
Isoenzymes are best separated by:
The chemical linkage of amino acids that forms peptide bonds occures...
The kidney affects the _________ parameter and is the first...
A patient with hemolytic anemia will
A microgram is:
The phagocytic cells in the liver are called the ____ and are part of...
A patient had the following laboratory results: Na=123 mmol/L; Cl=85...
The percent of oxygen in room air is approximately:
The pathway of light in the spectrophotometer is:
All of the following are examples of polysaccharides except:
What is glycogenesis?
What volume of 14N H2SO4 is needed to make 250 ml of 3.2 M H2SO4?
What is the correct order of draw for the following tubes if following...
A CuSO4 solution looks blue because it
The pH most effective at allowing amphoteric proteins to migrate...
Total carbon dioxide refers to:
The lipoprotein that is the major carrier of cholesterol is:
First-order kinetics means:
One equivalent weight per liter equals:
A 68 year old man arrives in the emergency room with a glucose level...
A patient's BUN level is analyzed using a methodolgy that claims a...
The NPN substances inclue all of the following EXCEPT:
Which enzyme is responsible for the conjugation of bilirubin?
The property most responsible for the migration of proteins in...
Two kinds of volumetric glassware used in the laboratory are:
The amount of the Ba(OH)2 required to prepare 1 liter of 0.3 N barium...
How many ml of 0.1 N HCl will be prepared to neutralize 2 ml of 0.0985...
In chromatography procedures, this is considered the sample chamber
A hospitalized patient is experiencing increased neuromuscular...
The absorbance of a calcium standard containing 9.3 mg/dl of calcium...
A protein in an environment with a pH above the isoelectric point will...
High alkaline phosphatase activity is found mainly in:
In metabolic alkalosis, what is the primary parameter affected? Is it...
Which of the following represents the effect of obtaining venous...
Amino acids that cannot be synthesized in the body are known as _____...
Of the methods that measure activity rate, the assay method of choice...
The CK in normal persons is thought to be derived from:
What is the normality o a solution made with 100 grams of NaCl diluted...
Perform the conversion of 200 ul to ml
The number of milligrams of Sodium Chloride required to prepare 3...
The function of the major lipid component of the low density...
In the evaluation of blood glucose levels, all of the following are...
A patient with diabetic ketoacidosis may present all of the following...
The pCO2 in normal alveolar space is _____ mm Hg.
The pigment that gives the brown color to feces is:
The purpose of the "blank" tube is:
In the liver, bilirubin is converted to:
The functions of albumin include all except:
Which of the following represents the effect of exposing a blood gas...
A chloride concentration of 355 mg/dl is the same as:
The Beer-Lambert Law states that "color intensity at a constant...
Which colligative property is most commonly used on osmometers in the...
Which of the following represents the correct order of...
In the Jaffe reaction, creatinine reacts with:
Which of the following about blood ammonia levels is false?
PH:
A coomon cause of repiratory alkalosis is:
The isoenzyme(s) of creatine kinase found in the myocardium is (are):
All of the following will affect serum BUN levels except:
Of the two tests most frequently used for evaluating kidney function,...
A pipette etched with a ring near the mouth end should be:
Which Troponin isoforms are useful as indicators of AMI?
The weight of sodium sulfate that is needed to prepare 500 ml of a 23%...
How many milliliters of concentrated H2So4 (36N) is required to...
The lipoprotein that is the major carrier of endogenous triglycerides...
If 10 milligrams of CaCl2 is diluted with distilled water to 200 ml,...
Volumetric flasks are:
A good analytical balance will have an accuracy to the nearest:
What wavelength range includes ultraviolet light?
Creatine kinase requires the presence of magnesium for activity....
A one molar solution of sulfuric acid contains 98 gm. What would a one...
The most common methods for transferrin and ferritin are
Given: serum creatinine = 1.5 mg/dl; urine creatinine = 100 mg/dl; 24...
A pipette marked TC (to contain) should be:
Which of the following statements about B-type Natriuretic Peptide...
Match the instruments with the principle of operation
What is the normality of a solution prepared by diluting 50 ml of 2.5...
A serum specimen was diluted 1:10, and this diluted solution was...
What is glycolysis?
Match the following
Which of the following are FALSE about calcium?
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