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- 60
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Question 1 of 60
1. Question
1 pointsThe enzyme present in almost all tissues that may be separated by electrophoresis into 5 components is:
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Question 2 of 60
2. Question
1 pointsA common cause of falsely increased LD1 fraction of lactic dehydrogenase is:
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Question 3 of 60
3. Question
1 pointsThe presence of which of the following isoenzymes indicates acute myocardial damage?
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Question 4 of 60
4. Question
1 pointsIn which of the following conditions would a normal level of creatine kinase be found?
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Question 5 of 60
5. Question
1 pointsOf the following diseases, the one most often associated with elevations of lactate dehydrogenase isoenzymes 4 and 5 on electrophoresis is:
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Question 6 of 60
6. Question
1 pointsWhen myocardial infarction occurs, the first enzyme to become elevated is:
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Question 7 of 60
7. Question
1 pointsA scanning of a CK isoenzyme fractionation revealed 2 peaks: a slow cathodic peak (CKMM and an intermediate peak (CKMB. A possible interpretation for this pattern is:
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Question 8 of 60
8. Question
1 pointsA 10-year-old was admitted to pediatrics with an initial diagnosis of skeletal muscle disease. The best confirmatory tests would be:
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Question 9 of 60
9. Question
1 pointsIn the immunoinhibition phase of the CKMB procedure:
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Question 10 of 60
10. Question
1 pointsThe presence of increased CKMB activity on a CK electrophoresis pattern is most likely found in a patient suffering from:
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Question 11 of 60
11. Question
1 pointsRefer to the following illustration: (Pg 102 BOC Book Which of the following is the most likely interpretation of the LD isoenzyme scan illustrated above?
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Question 12 of 60
12. Question
1 pointsIncreaseed serum lactic dehydrogenase activity due to elevation of fast fraction (1 and 2 on elctrophoretic seperation is caused by:
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Question 13 of 60
13. Question
1 pointsA serum sample drawn in the emergency room from a 42 yr-old man yielded the following laboratory results: patient referance range ck: 185U/L 15-160 U/L AST: 123/U/L 0-48 U/L CKMB: 6U/L 2-12 U/L which of the following conditions might account for these values
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Question 14 of 60
14. Question
1 pointsGiven the following results: alkaline phosphatase: marked increase aspartate amino transferase: slight increase alanine amino transferase: slight increase gamma-glutamyl transferase: slight increase this is most consistent with:
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Question 15 of 60
15. Question
1 pointsGiven the following results: alkaline phosphatase: slight increase aspartate aminotransferase: slight increase alanine aminotransferase: slight increase gamma-glutamyl transferase: slight increase
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Question 16 of 60
16. Question
1 pointsWhat specimen preparation is commonly used to perform the alkaline phosphatase isoenzyme determination?
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Question 17 of 60
17. Question
1 pointsRegan isoenzyme has the same properties as alkaline phosphatase that orginates in the
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Question 18 of 60
18. Question
1 pointsThe most heat labile fraction of alkaline phosphatase is obtained from:
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Question 19 of 60
19. Question
1 pointsThe most sensitive enzymatic indicator for liver damage from ethanol intake is:
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Question 20 of 60
20. Question
1 pointsIsoenzyme assays are performed to improve:
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Question 21 of 60
21. Question
1 pointsThe protein portion of an enzyme complec is called the:
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Question 22 of 60
22. Question
1 pointsWhich of the following chemical determinations may be of help in establishing the presence of seminal fluid?
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Question 23 of 60
23. Question
1 pointsA 1 year old girl with a hyperlipoproteinemia and lipase deficiency has the following lipid profile: cholesterol: 300mg/dl (7.77 mmol/L LDL: increased HDL: decreased triglycerides: 200 mg/dl chylomicrons: present a serum specimen from this patient that was refrigerated overnight would most likely be:
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Question 24 of 60
24. Question
1 pointsChylomicrons are present in which of the following dylipidemias?
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Question 25 of 60
25. Question
1 pointsTurbidity in serum siggest elevation of:
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Question 26 of 60
26. Question
1 pointsTSH is prouced by the:
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Question 27 of 60
27. Question
1 pointsA patient has the followning thyroid profile: total t4: decreased free t4: decreased thyroid peroxidase antibody: positive TSH: decreased
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Question 28 of 60
28. Question
1 pointsA 45 year old woman complains of fatigue, heat intolerance and hair loss. total free T4 are abnormally low. if the TSH showed marked elevation, this would be consistent with:
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Question 29 of 60
29. Question
1 pointsThe majority if thyroxine (T4 is converted into the more biologically active hormone:
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Question 30 of 60
30. Question
1 pointsA 2 year old child with decreased serum (T4 is described as being somewhat dwarfed, stocky, overweight, and having coarse features. of the following , the most informative additional laboratory test would be the serum:
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Question 31 of 60
31. Question
1 pointsThe recommended intial thyroid function test for either a healthy asymptomatic patient, or a patient with symptoms which may be related to a thyroid disorder is:
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Question 32 of 60
32. Question
1 pointsThe screening test for congenital hypothyroidism is based upon:
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Question 33 of 60
33. Question
1 pointsWhich one of the following sets of results is consistent with primary hypothyroidism, (eg hishimoto disease result TSH T4 (free thyroxine antimicrosomal antibody Result A decreased decreased positive Result B increased increased positive Result C normal decreased negative Result D increased decreased positive
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Question 34 of 60
34. Question
1 pointsA 68 yr old female patient tells her physician of being “cold all the time” and recent weight gain, with no change in diet. the doctor orders a TSH level , and the laboratory reports a value of (8.7uU/mL (referance range= 0.5-5.0 uU/mL [0.5-5.o IU/L]. this patient most likely has:
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Question 35 of 60
35. Question
1 pointsWhich of the following is secreted by the placents and used for the early detection of pregnancy?
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Question 36 of 60
36. Question
1 pointsIn amniotic fluid, the procedure used to detect hemolytic disease of the newborn is:
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Question 37 of 60
37. Question
1 pointsDuring a normal pregnancy, quantitative human chorionic gonadotropin levels peak at how many weeks after the last menstrual period?
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Question 38 of 60
38. Question
1 pointsWhi the following steroids is an adrenal cortical hormone?
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Question 39 of 60
39. Question
1 pointsWhat common substrate is used in the biosynthesis of adrenal steroids, including androgens and estrogens?
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Question 40 of 60
40. Question
1 pointsPlasma for cortisol determinations were collected at 7 am, after waking the patient, and at 10 pm that evening. the cortisol level of the morning sample was higher then the evening sample this is consistent with:
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Question 41 of 60
41. Question
1 pointsNight blindness is associated with deficiency of which of the followng vitamins?
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Question 42 of 60
42. Question
1 pointsBeriberi is associated with deficiency of vitamin:
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Question 43 of 60
43. Question
1 pointsScurvy is assoiciated with defiency of which of the following vitamins?
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Question 44 of 60
44. Question
1 pointsRickets is associated with deficiency of which of the following vitamins?
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Question 45 of 60
45. Question
1 pointsPellagra is associated witg defiency of which of the following vitamins?
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Question 46 of 60
46. Question
1 pointsThe major action of angiotensin II is:
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Question 47 of 60
47. Question
1 pointsThe urinary excretion product measured as an indicator of epinephrine production is:
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Question 48 of 60
48. Question
1 pointsWhich of the following hormones regulates normal blood calcium levels?
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Question 49 of 60
49. Question
1 pointsA diagnosisof primary adrenal insufficiency requires demonstration of:
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Question 50 of 60
50. Question
1 pointsThe screen for adrenal cortical hyperfunction with the greatest sensitivity and specificity is:
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Question 51 of 60
51. Question
1 pointsWhich of the following sample collections would give an accurate assessment of potential excess cortisol production (hypercortisolism
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Question 52 of 60
52. Question
1 pointsAldosterone is released by the adrenal cortex upon stimulation by:
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Question 53 of 60
53. Question
1 pointsClinical assays for tumor markers are most important for:
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Question 54 of 60
54. Question
1 pointsDetection of which of the following substances is most useful to monitor the course of a patient with testicular cancer?
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Question 55 of 60
55. Question
1 pointsIncreased concentrations of alpha-fetoprotein (AFP in adults are most characteristically associated with:
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Question 56 of 60
56. Question
1 pointsCarcinoembryonic antigen (CEA is most likely to be produced in a malignany involving the:
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Question 57 of 60
57. Question
1 pointsWhich of the following is useful in the detection and management of carcinoma of the prostate?
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Question 58 of 60
58. Question
1 pointsWhich of the following statements most correctly describes the utility of clinical laboratory assays for tumor markers?
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Question 59 of 60
59. Question
1 pointsCancer antigen 125 (CA 125 is a tumor marker associated with:
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Question 60 of 60
60. Question
1 pointsIn addition to carcinoma of the prostate, elevated prostate-specific antigen (PSA can occur due to:
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