WorksheetsPRCC_3MT-P6
Total questions: 88
Worksheet time: 44mins
Name
Class
Date
1.
From deamination of amino acids
a)
Biochemistry
b)
Biomimicry
c)
Biostatistics
2.
From bacterial metabolism in the lumen of the intestines
a)
Biochemistry
b)
Biomimicry
c)
Biostatistics
3.
Clinical significance of Ammonia include:
a. severe liver disease - hepatic coma (NH3 is neurotoxic) and Encephalopathy
b. Reye syndrome - aspirin ingestion
c. Neonate urea cycle defect
d. Monitor hyperalimentation therapy
e. Confirm the ability of kidney to produce ammonia
f. Acetaminophen poisoning
a)
True
b)
False
4.
Smoking
a)
False elevation
b)
False decrease (low)
5.
Prolonged specimen
a)
False elevation
b)
False decrease (low)
6.
Hemolyzed sample
a)
False elevation
b)
False decrease (low)
7.
Diphenhydramine
a)
False elevation
b)
False decrease (low)
8.
Lactobacillus acidophilus
a)
False elevation
b)
False decrease (low)
9.
Slows down deamination
a)
Venous blood
b)
Heparin
c)
Ice water
10.
Ammonia specimen centrifuge time
a)
15 mins
b)
20 mins
c)
25 mins
d)
30 mins
11.
Ammonia temp
a)
1 to4 c
b)
0 to 4 c
c)
37 c
12.
Removed during ammonia test processing
a)
serum
b)
plasma
13.
In ammonia testing, plasma is stable for how long in ice bath? (stable for several days when frozen)
a)
2 and 1/2 hr
b)
3 and 1/2 hr
c)
4 and 1/2 hr
14.
NH3 in Microdiffusion chamber -> NH3 gas + solution with pH indicator -> measured using titration
a)
Conway
b)
Potentiometry
c)
Spectrophotometric
d)
Berthelot reaction
e)
Glutamate dehydrogenase
15.
Direct measurement
a)
Conway
b)
Potentiometry
c)
Spectrophotometric
d)
Berthelot reaction
e)
Glutamate dehydrogenase
16.
NH3 + bromophenol blue -> blue color
a)
Conway
b)
Potentiometry
c)
Spectrophotometric
d)
Berthelot reaction
e)
Glutamate dehydrogenase
17.
Most common technique
a)
Conway
b)
Potentiometry
c)
Spectrophotometric
d)
Berthelot reaction
e)
Glutamate dehydrogenase
18.
Tumor markers are NOT useful for diagnosis, but for tumor staging, monitoring therapeutic responses, predicting patient outcomes, and detecting cancer recurrence
a)
True
b)
False
19.
Used for prostate cancer detection
a)
Prostate specific antigen (PSA)
b)
Carcinoembryonic antigen (CEA)
c)
Human chorionic gonadotropin (hCG)
d)
CA15-3
20.
Hepatocellular CA, testicular and ovarian teratocarcinomas, pancreatic carcinoma, gastric and colonic carcinomas
a)
Prostate specific antigen (PSA)
b)
AFP
c)
Carcinoembryonic antigen (CEA)
d)
Human chorionic gonadotropin (hCG)
e)
CA15-3
21.
Digestive tract and colorectal carcinoma
a)
Prostate specific antigen (PSA)
b)
AFP
c)
Carcinoembryonic antigen (CEA)
d)
Human chorionic gonadotropin (hCG)
e)
CA15-3
22.
Increased secretion is associated with trophoblastic tumors, choriocarcinoma, nonseminomatous testicular tumors, and ovarian tumors.
a)
Prostate specific antigen (PSA)
b)
AFP
c)
Carcinoembryonic antigen (CEA)
d)
Human chorionic gonadotropin (hCG)
e)
CA15-3
23.
Monitoring and detecting breast cancer
a)
Prostate specific antigen (PSA)
b)
AFP
c)
Carcinoembryonic antigen (CEA)
d)
Human chorionic gonadotropin (hCG)
e)
CA15-3
24.
Marker for ovarian and endometrial cancer
a)
CA125
b)
CA19-9
c)
CYFRA
d)
Her2/neu
25.
Pancreatic, colorectal, lung, and gastric carcinomas
a)
CA125
b)
CA19-9
c)
CYFRA
d)
Her2/neu
26.
Lung cancer marker
a)
CA125
b)
CA19-9
c)
CYFRA
d)
Her2/neu
27.
Breast cancer marker
a)
CA125
b)
CA19-9
c)
CYFRA
d)
Her2/neu
28.
older term
a)
Ammonia
b)
Blood urea nitrogen
c)
Creatinine
d)
Creatine
29.
major end product of protein and amino acid
a)
Ammonia
b)
Blood urea nitrogen
c)
Creatinine
d)
Creatine
30.
has nitrogen but doesn't have proteins
a)
Ammonia
b)
Blood urea nitrogen
c)
Creatinine
d)
Creatine
31.
uses end point jaffe method before and after it is heat in acid solution
a)
Ammonia
b)
Blood urea nitrogen
c)
Creatinine
d)
Creatine
32.
clinical significance include muscular dystrophy, poliomyelitis, hyperthyroidism, trauma, and remember!!! it is NOT ELEVATED IN RENAL DISEASE
a)
Ammonia
b)
Blood urea nitrogen
c)
Creatinine
d)
Creatine
33.
Chronic renal disease
a)
Increased BUN
b)
Decreased BUN
34.
Burns
a)
Increased BUN
b)
Decreased BUN
35.
Dehydration
a)
Increased BUN
b)
Decreased BUN
36.
Poor nutrition
a)
Increased BUN
b)
Decreased BUN
37.
Celiac disease
a)
Increased BUN
b)
Decreased BUN
38.
Repeated dialysis
a)
Increased BUN
b)
Decreased BUN
39.
Acute tubular necrosis
a)
Increased BUN
b)
Decreased BUN
40.
most frequently used
a)
Jaffe reaction
b)
Jaffe reagent
c)
Jaffe rxn with Fuller's earth and Lloyd's reagent
d)
Kinetic Jaffe method
e)
Coupled enzymatic method
41.
alkaline picrate
a)
Jaffe reaction
b)
Jaffe reagent
c)
Jaffe rxn with Fuller's earth and Lloyd's reagent
d)
Kinetic Jaffe method
e)
Coupled enzymatic method
42.
alkaline picrate = SATURATED picric acid and 10% NaOH
a)
Jaffe reaction
b)
Jaffe reagent
c)
Jaffe rxn with Fuller's earth and Lloyd's reagent
d)
Kinetic Jaffe method
e)
Coupled enzymatic method
43.
creatinine + picric acid (alkaline solution) yields red-orange color
a)
Jaffe reaction
b)
Jaffe reagent
c)
Jaffe rxn with Fuller's earth and Lloyd's reagent
d)
Kinetic Jaffe method
e)
Coupled enzymatic method
44.
interferences AGAPA
acetoacetate
glucose
acetone
pyruvate
ascorbate
a)
Jaffe reaction
b)
Jaffe reagent
c)
Jaffe rxn with Fuller's earth and Lloyd's reagent
d)
Kinetic Jaffe method
e)
Coupled enzymatic method
45.
More accurate and specific
a)
Jaffe reaction
b)
Jaffe reagent
c)
Jaffe rxn with Fuller's earth and Lloyd's reagent
d)
Kinetic Jaffe method
e)
Coupled enzymatic method
46.
Includes Fuller's earth = aluminum magnesium silicate, LLoyd's reagent = sodium aluminum silicate; TIME CONSUMING AND NOT READILY AUTOMATED
a)
Jaffe reaction
b)
Jaffe reagent
c)
Jaffe rxn with Fuller's earth and Lloyd's reagent
d)
Kinetic Jaffe method
e)
Coupled enzymatic method
47.
TIME CONSUMING AND NOT READILY AUTOMATED
a)
Jaffe reaction
b)
Jaffe reagent
c)
Jaffe rxn with Fuller's earth and Lloyd's reagent
d)
Kinetic Jaffe method
e)
Coupled enzymatic method
48.
Requires automated equipment for precision
popular inexpensive rapid and easy to perform
a)
Jaffe reaction
b)
Jaffe reagent
c)
Jaffe rxn with Fuller's earth and Lloyd's reagent
d)
Kinetic Jaffe method
e)
Coupled enzymatic method
49.
Requires automated equipment for precision
a)
Jaffe reaction
b)
Jaffe reagent
c)
Jaffe rxn with Fuller's earth and Lloyd's reagent
d)
Kinetic Jaffe method
e)
Coupled enzymatic method
50.
Isotope dilution mass spectrometry is the ref method
a)
True
b)
False
51.
popular inexpensive rapid and easy to perform
a)
Jaffe reaction
b)
Jaffe reagent
c)
Jaffe rxn with Fuller's earth and Lloyd's reagent
d)
Kinetic Jaffe method
e)
Coupled enzymatic method
52.
specific than jaffe test
a)
Jaffe reaction
b)
Jaffe reagent
c)
Jaffe rxn with Fuller's earth and Lloyd's reagent
d)
Kinetic Jaffe method
e)
Coupled enzymatic method
53.
Fuller's earth
a)
Sodium aluminum silicate
b)
Aluminum magnesium silicate
54.
Lloyd's reagent
a)
Sodium aluminum silicate
b)
Aluminum magnesium silicate
55.
Elevated level of urea and creatinine
a)
Azotemia
b)
Renal azotemia
c)
Post-renal azotemia
d)
Uremia
56.
Azotemia with renal damage
a)
Azotemia
b)
Renal azotemia
c)
Post-renal azotemia
d)
Uremia
57.
Azotemia with renal damage
a)
Pre-renal azotemia
b)
Renal azotemia
c)
Post-renal azotemia
d)
Uremia
58.
Dehydration
a)
Pre-renal azotemia
b)
Renal azotemia
c)
Post-renal azotemia
d)
Uremia
59.
Shock
a)
Pre-renal azotemia
b)
Renal azotemia
c)
Post-renal azotemia
d)
Uremia
60.
Congestive heart failure
a)
Pre-renal azotemia
b)
Renal azotemia
c)
Post-renal azotemia
d)
Uremia
61.
Diet
a)
Pre-renal azotemia
b)
Renal azotemia
c)
Post-renal azotemia
d)
Uremia
62.
Stress
a)
Pre-renal azotemia
b)
Renal azotemia
c)
Post-renal azotemia
d)
Uremia
63.
Fever
a)
Pre-renal azotemia
b)
Renal azotemia
c)
Post-renal azotemia
d)
Uremia
64.
Corticosteroid
a)
Pre-renal azotemia
b)
Renal azotemia
c)
Post-renal azotemia
d)
Uremia
65.
Acute chronic renal disease
a)
Pre-renal azotemia
b)
Renal azotemia
c)
Post-renal azotemia
d)
Uremia
66.
Glomerulonephritis
a)
Pre-renal azotemia
b)
Renal azotemia
c)
Post-renal azotemia
d)
Uremia
67.
Striking high urea level but slowly rising creatinine value
a)
Pre-renal azotemia
b)
Renal azotemia
c)
Post-renal azotemia
d)
Uremia
68.
Effects: coma, neuropsychiatric changes, anemia, and electrolyte imbalance
a)
Pre-renal azotemia
b)
Renal azotemia
c)
Post-renal azotemia
d)
Uremia
69.
Chronic glomerulonephritis = lengthy glomerular inflammation, gradual uremia, loss of function of nephrons
a)
Pre-renal azotemia
b)
Renal azotemia
c)
Post-renal azotemia
d)
Uremia
70.
stone
a)
Pre-renal azotemia
b)
Renal azotemia
c)
Post-renal azotemia
d)
Uremia
71.
Cancer or tumor of genitourinary tract
a)
Pre-renal azotemia
b)
Renal azotemia
c)
Post-renal azotemia
d)
Uremia
72.
severe infection of the bladder
a)
Pre-renal azotemia
b)
Renal azotemia
c)
Post-renal azotemia
d)
Uremia
73.
acidemia
a)
Pre-renal azotemia
b)
Renal azotemia
c)
Post-renal azotemia
d)
Uremia
74.
hyperkalemia
a)
Pre-renal azotemia
b)
Renal azotemia
c)
Post-renal azotemia
d)
Uremia
75.
anemia
a)
Pre-renal azotemia
b)
Renal azotemia
c)
Post-renal azotemia
d)
Uremia
76.
burr cell or cremated cell
a)
Pre-renal azotemia
b)
Renal azotemia
c)
Post-renal azotemia
d)
Uremia
77.
ammoniacal odor or breath
a)
Pre-renal azotemia
b)
Renal azotemia
c)
Post-renal azotemia
d)
Uremia
78.
urine-like sweat
a)
Pre-renal azotemia
b)
Renal azotemia
c)
Post-renal azotemia
d)
Uremia
79.
In chronic glomerulonephritis, glomerular inflammation is..
a)
Lengthy
b)
Gradual
c)
Nephrons
d)
Neptune
80.
In chronic glomerulonephritis, uremia is..
a)
Lengthy
b)
Gradual
c)
Nephrons
d)
Neptune
81.
In chronic glomerulonephritis, there is loss of function in..
a)
Lengthy
b)
Gradual
c)
Nephrons
d)
Neptune
82.
Dehydration
a)
Pre-renal azotemia; reduced excretion
b)
Increased proteins which leads to increased urea
83.
Shock
a)
Pre-renal azotemia; reduced excretion
b)
Increased proteins which leads to increased urea
84.
Congestive heart failure
a)
Pre-renal azotemia; reduced excretion
b)
Increased proteins which leads to increased urea
85.
Diet
a)
Pre-renal azotemia; reduced excretion
b)
Increased proteins which leads to increased urea
86.
Stress
a)
Pre-renal azotemia; reduced excretion
b)
Increased proteins which leads to increased urea
87.
Fever
a)
Pre-renal azotemia; reduced excretion
b)
Increased proteins which leads to increased urea
88.
Corticosteroid
a)
Pre-renal azotemia; reduced excretion
b)
Increased proteins which leads to increased urea
100 %
