Advanced Clinical Chemistry Final exam with correct answers 2024
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Course
Advanced Clinical Chemist
Institution
Advanced Clinical Chemist
The marker for colorectal and pancreatic carcinoma is correct answers CA 19-9
Which of the following statements is correct regarding glycocholic and taurocholate acid? correct answers They are bile acids synthesized in the liver
Which of the following cells contain cholecystokinin (CCK)? c...
The marker for colorectal and pancreatic carcinoma is correct answers CA 19-9
Which of the following statements is correct regarding glycocholic and taurocholate
acid? correct answers They are bile acids synthesized in the liver
Which of the following cells contain cholecystokinin (CCK)? correct answers I cells from
the upper small intestingal mucosa
Which enzyme serves as the activator for the remaining pancreatic enzymes? correct
answers Trypsin
Complications of acute pancreatitis include all of the following EXCEPT correct
answers Hypotriglyceridemia
The alpha cells of the islets of langerhans of the pancreas produce correct answers
Glucagon
The structure of cholecystokinin (CCK) is described as correct answers Linear
polypeptide with multiple molecular forms
Which disorder is related to mucus accumulation, recurrent infection with unusual
pathogens, and increased inflammation in the lungs? correct answers Cystic fibrosis
A gastrinoma is classified as which of the following? correct answers Neuroendocrine
tumor (NET)
Transmural inflammation is associated with correct answers Crohn's disease
The role of cardiac biomarkers includes which of the following? correct answers
Diagnosis, monitoring, risks stratification, and therapeutic management
NT-pro-BNP consists of 76 amino acids and is described as a correct answers
natriuretic peptide that is the inactive form
Which of the following represents the correct sequence for the rise and fall of
myoglobin, CK-MB, and cTnI after an AMI? correct answers Myoglobin, CK-MB, cTnI
Myoglobin is a good cardiac marker because it correct answers Diffuses into the blood
more quickly than CK-MB
,Which of the following cardiac biomarkers is a better biomarker of plaque instability?
correct answers MPO
Which of the following troponins have been demonstrated in patients with muscular
dystrophy and end-stage renal disease (ESRD)? correct answers Cardiac troponin T
The albumin cobalt-binding test is used to measure which of the following? correct
answers Ischemia modified albumin
Infusion of Nesiritide is documented to act as a confounder for which of the following
assays? correct answers Brain natriuretic peptide (BNP)
The troponin complex consists of which of the following? correct answers Troponin M1,
troponin M2, and troponin K
Which of the following statements summarizes the significance of CRP in the arterial
wall? correct answers It predicts the severity of atherosclerosis and is able to bind to
damaged membranes and lipids
Which of the following is an advantage of POCT for cardiac biomarkers? correct
answers Rapid identification of AMI
Lp (a) is considered a risk factor for developing artherosclerosis due to which of the
following? correct answers It competes with plasminogen for binding sites, thus
interfering with clot lysis and increasing the risk of acute myocardial infarction (AMI)
What is the clinical usefulness of measuring serum adiponectin? correct answers
Plasma adiponectin levels may predict cardiovascular events years in advance in a
population without diagnosed cardiovascular disease
High blood levels of adiponectin are associated with correct answers Reduced risk of
heart attacks
Which of the following is a cause of hyperhomocysteinemia? correct answers
Deficiency of one of the B complex vitamins
Which of the following statements is TRUE about cTnI? correct answers Cardiac forms
are never expressed in skeletal muscle
A Model for End-Stage Liver disease staging system to predict prognosis in cirrhosis
uses the following laboratory determinations EXCEPT correct answers Aspartate
transaminase
The first serological marker of Hepatitis B is correct answers HBsAg
, The two most significant sources of error in accurate ammonia determination are
sample handling and correct answers Ammonia contamination in the laboratory
Which of the statements regarding bilirubin metabolism is TRUE? correct answers It is
produced from the destruction of RBCs
Which of the following statements is correct when procuring specimens for measuring
porphyrin compounds? correct answers Protect the specimen from light
What is the primary storage form of iron? correct answers Ferritin
A patient with acute intermittent porphyria is deficient in which enzyme? correct
answers Hydroxymethylbilane synthase
The term δ-bilirubin (delta) refers to correct answers Bilirubin tightly bound to albumin
The enzyme system that catalyzes the conjugation of bilirubin is known as correct
answers Uridine diphosphate (UDP) glucoronyl transferase
Which of the following specimens is appropriate to determine the concentration of lead
in body fluids? correct answers Whole blood
Free erythrocyte protoporphyrin levels are useful for assessing exposure to which of the
following metals? correct answers Lead
Protoporphyrins that chelate iron are called: correct answers Heme
Which of the following chromogens will produce a colored complex with iron? correct
answers Ferrozine
Which of the following compounds initially condenses to form aminolevulinic acid?
correct answers Succinyl coenzyme A and glycine
Heme is defined as correct answers Protoporphyrins that chelate iron
The cells that make up 70% of the liver's mass are: correct answers Hepatocytes
In the Jendrassik-Grof bilirubin, what converts purple azobilirubin to blue azobilirubin
measured at 600nm? correct answers Alkaline tartrate
Nonalcoholic steatohepatitis is characterized by all of the following EXCEPT: correct
answers AST greater than ALT
Viral hepatitis that results in the largest percentage of chronic hepatitis is correct
answers Hepatitis C
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