Test bank for Tietz Fundamentals of Clinical Chemistry an
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IIll Molecular Diagnostics, IIll IIll
8th Edition by Nader Rifai, PhD
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Chapters 1 - 49 IIll IIll IIll IIll
,Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics 8th Edition Test Bank
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Table of contents: IIll IIll
I. Principles Of Laboratory Medicine
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Chapter 1. Clinical Chemistry, Molecular Diagnostics, and Laboratory Medicine
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Chapter 2. Selection and Analytical Evaluation of Methods — With Statistical Techniques
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Chapter 3. Clinical Evaluation of Methods
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Chapter 4. Evidence-Based Laboratory Medicine
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Chapter 5. Establishment and Use of Reference Values
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Chapter 6. Specimen Collection, Processing, and Other Preanalytical Variables
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Chapter 7. Quality Management IIll IIll IIll
II. Analytical Techniques And Instrumentation
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Chapter 8. Principles of Basic Techniques and Laboratory Safety
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Chapter 9. Optical Techniques IIll IIll IIll
Chapter 10. Electrochemistry and Chemical Sensors
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Chapter 11. Electrophoresis IIll IIll
Chapter 12. Chromatography IIll IIll
Chapter 13. Mass Spectrometry IIll IIll IIll
Chapter 14. Enzyme and Rate Analyses
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Chapter 15. Immunochemical Techniques
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Chapter 16 Automation IIll IIll
Chapter 17. Point-of-Care Instrumentation
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III. AnalytesI I l l
Chapter 18. Amino Acids, Peptides, and Proteins
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Chapter 19. Serum Enzymes IIll IIll IIll
Chapter 20. Tumor Markers and Cancer Genes
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Chapter 21. Kidney Function Tests — Creatinine, GFR, Urea, and Uric Acid
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Chapter 22. Carbohydrates IIll IIll
Chapter 23. Lipids, Lipoproteins, Apolipoproteins, and Other Cardiac Risk Factors
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Chapter 24. Electrolytes and Blood Gases
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Chapter 25. Hormones IIll IIll
Chapter 26. Catecholamines and Serotonin
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Chapter 27. Vitamins, Trace Elements, Nutritional Assessment
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Chapter 28. Hemoglobin, Iron, and Bilirubin
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Chapter 29. Porphyrins and Porphyrias
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Chapter 30. Therapeutic Drugs and Their Management
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Chapter 31. Clinical Toxicology
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Chapter 32. Toxic Metals IIll I I l l IIll
IV. Pathophysiology
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Chapter 33. Diabetes IIll IIll
,Chapter 34. Cardiovascular Disease
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Chapter 35. Kidney Disease
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Chapter 36. Physiology and Disorders of Water, Electrolyte, and Acid-Base Metabolism
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Chapter 37. Liver Disease
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Chapter 38. Gastrointestinal and Pancreatic Diseases
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Chapter 39. Disorders of Bone and Mineral Metabolism
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Chapter 40. Disorders of the Pituitary Gland
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Chapter 41. Disorders of the Adrenal Cortex
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Chapter 42. Thyroid Disorders
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Chapter 43. Reproduction-Related Disorders
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Chapter 44. Pregnancy and Prenatal Testing
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Chapter 45. Newborn Screening and Inborn Errors of Metabolism
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Chapter 46. Pharmacogenetics
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V. Molecular Diagnostics
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Chapter 47. Principles of Molecular Biology
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Chapter 48. Nucleic Acid Techniques and Applications
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Chapter 49. Genomes and Nucleic Acid Alterations
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, Chapter 01: Clinical Chemistry, Molecular Diagnostics, and Laboratory Medicine
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TestBank
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MULTIPLE CHOICE IIll
1. An individual working in a clinical chemistry laboratory is married to a sales
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representative who works for a company that sells chemistry laboratory supplies. When
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the laboratory manager requests a list of needed supplies, cost of supplies, and vendors,
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this individual onlyrecommends the spouse’s company as the vendor. This is considered
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to be a(n):
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a. accounting issue. IIl
b. possible conflict of interest. IIll IIll IIll
c. maintenance of confidentiality issue. IIll IIll IIll
d. problem with resource allocation. IIll IIll IIll
ANS: B IIll
Concern has been raised over the interrelationships between practitioners in the medical
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fieldand commercial suppliers of drugs, devices, equipment, etc., to the medical
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profession.
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Similarly, relationships have been scrutinized between clinical laboratorians and
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manufacturers and providers of diagnostic equipment and supplies. These concerns led
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the National Institutes of Health (NIH) in 1995 to require official institutional review of
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financial disclosure by researchers and management of situations in which disclosure
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indicates potentialconflicts of interest.
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DIF: 1 REF: IIll IIll IIll Page 4-5 IIll OBJ: 6 | 7 IIll IIll Il
2. A patient visits her physician stating that her prescribed painkiller is not working to
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reduce the pain following her recent surgery. A friend of the patient claims that the
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same painkiller“worked wonders” to reduce her pain after the same surgery. The
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physician states that the difference in the effect of the drug might be caused by
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which is studied in pharmacogenetics.
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a. epidemiology
b. an inherited disease Il IIll
c. a conflict of interest IIll IIll IIll
d. a genetic variation in drug-metabolizing enzymes
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ANS: D IIll
Pharmacogenetics is the study of the genetic variation of drug metabolism IIll IIll IIll IIll IIll IIll IIll IIll IIll Il
betweenindividuals.
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DIF: 1 REF: IIll IIll IIll Page 3 IIll OBJ: 1 IIll
3. John works in a molecular diagnostics laboratory and receives a blood sample that has
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the name of a close friend printed on the bar-coded label. The genetic test that is
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ordered on thefriend’s sample would provide diagnostic information about a disorder
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that has a poor prognosis, and the test is usually performed by John. He asks a fellow
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employee to analyzethe sample for him and not divulge the results. This ethical issue
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concerns:
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a. confidentiality of patient genetic and medical information. IIll IIll IIll IIll IIll IIll
b. a conflict of interest. Il IIll IIll
c. resource allocation. Il