224 Questions; Clinical Chemistry Question Banks Leave a Comment / By quizshell / July 17, 2022 123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172173174175176177178179180181182183184185186187188189190191192193194195196197198199200201202203204205206207208209210211212213214215216217218219220221222223224 /224 0 224 Questions; Clinical Chemistry Question Banks 224 Multiple choice questions to help you prepare for the ASCP exam or quizzes. 1 / 224 1. Which of the following protein is elevated in the amniotic fluid in neural tube defects? A. Prealbumin B. Albumin C. -1-Antitrypsin D. a1-fetoprotein 2 / 224 2. Which type of diabetes is characterized by relative insulin resistance? A. Type 1 diabetes mellitus 3 B. Type 1 diabetes mellitus 1 C. Type 1 diabetes mellitus 2 3 / 224 3. What type of diabetes is more prone to ketoacidosis? A. Type 1 diabetes mellitus 3 B. Type 1 diabetes mellitus 1 C. Type 1 diabetes mellitus 2 4 / 224 4. Which analyte will be falsely elevated due to hemolysis? A. Sodium B. Chloride C. Potassium D. Magnesium 5 / 224 5. Which marker is used as a predictor for cardiovascular risk; increased levels seen in inflammation? A. CK-BB B. B-type natriuretic peptide (BNP) C. High-sensitivity CRP (hs-CRP) D. CK-MB 6 / 224 6. A waste product of muscle contraction that is formed from phosphocreatine is A. Creatinine B. Urea C. Uric acid D. Ammonia 7 / 224 7. What molecule is formed from one molecule of glycerol and three fatty acid molecules? A. Cholesterol B. Low-density lipoprotein C. Triglyceride D. Chylomicrons 8 / 224 8. Which condition is caused by deficient secretion of bilirubin into the bile canaliculi? A. Crigler-Najjar disease B. Dubin-Johnson syndrome C. Reye's syndrome D. Lesch nyhan syndrome 9 / 224 9. In which condition would you expect an increased level of alpha-1-antitrypsin and C-reactive protein (CRP)? A. Renal disease B. Malabsorption C. Inflammatory disorders D. Emphysema 10 / 224 10. Which cardiac enzyme is elevated in central nervous system disorders? A. CK-MM B. CK-MB C. CK-BB D. Troponin 11 / 224 11. Which of the following hormone stimulates lipolysis and gluconeogenesis? A. Somatostatin B. Androgen C. Cortisol D. Glucagon 12 / 224 12. What is the final product of Epinephrine metabolism is?. A. Metanephrine B. Normetanephrine C. Vanillylmandelic acid (VMA) D. Glucocorticoids 13 / 224 13. Which of the following is a sialylated Lewis blood group antigen associated with colorectal carcinoma? A. CA 15-3 B. CA 19-2 C. CA 19-9 D. CA 125 14 / 224 14. What type of diabetes is more prone to ketoacidosis? A. Type 1 diabetes mellitus 3 B. Type 1 diabetes mellitus 2 C. Type 1 diabetes mellitus 1 15 / 224 15. In metabolic acidosis, a decreased pH triggers A. Hyperventilation B. Hypoventilation C. Alkalosis 16 / 224 16. What is the presence of glucose in urine called? A. Hematuria B. Lipiduria C. Glucosuria D. Glucosemia 17 / 224 17. What vitamin helps regulate calcium? A. Vitamin A B. Vitamin E C. Vitamin B12 D. Vitamin D 18 / 224 18. What is the major fat in adipose tissues? A. Cholesterol B. Low-density lipoprotein C. Triglyceride D. Chylomicrons 19 / 224 19. Elevated levels of which lipoprotein is associated with decreased risk for coronary artery disease? A. High-density lipoprotein (HDL) B. Triglyceride C. Low-density lipoprotein D. Chylomicrons 20 / 224 20. In diabetic ketoacidosis, total carbon dioxide is A. Normal B. Decreased C. Increased 21 / 224 21. Which of the following carbohydrates is a polysaccharide? A. Glucose B. Lactose C. Sucrose D. Starch 22 / 224 22. Which of the following lipid act as a precursor of bile acids, Vitamin D and steroids? A. Cholesterol B. Triglyceride C. Low-density lipoprotein D. Chylomicrons 23 / 224 23. Which hormone Stimulates secretion of prolactin A. Gonadotropin-releasing hormone B. Growth hormone-releasing hormone C. Thyrotropin-releasing hormone D. Adrenocorticotropic hormone 24 / 224 24. Which of the following conditions causes Hypocalcemia? A. Primary hyperparathyroidism B. HypothyroidismE C. Vitamin D deficiency D. Vitamin E deficiency 25 / 224 25. The Kjeldahl technique for the determination of serum total protein measures the amount of? A. Nitrogen content of protein. B. Peptide bonds C. Carbon content of protein. D. Sulfide content 26 / 224 26. Which ions is the major anion of extracellular fluid? A. Sodium B. Chloride C. Potassium D. Magnesium 27 / 224 27. Which lipoprotein is the primary carrier of cholesterol? A. VLDL (very-low-density lipoprotein) B. Triglyceride C. Low-density lipoprotein D. Chylomicrons 28 / 224 28. Which lipoprotein is known as "Good cholesterol"? A. High-density lipoprotein (HDL) B. Triglyceride C. Low-density lipoprotein D. Chylomicrons 29 / 224 29. Which test is used to assess the average plasma glucose level that an individual maintained during a previous 2- to 3-month period? A. Fasting glucose B. Glycated hemoglobin (HbA1C) C. Two-hour postprandial glucose D. Oral glucose tolerance 30 / 224 30. Rickets is caused by a deficiency in which of the following? A. Vitamin E B. Vitamin C C. Vitamin D D. Vitamin A 31 / 224 31. Elevated levels of which lipoprotein is associated with increased risk for atherosclerosis? A. High-density lipoprotein (HDL) B. Triglyceride C. Low-density lipoprotein D. Chylomicrons 32 / 224 32. An onset of diabetes mellitus during pregnancy is known as A. Type 1 diabetes mellitus 3 B. Type 1 diabetes mellitus 1 C. Type 1 diabetes mellitus 2 D. Gestational diabetes mellitus 33 / 224 33. Which of the following ion is a cation A. Chloride B. Bicarbonate C. Phosphate D. Sodium 34 / 224 34. What is the measure of the number of dissolved particles in solution expressed as osmoles per kilogram of water? A. Osmolarity B. Osmolality C. Water Vapor pressure D. Solubility 35 / 224 35. Which of the following condition causes respiratory acidosis? A. Hyperaldosteronism B. Excess antacids C. Ingestion of excess base D. Emphysema 36 / 224 36. What protein has the highest concentration in the plasma? A. Prealbumin B. Albumin C. Antitrypsin D. Antibody proteins 37 / 224 37. What is a fasting blood glucose level >100 mg/dL called? A. hyperglycemic B. hypoglycemic C. hyperglucemic 38 / 224 38. Decreased alpha-1-fetoprotein level in maternal serum is expected in which of the following disorder? A. Down syndrome B. Trisomy 18 C. Inflammatory disorders D. A and B 39 / 224 39. Which of the following hormones does not promote an increase in blood glucose levels? A. Growth hormone B. Cortisol C. Glucagon D. Insulin 40 / 224 40. Which of the following condition causes metabolic acidosis? A. Hyperaldosteronism B. Excess antacids C. Ingestion of excess base D. Diabetic ketoacidosis 41 / 224 41. What is the process of breaking down glucose to form pyruvate molecules? A. Gluconeogenesis B. Glycolysis C. Glycogenesis D. Glycogenolysis 42 / 224 42. What analyte is measured using the Jaffe reaction? A. Urea B. Uric acid C. Creatinine D. Ammonia 43 / 224 43. Which of the following is an oncofetal antigen that is elevated in neural defect? A. a1-fetoprotein B. Carcinoembryonic antigen (CEA) C. Prostate specific antigen (PSA) D. Human chorionic gonadotropin (hCG) 44 / 224 44. What is the primary female sex hormone? A. Estrogens B. Testosterone C. Ovaries D. Somatostatin 45 / 224 45. Which of the following vitamin is fat-soluble? A. Vitamin A B. Vitamin C C. Vitamin B6 D. Vitamin B12 46 / 224 46. What is renal threshold for glucose? A. 220mg/dL B. 180 mg/dL C. 280 mg/dL D. 50 mg/dL 47 / 224 47. What is the process by which glycogen is broken down to glucose? A. Glycogenolysis B. Glycogenesis C. Gluconeogenesis D. Glycolysis 48 / 224 48. Which of the following condition will cause hyponatremia? A. Diarrhea B. Excessive sweating C. Diabetes insipidus D. Hyperaldosteronism E. All of the above 49 / 224 49. Which glucose method is considered to be the reference method? A. Glucose oxidase B. Jaffe Method C. Hexokinase D. Glucose dehydrogenase 50 / 224 50. Which hormones secreted by the anterior pituitary raises blood glucose levels? A. Somatostatin B. Insulin C. Glucagon D. Adrenocorticotropic hormone 51 / 224 51. What is the process by which glucose is formed from noncarbohydrate sources? A. Glycogenolysis B. Glycogenesis C. Glycolysis D. Gluconeogenesis 52 / 224 52. The Kjeldahl tecnique for the determination of total proteim measures the amount of? A. Peptide bonds B. Carbon content of protein C. Nitrogen content of protein D. Amine content 53 / 224 53. What hormone helps regulate calcium? A. Cortisol B. Parathyroid hormone C. Anti-diuretic hormone D. Growth hormone 54 / 224 54. In the diacetyl method, what does diacetyl react with to form a yellow product? A. Nitrogen B. Urea C. Protein D. Creatine 55 / 224 55. Which enzyme is elevated in patient with alcoholic cirrhosis? A. Acid phosphatase (ACP) B. Alkaline Phosphatase (ALP) C. CK-BB D. Gamma-glutamyltransferase (GGT) 56 / 224 56. What is the primary male sex hormone? A. Sperm B. Testosterone C. Progesterone D. Estrogen 57 / 224 57. It is an indicator of arterial inflammation. A. CK-MM B. High-sensitivity CRP (hs-CRP) C. B-type natriuretic peptide (BNP) D. Homocysteine 58 / 224 58. Which lipoprotein are recycled chylomicron and VLDL molecules? A. High-density lipoprotein (HDL) B. Triglyceride C. Low-density lipoprotein D. Chylomicrons 59 / 224 59. Cushing syndrome causes? A. Hyperglycemia B. Hypoglycemia C. Normal blood glucose level D. Decreased 2-hour postprandial glucose 60 / 224 60. In what form is glucose stored in muscle and liver? A. Glycogen B. Sucrose C. Sugar D. Starch 61 / 224 61. Excessive galactose in blood and excretion in urine is called A. Glucosuria B. Lipiduria C. Hematuria D. Galactosemia 62 / 224 62. Decreased level of haptoglobin is indicative of? A. Extravascular hemolysis B. Iron deficiency anemia C. Intravascular hemolysis D. Sideroblastic anemia 63 / 224 63. Which lipoprotein is the largest and have lowest density? A. VLDL (very-low-density lipoprotein) B. Phospholipids C. chylomicrons D. Triglyceride 64 / 224 64. Which lipoprotein is known as "bad cholesterol"? A. Low-density lipoprotein B. Phospholipids C. Triglyceride D. chylomicrons 65 / 224 65. Which disorder is associated with Vitamin B12 deficiency? A. Beriberi B. Macrocytic anemia C. Night blindness D. Dermatitis 66 / 224 66. Which analyte should be placed on ice immediately after draw? A. Creatinine B. Uric acid C. Urea D. Ammonia 67 / 224 67. Which hormone inhibits the release of glucose from the liver? A. Somatostatin B. Insulin C. Growth hormone D. Adrenocorticotropic hormone 68 / 224 68. What is the process by which glycogen is broken down to glucose? A. Glycogenesis B. Gluconeogenesis C. Glycogenolysis D. Glycolysis 69 / 224 69. Which hormone increases blood glucose during stress? A. Epinephrine B. Somatostatin C. Insulin D. Estrogen 70 / 224 70. What is the major constituents of cell membranes and outer shells of lipoprotein molecules? A. VLDL (very-low-density lipoprotein) B. Triglyceride C. Phospholipids D. Chylomicrons 71 / 224 71. Which of the following protein is found in urine of a patient with multiple myeloma? A. Bence Jones B. Fibronectin C. Alpha-fetoprotein D. Albumin 72 / 224 72. Which type of specimen is used for Creatinine clearance test? A. Mid-stream catch B. First morning void C. 24 hour urine collection 73 / 224 73. Which protein binds to free hemoglobin? A. -1-Antitrypsin B. 1-fetoprotein C. Haptoglobin D. Prealbumin 74 / 224 74. In what condition would decreased level of alpha-1-antitrypsin be expected? A. Renal disease B. Malabsorption C. Severe burns D. Emphysema 75 / 224 75. Which hormone inhibits the release of glucose from the liver? A. Somatostatin B. Insulin C. Growth hormone D. Adrenocorticotropic hormone 76 / 224 76. What is the major fat in adipose tissues? A. Cholesterol B. Low-density lipoprotein C. Triglyceride D. Chylomicrons 77 / 224 77. Which of the following hormone stimulates lipolysis and gluconeogenesis? A. Somatostatin B. Insulin C. Glucagon D. Cortisol 78 / 224 78. Which of the following hormone is catecholamine? A. Glucocorticoids B. Prolactin C. Oxytocin D. Epinephrine 79 / 224 79. Which of the following carbohydrates is a monosaccharide? A. Sucrose B. Cellulose C. Starch D. Chitin 80 / 224 80. Which of the following condition causes respiratory alkalosis? A. Hyperaldosteronism B. Excess antacids C. Hypoxia D. Ingestion of excess base 81 / 224 81. Which enzyme is decreased in insecticide poisonings? A. Gamma-glutamyltransferase (GGT) B. Pseudocholinesterase C. Alkaline Phosphatase (ALP) D. Glucose-6-phosphate dehydrogenase (G6PD) 82 / 224 82. What type of diabetes is associated with obesity and sedentary lifestyle? A. Type 1 diabetes mellitus 3 B. Type 1 diabetes mellitus 1 C. Type 1 diabetes mellitus 2 83 / 224 83. Decreased levels of which lipoprotein is associated with increased risk for coronary artery disease? A. High-density lipoprotein (HDL) B. Triglyceride C. Low-density lipoprotein D. Chylomicrons 84 / 224 84. In what condition would an increased level of serum albumin be expected? A. Dehydration B. Renal disease C. Malabsorption D. Severe burns 85 / 224 85. Which of the immunoglobulin class is able to cross the placenta from the mother to the fetus? A. IgA B. IgG C. IgE D. IgM 86 / 224 86. What is the process of formation of glycogen from glucose called? A. Glycogenolysis B. Glycogenesis C. Gluconeogenesis D. Glycolysis 87 / 224 87. Which hormone inhibits the secretion of Growth Hormone? A. Serotonin B. Prolactin C. Dopamine D. Somatostatin 88 / 224 88. What molecule is formed from one molecule of glycerol and three fatty acid molecules? A. Cholesterol B. Triglyceride C. Low-density lipoprotein D. Chylomicrons 89 / 224 89. Which tumor marker is used for the detection of pancreatic cancer? A. CA 19-9 B. CA 15-3 C. CA 17-9 D. CA 125 90 / 224 90. Which enzyme is elevated in Mumps? A. Acid phosphatase (ACP) B. Alkaline Phosphatase (ALP) C. Amylase D. Gamma-glutamyltransferase (GGT) 91 / 224 91. Which substance is released when serum calcium level increases? A. Calcitonin B. Vitamin E C. Cortisol D. Parathyroid hormone 92 / 224 92. Which disorder is characterized by buildup of unconjugated bilirubin in the blood due to deficiency of UDPglycuronyltransferase? A. Crigler-Najjar disease B. Dubin-Johnson syndrome C. Reye's (Reye) syndrome D. Lesch nyhan syndrome 93 / 224 93. Which type of lipid consists of one glycerol molecule and two fatty acid molecules attached via ester bonds? A. VLDL (very-low-density lipoprotein) B. Phospholipids C. Triglyceride D. chylomicrons 94 / 224 94. In metabolic alkalosis, bicarbonate is A. Normal B. Decreased C. Increased 95 / 224 95. Which ions is the major cation of extracellular fluid? A. Magnesium B. Chloride C. Sodium D. Potassium 96 / 224 96. Which of the following disorder is associated with an elevated blood ammonia level? A. Lesch-Nyhan syndrome B. Bile obstruction C. Reyes syndrome D. Diabetes mellitus 97 / 224 97. Where is insulin produced? A. Liver B. Kidney C. Pancreas D. Intestines 98 / 224 98. What does normal ctCO2, increased pH with decreased PCO2 indicate? A. Respiratory Acidosis B. Metabolic acidosis C. Metabolic alkalosis D. Respiratory alkalosis 99 / 224 99. Which marker is used for the detection of colorectal cancer? A. CA 15-3 B. CA 19-9 C. CA 17-9 D. CA 125 100 / 224 100. What is the three-dimensional shape of a protein called? A. Secondary structure B. Quaternary structure C. Primary structure D. Tertiary structure 101 / 224 101. Triglycerides are transported through the body by A. chylomicrons B. VLDL (very-low-density lipoprotein) C. Cholesterol D. A and B 102 / 224 102. What is the major constituents of cell membranes and outer shells of lipoprotein molecules? A. VLDL (very-low-density lipoprotein) B. Triglyceride C. Phospholipids D. Chylomicrons 103 / 224 103. Which lipoprotein is the primary carrier of cholesterol? A. VLDL (very-low-density lipoprotein) B. Triglyceride C. Low-density lipoprotein D. chylomicrons 104 / 224 104. What are positively charged ions called? A. Anions B. Cations C. Alkalion D. Meta ion 105 / 224 105. Osteoporosis is caused by a deficiency in which of the following? A. Vitamin E B. Vitamin C C. Vitamin D D. Vitamin A 106 / 224 106. Which hormones are secreted by the anterior Pituitary Gland? A. Prolactin B. Growth hormone-releasing hormone C. Dopamine D. Thyrotropin-releasing hormone 107 / 224 107. What color does biuret turn when protein is present? A. Purple B. Black C. Blue D. Yellow 108 / 224 108. What is the building block of proteins? A. Amino acid B. Peptide C. Polypeptides D. Carbohydrate 109 / 224 109. Which of the following electrolyte is an important buffer system of blood? A. Sodium B. Chloride C. Potassium D. Bicarbonate 110 / 224 110. What is the presence of glucose in urine called? A. Glucosuria B. Lipiduria C. Hematuria D. Glucosemia 111 / 224 111. What is another name for Vitamin B2? A. Biotin B. Riboflavin C. Cobalamin D. Pyridoxine 112 / 224 112. The serum concentration of electrolytes is quantified using A. ion-selective electrodes (ISEs) B. Immunoassay C. Hexokinase method D. Flourimetric method 113 / 224 113. What does decreased pH and ctCO2 with normal PCO2 indicate? A. Compensated Respiratory Acidosis B. Metabolic acidosis C. Metabolic alkalosis D. Respiratory alkalosis 114 / 224 114. Which of the following compound is used to assess the glomerular filtration rate (GFR). A. Urea B. Uric acid C. Ammonia D. Creatinine 115 / 224 115. Which hormone inhibits release of prolactin? A. Dopamine B. Somatostatin C. Prolactin D. Serotonin 116 / 224 116. What does increased ctCO2 and pH with normal PCO2 indicate? A. Metabolic acidosis B. Metabolic alkalosis C. Respiratory Acidosis D. Respiratory alkalosis 117 / 224 117. What is the process of formation of glycogen from glucose called? A. Glycogenolysis B. Gluconeogenesis C. Glycogenesis D. Glycolysis 118 / 224 118. What compound is the major nitrogen-containing compound in the blood? A. Creatinine B. Ammonia C. Urea D. Uric acid 119 / 224 119. What is the process of breaking down glucose to form pyruvate molecules? A. Glycogenolysis B. Glycogenesis C. Glycolysis D. Gluconeogenesis 120 / 224 120. The biuret method for the determination of protein concentrations measures the amount of? A. Peptide bonds B. Carbon content of protein C. Nitrogen content of protein D. Amine content 121 / 224 121. Which one of the following biochemical marker is used for assessing heart failure? A. CK-BB B. High-sensitivity CRP (hs-CRP) C. CK-MB D. B-type natriuretic peptide (BNP) 122 / 224 122. Which of the following ion is an anion A. Sodium B. Potassium C. Chloride D. Magnesium 123 / 224 123. Which lipoprotein gives serum a turbid appearance? A. VLDL (very-low-density lipoprotein) B. Chylomicrons C. Phospholipids D. Triglyceride 124 / 224 124. Scurvy is caused by a deficiency in which of the following? A. Vitamin A B. Vitamin C C. Vitamin D D. Vitamin K 125 / 224 125. Which hormones stimulates uterine contractions during childbirth? A. Oxytocin B. Glucocorticoids C. Prolactin D. Dopamine 126 / 224 126. The structure formed by the sequence of amino acids within a polypeptide chain is? A. Tertiary structure B. Secondary structure C. Quaternary structure D. Primary structure 127 / 224 127. Which of the following glycoprotein is elevated in trophoblastic tumors? A. a1-fetoprotein B. Carcinoembryonic antigen (CEA) C. Prostate specific antigen (PSA) D. Human chorionic gonadotropin (hCG) 128 / 224 128. What is the major protein found in High-density lipoprotein (HDL)? A. Apo A-1 B. Apo B-100 C. Lp(a) D. Apo A-11 129 / 224 129. What does hydrolysis of lactose yield? A. Glucose only B. Maltose and glucose C. Galactose and glucose D. Fructose and glucose 130 / 224 130. Which enzyme is elevated in prostate cancer? A. Acid phosphatase (ACP) B. Alkaline Phosphatase (ALP) C. CK-BB D. Troponin 131 / 224 131. Which of the following oncofetal antigen is associated with Down syndrome? A. Prostate specific antigen (PSA) B. a1-fetoprotein C. Carcinoembryonic antigen (CEA) D. Human chorionic gonadotropin (hCG) 132 / 224 132. An onset of diabetes mellitus during pregnancy is known as A. Gestational diabetes mellitus B. Type 1 diabetes mellitus 3 C. Type 1 diabetes mellitus 1 D. Type 1 diabetes mellitus 2 133 / 224 133. Which of the following condition is associated with (XXY)? A. Hashimito syndrome B. Gushing syndrome C. Klinefelter syndrome D. Graves disease 134 / 224 134. Which test is used to detect pregnancy? A. HbA1c B. hCG qualitative test C. Serum pregnancy test D. Fibronectin test 135 / 224 135. Which hormone inhibits the secretion of thyroid-stimulating hormone? A. Somatostatin B. Androgens C. Prolactin D. Dopamine 136 / 224 136. What is a fasting blood glucose level >100 mg/dL called? A. hyperglycemic B. hypoglycemic C. hyperglucemic 137 / 224 137. Which hormone stimulates spermatogenesis? A. Follicle-stimulating hormone B. Growth hormone-releasing hormone C. Thyrotropin-releasing hormone D. Adrenocorticotropic hormone 138 / 224 138. What is the product of deamination of amino acids in the liver? A. Insulin B. Urea C. Glucose D. Lysine 139 / 224 139. Which enzyme is elevated in Paget disease? A. Acid phosphatase (ACP) B. Alkaline Phosphatase (ALP) C. CK-BB D. Troponin 140 / 224 140. Which blood protein is most responsible for osmotic pressure? A. Prealbumin B. Albumin C. Antitrypsin D. Antibody proteins 141 / 224 141. Cushing syndrome causes? A. Hyperglycemia B. Hypoglycemia C. Normal blood glucose level D. Decreased 2-hour postprandial glucose 142 / 224 142. High-sensitivity CRP (hs-CRP) of 3.0 mg/L is indicative of A. Low cardiovascular risk B. High cardiovascular risk C. High risk of stroke 143 / 224 143. What is the renal threshold for glucose? A. 220mg/dL B. 50 mg/dL C. 280 mg/dL D. 180 mg/dL 144 / 224 144. Elevated alpha-1-fetoprotein during pregnancy is expected in which of the following condition(s)? A. Neural tube defects B. Spina bifida C. Fetal distress D. All of the Above 145 / 224 145. Which of the following vitamin is water-soluble? A. Vitamin A B. Vitamin D C. Vitamin E D. Vitamin C 146 / 224 146. Which of the following immunoglobin is increased in allergies, asthma, and parasitic infections? A. IgM B. IgE C. IgA D. IgG 147 / 224 147. Which one of the following is the most specific biochemical marker of myocardial infarction? A. CK-MM B. cardiac troponin T (cTnT) C. CK-MB D. CK-BB 148 / 224 148. A colored stool is seen in A. Hemolytic disease B. Heptatitis C. Prehepatic injury D. Bile obstruction 149 / 224 149. What is another name for Vitamin C? A. Ascorbic acid B. niacin C. Cobalamin D. Riboflavin 150 / 224 150. Which element distinguishes proteins from carbohydrate and lipid compounds? A. Nitrogen B. Oxygen C. Carbon D. Magnesium 151 / 224 151. Which of the following vitamin is fat-soluble? A. Vitamin C B. Vitamin B6 C. Vitamin D D. Vitamin B12 152 / 224 152. Which of the following vitamin is water-soluble? A. Vitamin A B. Vitamin D C. Vitamin B1 D. Vitamin E 153 / 224 153. Which lipoprotein is known as "bad cholesterol"? A. VLDL (very-low-density lipoprotein) B. Chylomicrons C. Low-density lipoprotein D. Triglyceride 154 / 224 154. Which enzyme is elevated in acute pancreatitis? A. Acid phosphatase (ACP) B. Alkaline Phosphatase (ALP) C. Amylase D. Gamma-glutamyltransferase (GGT) 155 / 224 155. Which of the following glycoprotein are markers for ovarian and endometrial cancer? A. CA 19-9 B. CA 15-3 C. CA 17-9 D. CA 125 156 / 224 156. What does hydrolysis of lactose yield? A. Fructose and glucose B. Maltose and glucose C. Glucose only D. Galactose and glucose 157 / 224 157. What is the major protein found in Low-density lipoprotein (LDL)? A. Apo A-1 B. Apo B-100 C. Lp(a) D. Apo A-11 158 / 224 158. What is another name for Vitamin B6? A. Biotin B. Niacin C. Cobalamin D. Pyridoxine 159 / 224 159. Which hormone increases blood glucose by stimulating glycogenolysis? A. Insulin B. Somatostatin C. Glucagon D. Epinephrine 160 / 224 160. What is normal osmolal gap? A. < 15 B. 10-20 C. <10 D. 21 161 / 224 161. Where is insulin produced? A. Liver B. Kidney C. Pancreas D. Intestines 162 / 224 162. Which enzyme deficiency will result in increased sensitivity to certain muscle relaxant drugs used during surgery? A. Gamma-glutamyltransferase (GGT) B. Alkaline Phosphatase (ALP) C. Pseudocholinesterase D. Glucose-6-phosphate dehydrogenase (G6PD) 163 / 224 163. Which of the following vitamin is water-soluble? A. Vitamin A B. Vitamin D C. Vitamin E D. Vitamin B12 164 / 224 164. Which of the following disorder is associated with an elevated serum uric level? A. Alder Reily B. Lesch-Nyhan syndrome C. Reye syndrome D. Chediak Higashi Correct! 165 / 224 165. Which hormone increases blood glucose by stimulating glycogenolysis? A. Somatostatin B. Glucagon C. Epinephrine D. Insulin 166 / 224 166. What is another name for Vitamin B12? A. Biotin B. Niacin C. Cobalamin D. Riboflavin 167 / 224 167. Which lipoprotein is the largest and have lowest density? A. VLDL (very-low-density lipoprotein) B. Phospholipids C. Triglyceride D. chylomicrons 168 / 224 168. What is end product of glucose metabolism in anaerobic condition? A. Glucose B. Lactate C. Glucagon blood glucose level D. Pyruvic acid 169 / 224 169. Hemorrhagic disease is associated with deficiency of which of the following vitamin? A. Vitamin A B. Vitamin C C. Vitamin D D. Vitamin K 170 / 224 170. Which protein activates lecithincholesterol acyltransferase (LCAT) and removes free cholesterol from extrahepatic tissues? A. Apo B-100 B. Lp(a) C. Apo A-1 D. Apo A-11 171 / 224 171. Which disorder is associated with Niacin deficiency? A. Beriberi B. Pellagra C. Night blindness D. Dermatitis 172 / 224 172. What is the major waste product of purine catabolism? A. Ammonia B. Urea C. Uric acid D. Creatine Correct! 173 / 224 173. Which of the following protein is used to predict the risk of premature birth? A. Ceruoplasmin B. Fibronectin C. Transferrin D. Haptoglobin 174 / 224 174. What hormone increases osmolality? A. Cortisol B. Growth hormone C. Renin D. Antidiuretic hormone (ADH) 175 / 224 175. What molecule is formed from one molecule of glycerol and three fatty acid molecules? A. Cholesterol B. Triglyceride C. Low-density lipoprotein D. Chylomicrons 176 / 224 176. Which hormone controls water homeostasis? A. Gonadotropin-releasing hormone B. Growth hormone-releasing hormone C. Thyrotropin-releasing hormone D. Antidiuretic hormone 177 / 224 177. What are negatively charged ions called? A. Anions B. Cations C. Alkalion D. Meta ion 178 / 224 178. Which of the following lipid act as a precursor of bile acids, Vitamin D and steroids? A. Cholesterol B. Triglyceride C. Low-density lipoprotein D. chylomicrons 179 / 224 179. Which hormone increases blood glucose during stress? A. Somatostatin B. Insulin C. Epinephrine D. Cortisol 180 / 224 180. Calculate LDL cholesterol given a total cholesterol of 220mg/dl, 65mg/dl of HDL and triglyceride 200 mg/dl A. 130mg/dl B. 124mg/dl C. 110mg/dl D. 140mg/dl 181 / 224 181. Which disorder is associated with Thiamin deficiency? A. Scurvy B. Beriberi C. Rickets D. Dermatitis 182 / 224 182. Which of the following is a tissue-specific marker used to detect prostate cancer? A. 1-fetoprotein B. Carcinoembryonic antigen (CEA) C. Prostate specific antigen (PSA) D. Human chorionic gonadotropin (hCG) 183 / 224 183. What is end product of glucose metabolism in anaerobic condition? A. Glucose B. Lactate C. Glucagon D. Pyruvic acid 184 / 224 184. Excessive galactose in blood and excretion in urine is called A. Glucosuria B. Lipiduria C. Hematuria D. Galactosemia 185 / 224 185. What is the normal range of sodium? A. 149 mmol/L B. 137 mmol/L C. 122 mmol/L D. 100 mmol/L 186 / 224 186. Which hormone inhibits secretion of insulin, glucagon, and growth hormone? A. Somatostatin B. Insulin C. Growth hormone D. Adrenocorticotropic hormone 187 / 224 187. Which enzyme is useful in forensic cases involving rape? A. Alkaline Phosphatase (ALP) B. CK-BB C. Acid phosphatase (ACP) D. Troponin 188 / 224 188. In gout, which of the following compound deposits in joints and other body tissues? A. Ammonia B. Creatinine C. Urea D. Uric acid 189 / 224 189. Which ions is the major cation of intracellular fluid? A. Sodium B. Potassium C. Chloride D. Magnesium 190 / 224 190. What type of diabetes is associated with obesity and a sedentary lifestyle? A. Type 1 diabetes mellitus 3 B. Type 1 diabetes mellitus 1 C. Type 1 diabetes mellitus 2 191 / 224 191. Which disorder is associated with Vitamin B2 deficiency? A. Scurvy B. Beriberi C. Rickets D. Dermatitis 192 / 224 192. What form are carbohydrates stored in the liver and skeletal muscles? A. Glycogen B. Glucagon C. Glucose D. Sugar 193 / 224 193. In metabolic acidosis, total carbon dioxide is A. Normal B. Decreased C. Increased 194 / 224 194. Which hormone regulates salt balance? A. Aldosterone B. Androgens C. Prolactin D. Dopamine 195 / 224 195. Which lipoprotein function has an antiatherogenic effect? A. Triglyceride B. High-density lipoprotein (HDL) C. Low-density lipoprotein D. Chylomicrons 196 / 224 196. Which of the following lipid act as a precursor of bile acids, Vitamin D and steroids? A. Cholesterol B. Triglyceride C. Low-density lipoprotein D. Chylomicrons 197 / 224 197. Of the following blood glucose levels, which would you expect to result in glucose in the urine? A. 50mg/dL B. 110mg/dL C. 140mg/dL D. 228mg/Dl 198 / 224 198. Night blindness is caused by a deficiency in which of the following? A. Vitamin E B. Vitamin C C. Vitamin D D. Vitamin A 199 / 224 199. Which enzyme deficiency is associated with hemolytic anemia after ingestion of fava beans? A. Gamma-glutamyltransferase (GGT) B. Alkaline Phosphatase (ALP) C. Pseudocholinesterase D. Glucose-6-phosphate dehydrogenase (G6PD) 200 / 224 200. Which hormones secreted by the anterior pituitary raises blood glucose levels? A. Somatostatin B. Insulin C. Glucagon D. Adrenocorticotropic hormone 201 / 224 201. What hormone helps regulate Phosphorus? A. Cortisol B. Anti-diuretic hormone C. Growth hormone D. Parathyroid hormone 202 / 224 202. Elevated levels of which lipoprotein is associated with increased risk for atherosclerosis? A. High-density lipoprotein (HDL) B. Triglyceride C. Chylomicrons D. Low-density lipoprotein 203 / 224 203. What form are carbohydrates stored in the liver and skeletal muscles? A. Glycogen B. Glucagon C. Glucose D. Sugar 204 / 224 204. Given the following information for an average-size adult, calculate creatinine clearance. Urine creatinine—110 mg/dL Plasma creatinine—1.2 mg/dL Urine volume for 24 hours—1420 ml A. 106 mL/min B. 110 mL/min C. 90.4 mL/min D. 102.5 mL/min Correct! 24 hours expressed as 1440 minutes. 130 mg/dL 1620 mL/24 hr 1.4 mg/dL 1440 min/24 hr = 104.5 mL/min Creatinine clearance (mL/min) = U X V / P 130X1620 / 1.4X1440 205 / 224 205. Which exhibit diurnal variation, with highest levels in the morning? A. Somatostatin B. Cortisol C. Prolactin D. Dopamine 206 / 224 206. Which protein transports iron? A. Prealbumin B. Albumin C. Ferritin D. Transferrin 207 / 224 207. Triglycerides are transported through the body by A. chylomicrons B. VLDL (very-low-density lipoprotein) C. Cholesterol D. A and B 208 / 224 208. Given the following information for an average-size adult, calculate creatinine clearance. Urine creatinine—130 mg/dL Plasma creatinine—1.4 mg/dL Urine volume for 24 hours—1620 ml A. 106 mL/min B. 104.5 mL/min C. 103 mL/min D. 102.5 mL/min Correct! 24 hours expressed as 1440 minutes. 130 mg/dL 1620 mL/24 hr 1.4 mg/dL 1440 min/24 hr = 104.5 mL/min Creatinine clearance (mL/min) = U X V / P 130X1620 / 1.4X1440 209 / 224 209. Which hormone Stimulates secretion of follicle-stimulating hormone (FSH) ? A. Gonadotropin-releasing hormone B. Growth hormone-releasing hormone C. Thyrotropin-releasing hormone D. Adrenocorticotropic hormone 210 / 224 210. Which type of lipid consists of one glycerol molecule and two fatty acid molecules attached via ester bonds? A. VLDL (very-low-density lipoprotein) B. Phospholipids C. chylomicrons D. Triglyceride 211 / 224 211. Which of the following is an oncofetal antigen that is elevated in colorectal carcinoma? A. a1-fetoprotein B. Carcinoembryonic antigen (CEA) C. Prostate specific antigen (PSA) D. Human chorionic gonadotropin (hCG) 212 / 224 212. Convert 20 mg/dL of urea nitrogen to urea. A. 34 mg/dL B. 43 mg/dL C. 52 mg/dL D. 11 mg/dL BUN to Urea= BUN x 2.14= Urea 213 / 224 213. What are macromolecules made of amino acids linked to another by peptide bond called? A. Lipids B. Carbohydrate C. Protein 214 / 224 214. Which disorder is associated with excess cortisol production? A. Cushing syndrome B. Klinefelter syndrome C. Hashimito syndrome D. Graves disease 215 / 224 215. Which lipoprotein is the largest and have lowest density? A. VLDL (very-low-density lipoprotein) B. Triglyceride C. Phospholipids D. Chylomicrons 216 / 224 216. Which of the following helps regulate calcium? A. Calcitonin B. Vitamin E C. Cortisol D. Growth hormone 217 / 224 217. Which test is used to assess the average plasma glucose level that an individual maintained during a previous 2- to 3-month period? A. Fasting glucose B. Glycated hemoglobin (HbA1C) C. Two-hour postprandial glucose D. Oral glucose tolerance 218 / 224 218. Which type of diabetes is characterized by relative insulin resistance? A. Type 1 diabetes mellitus 2 B. Type 1 diabetes mellitus 3 C. Type 1 diabetes mellitus 1 219 / 224 219. Which hormone stimulates stimulates production of testosterone? A. Growth hormone-releasing hormone B. Thyrotropin-releasing hormone C. Adrenocorticotropic hormone D. Luteinizing hormone 220 / 224 220. Which of the following tumor marker is used for detecting recurrence of breast cancer? A. CA 19-9 B. CA 15-3 C. CA 17-9 D. CA 125 221 / 224 221. What is another name for Vitamin B1? A. Biotin B. Thiamin C. Cobalamin D. Pyridoxine 222 / 224 222. Which enzyme is elevated in biliary tract obstruction? A. Acid phosphatase (ACP) B. Alkaline Phosphatase (ALP) C. CK-BB D. Troponin 223 / 224 223. Which of the following vitamin is water-soluble? A. Vitamin A B. Vitamin D C. Folate D. Vitamin E 224 / 224 224. In which condition will antidiuretic hormone level decrease? A. Cushing syndrome B. Metabolic alkalosis C. Diabetes insipidus D. Reyes syndrome Your score is LinkedIn Facebook Twitter VKontakte Share this: Share on X (Opens in new window) X Share on Facebook (Opens in new window) Facebook Like this:Like Loading…