CLINICAL CHEMISTRY 2
SECTION A MULTIPLE CHOICE QUESTIONS
1. The following electrolytes are mainly present in
extracellular fluid
A. Sodium and chloride
B. Calcium and chloride
[Link] and bicarbonate
[Link] and magnesium
E. Bicarbonate and potassium
2. Most significant tests used to monitor renal
failures are
A. Urea and bilirubin
B. Urea and creatinine
[Link] and calcium
[Link] and alkaline phosphatase
E. Bilirubin and alanine transferase
3. The three main fractions of glycosylated
haemoglobins are
A. HbA, HbB, HbC
B. HbB1a, HbB1b, HbB1c
C.HbC1a, HbC1b, HbC1c
D.HbA1a, HbB1b, HbC1c
E. HbA1a, HbA1b, HbA1c
1
4. Which of the following containers is preferably
used for blood sample intended for whole blood
glycosylated haemoglobin test
A. Red-top vacutainer
B. Blue-top vacutainer
[Link]-top vacutainer
[Link]-top vacutainer
E. Lavender-top vacutainer
5. Which of the following lactate dehydrogenase iso
enzymes are present in skeletal muscles
A. LD-1, LD-2
B. LD-3, LD-4
[Link]-1, LD-3
[Link]-4, LD-5
E. LD-2, LD-5
6. Iso-enzyme form of cardiac disease which is a
skeletal muscle type is abbreviated
A. CK-BB
B. CK-MB
[Link]-MM
[Link]-BB, CK-MB
E. CK-MB, CK-MM
7. Measuring of which enzymes are used to confirm
pancreatitis?
A. Amylase and lipase
B. Lactase and sucrose
[Link] and uric acid
[Link] and potassium
E. Calcium and phosphorus
2
8. Which of the following lipoprotein is called good
cholesterol?
A. Chylomicron
B. Low density lipoprotein
[Link] density lipoprotein
[Link] low density lipoprotein
E. Intermediate density lipoprotein
9. Acute renal failure due to tubular necrosis is
associated with the presence of one of the
following in the urine sediments
A. Casts
B. Bacteria
[Link] cells
[Link] blood cells
E. Amorphous phosphate crystals
10. Elevation of the urea in the blood due to pre-
renal can be due to
A. Renal failure
B. Dehydration
[Link] nephritis
[Link] protein breakdown
E. Obstruction of urine out flow
3
SECTION B MULTIPLE TRUE/FALSE
1. Regarding C-Reactive protein increased in acute
phase due to
A. Stress TRUE
B. Liver cirrhosis FALSE
[Link] infarction TRUE
[Link] proliferation TRUE
E. Infection and pregnancy TRUE
2. Albumin decreased in plasma in the following
condition
A. Acute dehydration FALSE
B. Gain to extracellular space TRUE
[Link] consumption by cells TRUE
[Link] glomerular filtration TRUE
E. Urinary loose with extreme physical exercise and
high fever TRUE
3. Alkaline phosphatase mostly found in the
following
A. Liver TRUE
B. Bone TRUE
[Link] FALSE
[Link] of the small intestine TRUE
E. Mucosa of the large intestine TRUE
4
4. The following tests used to assess renal
functioning
A. Serum creatinine TRUE
B. Serum albumin FALSE
[Link] total protein FALSE
[Link] urea nitrogen TRUE
E. Creatinine clearance TRUE
SECTION C CROSS-MATCHING QUESTIONS
PART ONE
S/N ANSWER COLUMN A COLUMN B
1. F Preservative of A. Bile pigment in
serum glucose urine
test
2. H 24hrs urine B. Jaundiced
specimen newborns
3. D ALT [Link] protein
4. C Pandy’s [Link] function test
5. A Fouchet’s E. Protein estimation
F. Sodium fluoride
[Link]
[Link] reabsorption
5
PART TWO
S/N ANSWER COLUMN A COLUMN B
1 D Bilirubinuria A. Rotheras test
2 A Ketonuria B. Coomasie
brilliant blue
3 E Glucosuria [Link] chloride
test
4 B Proteinuria [Link]’s test
5 C phenyketonuria E. Benedict’s test
F. Bial’s test
[Link] gravity
PART THREE
S/N ANSWER COLUMN A COLUMN B
1 F Beer-lambert A. Glycolysis
law
2 E 2-log10%T B. Jaundiced
newborns
3 G Fat soluble [Link] excretion
4 C Micturition [Link] bilirubin
5 B phototherapy E. Absorbance
F. Spectrophotometry
[Link]
[Link] reabsoption
6
PART FOUR
S/N ANSWER COLUMN A COLUMN B
1 B Insulin A. Posterior pituitary
2 H Glucagon B. Pancreatic ß cells
3 G Epinephrine [Link] regulation
4 F Cortisol [Link]
5 E Growth E. Anterior pituitary
hormone
F. Adrenal cortex
[Link] medulla
[Link] alpha
cells
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