ALU 101 EXAMINATION QUESTIONS AND ANSWERS
SET A+
✔✔All of the following are tumor markers EXCEPT:
1. alpha-fetoprotein (AFP)
2. carcinoembryonic antigen (CEA)
3. C-reactive protein (CRP)
4. prostate-specific antigen (PSA) - ✔✔3: C-reactive protein (CRP) - page 71.
✔✔Describe the 10 essential questions to be answered when evaluating a proposed
insured with a cancer history for life insurance. - ✔✔Refer to page 80.
✔✔What are the three common methods for obtaining samples for biopsy? - ✔✔Refer
to page 71.
✔✔What does the TNM acronym for staging cancer stand for and what are the staging
criteria for each? - ✔✔Refer to pages 76.
✔✔The gold standard test for diagnosing coronary artery disease (CAD) is:
1. an exercise tolerance test (ETT)
2. coronary angiography
3. thallium imaging
4. electron beam computed tomography (EBCT) - ✔✔2: coronary angiography - pages
91-92.
✔✔Modifiable risk factors for atherosclerosis include all of the following EXCEPT:
1. family history
2. smoking
3. hypertension
4. diabetes - ✔✔1: family history - page 88.
✔✔The MET level of an exercise EKG is determined by which of the following?
,a) calories burned at rest
b) duration of exercise
c) protocol used
1. A and B only are correct.
2. A and C only are correct.
3 B and C only are correct.
4. A, B, and C are correct. - ✔✔3: B and C only are correct - page 91.
✔✔List four major risk factors for coronary artery disease. - ✔✔Refer to pages 87-89.
✔✔Define metabolic syndrome and explain why it is a risk factor for the development of
coronary artery disease. - ✔✔Refer to page 89.
✔✔All of the following are layers of the heart wall EXCEPT:
1. endocardium
2. pericardium
3. endometrium
4. myocardium - ✔✔3: endometrium - page 85.
✔✔Medications that dilate the coronary arteries include which of the following?
a) nitrates
b) beta-blockers
c) calcium channel blockers
1. A only is correct.
2. B only is correct.
3. C only is correct.
4. A, B, and C are correct. - ✔✔1: A only is correct - page 93.
✔✔All of the following are functions of the circulatory system EXCEPT to:
1. transport oxygen
2. transport waste materials of cellular metabolism
3. propel blood through the body
4. raise and lower HDL cholesterol - ✔✔4: raise and lower HDL cholesterol - page 85.
✔✔All of the following are measured on an exercise electrocardiogram EXCEPT:
1. blood pressure
2. exercise capacity
3. thickness of the left ventricle
4. EKG changes - ✔✔3: thickness of the left ventricle - pages 90-91
✔✔An EBCT scan is used to:
1. calculate exercise tolerance
, 2. detect heart murmurs
3. detect deposits of calcium in coronary arterial walls
4. fracture plaque in an occluded coronary artery - ✔✔3: detect deposits of calcium in
coronary arterial walls - page 92.
✔✔The measure of a test's ability to detect individuals who have disease is:
1. sensitivity
2. reliability
3. specificity
4. proficiency - ✔✔1: sensitivity - page 102.
✔✔Elevations of both gamma-glutamyl transpeptidase (GGT) and alkaline phosphatase
(AP) are associated with:
1. pancreatitis
2. osteomyelitis
3. biliary obstruction
4. osteoporosis - ✔✔3: biliary obstruction - page 117.
✔✔A positive urine cotinine test result on an insurance exam can be caused by which of
the following?
a) nicotine gum
b) cigar use
c) secondhand smoke
1. A and B only are correct.
2. A and C only are correct.
3. B and C only are correct.
4. A, B, and C are correct. - ✔✔1: A and B only are correct - page 113.
✔✔Discuss the differences between acute and chronic hepatitis, including causes,
typical findings, and possible outcomes. - ✔✔Refer to page 115.
✔✔Name the five serum enzymes that are used as indirect measures of liver pathology
and diseases associated with their elevations. - ✔✔Refer to page 117.
✔✔Chronic hepatitis increases the risk of developing which of the following?
a) fibrosis
b) hepatocellular carcinoma
c) Barrett's esophagus
1. A only is correct.
2. A and B only are correct.
3. B and C only are correct.
4. A, B, and C are correct. - ✔✔2: A and B only are correct - page 115.
SET A+
✔✔All of the following are tumor markers EXCEPT:
1. alpha-fetoprotein (AFP)
2. carcinoembryonic antigen (CEA)
3. C-reactive protein (CRP)
4. prostate-specific antigen (PSA) - ✔✔3: C-reactive protein (CRP) - page 71.
✔✔Describe the 10 essential questions to be answered when evaluating a proposed
insured with a cancer history for life insurance. - ✔✔Refer to page 80.
✔✔What are the three common methods for obtaining samples for biopsy? - ✔✔Refer
to page 71.
✔✔What does the TNM acronym for staging cancer stand for and what are the staging
criteria for each? - ✔✔Refer to pages 76.
✔✔The gold standard test for diagnosing coronary artery disease (CAD) is:
1. an exercise tolerance test (ETT)
2. coronary angiography
3. thallium imaging
4. electron beam computed tomography (EBCT) - ✔✔2: coronary angiography - pages
91-92.
✔✔Modifiable risk factors for atherosclerosis include all of the following EXCEPT:
1. family history
2. smoking
3. hypertension
4. diabetes - ✔✔1: family history - page 88.
✔✔The MET level of an exercise EKG is determined by which of the following?
,a) calories burned at rest
b) duration of exercise
c) protocol used
1. A and B only are correct.
2. A and C only are correct.
3 B and C only are correct.
4. A, B, and C are correct. - ✔✔3: B and C only are correct - page 91.
✔✔List four major risk factors for coronary artery disease. - ✔✔Refer to pages 87-89.
✔✔Define metabolic syndrome and explain why it is a risk factor for the development of
coronary artery disease. - ✔✔Refer to page 89.
✔✔All of the following are layers of the heart wall EXCEPT:
1. endocardium
2. pericardium
3. endometrium
4. myocardium - ✔✔3: endometrium - page 85.
✔✔Medications that dilate the coronary arteries include which of the following?
a) nitrates
b) beta-blockers
c) calcium channel blockers
1. A only is correct.
2. B only is correct.
3. C only is correct.
4. A, B, and C are correct. - ✔✔1: A only is correct - page 93.
✔✔All of the following are functions of the circulatory system EXCEPT to:
1. transport oxygen
2. transport waste materials of cellular metabolism
3. propel blood through the body
4. raise and lower HDL cholesterol - ✔✔4: raise and lower HDL cholesterol - page 85.
✔✔All of the following are measured on an exercise electrocardiogram EXCEPT:
1. blood pressure
2. exercise capacity
3. thickness of the left ventricle
4. EKG changes - ✔✔3: thickness of the left ventricle - pages 90-91
✔✔An EBCT scan is used to:
1. calculate exercise tolerance
, 2. detect heart murmurs
3. detect deposits of calcium in coronary arterial walls
4. fracture plaque in an occluded coronary artery - ✔✔3: detect deposits of calcium in
coronary arterial walls - page 92.
✔✔The measure of a test's ability to detect individuals who have disease is:
1. sensitivity
2. reliability
3. specificity
4. proficiency - ✔✔1: sensitivity - page 102.
✔✔Elevations of both gamma-glutamyl transpeptidase (GGT) and alkaline phosphatase
(AP) are associated with:
1. pancreatitis
2. osteomyelitis
3. biliary obstruction
4. osteoporosis - ✔✔3: biliary obstruction - page 117.
✔✔A positive urine cotinine test result on an insurance exam can be caused by which of
the following?
a) nicotine gum
b) cigar use
c) secondhand smoke
1. A and B only are correct.
2. A and C only are correct.
3. B and C only are correct.
4. A, B, and C are correct. - ✔✔1: A and B only are correct - page 113.
✔✔Discuss the differences between acute and chronic hepatitis, including causes,
typical findings, and possible outcomes. - ✔✔Refer to page 115.
✔✔Name the five serum enzymes that are used as indirect measures of liver pathology
and diseases associated with their elevations. - ✔✔Refer to page 117.
✔✔Chronic hepatitis increases the risk of developing which of the following?
a) fibrosis
b) hepatocellular carcinoma
c) Barrett's esophagus
1. A only is correct.
2. A and B only are correct.
3. B and C only are correct.
4. A, B, and C are correct. - ✔✔2: A and B only are correct - page 115.