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Medical Technologist Lab Study Guide – Clinical Chemistry & Diagnostic Testing Review

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Comprehensive medical technologist study guide covering clinical chemistry, urinalysis, endocrine disorders, enzymes, electrolytes, lab methodologies, and diagnostic values for certification and board review.

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1 . 40y/o Male has a random glucose of 470. Lab finding is
consistent with what disorder?: Diabetes Mellitus

2. Highly alkaline buffered urine can cause what error on a urine
dipstick? : -
false positive protein

3. In the urine dipstick test for protein, to which protein is the test
more sensitive? Albumin or globulin?: Albumin

4. Ceruloplasmin, follicle stimulating hormone (FSH), and fibrinogen
are all what?: Glycoproteins

5. Diabetic acidosis, renal failure and prolonged vomiting can do
what to chloride level?: lower
1/


6. Vitamin D, Calcitonin and Parathyroid hormone all regulate what?:
Calcium level

,7. Name three ways urine specific gravity may be measured: refractometer,
harmonic oscillation, reagent test strip

8. Is T3 Uptake a good indicator of hypothyroidism?: No

9. What three levels are good indicators of hypothyroidism?: FT4,
T4, TSH

10.Maple syrup disease, phenylketonuria, and alkaptonuria are
aminoacidopathies caused by what?: enzyme deficiency

1 1. Is AST elevated in acute pancreatitis?: No

12. At a pH of 7.4, most phosphorus in the body is found in what
form?: Bone

13. Bilirubin is converted in the intestine into what?: Urobilinogen

14. Both porphobilinogen and urobilinogen form a red colored
compound with Erlich's reagent. How can they be differentiated?:
Urobilinogen is soluble in chloroform

15. By the urease method, urea is enzymatically converted to what
end product?: Ammonia

16. Casts are formed primarily in what portion of the kidney?: Distal
Convoluted Tubule

, 17. Catecholamines are secreted by what?: Adrenal Medulla

18. What method for calcium is based on the assumption that
calcium will be

precipitated as an oxalate?: The classic Clark-Collip method

19. The colorimetric method for magnesium uses what reagent?: Titan
yellow

20. Contamination of the glucose reagent with catalase can be a problem
when using what method?: Glucose oxidase

21 . Because ionized calcium can be changed without affecting the total
calcium level, what other parameters must be known to properly
elevate calcium?-

: pH and Protein
22. Duchenne's Muscular Dystrophy, will produced what elevate
enzyme?
(also elevated in a myocardial infarction): Creatinine Kinase

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