BOC Clinical Chemistry Questions With Complete Solutions

1) Following overnight fasting, hypoglycemia in adults is defined as a glucose of: a. <70 mg/dL (<3.9 mmol/L) b. <60 mg/dL (<3.3mmol/L) c. <55 mg/dL (<3.0mmol/L) d. <45mg/dL (<2.5mmol/L) correct answer: d (Diagnosis of hypoglycemia in adults.) 3) The preparation of a patient for standard glucose tolerance testing should include: a. a high carbohydrate diet for 3 days b. a low carbohydrate diet for 3 days c. fasting for 48 hrs. prior to testing d. bed rest for 3 days correct answer: a (GTT diet preparation.) 4) If a fasting glucose was 90 mg/dL, which of the following 2 hr. postprandial glucose result would most closely represent normal glucose metabolism? a. 55 mg/dL (3.0 mmol/L) b. 100 mg/dL (5.5 mmol/L) c. 180 mg/dL (9.9 mmol/L) d. 260 mg/dL (14.3 mmol/L) correct answer: b (Normal 2 hour postprandial value.) 5) A healthy person with a blood glucose of 80 mg/dL (4.4 mmol/L) would have a simultaneously determined cerebrospinal fluid glucose value of: a. 25 mg/dL (1.4 mmol/L) b. 50 mg/dL (2.3 mmol/L) c. 100 mg/dL (5.5 mmol/L) d. 150 mg/dL (8.3 mmol/L) correct answer: b (Ratio of CSF glucose to blood glucose) 6) A 25 yr. old man became nauseated and vomited 90 mins after receiving a standard 75 g carbohydrate dose for an oral glucose tolerance test. The best course of action is to: a. give the patient a glass of orange juice and continue the test b. start the test over immediately with a 50 g carbohydrate dose c. draw blood for glucose and discontinue the test