Place the following in order of increasing X-A-X bond angle, where A represents the central atom and X represents the outer atoms in each molecule. HCN H2O H3O?
A) H2O < H3O? < HCN
B) H3O? < H2O < HCN
C) HCN < H3O? < H2O
D) H2O < HCN < H3O?
E) H2O < H3O? < HCN
Which one of these is NOT in the process of creating nuclear power?
A. The fission of uranium atoms releases energy that heats water
B. Hot water spins turbines that are connected to generators
C. The chain reaction is controlled with "control rods" that absorb protons
D. Neutrons from uranium collide with other atoms creating a chain reaction
Fossil fuels are derived from which of the following sources?
A. Organic matter trapped in sedimentary rock
B. Non-organic matter trapped in metamorphic rock
C. Organic matter trapped in igneous rock
D. Organic matter on the crust's surface
Why do fossil fuels generate more power then wood for use in machines, for example...?
A. Fossil fuels have a higher concentration of Hydrogen and Carbon
B. Fossil fuels are drier
C. Fossil fuels are easier to light
D. Fossil fuels are easier to transport
A. It uses the power of the sun to turn work
B. The water heats up and it turns into water vapor to power
C. Water turns a piece similar to a propeller to power
D. Water freezes and then is thrown to power it
Which of the following is NOT true about geothermal energy?
A. Geothermal energy is renewable
B. Geothermal energy relies on the earth
C. Geothermal energy involves the movement of heat
D. Geothermal energy causes pollution
Which of the following is a NOT disadvantage of geothermal energy?
A. Gases are given off in the production of geothermal energy
B. Geothermal sites eventually cool down
C. Geothermal plants may release low levels of toxic materials
D. Geothermal power plants are expensive to maintain
Which one of these is NOT in the process of creating geothermal energy?
A. a hole is drilled about a mile underground.
B. steam is tapped
C. very hot water drives turbines
D. somebody turns the geothermal turbines to produce electricity.
Which of these would be the best to place a geothermal pump?
A. A place which is both volcanic and seismically active
B. A place which is only volcanic
C. A place which is very hot and wet
D. A place which is very cold
Is it better to have a bigger wind turbine or smaller?
A. Yes, bigger it is more wind it reaches
B. No, Bigger it is the less wind it reaches
C. Doesn't matter same amount of electricity is produced
D. None of the above
A. The turbine uses kinetic energy from the wind to spin a generator
B. Wind panels absorb the wind
C. Generators capture the wind and uses it
D. All of the above
A. Converts mechanical energy into electricity
B. Controls the direction of the blades
C. Carries electricity to transmission line
D. Controls the direction of the blade
A. gather electrons and protons, absorbing them into the turbine and creating wind energy
B. wind turbine blades capture kinetic energy from the wind and turn it into mechanical energy, spinning a generator that creates electricity.
C. Turbines are positioned toward the direction of the wind, making it more likely to spin and generate energy
D. Kinetic energy is shot through a moderator creating molecular energy and with that, wind energy.
As on right now, why can't solar energy be a full alternative to electricity?
A. Not everywhere has the space to produce solar power plants
B. Very high cost that not every country can afford
C. You cannot obtain a sufficient amount of sunlight everyday
D. All of the Above
Why can't we make solar energy in some parts the planet?
A. because there is not enough space in certain countries
B. because solar energy is unevenly distributed across the planet
C. because some countries do not know what it is
D. because most people would prefer to build solar power plants
Which of the following is not true about solar energy?
A. Solar energy produces greenhouse gases
B. Excess energy can be stored in batteries
C. You can produce solar energy on cloudy days
D. It has a low production in Winter
A. Large surface area is necessary to collect a useful amount of sunlight.
B. The amount of sunlight is varied on location and time.
C. It is too expensive to use smaller land.
D. Solar cells only work well in large amounts
Which of these are not a disadvantage of solar energy?
A. It is very expensive to install.
B. Energy is dependent on weather and can be stopped by clouds.
C. It's energy cannot be stored affordably.
D. It raises electricity bills
Serial sampling for cardiac biomarkers is described as:
A)Drawing blood samples periodically, usually at prescribed time intervals over the course of the patient's admission
B)Drawing blood samples randomly during the first four hours after admission to the facility
C)Making dilutions of each blood sample and analyzing them for the appropriate cardiac biomaker
D)Drawing a bloood sample once after admission to the facility
Answer: Drawing blood samples periodically, usually at prescribed time intervals over the course of the patient's admission
A blood sample for a tough drug level should be drawn
A)During the distribution phase of the drug
B)During phase I biotransformation
C)Shortly before drug administration
D)1.5 hours after drug administration
A)Syndromes that encompass a continuum of clinical presentations ranging from unstable angina to non-Q-wave AMI
B)Hardening of the arteries that occurs over a period of many years due in part to the abnormal accumulation of lipids
C)A degenerative condition of the muscles
D)An acute-phase reactant whose concentration in the blood rises dramatically in response to nonspecific inflammatory stimuli.
Answer: Hardening of the arteries that occurs over a period of many years due in part to the abnormal accumulation of lipids
Which is a characteristic of unconjugated bilirubin?
A)It reacts faster than conjugated bilirubin
B)Its not water-soluble
C)It is water-soluble
D)It has the same absorbance properties as conjugated bilirubin
Which of the following are characteristic of serum hormone binding globulin(SHBG)?
A)Thyroid gland
B)Tightly bound to protein moiety, not biologically active and binds to testosterone
C)Hypothalamus
D)Loosely bound to protein moiety, is biologically active and binds to estrogen
Answer: Tightly bound to protein moiety, not biologically active and binds to testosterone
Lp(a) is considered a risk factor for developing atherosclerosis due to which of the following?
A)It competes with fibrinogen for binding sites, thus interfering with clot lysis and increasing the risk of acute myocardial infarction(AMI)
B)It activates complement
C)It competes with plasminogen for binding sites, thus interfering with clot lysis and increasing the risk of acute myocardial infarction(AMI)
D)It is produced by macrophages and expressed in atherosclerotic lesions
Answer: It competes with plasminogen for binding sites, thus interfering with clot lysis and increasing the risk of acute myocardial infarction(AMI)
Steady state of a drug is typically achieved after:
A)Approximately seven half-lives
B)The drug is completely absorbed from the gut
C)The drug first begins to appear in the urine
D)Approximately two half-lives
Lp (a) is considered a risk factor for developing atherosclerosis due to which of the following?
A)It is produced by macrophages and expressed in atherosclerotic lesions.
B)It competes with plasminogen for binding sites, thus interfering with clot lysis and increasing the risk of acute myocardial infarction (AMI)
C)It competes with fibrinogen for binding sites, thus interfering with clot lysis and increasing the risk of acute myocardial infarction (AMI)
D)It activates complement
Answer: It competes with plasminogen for binding sites, thus interfering with clot lysis and increasing the risk of acute myocardial infarction (AMI)
Which of the following is the correct definition of first-pass effect of a drug?
A)The point when the total amount of drug in a human does not change over multiple loading does intervals
B)The time it takes for the plasma concentration of drug in the body to be reduced by 50%
C)When a drug is metabolized in the gut wall and liver before it reaches the systemic circulation
D)When a drug is excreted into the urine
Answer: When a drug is metabolized in the gut wall and liver before it reaches the systemic circulation
Elevated blood levels of pregnancy-associated plasma protein A(PAPP-A) may suggest which of the following?
A)An S-T segment myocardial infarction (STEMI)
B)A presumptive diagnosis of heart failure in breathless patients
C)A low risk factor for developing an acute coronary syndrome(ACS)
D)The presence of an unstable ACS in patients without increased concentration of biomarkers of necrosis, such as cTn.
Answer: The presence of an unstable ACS in patients without increased concentration of biomarkers of necrosis, such as cTn.
An autosomal recessive disorder of iron metabolism, which is characterized by excessive iron absorption and accumulation in various tissues in the body, is termed:
Which of the following statements summarizes the significance of CRP in the arterial wall?
A)It predicts the severity of atherosclerosis and is able to bind o damaged membranes and lipids.
B)It has nothing to do with either arteriosclerosis or atherosclerosis
C)It predicts the severity of atherosclerosis but cannot bind to damaged membranes and lipids
D)It predicts the severity of arteriosclerosis
Answer: It predicts the severity of atherosclerosis and is able to bind to damaged membranes and lipids.
3, 5, 3'-triodothyronine is characterized as which of the following?
A)Secreted by the anterior pituitary gland in response to low blood levels of TSH
B)Used to make both T3 and T4 hormones
C)The most potent thyroid hormone
D)The least potent thyroid hormone
A) The conversion of glucose into lactate or pyruvate and then CO₂ and H₂O
B) The conversion of glucose to glycogen for storage
C) The formation of glucose from noncarbohydrate sources
D) The breakdown of glycogen to form glucose and other intermediate products
Answer: The conversion of glucose into lactate or pyruvate and then CO₂ and H₂O
All of the following are associated with gestational diabetes EXCEPT:
A) Is defined as glucose intolerance during pregnancy
B) Is diagnosed using the same glucose tolerance criteria as in nonpregnant women
C) It converts to diabetes mellitus after pregnancy in 30-60% of patients
D) Associated with increased fetal risk
Answer: Is diagnosed using the same glucose tolerance criteria as in nonpregnant women
Which statement regarding glycosylated hemoglobin is TRUE?
A) Levels below 7% indicate adequate regulation for 8-12 weeks prior to sampling
B) It has a sugar attached to the N-terminal valine of the β-chain of the hemoglobin molecule
C) Is dependent upon the time averaged blood glucose over the lifespan of the RBC
D) All of the above
Which of the following is FALSE concerning blood cholesterol concentrations?
A) Increased cholesterol is associated with diabetes mellitus
B) Cholesterol levels are unchanged when comparing results from fasting and non fasting blood
C) Increased cholesterol is associated with hyperthyroidism
D) Increased cholesterol is associated with nephrotic syndrome
E) Cholesterol levels decrease following strenuous exercise
Answer: Increased cholesterol is associated with hyperthyroidism
The Friedewald formula for estimating LDL cholesterol should NOT be used when:
A) HDL cholesterol is greater than 40 mg/dL
B) Total cholesterol is elevated based on the age and sex of the patient
C) Plasma shows no visible evidence of lipemia
D) Triglyceride is greater than 400 mg/dL
What is the clinical significance of testing for Transthyretin?
A) Levels are associated with glomerular injury in diabetic nephropathy
B) Low levels are associated with increased free cortisol
C) Low levels indicate compromised nutritional status
D) High levels are associated with an acute phase reaction
Answer: Low levels indicate compromised nutritional status
A) Choline to lecithin
B) Acetylcholine to choline and acetic acid
C) β-glycerophosphate to glycerol and PO₄⁻³
D) α-glycerophosphate to choline phosphate
E) Choline to NH₄⁺ and PO₄⁻³
Levels of this enzyme are useful in the diagnosis of a genetic defect, which leads to increased apnea (difficulty breathing) after surgery using succinylcholine.
A) Leucine aminopeptidase
B) Cholinesterase
C) 5' nucleotidase
D) Acid phosphatase
E) Aldolase
Which of the following sequences accurately reflects the renin-angiotensin-aldosterone system in response to hyponatremia?
A) Angiotensinogen is released from the kidney; angiotensinogen converts to angiotensin I; angiotensin I is converted to renin.
B) Renin is released from the kidney; renin converts angiotensinogen to angiotensin II; angiotensin II is converted to angiotensin I
C) Renin is released from the kidney; renin converts angiotensinogen to angiotensin I; angiotensin I is converted to angiotensin II
D) Angiotensin I is released from the kidney; angiotensin I converts angiotensinogen to angiotensin II; angiotensin II is converted to renin
Answer: Renin is released from the kidney; renin converts angiotensinogen to angiotensin I; angiotensin I is converted to angiotensin II
A patient has the following arterial blood gas results: pH=6.55; pCO₂=26 mmHg; pO₂=99 mmHg; HCO₃⁻=22 mEq/L Which of the following is most likely to account for these results?
A) Improper specimen collection
B) Hyperventilation
C) Hypkalemia
D) Hypoventilation
3,5,3'-triodothyronine is characterized as which of the following?
A) The least potent thyroid hormone
B) The most potent thyroid hormone
C) Used to make both T₃ and T₄ hormones
D) Secreted by the anterior pituitary gland in response to low blood levels of TSH
Which of the following are characteristic of serum hormone binding globulin (SHBG)?
A) Hypothalamus
B) Loosely bound to protein moiety, is biologically active and binds to estrogen
C) Thyroid gland
D) Tightly bound to protein moiety, not biologically active and binds to testosterone
Answer: Tightly bound to protein moiety, not biologically active and binds to testosterone
In a patient with suspected primary hyperthyroidism (Grave's disease), one would expect the following laboratory serum results: total T₄_____FT₄_____, and TSH______
A) Increased, decreased, decreased
B) Increased, increased, decreased
C) Decreased, decreased, increased
D) Increased, decreased, increased
Serial sampling for cardiac biomarkers is described as:
A) Drawing blood sample once after admission to the facility
B) Drawing blood samples periodically, usually at prescribed time intervals over the course of the patient's admission
C) Making dilutions of each blood sample and analyzing them for the appropriate cardiac biomarker
D) Drawing blood samples randomly during the first four hours after admission to the facility
Answer: Drawing blood samples periodically, usually at prescribed time intervals over the course of the patient's admission
Lp (a) is considered a risk factor for developing atherosclerosis due to which of the following?
A) It activates complement
B) It competes with fibrinogen for binding sites, thus interfering with clot lysis and increasing the risk of acute myocardial infarction (AMI)
C) It is produced by macrophages and expressed in atherosclerotic lesions
D) It competes with plasminogen for binding sites, thus interfering with clot lysis and increasing the risk of acute myocardial infarction (AMI)
Answer: It competes with plasminogen for binding sites, thus interfering with clot lysis and increasing the risk of acute myocardial infarction (AMI)
The two most significant sources of error in accurate ammonia determinations are sample handling and:
A) Short shelf life of test reagents
B) Ammonia contamination in the laboratory
C) Inability to automate the test procedure
D) Need for age-dependant reference ranges
Which is a characteristic of unconjugated bilirubin?
A) It reacts faster than conjugated bilirubin
B) Its not water-soluble
C) It is water-soluble
D) It has the same absorbance properties as conjugated bilirubin
Clearance (CL) of a drug is defined as which of the following?
A) The fraction of drug dose reaching the systemic circulation following administration by any route
B) The time required for an amount of drug in blood to decline to one-half its measured value
C) A measure of the apparent space the body has available to contain the drug
D) The rate of elimination by all routes normalized to the concentration of drug, in some biological fluids
Answer: The rate of elimination by all routes normalized to the concentration of drug, in some biological fluids
A blood sample for a trough drug level should be drawn:
A) Shortly before drug administration
B) During phase I biotransformation
C) During the distribution phase of the drug
D) 1.5 hours after drug administration
Steady state of a drug is typically achieved after:
A) The drug first begins to appear in the urine
B) Approximately two half-lives
C) The drug is completely absorbed from the gut
D) Approximately seven half-lives