Page 1 of 57
Lab CE Clinical Chemistry EXAM PRACTICE
EXAM LATEST UPDATE 2026-2027
QUESTIONS AND DETAILED SOLUTIONS
Question: A disease or disorder causes serum binding proteins, such as albumin to decrease
what may occur if the dose of a highly protein bound drug with a narrow therapeutic window is
not adjusted. - CORRECT ANSWER✔✔The patient may experience toxic effects. High free drug
fraction.
Question: When the body compensates for a respiratory or metabolic disorder, the main goal is
to achieve. - CORRECT ANSWER✔✔A normal Ph
Question: a 56 year old female was taken to the emergency room in a coma by her employers
nurse she had lost 35 pounds in 3 months, she was always thirsty drinking a lot of water and
running to the bathroom. The following are her laboratory results
Ph:7.11
PCO2: 21
Glucose: 950
, Page 2 of 57
Serum osmolality: 365
urine ketone: strongly positive
urine glucose: strongly positive
What is the most likely cause of this patient's symptoms? - CORRECT ANSWER✔✔Insulin
dependent diabetes mellitus.
Question: All of the following conditions are associated with a polyclonal increase in gamma
globulins except. - CORRECT ANSWER✔✔immunodeficiency
Question: which nitrogen base would bind with a guanine nucleotide forming double stranded
dna - CORRECT ANSWER✔✔Cytosine
Question: Which substance is used in the jendrassik-grof method to accelerate the reaction of
unconjugated bilirubin with the diazo reagent. - CORRECT ANSWER✔✔Caffeine benzoate
Question: Which of the following conditions would make a sample unsuitable for lactic acid
testing? - CORRECT ANSWER✔✔Movement of hand or arm during specimen collection.
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Question: A patient who previously had an HS CRP of 4 was put on statins and daily aspirin
medication she returns to the laboratory a month later and her repeat hs crp is 2.3. Which of
the following is the most likely reason for the decrease in the test value? - CORRECT
ANSWER✔✔The medications lowered the HS CRP value.
Question: Serum calcitonin is typically elevated in which of the following conditions - CORRECT
ANSWER✔✔Medullary carcinoma of the thyroid.
Question: The term pharmacokinetic best describes. - CORRECT ANSWER✔✔What the body
does to the drug
Q:Which of the following is a bronchodilator used to treat a 39 year old male asthmatic patient?
- CORRECT ANSWER✔✔Theophyline
Question: The immunoassay procedure for serum hCG utilizes antisera against which subunit
of hCG? - CORRECT ANSWER✔✔Beta
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Question: the of neutral 17 kit steroids is a measure of which of the following - CORRECT
ANSWER✔✔Androgen production
Question: A lipid panel is composed of which of the following tests - CORRECT
ANSWER✔✔Cholesterol, lipoprotein, high density cholesterol, triglycerides.
Question: Follicle stimulating hormone is produced by - CORRECT ANSWER✔✔Pituitary
Question: The function of the very low density lipoproteins is to transport - CORRECT
ANSWER✔✔Endogenous triglycerides
Question: Atherosclerosis is due to which of the following - CORRECT ANSWER✔✔Build up of
plaque
Question: Which of the following would not be considered a normal part of a routine
electrolyte panel - CORRECT ANSWER✔✔Magnesium
Lab CE Clinical Chemistry EXAM PRACTICE
EXAM LATEST UPDATE 2026-2027
QUESTIONS AND DETAILED SOLUTIONS
Question: A disease or disorder causes serum binding proteins, such as albumin to decrease
what may occur if the dose of a highly protein bound drug with a narrow therapeutic window is
not adjusted. - CORRECT ANSWER✔✔The patient may experience toxic effects. High free drug
fraction.
Question: When the body compensates for a respiratory or metabolic disorder, the main goal is
to achieve. - CORRECT ANSWER✔✔A normal Ph
Question: a 56 year old female was taken to the emergency room in a coma by her employers
nurse she had lost 35 pounds in 3 months, she was always thirsty drinking a lot of water and
running to the bathroom. The following are her laboratory results
Ph:7.11
PCO2: 21
Glucose: 950
, Page 2 of 57
Serum osmolality: 365
urine ketone: strongly positive
urine glucose: strongly positive
What is the most likely cause of this patient's symptoms? - CORRECT ANSWER✔✔Insulin
dependent diabetes mellitus.
Question: All of the following conditions are associated with a polyclonal increase in gamma
globulins except. - CORRECT ANSWER✔✔immunodeficiency
Question: which nitrogen base would bind with a guanine nucleotide forming double stranded
dna - CORRECT ANSWER✔✔Cytosine
Question: Which substance is used in the jendrassik-grof method to accelerate the reaction of
unconjugated bilirubin with the diazo reagent. - CORRECT ANSWER✔✔Caffeine benzoate
Question: Which of the following conditions would make a sample unsuitable for lactic acid
testing? - CORRECT ANSWER✔✔Movement of hand or arm during specimen collection.
, Page 3 of 57
Question: A patient who previously had an HS CRP of 4 was put on statins and daily aspirin
medication she returns to the laboratory a month later and her repeat hs crp is 2.3. Which of
the following is the most likely reason for the decrease in the test value? - CORRECT
ANSWER✔✔The medications lowered the HS CRP value.
Question: Serum calcitonin is typically elevated in which of the following conditions - CORRECT
ANSWER✔✔Medullary carcinoma of the thyroid.
Question: The term pharmacokinetic best describes. - CORRECT ANSWER✔✔What the body
does to the drug
Q:Which of the following is a bronchodilator used to treat a 39 year old male asthmatic patient?
- CORRECT ANSWER✔✔Theophyline
Question: The immunoassay procedure for serum hCG utilizes antisera against which subunit
of hCG? - CORRECT ANSWER✔✔Beta
, Page 4 of 57
Question: the of neutral 17 kit steroids is a measure of which of the following - CORRECT
ANSWER✔✔Androgen production
Question: A lipid panel is composed of which of the following tests - CORRECT
ANSWER✔✔Cholesterol, lipoprotein, high density cholesterol, triglycerides.
Question: Follicle stimulating hormone is produced by - CORRECT ANSWER✔✔Pituitary
Question: The function of the very low density lipoproteins is to transport - CORRECT
ANSWER✔✔Endogenous triglycerides
Question: Atherosclerosis is due to which of the following - CORRECT ANSWER✔✔Build up of
plaque
Question: Which of the following would not be considered a normal part of a routine
electrolyte panel - CORRECT ANSWER✔✔Magnesium