Clinical Chemistry Flashcards
6 cards from real ASCP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Clinical Chemistry flashcards as text
Phenylketonuria (PKU) is detected by measuring elevated levels of which metabolite?
Answer: Phenylalanine
PKU results from phenylalanine hydroxylase deficiency, causing phenylalanine accumulation in blood and urine.
Which tumor marker is most useful for monitoring treatment response in prostate cancer?
Answer: PSA
Prostate-specific antigen (PSA) is produced by prostate epithelium and is the primary biomarker for monitoring prostate cancer.
The reference method for cholesterol measurement uses which technique?
Answer: Abell-Kendall method with Liebermann-Burchard reagent
The Abell-Kendall method is the CDC reference method for total cholesterol, used to calibrate all clinical enzymatic assays.
Which enzyme deficiency causes phenylketonuria?
Answer: Phenylalanine hydroxylase
Phenylalanine hydroxylase converts phenylalanine to tyrosine; its deficiency causes toxic phenylalanine accumulation.
A serum sodium of 118 mEq/L is classified as:
Answer: Severe hyponatremia
Severe hyponatremia is defined as serum sodium below 120–125 mEq/L and requires urgent treatment to prevent cerebral edema.
Which test distinguishes prerenal azotemia from intrinsic renal failure?
Answer: BUN/creatinine ratio
A BUN/creatinine ratio >20:1 suggests prerenal azotemia, while a ratio of 10–15:1 is more consistent with intrinsic renal disease.