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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.

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  1. Which enzyme is most specific for myocardial infarction when elevated?

    Answer: Troponin I

    Cardiac troponin I is highly specific to cardiac muscle and is the gold standard biomarker for myocardial infarction.

  2. A fasting glucose of 135 mg/dL on two separate occasions is diagnostic of:

    Answer: Diabetes mellitus

    A fasting plasma glucose ≥126 mg/dL confirmed on two occasions meets ADA criteria for diabetes mellitus diagnosis.

  3. Which lipoprotein is considered 'good cholesterol' due to its role in reverse cholesterol transport?

    Answer: HDL

    HDL transports cholesterol from peripheral tissues back to the liver for excretion, reducing cardiovascular risk.

  4. The normal anion gap range is approximately:

    Answer: 8–12 mEq/L

    The normal anion gap (Na − [Cl + HCO3]) is 8–12 mEq/L, representing unmeasured anions like albumin and phosphate.

  5. Hemoglobin A1c reflects average blood glucose over approximately what time period?

    Answer: 2–3 months

    HbA1c reflects glycation of hemoglobin over the 2–3 month lifespan of red blood cells.

  6. Elevated serum amylase and lipase are most indicative of:

    Answer: Acute pancreatitis

    Both amylase and lipase are released from damaged pancreatic acinar cells during acute pancreatitis.

Clinical Chemistry Flashcards — ASCP Study Cards with Answers