1) What does ammonia show on biochemistry? a) A result of the metabolism of protein and should be excreted. Elevated levels could indicate portosystemic shunt or neurological problems b) A result of the metabolism of calcium and should be excreted 2) What does Albumin show on biochemistry? a) Only occurs in dead dogs b) Found in plasma or serum 35- 50% of total plasma protein in most of our patients. Liver disease affects results. Kidney disease or Intestinal disease can decrease results 3) What causes ALT to increase on biochemistry? a) Corticosteroids and anticonvulsant medication can also cause an increase b) Damage or disease to any of these areas could cause an increase c) Both of the above 4) What are normal ALKP levels in blood of dogs and cats? a) Dogs 0-80IU/L and cats 15-96IU/L b) Dogs 5-25UI/L and cats 80-100IU/L 5) What do high levels of AST indicate? a) Indicate high levels of Aspartate Aminotransferase b) Indicate either liver disease or muscle damage 6) What does elevated BUN indicate? a) Elevated BUN is most commonly a sign of dehydration, urethral obstruction, renal disease or a ruptured bladder b) Elevated BUN is a result of steroid use 7) What preservatives interfere with testing of calcium? a) Normal saline b) Heparin will interfere c) EDTA or citrate anticoagulants will interfere with the test 8) What is Cholesterol? a) A Plasma lipoprotein produced primarily in the liver & obtained in food b) The thing that sucks the fun out of eating 9) What is the role of Fructosamine in a biochemistry profile? a) Fructosamine is formed by glycosylation of circulating proteins & is an indicator of the circulating blood glucose concentration b) allows you to determine patient stress levels 10) Increase in Phosphate can indicate renal disease; do you need to confirm with other tests? a) YES. BUN, Creatinine and urine specific gravity b) NO. Phosphate alone is enough 11) True or False? A raise in blood lipase levels indicates renal failure or corticosteroid treatment? a) False b) True 12) How can Amylase, a water soluble enzyme involved in starch digestion, show on biochemistry parameters? a) Incorrect sampling b) Leaked enzymes find their way into the lymphatic and capillary systems and therefore elevations in serum samples is witnessed 13) Creatine Phosphokinase levels will show on blood ... a) When the muscle becomes damaged CPK will be excreted into the blood b) Never after exercise, hyperthermia or during heart disease 14) Normal Creatinine levels in dogs should be a) 0-1.25mmol/L b) 2.5-9.6mmol/l 15) Globulins are a) Charecters in Lord of the Rings b) Specific measurements of a specific immunoglobulin's are useful when assessing the immune status of a patient 16) Normal total Bilirubin levels in a cat should be a) 2-5mmol/L b) 2-5µmol/L 17) Elevated lipase levels can indicate: a) Kidney failure or treatment with corticosteroids b) Can may be seen in pancreatitis cases due to an ‘escape’ of pancreatic enzymes through capillaries or lymph c) Both 18) Increase in Total Protein on a biochemistry profile could indicate a) Dehydration, immune mediated disease, lactation, infection or neoplasia. b) Renal disease, haemorrhage, malnutrition, malabsorption, hepatic or pancreatic insufficiency 19) Sodium is ... a) important for regulation of blood pressure and volume and the transmission of nerve impulses b) Not important 20) Normal sodium levels in a dog's serum should be a) 140-153mmol/L b) 100-140 21) Hyperchloraemia can be caused by a) Excessive sweating and vomiting b) diarrhoea, kidney disease and over activity of the parathyroid glands 22) What are normal serum potassium levels for a cat a) 3.4-5.6mmol/L b) 6-7mmol/L

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