EDUCATION UPDATE EXAM Toxicology 3. Selenium A. protects from cancer. B. causes chronic exposure renal dysfunction. C. is monitored in dialysis patients. D. is toxic in consumed fish. E. is associated with Wilson's disease. Please Print or Type Name Address City State Zip Signature Required for California licensees ASCP Status: G Associate Member LI Registrant 3 Not ASCP-certified ASCP Membership Number or Registration Number Payment J Check enclosed Credit card: J Visa J MasterCard Credit Card Number Exp Date Phone Signature Indicate the correct answer by circling the appropriate letter for each question. Answers 1. A B D 2. A B D 3. A B 4. A B 5. A B 6. A B 7. A B 8. A B 9. A B 10.A B E This exam covers material presented in the three "Toxicology" articles that appeared in this and the February and March 1995 issues of Laboratory Medicine. To earn three CMLE credit hours for the 1995 year, complete this exam form and mail it, along with your check or money order payable to the ASCP ($16 for associate members, $20 for nonmembers and ASCP registrants), to: ASCP, PO Box 98346, Chicago, IL 60693-8346. Payment must be included with this page for your examination to be processed; phone orders not accepted. After processing this form, ASCP will mail you the answer key and a certificate of participation. NOTE: This examination must be received by June 30,1995, to be processed. Credit from this exam can be used to meet California licensure requirements, but cannot be used to meet Florida license requirements. For ASCP programs that qualify as Florida-approved offerings, call 1(800) 621-4142. If you have questions regarding the CE Update series, call (312) 7381336, ext 390. Multiple-Choice Questions Select the one correct answer to each question: 1. The half-life of lead in the blood is approximately A. 1 day. B. 1 week. C. 1 month. D. 1 year. E. 10 years. 2. The Americans With Disabilities Act takes the following positions with respect to drug and alcohol testing: A. Employers cannot test applicants for alcohol until a job offer has been extended. B. Alcohol and drug tests are defined as medical examinations. C. The ADA allows alcohol tests, thereby permitting an employer to deny employment to an applicant, and to discipline an existing employee up to and including termination on the basis of a positive alcohol test. D. None of the above 272 LABORATORY MEDICINE VOLUME 26, NUMBER 4 APRIL 1995 4. Select the true statement. A. Atomic absorption methods simultaneously determine several trace elements. B. Specimen matrix interference is eliminated by careful method selection. C. Trace element levels outside the reference range for healthy subjects signify toxicity. D. Trace element contamination may occur during specimen collection, transport, storage, or analysis. E. Inductively coupled plasma mass spectrometry is the most widely used method for trace element analysis. 5. Whole blood is the preferred specimen for alcohol testing for highway safety purposes, because: A. Whole blood is easier to work with, because it does not require erythrocytes to be separated from the plasma. B. Highway safety laws regarding drinking and driving are based on whole blood. C. If serum or plasma is used, the whole blood alcohol concentration will be underestimated. D. None of the above. 6. The most definitive specimen for the diagnosis of lead poisoning, and the specimen type against w h i c h the severity of lead poisoning is judged, is A. 24-hour urine collection. B. serum. C. heparinized plasma. D. venous whole blood. E. fingerstick (capillary blood). 7. Which of the following statements is true regarding the new Department of Transportation alcohol testing program? A. The program began for all employers regulated by the Department of Transportation on January 1,1995. B. Testing is to be by breath, except in cases in which breath testing devices are not available, in which cases blood is an authorized specimen. C. Action levels for a positive result are .04% and .08%. D. None of the above 8. Which group are all essential trace elements? A. Se.AI, Mn, Mo B. I, As, Cd, Se C. Cu, I, Fe, Co D. Pb,As,AI,Cd E. V, Hg, Cu, Zn 9. Cadmium A. protects from cancer. B. causes chronic exposure renal dysfunction. C. is monitored in dialysis patients. D. is toxic in consumed fish. E. is associated with Wilson's disease. 10. The definitive method for lead analysis is A. radioimmune assay. B. high-performance liquid chromatography. C. anodic stripping voltammetry. D. graphite furnace atomic absorption spectrometry. E. isotope dilution mass spectrometry.
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