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Compared to a heterogeneous assay,a homogeneous assay:


A) is more sensitive.
B) requires more procedural steps.
C) is easier to adapt to automation.
D) is more specific.

E) None of the above
F) A) and B)

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The standard method for detecting antinuclear antibodies (in certain autoimmune diseases) is:


A) direct immunofluorescence.
B) indirect immunofluorescence.
C) fluorescence polarization.
D) autofluorescence.

E) C) and D)
F) B) and D)

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Which compound would be an appropriate label in a chemiluminescent assay?


A) Horseradish peroxidase
B) Iodine-125
C) Fluorescein
D) Ruthenium derivative

E) A) and B)
F) A) and C)

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In the following equation,what is the ratio of bound radioactive (*) antigen to bound patient antigen (w:x) ??8Ag* + 4Ag + 6Ab ---> (w) Ag*Ab + (x) AgAb + (y) Ag* + (z) Ag


A) 1:6
B) 1:3
C) 2:1
D) 8:6

E) B) and D)
F) C) and D)

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C

In which of the following testing situations is there a direct relationship between the amount of bound label and the amount of patient antigen present?


A) Competitive radioimmunoassay using labeled antigen
B) Competitive enzyme immunoassay using labeled antigen
C) Noncompetitive enzyme immunoassay using a second labeled antibody
D) Any of the above

E) A) and B)
F) A) and C)

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Which assay format is the best choice for measuring small molecules,such as drugs and small peptide hormones?


A) Latex agglutination
B) Fluorescence polarization
C) Capture ELISA

D) A) and B)
E) A) and C)

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Indirect immunofluorescence is similar to which type of enzyme immunoassay in terms of the performance of the assay?


A) Competitive
B) Capture
C) ELISA
D) Homogeneous

E) A) and B)
F) All of the above

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C

Compared with a capture assay,a radioimmunoassay is likely to be more advantageous in terms of:


A) use in diverse, nonlaboratory settings.
B) cost of equipment.
C) detecting small molecules.
D) cost of reagents.

E) A) and D)
F) All of the above

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You must choose between two widely accepted,commonly used colorimetric enzyme immunoassay kits to measure a plasma protein that circulates at a moderately high concentration.Each kit uses a different enzyme and substrate.What is the most important consideration in making your choice?


A) Shelf life of reagents
B) Speed of detection
C) Wavelengths detected by microtiter plate reader
D) Sensitivity

E) None of the above
F) C) and D)

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C

In a capture assay to determine the presence of a viral antigen in a patient sample,which of the following would be on solid phase?


A) Antigen
B) Labeled antibody
C) Unlabeled antibody
D) Antihuman immunoglobulin

E) All of the above
F) B) and D)

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Select the technique that would most likely be used to determine the concentration of a therapeutic drug.


A) Radioimmunoassay
B) Chemiluminescent assay
C) Fluorescence polarization immunoassay
D) Enzyme immunoassay

E) B) and C)
F) A) and B)

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Which assay format has the lowest equipment cost?


A) Enzyme immunoassay
B) Immunochromatography
C) Fluorescence polarization
D) Chemiluminescence

E) A) and B)
F) A) and C)

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An immunoassay is performed in the following manner to look for an antigen (Ag) in the patient serum: Patient serum + labeled Ag + known antibody (Ab) are added together and incubated.Unbound material is washed off.The amount of labeled Ag is then measured.What assay is performed?


A) Homogeneous
B) Competitive
C) Capture
D) ELISA

E) B) and C)
F) All of the above

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An antigen is fixed to a microscope slide,then incubated with patient serum.After washing,fluorescently labeled anti-human immunoglobulin is applied.After an additional wash,the slide is inspected with a fluorescent microscope.This technique is called:


A) direct immunofluorescence.
B) indirect immunofluorescence.
C) fluorescence polarization.
D) autofluorescence.

E) B) and D)
F) None of the above

Correct Answer

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Rheumatoid factor can cause false-positive results in which type of assay?


A) Homogeneous competitive
B) Heterogeneous competitive
C) Homogeneous noncompetitive
D) Heterogeneous noncompetitive

E) A) and C)
F) All of the above

Correct Answer

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An immunoassay is performed in the following way: Antigen is bound to a solid support.Patient serum is added,and patient antibodies bind to the antigen.The well is washed,and enzyme-labeled anti-immunoglobulin antibodies are added.The well is washed,and enzyme substrate is added.Enzyme activity is determined.Which immunoassay is described?


A) Capture
B) Competitive
C) ELISA
D) Homogeneous

E) A) and B)
F) None of the above

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Identify the characteristic associated with noncompetitive enzyme immunoassays.


A) They are less sensitive than agglutination reactions.
B) They are used when quantitation is necessary.
C) Antibody is bound to the solid phase.
D) Binding sites for patient antibody are limited.

E) A) and B)
F) A) and C)

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In the following equation,what is the ratio of free radioactive (*) antigen to free patient antigen (the ratio of y/z) after addition of the antibody and after all reactants have reached equilibrium??10 Ag* + 5 Ag + 3 Ab ---> (w) Ag*Ab + (x) AgAb + (y) Ag* + (z) Ag


A) 2:1
B) 1:2
C) 3:1
D) 5:1

E) C) and D)
F) B) and C)

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Which statement about noncompetitive enzyme immunoassays is true?


A) Binding sites for patient antigen are limited.
B) Washing in between steps is not necessary.
C) All patient antigen is allowed to react with binding sites.
D) Color is indirectly proportional to the concentration.

E) B) and D)
F) C) and D)

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Which assay poses the greatest risk of exposure to biohazards?


A) Radioimmunoassay
B) Enzyme immunoassay
C) Fluorescence polarization
D) Chemiluminescent immunoassays

E) C) and D)
F) B) and C)

Correct Answer

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