There are a large variety of over-the-counter pregnancy tests, although all of them share a set of common principles. These home pregnancy tests are immunoassays which detect the presence of the peptide hormone human chorionic gonadotropin (hCG). hCG is produced by the fertilised ovum and released into the mother's bloodstream, preventing the degradation of the corpus luteum and thereby preventing menstruation. By the time of the mother's first missed period, hCG levels in the urine are high enough to detect. The home pregnancy test generally involves dipping a stick containing immobilised hCG monoclonal antibodies into a urine sample. If hCG is present in the urine, it will bind to the monoclonal antibodies on the dipstick. The dipstick is then placed in a solution containing a second monoclonal antibody which recognizes the bound hCG antibody complex on the surface of the dipstick. This second antibody is conjugated to colloidal gold particles which change colour when they are immobilised, indicating a positive test result (i.e., pregnancy). As described in the passage, the home pregnancy test _.
Correct answer: A. Lacks positive and negative controls
- A. Lacks positive and negative controls
- B. Is inaccurate because hCG can be produced normally in the non-pregnant mother
- C. Accuracy improves when administered during early morning hours
- D. Is inaccurate because hCG is sometimes not produced by the fertilized zygote
Explanation
The test, as described in the passage, simply assays for the presence of hCG in the urine. The person using the test would either obtain a positive or negative result. Whether or not this result is valid remains in question because there are no experimental controls involved. In other words, there is nothing to test whether the test reagents are faulty or the procedure was done incorrectly. A positive control would involve using a sample liquid containing hCG and testing to see whether the pregnancy test could actually detect it. If it can't, then something is wrong. A negative control might involve using a urine sample with no hCG in it and seeing if the test gives a false positive result. Such controls are not included in the test as described in the passage. The other answer choices can be eliminated. The answer: 'is only effective after at least one month of pregnancy' is wrong because the passage states that hCG levels are high enough to be detected by the time of the first missed period (anywhere from 7-14 days from the time of fertilization.)The answer: 'is inaccurate because hCG can be produced normally in the non-pregnant mother,' can be eliminated because the mother does not produce hCG. If she did, the test would be entirely useless. Only the embryo produces the hormone. The answer choice, 'is inaccurate because hCG is sometimes not produced by the fertilized zygote,' is also incorrect because the embryo must produce hCG in order to prevent menstruation and maintain the corpus luteum. If it doesn't, menstruation will occur and the embryo will be sloughed off with the uterine lining.
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