lab work

Question 1

what is screening tool for thyroid

Answer 1

TSH
Normal 0.5 - 5 range

Question 2

TSH is abnormal do what

Answer 2

screen for T3, T4 levels

Question 3

how do treat patient depends on

Answer 3

TSH
Hypothyroidism levothyroxine/synthoid
elederly 12.5 mg - 25 mcg day
normal person 25 - 5-

Question 4

when do we recheck what do we do

Answer 4

TSH - recheck level around 6 weeks

Question 5

when TSH stable check every

Answer 5

6 - 12 months when stable

Question 6

Hyperthryoidism what

Answer 6

Tapazole
PTU - pregnant first trimester, after first can switch to tapazole
Beta blockers can be used for heart rate, tachycardia and palpations

Question 7

what are two other treatemtnt for thyroid

Answer 7

thyroidectomy
Radioactive iodine

Question 8

kidney functions tests

Answer 8

GFR
Creatinine - wast product
BUN

Question 9

what is normal range of GFR

Answer 9

> 90

Question 10

Start on dialysis what level start Dialysis

Answer 10

<15

Question 11

normal creatinine level is

Answer 11

1
Greater than 2 we are concerned

Question 12

what is normal BUN

Answer 12

10-20

Question 13

what first line BP med do we want to check BUN/Cr

Answer 13

ACE/Arb

Question 14

what finding on urinalysis is indicative of true kidney damage

Answer 14

wbc cast
RBC cast

Question 15

when do we screen for microalbumin

Answer 15

when HTN or DM is first diagnosed

Question 16

Sx of CKD do not occur usually until

Answer 16

stage 3

Question 17

Microalbumin range should be less than what

Answer 17

30

Question 18

most common sx of anemia

Answer 18

fatigue

Question 19

normal Hemoglobin

Answer 19

12-18

Question 20

HCT level

Answer 20

3:1

Question 21

MCV - mean coposcular volume

Answer 21

80-100

Question 22

low MCV

Answer 22

microcytic anemia - iron def anemia

Question 23

greatest risk of iron def anemia under one

Answer 23

Cows milk

Question 24

Macrocytic anemia

Answer 24

> 100 vitamin B12
folate

Question 25

B12 def anemia we have what sx

Answer 25

neuropathy - parasthesia numbness tingling in hands in feet

Question 26

What surgery leads to B12 def anemia

Answer 26

gastric bypass surgery

Question 27

what diabetes med leads to B12 def

Answer 27

metformin

Question 28

Microcytic anemia

Answer 28

lead - greater than 5
sx of it cognitive delays

Question 29

3 microcytic anemia

Answer 29

LIT
Lead
Iron
Thalassemia

Question 30

normal total cholesterol

Answer 30

<200

Question 31

HDL

Answer 31

40-60

Question 32

LDL

Answer 32

<100

Question 33

Trigycerides less than

Answer 33

,150

Question 34

how often should u order lipid panel

Answer 34

every 5 years
unless have risk factors

Question 35

Trigycerides greater than 500 what risk for

Answer 35

Pancreatitis

Question 36

Rhambdomylosis what level is drawn

Answer 36

CK level
Due to statin meds and can damage liver

Question 37

what drug monitor for PT/INR

Answer 37

coumadin (warfarin0

Question 38

therapeutic INR is

Answer 38

2-3

Question 39

antidote to warfarin is

Answer 39

vitamin K

Question 40

what two labs to evaluate pancrease

Answer 40

amylase and lipase

Question 41

two labs to evaluate the liver

Answer 41

AST/ALT

Question 42

what does the BNP tell us about

Answer 42

the heart

Question 43

which two labs are inflammatory markers

Answer 43

ESR/CRP

Question 44

when do we use D-dimer

Answer 44

check blood clots

Question 45

AIC DX WITH DM

Answer 45

> 6.5

Question 46

RANDOM PLASMA

Answer 46

> 200 WITH SX