5: Lab Values Increased or Decreased?

Question 1

Is calcium increased or decreased?

Massive transfusion

Answer 1

Decreased

Question 2

Is magnesium increased or decreased?

Chronic diarrhea

Answer 2

Decreased

Question 3

Is folic acid increased or decreased?

Malnutrition

Answer 3

Decreased

Question 4

Is alkaline phosphatase increased or decreased?

Intrahepatic cholestasis

Answer 4

Increased (markedly)

Question 5

Is potassium increased or decreased?

RTA Type 4

Answer 5

Increased

Question 6

Is protein increased or decreased?

Hepatocellular jaundice

Answer 6

Decreased

Question 7

Is calcium increased or decreased?

Renal insufficiency

Answer 7

Decreased

Question 8

Is protein increased or decreased?

Multiple Myeloma

Answer 8

Increased

Question 9

Are platelets increased or decreased?

HIT

Answer 9

Decreased

Question 10

Is haptoglobin increased or decreased?

TTP

Answer 10

Decreased

Question 11

Is PT/INR increased or decreased?

DIC

Answer 11

Increased

Question 12

Is chloride increased or decreased?

Too much normal saline

Answer 12

Increased

Question 13

Is D-dimer increased or decreased?

DIC

Answer 13

Increased

Question 14

Is phosphorous increased or decreased?

Tumor lysis syndrome

Answer 14

Increased

Question 15

Is phosphorous increased or decreased?

Cirrhosis

Answer 15

Increased

Question 16

Is TIBC increased or decreased?

Pregnancy

Answer 16

Increased

Question 17

Is BUN increased or decreased?

Dehydration

Answer 17

Increased

Question 18

Is haptoglobin increased or decreased?

Hemolytic anemias (transfusion reactions)

Answer 18

Decreased

Question 19

Is potassium increased or decreased?

Familial periodic paralysis

Answer 19

Decreased

Question 20

Is phosphorous increased or decreased?

Rickets

Answer 20

Decreased

Question 21

Are immature WBCs increased or decreased?

Trauma

Answer 21

Increased

Question 22

Is fibrinogen increased or decreased?

Liver disease

Answer 22

Decreased

Question 23

Is phosphorous increased or decreased?

Acute pancreatitis

Answer 23

Decreased

Question 24

Is fibrinogen increased or decreased?

Inflammatory states

Answer 24

Increased

Question 25

*Is **PTT** increased or decreased?* Deficiency in specific coagulation factors in the intrinsic pathway except for factor 13

Answer 25

Increased

Question 26

*Is the **reticulocyte count** increased or decreased?* Hemolytic anemia

Answer 26

Increased

Question 27

*Is **calcium** increased or decreased?* Vitamin D deficiency

Answer 27

Decreased

Question 28

*Is **chloride** increased or decreased?* Renal failure

Answer 28

Increased

Question 29

*Is the **reticulocyte count** increased or decreased?* Pure red cell aplasia

Answer 29

Decreased

Question 30

*Is **albumin** increased or decreased?* Hepatocellular jaundice

Answer 30

Decreased

Question 31

*Is **potassium** increased or decreased?* RTA Types 1 and 2

Answer 31

Decreased

Question 32

*Are **Hg/Hc** increased or decreased?* Polycythemia vera

Answer 32

Increased

Question 33

*Is **iron** increased or decreased?* Infections

Answer 33

Decreased

Question 34

*Is direct or indirect bili **increased**?* Hepatocellular damage

Answer 34

Direct Indirect

Question 35

*Is **BUN** increased or decreased?* Shock

Answer 35

Increased

Question 36

*Is **RDW** increased or decreased?* Anemias

Answer 36

Increased

Question 37

*Is **phosphorous** increased or decreased?* Steroids, HZTZ, phosphate enemas

Answer 37

Increased

Question 38

*Is **magnesium** increased or decreased?* Cisplatin, albuterol, calcium salts

Answer 38

Decreased

Question 39

*Is **Creatinine** increased or decreased?* Renal failure

Answer 39

Increased

Question 40

*Is **sodium** increased or decreased?* SIADH

Answer 40

Decreased

Question 41

*Is **glucose** increased or decreased?* Chronic pancreatitis

Answer 41

Increased

Question 42

*Is **chloride** increased or decreased?* Excessive sweating

Answer 42

Decreased

Question 43

*Are **platelets** increased or decreased?* Bone marrow disorders

Answer 43

Decreased

Question 44

*Is **magnesium** increased or decreased?* Dehydration

Answer 44

Increased

Question 45

*Is **Ferritin** increased or decreased?* Thalassemia

Answer 45

Increased

Question 46

*Is **magnesium** increased or decreased?* Lithium, magnesium salts

Answer 46

Increased

Question 47

*Is **chloride** increased or decreased?* Hyperaldosteronism

Answer 47

Decreased

Question 48

*Is **Ferritin** increased or decreased?* Hemochromatosis

Answer 48

Increased

Question 49

*Is **chloride** increased or decreased?* SIADH

Answer 49

Decreased

Question 50

*Is **magnesium** increased or decreased?* Alcoholism

Answer 50

Decreased

Question 51

*Is **sodium** increased or decreased?* Excess free H2O

Answer 51

Decreased

Question 52

*Is **Creatinine** increased or decreased?* Reduced muscle mass

Answer 52

Decreased

Question 53

*Is **TIBC** increased or decreased?* Low protein states (nephrotic syndrome, malnutrition)

Answer 53

Decreased

Question 54

*Is **calcium** increased or decreased?* Hyperparathyroidism

Answer 54

Increased

Question 55

*Is **sodium** increased or decreased?* Hyperglycemia

Answer 55

Decreased

Question 56

*Are **AST/ALT** increased or decreased?* Fatty liver

Answer 56

Increased

Question 57

*Are **Hg/Hc** increased or decreased?* Smoking

Answer 57

Increased

Question 58

*Is **iron** increased or decreased?* Lead poisoning

Answer 58

Increased

Question 59

*Is **TIBC** increased or decreased?* Anemia of chronic disease

Answer 59

Decreased

Question 60

*Is **alkaline phosphatase** increased or decreased?* Primary biliary cirrhosis

Answer 60

Increased (markedly)

Question 61

*Are **immature WBCs** increased or decreased?* Bone marrow disorders (aplastic anemia)

Answer 61

Decreased

Question 62

*Is **BUN** increased or decreased?* Cachexia

Answer 62

Decreased

Question 63

*Is **sodium** increased or decreased?* Inadequate water intake

Answer 63

Increased

Question 64

*Is **potassium** increased or decreased?* Cushing's syndrome

Answer 64

Decreased

Question 65

*Is **CO₂** increased or decreased?* Compensated respiratory acidosis

Answer 65

Increased

Question 66

*Is **calcium** increased or decreased?* Malignancies

Answer 66

Increased

Question 67

*Are **immature WBCs** increased or decreased?* Viral infections

Answer 67

Decreased

Question 68

*Are **RBCs** increased or decreased?* Hemoglobinopathies

Answer 68

Decreased

Question 69

*Are **platelets** increased or decreased?* DIC

Answer 69

Decreased

Question 70

*Is **phosphorous** increased or decreased?* Severe hypercalcemia

Answer 70

Decreased

Question 71

*Is **potassium** increased or decreased?* Addison's disease

Answer 71

Increased

Question 72

*Is **fibrinogen** increased or decreased?* Hereditary dysfibrinogenemia

Answer 72

Decreased

Question 73

*Is **haptoglobin** increased or decreased?* Drugs (methyldopa)

Answer 73

Decreased

Question 74

*Are **Hg/Hc** increased or decreased?* Bone marrow disorders

Answer 74

Decreased

Question 75

*Is **PT/INR** increased or decreased?* Massive blood transfusions

Answer 75

Increased

Question 76

*Is **folic acid** increased or decreased?* Dilantin

Answer 76

Decreased

Question 77

*Are **platelets** increased or decreased?* Infection

Answer 77

Decreased

Question 78

*Is **chloride** increased or decreased?* GI losses

Answer 78

Decreased

Question 79

*Is **Creatinine** increased or decreased?* Nephrotoxic drugs

Answer 79

Increased

Question 80

*Is **folic acid** increased or decreased?* Acute leukemias

Answer 80

Decreased

Question 81

*Is **PT/INR** increased or decreased?* Liver disease

Answer 81

Increased

Question 82

*Is **protein** increased or decreased?* Malnutrition

Answer 82

Decreased

Question 83

*Is **BUN** increased or decreased?* Urinary tract obstruction

Answer 83

Increased

Question 84

*Is **potassium** increased or decreased?* Hemolysis

Answer 84

Increased

Question 85

*Is **iron** increased or decreased?* Hemolytic anemia

Answer 85

Increased

Question 86

*Are **platelets** increased or decreased?* Drugs

Answer 86

Decreased

Question 87

*Is **PTT** increased or decreased?* Nonspecific inhibitor (lupus anticoagulant)

Answer 87

Increased

Question 88

*Are **Hg/Hc** increased or decreased?* Dehydration

Answer 88

Increased

Question 89

*Is **sodium** increased or decreased?* Dehydration from vomiting or excessive sweating

Answer 89

Increased

Question 90

*Are **Hg/Hc** increased or decreased?* Anemias

Answer 90

Decreased

Question 91

*Is **PTT** increased or decreased?* DIC

Answer 91

Increased

Question 92

*Is **D-dimer** increased or decreased?* Pulmonary embolism

Answer 92

Increased

Question 93

*Is **CO₂** increased or decreased?* Compensated respiratory alkalosis

Answer 93

Decreased

Question 94

*Is **glucose** increased or decreased?* Insulinoma

Answer 94

Decreased

Question 95

*Is **chloride** increased or decreased?* Renal Tubuler Acidosis

Answer 95

Increased

Question 96

*Is **sodium** increased or decreased?* Drugs (NSAIDs/diuretics, SSRIs)

Answer 96

Decreased

Question 97

*Is **magnesium** increased or decreased?* Tissue trauma

Answer 97

Increased

Question 98

*Is **calcium** increased or decreased?* Familial hypocalcuria

Answer 98

Increased

Question 99

*Is **CO₂** increased or decreased?* Metabolic acidosis

Answer 99

Decreased

Question 100

*Is **phosphorous** increased or decreased?* Sarcoid

Answer 100

Increased

Question 101

*Are **AST/ALT** increased or decreased?* ETOH hepatitis

Answer 101

Increased

Question 102

*Is direct or indirect bili **increased**?* Gilbert syndrome

Answer 102

Indirect

Question 103

*Are **AST/ALT** increased or decreased?* Hepatocellular damage

Answer 103

Increased

Question 104

*Is **fibrinogen** increased or decreased?* DIC, thrombolytic Rx

Answer 104

Decreased

Question 105

*Is **sodium** increased or decreased?* Hyperaldosteronism

Answer 105

Increased

Question 106

*Is **calcium** increased or decreased?* Magnesium deficiency

Answer 106

Decreased

Question 107

*Is **potassium** increased or decreased?* Hyperaldosteronism

Answer 107

Decreased

Question 108

*Is a direct **coombs** positive or negative?* Hemolytic anemia

Answer 108

Positive

Question 109

*Is **folic acid** increased or decreased?* ETOH

Answer 109

Decreased (affects folic acid synthesis)

Question 110

*Is **BUN** increased or decreased?* Upper GI bleed

Answer 110

Increased

Question 111

*Is **BUN** increased or decreased?* Burns

Answer 111

Increased

Question 112

*Are **RBCs** increased or decreased?* Anemias

Answer 112

Decreased

Question 113

*Is **chloride** increased or decreased?* Acetazolamide

Answer 113

Increased

Question 114

*Is **CO₂** increased or decreased?* Acetazolamide

Answer 114

Decreased

Question 115

*Is **chloride** increased or decreased?* Dehydration

Answer 115

Increased

Question 116

*Are **RBCs** increased or decreased?* Dehydration

Answer 116

Increased

Question 117

*Is **CO₂** increased or decreased?* Volume contraction

Answer 117

Increased

Question 118

*Is **magnesium** increased or decreased?* Acute pancreatitis

Answer 118

Decreased

Question 119

*Is **potassium** increased or decreased?* Diuretics, Beta agonists, insulin

Answer 119

Decreased

Question 120

*Is **calcium** increased or decreased?* Paget's disease

Answer 120

Increased

Question 121

*Is **potassium** increased or decreased?* ACEs, ARBs

Answer 121

Increased

Question 122

*Is vitamin **B12** increased or decreased?* Vegans

Answer 122

Decreased

Question 123

*Are **Hg/Hc** increased or decreased?* Bleeding

Answer 123

Decreased

Question 124

*Is **TIBC** increased or decreased?* Birth control pills

Answer 124

Increased

Question 125

*Is **fibrinogen** increased or decreased?* Pregnancy

Answer 125

Increased

Question 126

*Are **Hg/Hc** increased or decreased?* Burns

Answer 126

Increased

Question 127

*Is **sodium** increased or decreased?* Adrenal insufficiency

Answer 127

Decreased

Question 128

*Is the **reticulocyte count** increased or decreased?* Bone marrow suppression

Answer 128

Decreased

Question 129

*Is **chloride** increased or decreased?* Nephrotic syndrome

Answer 129

Increased

Question 130

*Is **iron** increased or decreased?* Fe deficiency

Answer 130

Decreased

Question 131

*Is the **reticulocyte count** increased or decreased?* Fe deficiency

Answer 131

Decreased

Question 132

*Is **BUN** increased or decreased?* Renal failure

Answer 132

Increased

Question 133

*Is **glucose** increased or decreased?* Steroids

Answer 133

Increased

Question 134

*Is **calcium** increased or decreased?* Hypoparathyroidism

Answer 134

Decreased

Question 135

*Is the **reticulocyte count** increased or decreased?* Blood loss anemia

Answer 135

Increased

Question 136

*Is **Creatinine** increased or decreased?* Urinary tract obstruction

Answer 136

Increased

Question 137

*Is **PT/INR** increased or decreased?* Hereditary factor deficiencies in 10, 5, 7, and 1

Answer 137

Increased

Question 138

*Is **glucose** increased or decreased?* Diffuse liver disease

Answer 138

Decreased

Question 139

*Is **calcium** increased or decreased?* Thiazide diuretics, lithium

Answer 139

Increased

Question 140

*Is **TIBC** increased or decreased?* Fe deficiency anemia

Answer 140

Increased

Question 141

*Is **Ferritin** increased or decreased?* Multiple blood transfusions

Answer 141

Increased

Question 142

*Is **Ferritin** increased or decreased?* Fe deficiency anemia

Answer 142

Decreased

Question 143

*Is vitamin **B12** increased or decreased?* Pernicious anemia

Answer 143

Decreased

Question 144

*Is **iron** increased or decreased?* Chronic renal failure

Answer 144

Decreased

Question 145

*Is **magnesium** increased or decreased?* Hypothyroidism

Answer 145

Increased

Question 146

*Is **methylmalonic acid** increased or decreased?* B12 deficiency

Answer 146

Increased

Question 147

*Is **iron** increased or decreased?* Hypothyroidism

Answer 147

Decreased

Question 148

*Is **potassium** increased or decreased?* Rhabdomyolysis

Answer 148

Increased

Question 149

*Is **BUN** increased or decreased?* CHF

Answer 149

Increased

Question 150

*Is **calcium** increased or decreased?* Hypoalbuminemia

Answer 150

Decreased

Question 151

*Are **platelets** increased or decreased?* TTP

Answer 151

Decreased

Question 152

*Are **RBCs** increased or decreased?* Hemolysis

Answer 152

Decreased

Question 153

*Is **haptoglobin** increased or decreased?* Artificial heart valves

Answer 153

Decreased

Question 154

*Is **calcium** increased or decreased?* Vitamin D excess

Answer 154

Increased

Question 155

*Is **TIBC** increased or decreased?* Hemochromatosis

Answer 155

Decreased

Question 156

*Are **platelets** increased or decreased?* ITP

Answer 156

Decreased

Question 157

*Is the **reticulocyte count** increased or decreased?* Aplastic anemia

Answer 157

Decreased

Question 158

*Is **phosphorous** increased or decreased?* Hypoparathroidism

Answer 158

Increased

Question 159

*Is **fibrinogen** increased or decreased?* Smoking

Answer 159

Increased

Question 160

*Is **phosphorous** increased or decreased?* Renal failure

Answer 160

Increased

Question 161

*Are **AST/ALT** increased or decreased?* Viral hepatitis

Answer 161

Increased

Question 162

*Is **potassium** increased or decreased?* Renal failure

Answer 162

Increased

Question 163

*Is **albumin** increased or decreased?* Malnutrition

Answer 163

Decreased

Question 164

*Is **PTT** increased or decreased?* Heparin, Coumadin, and direct thrombin inhibitors

Answer 164

Increased

Question 165

*Are **platelets** increased or decreased?* Active bleeding

Answer 165

Increased

Question 166

*Is **potassium** increased or decreased?* Poor oral intake

Answer 166

Decreased

Question 167

*Is **D-dimer** increased or decreased?* DVT

Answer 167

Increased

Question 168

*Are **platelets** increased or decreased?* EDTA-dependent agglutination

Answer 168

Decreased

Question 169

*Is direct or indirect bili **increased**?* Drug-induced cholestasis

Answer 169

Direct

Question 170

*Is **magnesium** increased or decreased?* CHF

Answer 170

Decreased

Question 171

*Is **magnesium** increased or decreased?* TPN without replacement

Answer 171

Decreased

Question 172

*Is vitamin **B12** increased or decreased?* IBS

Answer 172

Decreased

Question 173

*Is **magnesium** increased or decreased?* Renal failure

Answer 173

Increased

Question 174

*Is **folic acid** increased or decreased?* Hemolytic anemia

Answer 174

Decreased

Question 175

*Is **CO₂** increased or decreased?* Metabolic alkalosis

Answer 175

Increased

Question 176

*Is **phosphorous** increased or decreased?* Hyperparathyroidism

Answer 176

Decreased

Question 177

*Is **alkaline phosphatase** increased or decreased?* CBD obstruction

Answer 177

Increased

Question 178

*Are **Hg/Hc** increased or decreased?* Hemoglobinopathies

Answer 178

Decreased

Question 179

*Are **platelets** increased or decreased?* Post splenectomy

Answer 179

Increased

Question 180

*Is **iron** increased or decreased?* Anemia of chronic disease

Answer 180

Decreased

Question 181

*Is **potassium** increased or decreased?* Low magnesium

Answer 181

Decreased

Question 182

*Is **phosphorous** increased or decreased?* Acetazolamide, thiazides, phosphate binding antacids

Answer 182

Decreased

Question 183

*Are **Hg/Hc** increased or decreased?* COPD

Answer 183

Increased

Question 184

*Is **folic acid** increased or decreased?* Excessive uptake (pregnancy)

Answer 184

Decreased

Question 185

*Is **iron** increased or decreased?* Hemochromatosis

Answer 185

Increased

Question 186

*Is **D-dimer** increased or decreased?* Malignancy

Answer 186

Increased

Question 187

*Is **calcium** increased or decreased?* Milk alkali syndrome

Answer 187

Increased

Question 188

*Is vitamin **B12** increased or decreased?* Gastrectomy patients

Answer 188

Decreased

Question 189

*Is **iron** increased or decreased?* Multiple transfusions

Answer 189

Increased

Question 190

*Is **PT/INR** increased or decreased?* Coumadin therapy

Answer 190

Increased

Question 191

*Are **Hg/Hc** increased or decreased?* DIC

Answer 191

Decreased

Question 192

*Are **immature WBCs** increased or decreased?* Autoimmune disorders (SLE)

Answer 192

Decreased

Question 193

*Is **glucose** increased or decreased?* Insulin, oral hypoglycemic agents

Answer 193

Decreased

Question 194

*Is **iron** increased or decreased?* Nephrotic syndrome

Answer 194

Decreased

Question 195

*Is **folic acid** increased or decreased?* Methotrexate

Answer 195

Decreased

Question 196

*Is **glucose** increased or decreased?* DM

Answer 196

Increased

Question 197

*Is **potassium** increased or decreased?* Diarrhea

Answer 197

Decreased

Question 198

*Is **sodium** increased or decreased?* Volume overload (CHF, ETOH disease)

Answer 198

Decreased

Question 199

*Is **glucose** increased or decreased?* Cushing's syndrome

Answer 199

Increased

Question 200

*Is **TIBC** increased or decreased?* Acute hepatitis

Answer 200

Increased

Question 201

*Is the **reticulocyte count** increased or decreased?* MDS

Answer 201

Decreased

Question 202

*Are **platelets** increased or decreased?* Myeloproliferative diseases

Answer 202

Increased

Question 203

*Are **Hg/Hc** increased or decreased?* High altitudes

Answer 203

Increased

Question 204

*Are **RBCs** increased or decreased?* Bone marrow disorders (Polycythemia vera)

Answer 204

Increased

Question 205

*Is **chloride** increased or decreased?* Diabetic ketoacidosis

Answer 205

Decreased

Question 206

*Are **platelets** increased or decreased?* ETOH

Answer 206

Decreased

Question 207

*Are **immature WBCs** increased or decreased?* Leukemias

Answer 207

Increased

Question 208

*Is direct or indirect bili **increased**?* Obstructive jaundice

Answer 208

Direct

Question 209

*Is **Ferritin** increased or decreased?* Chronic inflammatory disorders

Answer 209

Increased

Question 210

*Is **potassium** increased or decreased?* Genetic disorders

Answer 210

Decreased

Question 211

*Is direct or indirect bili **increased**?* Hemolysis

Answer 211

Indirect

Question 212

*Is **BUN** increased or decreased?* Hepatic failure

Answer 212

Decreased

Question 213

*Is direct or indirect bili **increased**?* Primary biliary cirrhosis

Answer 213

Direct Indirect

Question 214

*Is **alkaline phosphatase** increased or decreased?* Hepatocellular jaundice

Answer 214

Increased

Question 215

*Is **phosphorous** increased or decreased?* Malabsorption

Answer 215

Decreased