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Clinical Laboratory Studies > Exam 2 Review > Flashcards

Exam 2 Review Flashcards

1
Q

In the diabetes mellitus type 2 patient, which of the following lab values would be high?

A

Blood Globulin (Blood acetone)

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2
Q

If you had a patient with a concern of having contracted HIV from a new partner what studies would you order to alleviate their concern?

A

Western blot & Elisa study

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3
Q

If a 60 year old male presents to your office with a PSA of 12 (Normal range

A

Prostate cancer

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4
Q

What would be the next test for a patient you suspect of having prostate cancer?

A

Digital rectal exam

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5
Q

A 19 year old female presents to your office with complains of nausea. What would be the first test you would order for her?

A

HCG

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6
Q

A pregnant female expresses concern for the well-being of her unborn child and discloses to you, “I didn’t know I was pregnant and consumed alcohol, as well as I didn’t take my prenatal vitamins”. What test would you order?

A

AFP (Alfa-Fetoprotein)

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7
Q

If the test for AFP came back increased you would then suspect?

A

Neural tube defect

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8
Q

A 42 year old patient presents with a red-orange urine. During your history you elicit that he had a sore throat two weeks prior for which he did not seek treatments. In order to confirm your suspicion you should order?

A

ASO (Antistreptolysin O) Titer

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9
Q

A patient presents with the following lab values on the CBC. WBC count is 19K with a differential that shows 86% neutrophils, 12% lymphocytes, 1% basophils. In this case you would suspect?

A

A bacterial infection

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10
Q

A patient claims they have been swimming in the Chattahoochee with Dr. Amos on a date, the CBC shows WBC count of 32K, the differential shows 60% neutrophils, 20% lymphocytes, 8% monocytes, 12% eosinophils, and normal basophils. In this case you have to question her judgment and whether or not she needs treatment for?

A

Parasite

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11
Q

If you suspect a patient has systemic lupus, how would you confirm your diagnosis?

A

ANA (Antinuclear antibodies)

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12
Q

A patient presents with a WBC count of 29K. The differential is 50% neutrophils, 45% lymphocytes, 5% other, you would suspect?

A

Viral infection

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13
Q

If a patients direct bilirubin was increased in the serum it would indicate?

A

Biliary obstruction

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14
Q

Vito has high cholesterol. His total cholesterol is 329. Which of the following values indicated the best possible scenario for Vito?

A

200 LDL, 179 HDL

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15
Q

If a patient would exhibit a higher than normal C reactive protein you would be able to determine the patient possibly has?

A

Acute non-infectious inflammatory infection

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16
Q

A patient presents with chest pain. What tests would you order first?

A

EKG

17
Q

If a patient presents with a constant unilateral headache exquisitely painful to touch around the temple; with no aura or light sensitivity and an elevated ESR you must suspect?

A

Temporal arteritis

***2 answers are correct

18
Q

A patient presents with fatigue and several swollen lymph nodes around her neck. She reports she had a new boyfriend with similar symptoms. Her lymphocyte count it markedly elevated. On physical exam her spleen and liver were enlarged. What lab test would you expect to see elevated?

A

Lymphocytes

19
Q

What lab test would you order to check her liver function?

A

ALT/AST

20
Q

A patient presents with polydipsia, polyphagia and polyuria. What test would you order first because it is the least expensive and the quickest to yield results?

A

UA

21
Q

What would you suspect id a patient has glucose in the urine along with ketones?

A

Diabetes mellitus

22
Q

What test must you order next to confirm diabetes mellitus?

A

GTT

23
Q

What glucose test is the best long term indicator for glucose in the blood stream?

A

Glycosolated hemoglobin

24
Q

If a patient has several periodical unexplained reoccuring and residing neurological symptoms including loss of vision and paresthesia, which one of the tests would you expect to yield a positive result?

A

HLA

25
Q

If an otherwise normally healthy infant begins to exhibit mental retardation, what test would you order?

A

PKU

26
Q

If a patient has a low hematocrit what does this mean?

A

Decrease RBCs

27
Q

A 15 year old girl presents with a mass in the midline of the anterior neck. Your physical exam findings include a non-tender diffuse mass. What lab test would you order to confirm your suspicions?

A

TSH

28
Q

Small amounts of protein are a normal finding in a urine sample in a person that has vigorously exercised

A

True

29
Q

An increased MCV (mean corpuscle volume) above 100 would be indicative of?

A

All of the above

30
Q

If you find nitrates in a urine sample you would most likely suspect?

A

Normal findings

31
Q

The offending agents (of nitrates) would most likely be?

A

Nothing since it is a normal component of urine

32
Q

If a patient presents with tender swollen joints especially the big toe, you would suspect?

A

Low urine uric acid

High blood uric acid

33
Q

What condition is described by low urine uric acid and high blood uric acid?

A

Gout

34
Q

Gout is caused by?

A

Purine metabolism disorder

35
Q 
A 3 year old boy present with scattered petechiae and general malaise ofr 4 days, your physical exam yeilds 102.3F temp; pulse 120/min; he appears lethargic upon inspection and his reflexes are normal. Upon flexion of his neck for palpation of the atlas the child's right leg flexes to the trunk. His labs are as follows:
HCT-44
Platelet count-100K
PT 13sec
PTT 45 sec
A

Decreased platelet count

36
Q

Alkaline phosphatase levels would be elevated in?

A

Pagets disease

37
Q

Eosinophils would be elevated in?

A

Trichinomis

38
Q

If a patient has a recurrent chronic and recurrent GI disorders, what screening test would you order to rule out ulcers?

A

H. Pylori

39
Q

Specific gravity 1.015 and no ketones what do you screen for?

A

Nothing - normal findings

Clinical Laboratory Studies (4 decks)

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