Fundamentals Of Clinical Flashcards

1
Q

What does clinical biochemistry involve

A

The biochemical investigation of bodily fluids such as blood, urine and CSF

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2
Q

What is diagnosis

A

Classical medical processes

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3
Q

What is aetiology

A

What is the underlying defect:
How does it lead to the pathology
Treatment strategy

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4
Q

What is a cobas ISE module

A

A very specific method which uses potentiometric measurement to determine the concentration of sodium, potassium and chloride

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5
Q

What does ISE stand for

A

Ion selective electrode

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6
Q

What sample types are used in cobas ISE module

A

Serum, plasma, urine and fluids

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7
Q

How long does a ISE test last

A

30 seconds

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8
Q

What is the ISE module deticated to

A

Electrolyte measurement

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9
Q

What can cause low sodium

A
  • heart failure
  • head injury
  • medications, diuretics
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10
Q

What can cause high sodium

A
  • inadequate water intake
  • diabetes insipidus
  • water loss
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11
Q

What can cause low potassium

A
  • inadequate nutrition
  • vomiting/ diarrhoea
  • medication, diuretics
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12
Q

What cause cause high potassium

A
  • spurious
  • kidney dysfunction
  • Addison’s disease
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13
Q

What are limitations to the cobas ISE module

A

Can sometimes produce erroneous results if the patient has higher than normal levels of proteins and or lipids

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14
Q

What does a Roche c702 modules measure

A

General chemistry assays such as urea, creatine, LFTS, calcium, magnesium etc

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15
Q

What samples does a Roche c702 use

A

Serum, plasma, urine, CSF, stool samples and fluids

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16
Q

How long does the Roche c702 test take

A

About 10 minutes

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17
Q

What technology does a Roche c702 use

A

Photometric technology to measure analytes

18
Q

How do photometric assays work

A

Organic and inorganic compounds in the solution are measured by determining the absorbance of wavelengths of light

19
Q

What are some analyte examples that are measured using the Roche c702

A

Creatine, bilirubin, glucose and magnesium

20
Q

What are some limitations of the Roche c702

A

Limitations tend to be based around interferants which cause changes in wavelength

21
Q

What are serum indices

A

Serum indices are measurements that are performed on every sample that is analysed on the chemistry module

22
Q

What is a Roche e801 modules

A

An immunoassay unit

23
Q

What are immunoassays

A

Bioanalytical methods in which the quantitation of an analyte depends on the reaction of an antigen and an antibody

24
Q

How long do e801 tests take

A

9-32 minutes

25
What technology do e801 modules do
Electrochemiluminescence (ECL) technology
26
What are the two types of immunoassays
Sandwich Competitive
27
What is a sandwich immunoassay
They use 2 antibodies to bind to different sites on the analyte of interest.
28
What is a competitive immunoassay
They use one antibody for smaller analytes
29
What are limitations to the e801 modules
Very high levels of analyte can result in the Hooke effect in sandwich assays. Antibody production is expensive.
30
What is osmolality
A measurement of the concentration of dissolved particles within a solution
31
What is hyponatraemia
Low serum sodium concentration
32
What is hypernatraemia
High serum sodium concentration
33
What is an osmometer instrument
An instrument in the laboratory that is a small bench top instrument which works by the principle of freezing point depression
34
What is the principle of freezing point depression
The freezing point of a liquid is lower when another substance is dissolved in it
35
Why is sweat chloride analysed
Measurements of chloride in sweat is used to diagnose cystic fibrosis as they have higher levels
36
What is used to collect the sweat
A specialised device called a macro duct sweat collector
37
What are limitations of sweat chloride analysis
It’s manual. Can be difficult to gain sweat from a newborn.
38
What is a XL spectrophotometer used for
To run an assay known as a CSF xanthochromia
39
What is xanthochromia
The yellow discolouration or cerebrospinal fluid
40
What are some limitations to a spectrophotometer
Required specialist training. Sample needs protecting from light. The test is not valid until 12 hours after the event.