General

Question 1

Ears test

Answer 1

Weber and Rinne test. Tuning fork and otoscope.

Question 2

Tactile fremitus

Answer 2

“99”. Ulnar and palmar surface of hands. Inc with lung consolidation, pneumonia. Dec pleural effusion, pneumothorax, bronchial obstruction, air-trapping occurs.

Question 3

Pulse pressure

Answer 3

Difference between systolic and diastolic BP. Measure of CO. Normal 30-40 mm Hg. Narrowed/lowered indicates hypovolemia, HF, shock, mitral stenosis. Widened/inc indicates slow HR, atherosclerosis, HTN

Question 4

Urine

Answer 4

Specific gravity 1.010-1.030. PH 4.6-6.0. UO 1500ml. Child- pH 4.5-8.0

Question 5

Lithium

Answer 5

0.5-1.5 mEq/L

Question 6

Blood lead level

Answer 6

9

Question 7

Blood glucose

Answer 7

Newborn 50-90. Adult 70-110

Question 8

Tonometer

Answer 8

Used to dx glaucoma. Measures intraocular pressure. Normal IOP= 10-21 mmhg c

Question 9

Colposcopy

Answer 9

Exam of vagina and cervix using a colposcope. Identifies precancerous lesions of the cervix by magnifying tissue for exam. Bleeding may occur. Can use tampons. Report heavy bleeding

Question 10

Cytoscopy

Answer 10

Visualize bladder

Question 11

Culdoscopy

Answer 11

View structures in pelvic cavity.

Question 12

Laparoscopy

Answer 12

Directly examine ovaries, Fallopian tubes, uterus, and small intestine

Question 13

CA-125

Answer 13

Uterine cancer dx to r/o ovarian involvement

Question 14

PSA

Answer 14

Normal less than 4ng/ml

Question 15

Alkaline phosphatase

Acid phosphatase

Answer 15

If inc means bone metastasis of prostate cancer. Alkaline 25-100 U/L. Acid

Question 16

Schillings test

Answer 16

Measures urinary excretion of vit b12 for dx of pernicious anemia

Question 17

Calcium

Answer 17

9-10.5 mg/dl

Question 18

Magnesium

Answer 18

1.2-2.1 mEq/L

Question 19

Sodium

Answer 19

135-145 mEq/L

Question 20

Potassium

Answer 20

3.5-5.0 mEq/L

Question 21

BUN

Answer 21

10-20 mg/dL

Question 22

Creatinine

Answer 22

0.6-1.2 mg/dL

Question 23

VMA (vanillylmandelic acid) test

Answer 23

24 hr urine specimen test to look for inc levels of epi and norepi r/t pheochromocytoma from adrenal medulla problems

Question 24

CPK-MB

Answer 24

Cardiac specific isoenzyme. Inc with cardiac cell damage. Elevates in 3-12 hrs and peaks in 24 hrs from onset of symptoms.

Question 25

Troponin

Answer 25

Normally undetected in blood test so even a slight detection or high level could mean cardiac damage. Detect MI. T

Question 26

Myoglobin

Answer 26

Not specific to dx ACS. Inc within 1 hr and peaks 12 hrs. Negative result is good. 0-85 ng/dL. Detects muscle damage

Question 27

Digoxin

Answer 27

0.5-2 ng/ml

Question 28

ABG

Answer 28

pH 7.35-7.45
PaO2 80-100 mmHg
PaCO2 35-45 mmHg
Bicarb 22-26 mEq/
Sat (SaO2) 95-99%

Question 29

ESR

Answer 29

Erythrocyte sedimentation rate (ESR) indicates inflammation. Normal 0-20 mm/h

Question 30

Mantoux test

Answer 30

Tb skin test

Question 31

Lecithin/sphingomyelin (l/s) ratio

Answer 31

Measure for lung maturity of fetus in preterm labor. Greater than 2-2.5 indicates maturity

Question 32

Glasgow coma scale

Answer 32

13 to 15. Eye opening-4 best. Motor response-6. Verbal response- 5.

Question 33

ICP

Answer 33

0-15 mmHg

Question 34

Proper nutrition

Answer 34

Positive nitrogen balance and prealbumin, total protein or albumin