Part I Biochemical Profile

Question 1

This is the primary energy source

Answer 1

Glucose

Question 2

Blood glucose levels are held in a constant range by

Answer 2

Regulatory hormones and metabolic activiyt

Question 3

Glucose disorders result in

Answer 3

hypoglycemia and hyperglycemia

Question 4

This decreases blood glucose

Answer 4

insulin

Question 5

This is secreted in fasting state to increase glucose levels

Answer 5

glucagon

Question 6

This is secreted after eating when glucose levels are high

Answer 6

insulin

Question 7

This is the classic hyperglycemia disorder

Answer 7

DM

Question 8

FBG range

Answer 8

70-99mg/dl

Question 9

Symptoms of diabetes

Answer 9

3 Ps (polyspias, polyuria, polyphagia
blurred vision
nausea

Question 10

This (along with glucose tolerance test) should be ordered if suspted DM

Answer 10

A1c

Question 11

OGTT test are usually done at this time interval

Answer 11

2 hr

Question 12

This test is done to determine if the bllod sugar levels in DM patients are under controll

Answer 12

A1c=glycohemoblobin

Question 13

The normal range for a A1c test is

Answer 13

4%-6%

Question 14

Test Normal ranges

Answer 14

70-99 Fasting glucose
<140 OGTT
<5.7 A1c

Question 15

Prediavetes ranges

Answer 15

100-125 Fasting Glucose
140-199 OGTT
5.7-6.4 A1c

Question 16

Diabetes test ranges

Answer 16

> 126 FG
200 OGTT
6.5 A1c

Question 17

This type of DM is insulin dependent

Answer 17

type 1

Question 18

This type of Dm is non insulin dependent and is MC

Answer 18

type 2

Question 19

Gestional Diabetes is tested at

Answer 19

24-28 weeks

Question 20

This is a shortage of insiulin

Answer 20

Diabetic coma

Question 21

Two types of hypoglycemia that can occur in non diabetic patients

Answer 21

Reactive

Fasting

Question 22

This type of non diabetic hypoglycemia occurs within 4 hours after meal

Answer 22

reactive

Question 23

This type of non diabetic hypoglyceima is usually related to underlying disease

Answer 23

Fasting

Question 24

This is the name given to the symptoms that are known or likely to be caused by hypoglycemia

Answer 24

Whipples Triad

Question 25

This represents elevated blood levels of BUN

Answer 25

Azotemia

Question 26

This is a better indicator of renal disease than BUN

Answer 26

Creatinine

Question 27

Protein is increased in these diseases

Answer 27

MM Dehydration Chronic infections Malignancies

Question 28

Protein is decreased in

Answer 28

live disease kidney ds malabsorption

Question 29

This is 60% of total protein and made in the liver

Answer 29

Albumin

Question 30

This helps regulate collodial osmotic pressure and transports important blood constituents

Answer 30

Albumin

Question 31

Albumin is a measure of

Answer 31

liver function

Question 32

Albumin is increased in this disease

Answer 32

dehydration

Question 33

This is the key building block of antibodies and some are used for transport

Answer 33

globulins

Question 34

CRAB

Answer 34

``` Calcium elvated Renal Disease Anemia Bone lesions (MM) ```

Question 35

Hypercalcemia is associte with this bone cancer

Answer 35

MM

Question 36

This measures the excretory unction of the liver

Answer 36

Bilirubin

Question 37

Increase in this are highly specific for disease of the liver or bile ducts

Answer 37

Conjugated bilirubin

Question 38

These tissues have the highest concentration of alkaline phosphtase

Answer 38

liver | bone

Question 39

Dectection of this enzyme is important in determining liver and bone disorders

Answer 39

ALP

Question 40

ALP is assocbone activityiated with this can of

Answer 40

growth

Question 41

Highest levles of acid phostphatse are found in

Answer 41

prostate gland

Question 42

This measurement has a hoogh possibilty of prostate cancer

Answer 42

>10 PSA

Question 43

This is the change in PSA over a period of time

Answer 43

PSA velocity

Question 44

This enzyme partcipates in transfer of AA and peptides across cell membranes

Answer 44

GGTP

Question 45

GGTP is used to detect

Answer 45

liver dysfunction

Question 46

GGTP is not a detor of

Answer 46

bone disease

Question 47

Calcium levles can elevate

Answer 47

Parathyroid function

Question 48

The MC cause of hpercaleima is

Answer 48

Primary hyperparathyroidism

Question 49

Radiographic findgins for HPT

Answer 49

subperiosteal reabsobtion | brown tumors

Question 50

Medial Arterial calcification is very common in people wtih

Answer 50

diabetes | chronic renal failure

Question 51

Phosphrus has an inverse relationhip with

Answer 51

Calcium

Question 52

This is most specific for pancreatitis

Answer 52

amylase

Question 53

Acute Pancreatitiscauses elevated

Answer 53

Lipase

Question 54

These two correlate to damage to the pancreatic ells

Answer 54

Amylase | Lipase

Question 55

CPK test are done for

Answer 55

Cardiac muscle injury

Question 56

High Cholesterol is associated with

Answer 56

Hyperlipedemia

Question 57

Low cholesterol levers are associated with

Answer 57

liver disease

Question 58

LDLs shpuld be less than

Answer 58

130mg/dl

Question 59

This is the most sensitive and specific test for mycardial damage

Answer 59

Cardiac troponin

Question 60

Thyroid is regulated by

Answer 60

TSH (from pituary gland)