Test 2 Lab Values Flashcards Preview

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Flashcards in Test 2 Lab Values Deck (75):
0

Untreated total serum cholesterol
Optimal

<180 mg/dL

1

Untreated total serum cholesterol
Non-optimal

180-199 mg/dL

2

Untreated total serum cholesterol
Elevated risk

200-239 mg/dL

3

Untreated total serum cholesterol
Major risk

>= 240 mg/dL

4

Triglycerides
Normal

<150 mg/dL

5

Triglycerides
Borderline high

150-199 mg/dL

6

Triglycerides
High

200-499 mg/dL

7

Triglycerides
Very high

>= 500 mg/dL

8

LDL
high

>= 190 mg/dL

9

HDL
Low

<40 mg/dL

10

HDL
high

>= 60 mg/dL

11

Troponin T
Diagnostic level

>= 0.1 nh/mL

12

Albumin

4-5 g/dL

13

INR

0.9-1.1

14

Total bilirubin

0.3-1.3 mg/dL

15

ALP

33-96 units/L

16

ALT

7-41 units/L

17

AST

12-39 units/L

18

ANA titer

Negative at 1:20

19

Serum uric acid

Male: 4-8.5 mg/dL
Female: 2.7-7.3 mg/d/L

20

RI equation

RI= (CKMB)/(total CK)x100

21

RI Value indicating an MI

RI> 2->MI

22

Cholestatic

^ total bilirubin
^ ALP
^ GGT
WNL or Small ^ AST/ALT

23

Hepatocellular

Decrease albumin
Increase total bilirubin
Small increase ALP
Small increase GGT
Increase AST/ALT

24

Amylase helps break

Starch

25

Lipase helps break

triglycerides

26

Non hepatic causes of increased ALP

Healing fractures, pager disease, rickets, rumors, anticonvulsants, hyperthyroidism, oral contraceptives, sepsis, pregnancy

27

Direct and indirect Hyperbilirubinemia

Hepatobiliary disease

28

Acute infection or chronic HBV

HBsAG +
ANTI-HBs -
ANTI-HBc +

29

Resolving HBV or precious infection

HBsAG -
ANTI-HBs +
ANTI-HBc +

30

Resolving or recovered HBV or after vaccination

HBsAG -
ANTI-HBs +
ANTI-HBc -

31

PSA

Prostate

32

CEA

Colon and breast

33

CA 15-3

Breast

34

CA 27.29

Breast

35

CA 125

Ovarian

36

HCG

Ovaries and testes

37

CA 19-9

Pancreatic

38

AFP

Hepatocellular, testicular

39

B2M

Multiple myeloma, chronic lymphocytic leukemia

40

ER

Breast

41

HER2

Breast

42

BCR-ABL

CML

43

EGFR

Lung

44

ALK

Lung

45

KRas

Colorectal

46

BRAF

Melanoma

47

EKG myocardial injury

ST elevation
STEMI

48

EKG Ischemia

T wave inversion

49

EKG Necrosis

Deep Q waves

50

1 square

300 Bpm

51

2 squares

150 Bpm

52

3 squares

100 Bpm

53

4 squares

75 Bpm

54

5 squares

60 Bpm

55

6 squares

50 Bpm

56

Tachycardia

>100 Bpm

57

Bradycardia

<60 Bpm

58

Atrial fibrillation

P waves absent, irregular QRS baseline , Syria quivering

59

Atrial flutter

Saw tooth, normal QRS, random R-R intervals

60

Ventricular tachycardia

Wide QRS complex
Can lead to v-fib

61

Ventricular fibrillation

Emergent!
No identifiable waves
No blood flow anywhere

62

QT interval should be

< 1/2 RR interval

63

Prolonged QT interval can lead to

Torsades de pointes

64

Meds that prolong QT interval

Antiarrhythmics
Antimicrobials
Antidepressants
Antipsychotics
Others

65

Antimicribials that prolong QT interval

-floxacins
-mycins
-azoles

66

KUB

Kidneys, ureter, bladder
Abdominal x-Ray usually looking at GIT
Fecal transplants, large Bowel obstruction, verify positioning of feeding tube, kidney stones

67

Bone x-Ray

Fracture or trauma
First line

68

Chest x-Ray

Pneumonia, COPD, trauma, asthma, pulmonary edema
Pulmonary infiltrate
Pulmonary effusion
Pulmonary edema
Pneumothorax
Emphysema

69

Pulmonary infiltrate

Abnormal accumulation in tissues
Pneumonia, atelectasis(collapsed lung)

70

Pulmonary effusion

Fluid in pleural cavity
CHF, cirrhosis, trauma, pancreatitis

71

Pulmonary edema

Abnormal accumulation of fluid in lungs (vessels)
CHF, renal failure

72

Pneumothorax

Gas is present in pleural cavity
Decreases TLC
Trauma , infection, cancer, asthma, COPD

73

Emphysema

Barrel chested, lots of airspace

74

Calculated LDL

LDL= TC- HDL-(TG/5)
Cannot be calculated if TG>400