8. Miscellaneous Testing Flashcards

1
Q

pregnancy tests detect…

A

B-human chorionic gonadotropin

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2
Q

how long after implantation/conception does hCG show up in urine?

A

10 days after conception
2-3 days after implantation

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3
Q

ideal SG for urine pregnancy test

A

1.015

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4
Q

internal controls for pregnacy test

A

internal =: readable background
internal +: red control line

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5
Q

causes for + hCG

A

pregnancy
hCG injection
trophoblastic tumors
testicular tumors
GI neoplasms

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6
Q

2 types of trophoblastic tumors

A

hydatidiform mole
choriocarcinoma

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7
Q

causes for urine eosinophils

A
  • acute interstitial nephritis
  • Loeffler’s syndrome
  • transplant rejection
  • S. haematobium infection
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8
Q

requires 2 centrifuges

A

urine eosinophil stain

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9
Q

add a drop of ——- to help eosinophils withstand cytocentrifuge

A

albumin

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10
Q

how to quantify eosinophils

A

differential of 100 WBCs

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11
Q

principle of ammonium sulfate test

A

precipitates out larger hemoglobins and leaves myoglobins to filter through
then do another dipstick for blood

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12
Q

hemosiderin appears in urine after ——- becomes saturated with hemoglobin in the blood

A

haptoglobin

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13
Q

causes of hemosiderin

A

pernicious anemia
multiple transfusions
chronic hemolytic anemia
hemochromatosis

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14
Q

hamm test

A

stains hemosiderin granules black

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15
Q

2 parts of a gastroccult test

A

blood
pH

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16
Q

why are FOBTs unsuitable for gastric blood?

A

lose sensitivity at low pH of gastric aspirate

17
Q

most common gastroenterological emergency

A

upper GI bleed

18
Q

normal gastric fluid appearance, pH

A

translucent pale gray
1.5-3.5

19
Q

causes for changes in pH of gastric aspirate

A

↓ pH: Zollinger-ellison syndrome (pancreatic tumor)
↑ pH: pernicious anemia

20
Q

gastroccult rxn

A

alpha guaiaconic acid +
hemoglobin +
H2O2 –>
quinone (blue)