Additional Common Conditions-Diagnostic Tests

Question 1

Abnormal Involuntary Movement Scale

AIMS

Answer 1

Rating scale used to measure involuntary movements, or tardive dyskinesias, as monitoring for patient improvement

Question 2

Anemia
MACROcytic
(B12 or Folate Deficiency)

Answer 2

DECREASED Hgb/Hct/RBC
INCREASED Mean Corpuscular Volume (MCV)-[cell size is larger, MCV > 100 fL]
Schilling Test

Question 3

Anemia
MICROcytic
(Fe Deficiency)

Answer 3

DECREASED Hgb/Hct/RBC

DECREASED MCV-[cell size is smaller, MCV < 80 fL]

Question 4

Allergic Reactions

Answer 4

Skin Prick (Scratch) Test [Immediate]
Immunoglobulin E (IgE) Antibodies (blood)

Question 5

Cholestasis

Bile Duct Blockage

Answer 5

INCREASED Alkaline Phosphatase (Alk Phos)
INCREASED Total Bilirubin (T.Bili)
INCREASED Gamma-Glutamyl transferase (GGT)

Question 6

Cognitive Impairment

Alzheimer’s

Answer 6

Mini-Mental State Exam (MMSE)
Score < 24 = impairment
[simple exam]

Question 7

Cystic Fibrosis

Answer 7

Sweat Test

Question 8

Glaucoma

Answer 8

INCREASED Intraocular Pressure (IOP)

Visual Field Test (identifies optic nerve damage)

Question 9

Gout

Answer 9

INCREASED Uric Acid (UA) level

Question 10

Liver Disease

Answer 10

INCREASED AST/ALT
INCREASED PT/INR
INCREASED Alk Phos 
INCREASED T.Bili 
INCREASED Lactate Dehydrogenase (LDH)

Question 11

Alcoholic Liver Disease

Answer 11

INCREASED AST&raquo_space; INCREASED ALT

INCREASED GGT

Question 12

Hepatic Encephalopathy

Answer 12

INCREASED Ammonia Level (Blood)

Question 13

Myopathy

Answer 13

INCREASED Creatinine Kinase or Creatinine Phosphokinase (CPK)

Question 14

Neuropathy, Peripheral

Answer 14

DECREASED sensation w/ 10-g Monofilament Tests,

Temperature, Vibration

Question 15

Osteoarthritis

Answer 15

X-Ray

MRI

Question 16

Osteoporosis

Answer 16

Bone Mineral Density (BMD) using Dual Energy X-Ray Absorptiometery (DEXA or DXA)
T-Score < or EQUAL to -2.5

Question 17

Osteopenia

Answer 17

T-Score -1 to -2.4

Question 18

Pain

Answer 18

Pain scales

non-verbal signs (moaning, grimacing, agitation)

Question 19

Pancreatitis

Answer 19

INCREASED amylase/Lipase

Question 20

Psychiatric Disease

Depression, Schizophrenia

Answer 20

DSM-5 Diagnostic Criteria

Depression Specific: HAM-D or HDRS Assessment Scale

Question 21

Renal Disease

Answer 21

INCREASED BUN/SCr

Question 22

Dehydration

Answer 22

BUN/SCr Ratio > 20:1 
Plus symptoms: 
DECREASED urine output
Dry Mucus Membranes
Tachycardia

Question 23

Seizures/Epilepsy

Answer 23

Electroencephalogram (EEG) [records brain electrical activity]

Question 24

Sickle Cell Disease

Answer 24

Hemoglobin S (HgB S) test

Question 25

Weight: 
Underweight 
Normal weight 
Overweight 
Obese

Answer 25

BMI (plus WAIST CIRCUMFERENCE for risks associated with overweight/obesity)