Biochemical Profiles Pt. 1

Question 1

how do we know if bilirubin is conjugated or not?

Answer 1

in urine= conjugated

Not in urine= unconjugated

Question 2

what are symptoms of hypoglycemia

Answer 2

sweating
hunger
trembling
anxiety
confusion
blurred vision

Question 3

FBG level of 70-99 means

Answer 3

normal

Question 4

FBG 100-126

Answer 4

prediabetic

Question 5

FBG greater than 126

Answer 5

Diabetic

Question 6

If diabetes is suspected in borderline cases do a ________ test

Answer 6

A1c test

Question 7

OGTT is used for diagnosing

Answer 7

diabetes

usually 2 hr test

Question 8

If a patient has a low A1c test that indicates

Answer 8

a low likelihood of diabetes. normal range is 4-6%

Question 9

when do we test for gestational diabetes

Answer 9

24-28 weeks

Question 10

who is more likely to have hypglycemia?

Answer 10

diabetic patient

Question 11

what is reactive hypoglycemia

Answer 11

aka postprandial, occurs within 4 hrs after meals less than 70

Question 12

Fasting hypoglycemia is

Answer 12

postabsorptive, related to disease and various medications less than 50

Question 13

whipples triad is likely caused by

Answer 13

hypoglycemia, relief of sympotms when glucose is raised

Question 14

Bun testing measures what

Answer 14

amount of urea nitrogen in the blood

Question 15

Azotemia means

Answer 15

elevated blood levels of BUN

Question 16

BUN test tells us function of what structures

Answer 16

metabolic function of liver and excretory function of the kidneys

Question 17

what two tests indicate kidney function

Answer 17

BUN and Creatinine

Question 18

whats a better indicator of renal disease BUN or creatinine

Answer 18

Creatinine

Question 19

Gout of the big toe is aka

Answer 19

Podagra

Question 20

Proteins are increased in what disease

Answer 20

MM

Question 21

albumin is a measure of

Answer 21

liver function

Question 22

True or False

If the albumin is low and globulins are high then the total proteins maybe normal

Answer 22

TRUE

Question 23

If you have a reversed A/G ratio we should think

Answer 23

MM

Question 24

The A/G ration should normally be

Answer 24

exceeding 1.0

Question 25

Bilirubin measure the exrcretory function of the

Answer 25

liver

Question 26

when conjugated bilirubin is increased it is highly specific for what disease

Answer 26

of the liver/bile ducts

Question 27

ALP is important when testing for

Answer 27

liver and bone disorders

Question 28

what are the 3 causes of Chondrocalcinosis

Answer 28

DJD
Primary CPPD
Cation disease

Question 29

PAP levels are used to determine

Answer 29

diagnosing prostate cancer, and monitoring treatment

Question 30

what is the most sensitive test for Prostate cancer

Answer 30

PSA, higher the number the worse the cancer

Question 31

PAP and PSA both elevated with a elevated alkaline phosphatase indicates

Answer 31

prostate cancer with metastasis to bone

Question 32

True or False

Velocity change of PSA is more important to than the numerical value

Answer 32

TRUE

Question 33

GGTP is sensitive for

Answer 33

liver disease

Question 34

GTTP is not elevated in bone disease therefore if ALP is elevated but GGTP isnt susupect

Answer 34

skeletal disease

Question 35

Elevated GTTP and ALP implies

Answer 35

hepatobiliary disease

Question 36

AST is used to suspect

Answer 36

coronary occlusive heart disease

Question 37

AST/SGOT is more sensitve for

Answer 37

heart

Question 38

ALT/SGPT is more sensitive for

Answer 38

liver

Question 39

True or False

total cations equals total anions

Answer 39

TRUE

Question 40

Calcium levels can evaluate

Answer 40

Parathyroid function

Question 41

what is the MC cause of hypercalcemia

Answer 41

Primary hyperparathryroidism

Question 42

What is the 2nd MC ccause of hypercalcemia

Answer 42

malignancy

Question 43

Hypercalcemia can cause what symptoms

Answer 43

constipation, nausea, loss of appetite, extreme thrist