Comprehensive Metabolic Panel

Question 1

albumin purpose/significance

Answer 1

severity of illness/inflammatory stress/marker for mortality

decreased with liver disease/acute inflammatory disease/overhydration.
increased with dehydration.

Question 2

total protein purpose/signficance

Answer 2

reflects albumin/globulin in blood.

not a good measure of nutrition or protein status

Question 3

ALP purpose/sig.

Answer 3

function of liver, may screen for bone abnormalities

increased with malignant, muscle, bone, intestinal, and liver diseases or injuries

Question 4

ALT purpose/sig.

Answer 4

function of liver

monitor liver function in parenteral nutrition

Question 5

AST purpose/sig.

Answer 5

function of liver, screen for cardiac abnormalities

monitor liver function in parenteral nutrition

Question 6

Bilirubin purpose/sig.

Answer 6

function of liver, evaluated blood disorders, biliary tract blockage

associated with drugs, gallstones, biliary duct diseases, intravascular hemolysis and hepatic immaturity, decreased with some anemias

Question 7

phos (phosphate) significance

Answer 7

hyperphosphatemia associated with hypoPTH and hypoCa. hypophosphatemia associated with hyper PTH, chronic antacid ingestion, and CKD

Question 8

total cholesterol significance

Answer 8

decreased in those with malnutrition, malabsorption, CKD, and hyperPTH

Question 9

triglycerides significance

Answer 9

increased in those with glucose intolerance or in those who are not fasting

Question 10

how many tests more than BMP, what does it evaluate that is different than BMP?

Answer 10

6, liver function