Data Interpretation

Question 1

At what ferritin level should we continue investigating for iron deficincy anaemia causes (ie., suspected coeliac’s etc)

Answer 1

< 150 ug/L

Question 2

What ferritin level suggest siron deficiency anaemia

Answer 2

Ferritin < 15

Question 3

TIBC levels in anaemia of chronic disease

Answer 3

Decreased

Question 4

TIBC in iron deficiency anaemia

Answer 4

Raised

Question 5

Ferritin levels in iron deficiency anaemia

Answer 5

Can be decreased OR normal

Question 6

What is the first line investigation for B12 deficiency

Answer 6

Serum cobalamin , THEN anti intrinsic factor antibodies if >148

Question 7

Causes of a cloudy ascitic fluid tap

Answer 7

Pancreatitis
Perforated Bowel
Bacterial Peritonitis

Question 8

Causes of a milk coloured Ascitic tap

Answer 8

Lymphoma, TB or malignancy

Question 9

If glucose levels in ascitic tap are > serum level, what condition may be present

Answer 9

TB or cancer

Question 10

If amylase levels are > serum levels, what condition may be present

Answer 10

Pancreatitis

Question 11

What RBC cout indicates possible malignancy

Answer 11

> 100 ul

Question 12

SHould RBCs be seen in an ascitic tap

Answer 12

No

Question 13

What Serum ascitic albumin gradient indicates transudative cause of ascites

Answer 13

> 1.1 g/dL

Question 14

What LDh levels indicate a transudative cuase of ascites

Answer 14

< 225

> 225 = exudative

Question 15

Colour of joint fluid in inflammatory

Answer 15

Yellow and cloudy with raised WCC - can look septic

Question 16

How much from the baselint ALt levels indicate hepatocellular injury

Answer 16

10 fold increase (+ less than 3x increase in ALP)

Question 17

How much from the baseline ALT and ALP levels indicate cholestasis

Answer 17

10 fold increase (+ MORE than 3x increase in ALP)

Question 18

When are raised ALT and AST levels deemed significant

Answer 18

If both are raised 2x normal (or 3)

Question 19

What can cause raised AST levels

Answer 19

MI OR LIVER OR MUSCLE DAMAGE