Diagnostic Tests - Chapter 1 Flashcards

1
Q

Autoimmune Disease

A

Increased Erythrocyte Sedimentation Rate (ESR), increased C-reactive protein (CRP), Positive Rheumatoid Factor (RF), positive anti-nuclear antibody (ANA)

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2
Q

Rheumatoid Arthritis

A

Increased Erythrocyte Sedimentation Rate (ESR), increased C-reactive protein (CRP), Positive Rheumatoid Factor (RF), positive anti-nuclear antibody (ANA), positive anti-citrullinated peptide antibody (ACPA)

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3
Q

Systemic Lupus Erythematosus

A

Increased Erythrocyte Sedimentation Rate (ESR), increased C-reactive protein (CRP), Positive Rheumatoid Factor (RF), positive anti-nuclear antibody (ANA), positive anti-dsDNA antibodies

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4
Q

Multiple Sclerosis

A

MRI

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5
Q

Anemia

A

Decrease Hgb/Hct/RBC

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6
Q

Microcytic Anemia

A

Decrease Hgb/Hct/RBC
Decrease MCV

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7
Q

Macrocytic Anemia

A

Decrease Hgb/Hct/RBC
Decrease MCV
Schilling test

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8
Q

DVT

A

D-dimer test
Ultrasound
Venography
MRI

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9
Q

PE

A

Pulmonary computed tomographic angiography

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10
Q

What is CHA2-DS2-VASc used for?

A

Stroke Prevention

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11
Q

HIT

A

Decreased platelets (50% or more of baseline) 5-14 days after starting Heparin

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12
Q

Arrythmias

A

EKG; holter monitor, heart rate

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13
Q

Chronic Heart Failure

A

Echo
Increased B-type natriuretic peptide (BNP);
Increased N-terminal proBNP

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14
Q

Cerebrovascular Accident

A

CT
MRI

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15
Q

Stable Angina

A

Cardiac Stress Test
Angiography

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16
Q

Dyslipidemia

A

Increased total cholesterol
Coronary Artery Calcium

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17
Q

Hypertension

A

Blood Pressure

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18
Q

Hypertensive Emergency

A

BP >180/120 WITH tissue damage

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19
Q

Hypertensive Urgency

A

BP >180/120 WITHOUT tissue damage

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20
Q

ASCVD risk

A

10-Year Risk Atherosclerosis Disease

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21
Q

Prediabetes and Diabetes

A

Fasting plasma glucose
Oral glucose tolerance test
Hemoglobin A1C

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22
Q

ACS

A

EKG
Creatine Kinase
Troponin

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23
Q

Hyperthyroidism

A

Decreased TSH
Increased T4

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24
Q

Hypothyroidism

A

Increased TSH
Decreased T4

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25
Ovulation
Luteinizing Hormone (LH)
26
Pregnancy
Human Chorionic Gonadotropin (hCG)
27
Bacterial Vaginosis
Clear, white, or gray vaginal discharge Fish Odor pH >4.5
28
Candida Vaginosis
White, thick vaginal discharge Puritis
29
Trichomoniasis
Yellow, green, frothy discharge Foul Smelling discharge pH >4.5 Soreness and pain with intercourse
30
Peptic Ulcer Disease
Upper Endoscopy
31
Duodenal ulcer Symptoms
Pain 2-3 hours after eating Pain relief with antacids
32
Gastric Ulcers symptoms
Pain right after eating Little to no pain relief with antacids
33
GERD
Esophageal pH monitoring Endoscopy
34
H. Pylori
Urea breath test Fecal Antigen test
35
Chron's Disease
Endoscopy Colonoscopy biopsy CT MRI
36
Ulcerative Colitis
Sigmoidoscopy Colonoscopy biopsy CT MRI
37
Spirometry
FEV1 (how much air can be forcefully exhaled in one second) FVC (the maximum amount of air that can be forcefully exhaled) FEV1/FVC (the percentage of total air capacity that can be forcefully exhaled in one second)
38
Asthma
FVC FEV1 Peak Expiratory Flow Rate
39
Allergic asthma
Skin Test
40
COPD
Post-bronchodilator FEV1/FVC <0.7
41
Acid/Base Disorders
Arterial Blood Gas
42
Metabolic Acidosis
Decreased pH Decreased HCO3 Compensation - respiratory alkalosis
43
Respiratory Acidosis
Decreased pH Increased pCO2 Compensation - metabolic alkalosis
44
Metabolic Alkalosis
Increased pH Increased HCO3 Compensation - respiratory acidosis
45
Respiratory Alkalosis
Increased pH Decreased pCO2 Compensation - metabolic acidosis
46
Anion Gap Metabolic Acidosis
Anion gap >12 mEq/L
47
General Infection
Fever Increased WBC Left Shift
48
C Difficile
Positive C diff stool toxin or PCR
49
HIV
HIV antigen/antibody immunoassay HIV-1/HIV-2 antibody differentiation immunoassay HIV RNA viral load nucleic acid test
50
Infective Endocarditis
Echo Blood Culture
51
Lyme Disease
Round, red, bullseye rash ELISA test
52
Meningitis
Lumbar Puncture (LP) Severe Headache Stiff Neck AMS
53
Onychomycosis
20% KOH smear
54
Lice
Itching Nits on the scalp
55
Pinworm
Tape test Helminths in blood, feces, or urine
56
Pneumonia
Chest XRay with Infiltrates, opacities, or consolidations
57
Syphillis
Positive nontreponemal assay or Veneral Disease Research Laboratory Test and treponemal assay
58
Toxoplasma Gondii Encephalitis
Toxoplasma IgM and IgG test
59
Latent TB
Positive tuberculin skin test Interferon Gamma Release Assay Blood Test
60
UTI
Urinalysis with WBC count
61
Breast Cancer
Mammogram Ultrasound MRI
62
Cervical Cancer
Pap smear HPV test
63
Lung Cancer
CT of the chest
64
Skin Cancer
Skin Biopsy
65
Prostate Cancer
Digital Rectal Exam Prostate Specific Antigen
66
General Cancer
Carcinoembryonic antigen (CEA) Positron Emission Tomography Scan (PET)
67
Allergies
Skin Prick IgE antibodies test
68
Bleeding
Decrease Hct or Hgb Visible blood or bruising Coffee ground emesis Dark/tarry stool Red blood in the stool
69
Cholestasis
Increased Alkaline phosphatase Increased Bilirubin Increased gamma-glutamyltransferase
70
Colon Cancer
Colonoscopy Sigmoidoscopy Double contrast barium enema CT stool DNA Fecal occult blood test Fecal immunochemical test
71
Alzheimer's Cognitive Impairment
Mini-mental State Exam (MMSE)
72
Cystic Fibrosis
Sweat Test
73
Glaucoma
Increased Intraocular Pressure Visual Field Test
74
Gout
Increased uric acid
75
Active TB
Positive sputum acid-fast bacilli stain and culture Chest xray with cavitation
76
Liver Disease
Increased AST/ALT Increased Alk Phos Increased Tbili Increased lactate dehydrogenase
77
Cirrhosis
Increased PT/INR Decreased Albumin
78
Alcoholic Liver Disease
Increased AST Increased ALT Increased GGT
79
Hepatic Encephalopathy
Increased ammonia levels
80
Movement Disorders (Tardive dyskinesia, Parkinson's Disease, etc.)
Abnormal involuntary movement scale (AIMS)
81
Myopathy
Increased creatine kinase
82
Neuropathy
Sensation with 10-g monofilament, pin prick, temperature, and or vibration tests
83
Osteoarthritis
Xray MRI
84
Osteoporosis
Bone Mineral density (BMD) Dual energy Xray absorptiometry (DEXA) T score
85
Osteopenia
T-score 1.5-2.4
86
Pain
Pain Scales
87
Pancreatitis
Increased amylase Increased lipase
88
Psych Disorders
DSM-5
89
Depression
Ham-D HDRS
90
Renal Disease
Increased BUN Increase SCr Increased BUN/SCr Increased CrCl Increased eGFR Increased urine albumin
91
Seizures
Electroencephalogram (EEG)
92
Obesity
BMI