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clinical laboratory studies > Exam2 review > Flashcards

Exam2 review Flashcards

1
Q

If you had a patient with a concern of having contracted HIV from a new partner what studies would you order to alleviate their concerns?

A

Western blot & Elisa Study

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2
Q

If a 60 year old male presented to your office with a PSA of 12 (normal range

A
  • prostate cancer

- digital metal exam

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3
Q

A 19 year old female presents to your office with complaints of nausea. What would be the first test you would order for her?

A

HCG

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4
Q

A pregnant female expresses concern for the well being of her unborn child and disclosed to you, “I didn’t know i was pregnant and consumed alcohol. As well I didn’t take any prenatal vitamins”. What test would you order?
if this test came back increased you would suspect?

A
  • AFP

- neural tube defect

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5
Q

A 42 year old patient presents iwth a red-orange urine. during you history you elicit that he had a sore throat two weeks prior for which he did not see treatments. In order to confirm your suspicions you should order?

A

ASO

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6
Q

A patient presents with the following lab values on the CBC. WBC count is 19K with a differential that shows 86%neutrophils, 12% lymphocytes, 1% basophils. In this case you would suspect?

A

a bacterial infection

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7
Q

A patient claims they have been swimming in the chattachoochee with dr. amos on a date, the CBC shows WBC count of 32K, the differentials shows 60% neutrophils, 20% lymphocytes, 8% monocytes, and 12% eosinophils, and normal basophils. in this case your have to question her judgement and whether or not she needs treatment for?

A

parasite

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8
Q

If you suspected a patient had systemic lupus, how would you confirm your diagnosis?

A

ANA

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9
Q

A patient presents with a WBC count of 29K. the differentials is 50% neutrophils, 45%lymphocytes, 5%others, your would suspect?

A

viral infection

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10
Q

If a patients direct bilirubin was increased in the serum it would indicate?

A

biliary obstruction

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11
Q

Vito has high cholesterol. His total cholesterol is 329. Which of the following values indicated the best possible scenario for Vito?

A

200 LDL 179 HDL

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12
Q

If a patient would exhibit a higher than normal C reactive protein you would be able to determine the patient possibly has?

A

acute non infectious inflammatory reaction infection

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13
Q

A patient present with chest pain. What tests would you order first?

A

EKG

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14
Q

If a patient presents with a constant unilateral headache exquisitely painful to touch around the temple; with no aura or light sensitivity and an elevated ESR you must suspect?

A

(2answers are correct)

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15
Q

A patient presents with fatigue and several swollen lymph nodes around her neck. She reports she had a new boyfriend with similar symptoms. Her lymphocyte count is markedly elevated. On physical exam her spleen and liver were enlarged. What lab test would you expect to see elevated?
what lab test would you order to check her liver function?

A
  • lymphocytes

- ALT/AST

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16
Q

A patient presents with polydipsia, polyphagia and polyuria. What test would you order first because it is least expensive and the quickest to yield results?

A

UA

17
Q

What would you suspect if a patient has glucose in the urine along with ketones?
What test must you order next to confirm your suspicions?

A
  • diabetes mellitus

- GTT

18
Q

What glucose test is the best long term indicator for glucose in the blood stream?

A

Glycosolated hemoglobin

19
Q

If a patient has several periodical unexplained reoccurring and residing neurological symptoms including loss of vision and parentheses, with one of the tests would you expect to yield a positive result?

A

HLA

20
Q

In an otherwise normally healthy infant begins to exhibit mental retardation, what test would you order?

A

PKU

21
Q

If a patient has a low hematocrit what does that mean?

A

decreased RBC

22
Q

A 15v year old girl presents with a mass in the midline of the anterior neck. Your physical exam findings include a non tender diffuse mass. What lab test would you order to confirm your suspicions?

A

TSH

23
Q

Small amounts of protein are a normal finding in a urine sample in a person that has vigorously exercised.
T/F?

A

true

24
Q

An increased MCV (mean corpuscular volume) about 100 would be indicative of?

A

(all of the above)

25
Q

If you find nitrates in a urine sample you would most likely suspect?

A

normal finding

26
Q

The offending agent would most likely be?

A

nothing, since it is a normal component of urine

27
Q

If a patient presents with tender swallow joints especially the big toe; you would suspect?
What condition does this describe?
This problem is caused by?

A
  • low urine acid & high blood uric acid
  • gout
  • Purine Metabolism Disorder
28
Q

Alkaline Phosphatase levels would be elevated in?

A

Paget’s Disease

29
Q

Eosinophil’s will be elevated in?

A

Trichinomis

30
Q

If a patient has recurrent chronic and recurrent GI disorders, what screening test would you order to rule out ulcer?

A

H. Pylori

31
Q

A patient presents with a WBC count of 4300. This most likely means?

A

normal count

32
Q

A patient with a specific gravity of 1.015 and no ketones in the urine will need to screen for?

A

nothing, this is normal

33
Q

An African American male presents to your office with joint pain and fatigue. Which levels would you expect to be high?
What would be the most likely exam finding upon examination of this patients abdomen?

A
  • Hemoglobin S

- dullness between T8-T10 on the right side of abdomen upon percussion

34
Q

Rheumatoid factor tests are sensitive and specific?

T/F?

A

False

35
Q

Rheumatoid arthritis is the only condition that will provide a positive result for rheumatoid factor?
T/F?

A

false

36
Q

Which blood test would test the intrinsic clotting pathway?

A

PTT

37
Q

Blood urea nitrogen is found in the urine due to?

A

Breakdown of polypeptides

38
Q

Which blood test will test the extrinsic clotting pathway?

A

PT

39
Q

In the diabetes mellitus type 2 patient which lab value would be high?

A

blood globulin

clinical laboratory studies (1 decks)

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