Immunizations, Diagnostic Imaging, Lab Finding Flashcards
What vaccine should be given at EACH pregnancy, regardless of prior vaccination history?
Answer: Tdap
T or F: FluMist LAIV4 is approved for the 2019-2020 Flu season?
Answer: True
T or F: FluMist LAIV4 is approved for the 2017-2018 Flu season?
Answer: False; due to concern for effectiveness
In efforts to prevent CAP, all patients should receive what vaccine?
Answer: Flu vaccine, annually (dosing schedule determined by age)
At what age should all patients receive a pneumococcal vaccine?
Answer: 65 years old
What important prevention method should be used in pertussis?
Answer: Vaccination (DTaP)
T or F: A CXR can identify the causative organism and distinguish bacterial from viral PNA?
Answer: False
In an overwhelming infection, what would the WBCs look like (the #)?
Answer: <5,000
What is the term for elevated BUN & CREATININE?
Answer: Azotemia
What would you expect the albumin level to be in a patient with chronic alcoholism?
Answer: Low
What lab is dependent on albumin? What would this cause the lab to be?
Answer: Calcium (50% is bound to albumin); In a patient with chronic alcoholism, you would expect the calcium to be low (Think, if you are
malnourished you don’t drink milk - you drink alcohol; hence why alcoholics – in addition to their blood being thinner – would be at any even
more increased risk of bleeding)
What lab would indicate your patient is dehydrated?
Answer: Elevated BUN, high albumin
If a patient with cirrhosis presents to the ED and their ETOH level is 324 - What would you expect their liver panel to look like?
Answer: low ALT/AST, high ALP
A patient presents to your clinic to discuss the results of his PSA screening. You are concerned as this test result is 45. What are your differential diagnoses?
Answer: prostate manipulation, prostate cancer, prostate biopsy
A patient is having an acute pancreatitis attack. When would you expect amylase to rise, peak, and return to normal?
Answer: 2hr, 12-48hr, 3-4 days
A patient presents to your clinic c/o anxiety and appears tachypneic. What lab would be most affected by this patient’s presentation?
Answer: Chloride (decreased Co2 (hyperventilation) = increase CL)
What is the earliest indicator of infection (WBC)?
Answer: Bands
What WBC is the 1st line of defense:
Answer: Poly neutrophils
What’s the strongest WBC that kills/digest FB?
Answer: Monocytes
Patient is having allergic rx. What WBC is elevated?
Answer: Eosinophils
Which WBC aids with healing and blood clotting?
Answer: Basophils
What level will jaundice be visible?
Answer: >3 total bilirubin
The patient is exhibiting muscle twitching. What lab would you suspect is the cause of this?
Answer: Low calcium
Most specific lab for the kidneys?
Answer: Creatinine
If this was elevated it would warrant checking for multiple myeloma?
Answer: total protein
If your creatinine is high - your GFR will be?
Answer: Low GFR
What lab is expected to be elevated in children (considered normal) but not in adults?
Answer: ALP – rapid bone growth; have more lymphocytes than neutrophils
Patient presents to clinic saying they cannot get enough of licorice - you expect what lab to be off?
Answer: decreased K
What drug specifically relies on the regulation of sodium?
Answer: Lithium
TSH is high in patient. What would you suspect the causes are?
Answer: hypothyroidism, thyroiditis, inadequate hormone therapy (Synthroid)
What lab would you use to screen patient that would be at risk for renal injury? What types of patients are most at risk for renal injury?
Answer: creatinine; HTN/DM
A patient’s EKG has peaked t waves and a prolonged PR interval. What lab do you suspect is causing this?
Answer: Hyperkalemia
Patient presents with sickle cell crisis. What lab would you expect to be elevated?
Answer: Increased Bili
