Important Values/Labs

Question 1

Abnormal: Random (Casual) Blood Glucose

Answer 1

> 200mg/dL

Question 2

Abnormal Fasting Blood Glucose**

Answer 2

• Impaired fasting glucose (prediabetes): 100-125
• Diabetes mellitus: >125

Question 3

Abnormal Two-Hour Post-Prandial Test

Answer 3

-140-199: Prediabetes
->200: Diabetes Mellitus

Question 4

“Diagnostic Value” for 2-hour post-prandial blood glucose

Answer 4

> 240

Question 5

Hemoglobin A1c

Answer 5

• Normal: <5.7%
• **Abnormal:
• Prediabetes: 5.7-6.4%
• Diabetes: >6.4%
• Goal for treatment: <7%

Question 6

Total Cholesterol: Desirable Level

Answer 6

125-200mg/dL

Question 7

LDLc

Answer 7

<100: Optimal
100-129: Near Optimal
130-159: Borderline High
160-189: High
>190: Very High

Question 8

HDLc

Answer 8

• Men: >40 mg/dL
• Women: >46 mg/dL

Question 9

TC: HDL Ratio

Answer 9

Average risk:
• 5:1 (males)
• 4.5:1 (females)
-3:1 (ideal ratio)

Question 10

Triglycerides:

Answer 10

• <150 mg/dL

Question 11

HLP IIa: Lab Findings

Answer 11

• Lab Findings
• Serum cholesterol increased
• Homozygous – 500-1200 mg/dL
• Heterozygous – 250-500 mg/dL
-LDL>190mg/dL

Question 12

Dyslipidemia: Diet/Lifestyle

Answer 12

• **Ranges indicative of diet/lifestyle factors:
• Total cholesterol: 200-250
• LDLc: 100-190
• Triglycerides: 150-250

Question 13

HLP IV: Lab Findings

Answer 13

• **Increased triglycerides: 250-500mg/dL
• *Decreased HDL: <40 mg/dL (males), <46mg/dL (females)

Question 14

Total Cholesterol: <90

Answer 14

-Malignancy
-Malabsorption
-Anemia
-Hypothyroidism
-Chronic liver disease

Question 15

Total Cholesterol: 400-500

Answer 15

Acute Cholestasis

Question 16

Total Cholesterol: 700-800

Answer 16

Chronic Cholestasis

Question 17

Triglycerides <40

Answer 17

-Malignancy
-Malabsorption
-Anemia
-Hypothyroidism
-Chronic Liver Disease

Question 18

Total Cholesterol: Diet/Lifestyle

Answer 18

-200-250
-Diabetes Mellitus, hypothyroidism, chronic kidney disease, obstructive liver disease, pregnancy, medication

Question 19

Two general categories of hypoglycemia

Answer 19

-Fasting Hypoglycemia
-Reactive Hypoglycemia

Question 20

Recommendations for lowering risk of CHD

Answer 20

-Decrease saturated fats: Lower LDL
(Replace w/ monounsaturated fats)
-Consume zero trans fats
-Exercise
-Limit alcohol/smoking

Question 21

Causes of high serum cholesterol, excluding familial hypercholesterolemia & diet/lifestyle factors?

Answer 21

-Billary
-Hypothyroidism
-Chronic kidney disease
-Pancreatitis
-Pregnancy
-Medications

Question 22

Dietary Changes to increase HDL (HLP IV)

Answer 22

-Limiting simple carbs
-EPA/DHA
-Niacin
-Red Yeast Rice

Question 23

What can be ruled out with high ALP & normal GGT?

Answer 23

Chronic Liver Disease

Question 24

What enzyme and isoenzyme is elevated in macrocytic anemia?

Answer 24

AST & LDH-1

Question 25

Expected CBC findings with Hepatitis?

Answer 25

Leukopenia w/ Lymphocytosis

Question 26

Which enzymes and isoenzymes would be elevated in muscular dystrophy?

Answer 26

-CPK-3, LDH-5, AST