Lab Dx 2 Flashcards
Which of the following is the intracellular protein that is considered the storage form of iron?
A. hemosiderin
B. serum iron
C. transferrin
D. ferritin
D. Ferritin
The papanicalou test is used to detect cancer in which of the following?
A. Breast
B. Cervical
C. Liver
D. Endometrial
B. Cervical
A 17-year-old female patient presents with abdominal pain and bone pain. Lab results show a positive hemoglobin SS. What is your working diagnosis?
A. Osteosarcoma
B. Non-Hodgkin lymphoma
C. Ewing’s Sarcoma
D. Sickle Cell anemia
D. Sickle Cell Anemia
Christmas disease is another name for____
A. Von Willibrand’s hemophilia
B. Myeloprolific leukemia
C. Hemophillia B
D. Hemophilia A
C. Hemophilia B
Which of the following tests is a functional test for folate deficiency?
A. Hypersegmented Neutrophil test
B. Schilling Test
C. Methylmalonic acid test
D. Serum Cobalamin test
A. Hypersegmented Neutrophil test
A patient presents with low Hgb. a monoclonal spike on their serum protein electrophoresis, Bence Jones proteins, and an inverted A/G ratio. What type of anemia is this?
A. Factor Deficiency
B. Depletion
C. Production-defect
D. Destruction
C. Production-defect
Urobilinogen is formed in which of the following?
A. Spleen
B. Kidney
C. Liver
D. Intestine
D. Intestine
CSF glucose is usually ____ serum glucose
A. Lower than
B. Higher than
C. The same as
D. CSF never contains glucose
B. Higher than
A 2-year-old patient presents with hepatomegaly, splenomegaly, and enlarged lymph nodes. Test results show positive for Philadelphia chromosomes. What is your working diagnosis?
A. Acute lymphoblastic leukemia
B. Hodgkin disease
C. Non-Hodgkin disease
D. Acute lymphocytic leukemia
A. Acute lymphoblastic leukemia
Your patient presents with RUQ pain and jaundice. Which of the following markers would be more likely to be elevated in blood?
A. Red blood cells
B. Unconjugated billirubin
C. conjugated billirubin
D. Glucose
B. Unconjugated billirubin
A 71-year-old male patient presents to your office with low back pain and paresthesia in both feet. He also complains of chronic stomach pain, nausea, and bloating. Which of the following choices is most closely related to this case? (Pick 3)
A. Crystals in the urine
B. Amylase and lipase
C. Increased GGTP
D. Atrophic gastritis
E.Increased BUN
F. Increased ALT
G. Acute pancreatitis
H. KUB Xray
I. B12 Deficiency
J. Increased MCV
D. Atrophic Gastritis
I. B12 Deficiency
J. Increased MCV
CSF lactate is elevated in patterns with viral meningitis but not in patients with bacterial meningitis
True
False
False
A 62-year-old female patient presents to your office with fatigue, fever, and joint pain. Physical exam reveals RUQ pain and yellow sclera. Lab work reveals elevated AST, elevated ALT, elevated ALP, and low albumin. Which of the following is the most likely diagnosis?
A. Acute pancreatitis
B. Hepatitis
C. Bone Breakdown
D. Kidney disease
B. Hepatitis
A 24-year-old female patient presents with pallor, fatigue, and shortness of breath. Lab work reveals low serum iron, elevated CRP, and low TIBC. Which of the following is the most likely diagnosis?
A. Myocardial infection
B. Chronic iron deficiency
C. Anemia of chronic disease
D. Pernicious anemia
C. Anemia of chronic disease
A 36-year-old female patient presents with an elevated AST and an elevated lactic dehydrogenase. Where do you suspect the problem occurring?
A. Prostate
B. Heart
C. Liver
D. Bone Breakdown
E. Kidney
B. Heart
Which of the following tests is definitive for pernicious anemia?
A. Bone marrow Iron stain
B. MMA
C. Hypersegmented polymorphonuclear neutrophils
D. Schilling test
D. Schilling test
You suspect your patient is having a heart attack. Which of the following tests would be most sensitive to run?
A. BUN
B. LDH
C. AST
D. ALT
B. LDH
Which of the following tests is used to detect the presence of bacteria in the blood?
A. CDSA
B. Leukocyte estate
C. C&S
D. Guaiac test
C. C&S
Blood ammonia is commonly used as a liver and biliary tract function test.
True
False
False
Which of the following may be elevated in a 14-year-old boy?
A. LDH
B. ALT
C. AST
D. ALP
D. ALP
Which of the following clotting factors are Vitamin K dependent?
A. II, VII, IX, X
B. II, III, V, X
C. II, VII, X, XI
D. II, IV, VIII, X
A. II, VII, IX, X (2, 7, 9 , 10)
With chronic iron deficiency serum iron is low and total iron binding capacity is ____.
A. Normal
B. High
C. None of the choices
D. Low
D. LOw
A 19-year-old male patient presents to your office with weakness, muscle aches, and dark urine after completing a marathon two days prior. Based on your diagnosis, which of the following choices would be characteristics of the patient’s urine? ( choose 3)
A. Increased Bilirubin
B. Decreased BUN
C. Leukocyte esterase
D. Myoglobin
E. Nitrites
F. Increased ALP
G. Increased CPK
A. Increased Bilirubin
D. Myoglobin
G. Increased CPK
A patient presents with high leukocyte esterase in her urine but is already on antibiotics. When should blood be drawn on this patient to perform a culture and sensitivity?
A. Just before the patient’s next Dose
B. As close as possible to the patient’s previous dose
C. Antibiotics should not influence
D. No earlier than 7 days before the patient completes the antibiotic treatment
A. Just before the patient’s next dose
Treatment of pernicious anemia with folic acid may mask a deficiency in which of the following vitamins?
A. B12
B. B6
C. Niacin
D. B9
B12
Folic acid deficiency is classified as what type of factor deficiency?
A. Megoblastic Anemia
B. Microcytic anemia
C. Normochromic anemia
D. Aplastic anemia
A. Megoblastic anemia
The lab value CPK is found mostly in the heart, skeletal muscle, and ______
A. Brain
B. Liver
C. Thyroid
D. Kidney
A. Brain
Which of the following lactic dehydrogenase isoenzymes is predominantly found in the liver and skeletal muscle?
A. Fraction 3
B. Fraction 1
C. Fractions 2 and 3
D. Fraction 4
E. Fraction 5
E. Fraction 5
A 37-year-old female patient with a history of chronic alcohol abuse presents with abdominal pain, fever, nausea, and vomiting. She states the pain feels like it’s stabbing through her abdomen and into her back. Which of the following choices is most closely related to her case? ( choose 3)
Acute pancreatitis
GGTP
Amylase and Lipase
