Laboratory Diagnostics BLOCK 6 Flashcards

1
Q

What do laboratory diagnostics test for

A

Test body fluids for bio chemicals/ hormones/ drugs

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2
Q

What is the routine chemistry in blood test

A
  • glucose
  • calcium
  • proteins
  • electrolytes
  • kidney test
  • liver tests
  • cardiac tests
  • lipid panel
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3
Q

What is tested for diabetes in blood

A

Glucose mellitus

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4
Q

What is part of BMP?

A

Glucose
Calcium
Electrolytes
Kidney tests

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5
Q

What detects renal function in blood test?

A

BUN/creatinine (creatinine better)

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6
Q

What detects liver damage in blood

A

ALT, AST, ALP

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7
Q

What detects liver function in liver

A

Bilirubin

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8
Q

What does it mean when there is increased bilirubin in blood

A

Decreased function

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9
Q

What are parts of the CBC

A
  • WBC
  • hemoglobin and hematocrit
  • RBC
  • platelet count
  • WBC differential
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10
Q

Increased WBC in blood count

A

Infection/inflammation

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11
Q

Decreased hemoglobin and hematocrit in CBC

A

Anemia

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12
Q

What does neutrophilia in CBC detect?

A

Bacterial infection

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13
Q

What does lymphocytosis suggest in CBC

A

Viral

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14
Q

What does eosinophilia suggest in CBC

A

Allergies or worms

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15
Q

Blood disorders

A
  • anemia
  • polycythemia
  • leukemia
  • thrombocytopenia
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16
Q

What happens when there is a 4x change or more in titers?

A

Acute

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17
Q

Tests for antigens and antibodies

A

IgM (acute)

IgG (convalescent)

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18
Q

What does it mean if Anti-HBs is present in blood

A

They are vaxxed

19
Q

What is the only Ab that protects from Hep-B?

A

Anti-Hbs

20
Q

What clears when someone is immunized for Hep-B

A

Anti-HBsAg

21
Q

What slows Hep B?

A

Anti-HBeAg

22
Q

What PROVES Hep B infection

A

Anti-HBcAg

23
Q

What is the only condition where treatment comes from blood bank and not pharmacy?

A

Hemophilia A, factor 8

24
Q

What are the only numbers that should show up in a healthy CBC

A

Specific gravity and pH

25
Q

What is the most common finding in urinalysis for UTI?

A

Leukocyte esterase

26
Q

What all could you see in UTI CBC?

A
  • leukocyte esterase
  • WBC
  • blood
  • protein
  • nitrite

Amount present does not determine how bad infection is

27
Q

What does presence of ketones indicate in CBC

A

Diet/starvation indicator

28
Q

Reliability of medical tests

A

All medical tests are flawed

29
Q

Positive and sick

A

True positive

30
Q

Positive and healthy

A

False positive

31
Q

Healthy

A

True negative

32
Q

Sick and test says otherwise

A

False negative

33
Q

Accuracy

A

Is it correct

34
Q

Is this reproducible?

A

Precision

35
Q

Sensitivity

A

Sick people

36
Q

Specificity

A

Heathy people

37
Q

Disease is present and test is negative

A

False negative

38
Q

Disease is present and test is positive

A

True positive

39
Q

Disease absent, tests positive

A

False positive

40
Q

Disease absent, lab test negative

A

True negative

41
Q

Sensitivity about _______ people testing ________

A

Sick people testing positive

42
Q

What is the equation for sensitivity

A

TP/(those with disease)= TP/(TP + FN)

43
Q

Specificity is about ______ people testing _________

A

Healthy people testing negative

44
Q

Equation for specificity

A

TN/(TN +FP)