Labs

Question 1

**Acid phosphatase (pap)

Answer 1

inc: prostatic carcinoma

Question 2

**A/G ratio

Answer 2

Reversed: MM

Question 3

**Alk phosphatase

Answer 3

Inc: osteoblastic lesions, hepatic dz, HPT

Bone/liver

Question 4

Amylase

Answer 4

Inc: acute pancreatitis

Question 5

F/ANA

Answer 5

Collagen dz (SLE, scleroderma)

Question 6

Antistreptolysin O (ASO) titre

Answer 6

Inc: rheum fever, acute glomerulonephritis

Pos strep

Question 7

Bilirubin increase

Answer 7

Direct: hepatitis, duct obstruction
Indirect: hemolytic dz

Question 8

BUN (blood urea nitrogen) inc

Answer 8

renal dz, dehydration, hypotension, uto

Question 9

Ca increase

Answer 9

muscle weakness, hyperparathyroidism, hypovit d, mets

Question 10

CPK (creatine phosphokinase)

Answer 10

CK BB: brain tissue
CK MB: myocardial tissue
CK MM: skeletal muscle (md)
inc: musc necrosis

Question 11

CRP increase

Answer 11

kidney dz, hypovolemic shock

Question 12

ELISA

Answer 12

SCREENING for AIDS

Question 13

ESR increase

Answer 13

infx, RA, TB, TA, MM

Question 14

FTA (fluorescent treponema antibody)

Answer 14

present with syph

Question 15

blood glucose increase

Answer 15

DM, cushings, renal/liver dz

Question 16

CSF glucose

Answer 16

dec: meningitis, acute pyogenic infx

Question 17

gamma-glutamyl transferase (GGT)

Answer 17

liver cell dysfx and alc induced liver dz

Question 18

glucose tolerance test (GTT)

Answer 18

diabetes testing

Question 19

**glycosylated hemoglobin

Answer 19

tests ability to use gluc over 2-3m period (monitor)

Question 20

**paul bunnel (heterophile)

Answer 20

inc: mono, viral meningitis

Question 21

*HCG increased

Answer 21

hydatidiform mole, choriocarcinoma, seminoma, mult pregnancy, testic teratoma

Question 22

**HLA B27

marker on the 6th chromosome from birth

Answer 22

AS, reiters, PA, enteropathic arthritis (PEAR)

Question 23

HDL cholesterol increase

Answer 23

ow risk of coronary heart dz

Question 24

I-131 uptake increase

iodine

Answer 24

hyperthyroidism, endemic goiter

Question 25

**immunoelectrophoresis

Answer 25

m spike = MM

Question 26

ketones

Answer 26

diabetic acidosis, starvation

Question 27

LDH (lactase dehydrogenase) increase

Answer 27

MI, CHF, musc dystrophy

Question 28

**lipase

Answer 28

inc: acute pancreatitis

Question 29

lipids (cholesterol)

Answer 29

inc: early starvation, DM dec: late starvation, liver dz

Question 30

lipids (triglycerides)

Answer 30

inc: hyperlipidemia, DM, atherosclerosis dec: cirrhosis, malabsorption

Question 31

LE cell

Answer 31

active SLE

Question 32

phosphorus increase

Answer 32

acromegaly, kidney dz, hypervit D

Question 33

protein increase

Answer 33

MM, diabetic acidosis

Question 34

protein (CSF)

Answer 34

inc: viral meningitis

Question 35

prothrombin times

Answer 35

inc: vit K def, hepatocellular dz

Question 36

RA latex

Answer 36

+: RA, SLE, TB, CA, sjogren, still's

Question 37

SGOT/AST | serum glutamic oxaloacetic transaminase

Answer 37

inc: MI, liver cond, MD

Question 38

SGPT/ALT | serum glutamic pyruvic transaminase

Answer 38

inc: hepatitis, MI

Question 39

T3: triodothyronine T4: thyroxine

Answer 39

inc: hyperthyroidism, pregnancy dec: hypothyroid, cirrhosis

Question 40

TPI (treponema pallidum immobilizing agent)

Answer 40

syph

Question 41

uric acid

Answer 41

inc: gout, renal failure

Question 42

VDRL (venereal dz research lab

Answer 42

serologic screening for syph

Question 43

** western blot

Answer 43

SPECIFIC test for AIDS

Question 44

Ca decrease

Answer 44

muscle tetany, chvostck sign (opp above), renal failure, malnutrition

Question 45

CRP decrease

Answer 45

musc dystrophies

Question 46

BUN decrease

Answer 46

hepatic dz, pregnancy | Liver and kidneys

Question 47

ESR decrease

Answer 47

sickle cell anemia, polycythemia

Question 48

blood glucose decrease

Answer 48

insulin overdose, addison, starvation

Question 49

HCG decrease

Answer 49

ectopic pregnancy, threatened abortion

Question 50

HDL cholest decrease

Answer 50

high risk of coronary heart dz

Question 51

I-131 uptake decrease | iodine

Answer 51

hypothyroidism, thyroid ca

Question 52

LDH decrease

Answer 52

cancer therapy

Question 53

phosphorus decrease

Answer 53

rickets, hypovitaminosis D, hyperparathyroidism

Question 54

protein decrease

Answer 54

liver dz, kidney syndromes