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Pre Analytical Flashcards

1
Q

Test most affected

A

Glucose ang Triglycerides

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2
Q

Turbidity in serum or plasma

A

Lipemia

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3
Q

Sample you get after meal

A

Lipemic

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4
Q

Other term for Lipemic sample after meal

A

Hyperchylomicronemia

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5
Q

Lipemic sample will cause..

A

Elevated Plasma Potassium
Alkaline Phosphate
5- HIAA
(PAP)

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6
Q

Long time vegetarian

A

Decreased LDL VLDL TAG
Total Lipids
Phospholipids
Cholesterol

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7
Q

High meat and high protein diet

A

Increase Serum Urea
Ammonia
Urate level
(UUA)

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8
Q

High Protein Low carb diet

A

High ketones
Serum BUN
(KBUN)

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9
Q

High unsaturated -to - saturated fats

A

Decrease serum chole

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10
Q

Purines

A

Increase urea level

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11
Q

Bananas, pineapple, tomato and avocado

A

Increase serotonin
Elevated urine excretion of 5-HIAA

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12
Q

Obesity

A

Increase serum Lactate Dehydrogenase
Cortisol
Glucose
Plasma insulin but impaired Glucose Tolerance

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13
Q

Obese men

A

Decrease Testosterone

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14
Q

Chronic alcohol consumption

A

Increase TAG

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15
Q
A
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16
Q

Alcohol consumption

A

Transient elevation in Glucose level

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17
Q

Test for liver in chronic alcohol consumption

A

Gamma glutamyl Transferase

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18
Q

Caffeine

A

Hormone levels
Increase plasma free fatty acid and cathecolamine

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19
Q

Drinking too much liquid may affect

A

Blood osmolality, hemoglobin levels, electrolyte imbalance

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20
Q

Resting Metabolic State

A

Basal State

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21
Q

Basal state collection

A

Glucose, Chole, TAG and Electrolyte

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22
Q

Specimen Requires fastin

A

FBS
GTT
TAG
Lipid Profile

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23
Q

8-14 hrs fasting

A

Glucose, lipids and Lipoprotein

24
Q

48 hrs fasting may cause

A

Increase serum bilirubin

25
Q

72 hrs fasting may cause

A

Increase Plasma TAG
Decrease glucose

26
Q

72 hrs fasting in women

A

45mg/dL(2.5 mmol/L)

27
Q

72hrs fasting in men

A

Increase plasma TAG
Glycerol
Free fatty acids

28
Q

Changes in posture

A

Cellular element
Plasma Proteins

29
Q

Patient from 1st floor to 4th floor

A

Sit For 5 minutes before blood Collection

30
Q

How much increase of blood can person change base on posture

A

4-15% in 10 minutes

31
Q

Supine to sitting or standing

A

Increase Albumin, calcium, enzymes

32
Q

Sitting to supine

A

Increase BUN
Calcium
Lipoprotein
Iron
Protein

33
Q

Standing to supine

A

Decrease Cholesterol
Lipoproteins
TAG

34
Q

30minutes standing

A

Decrease plasma Albumin

35
Q

Standing for too long

A

Plasma renin increase
Serum aldosterone
Cathecolamine

36
Q

Tourniquet application more than 1mins results to

A

Hemoconcentration
Anaerobiosis

37
Q

Tourniquet may increase

A

Potassium (1mmol/L)
Albumin
Enzyme
Lactate
Cholesterol
Ammonia

38
Q

Tourniquet may decrease

A

Venous oxygen and pH

39
Q

Exercise results in increase

A

Prolactin
Testosterone
Luteinising hormone
Potassium
Lactate and Phosphate (clenching of fist)

40
Q

Transient Increase in exercise

A

Lactate
Pyruvate
Fatty acid
Creatinine
Ammonia

41
Q

Long term increase

A

Creatine Kinase
Aspartate aminotransferase
Aldolase

42
Q

Decrease

A

Follicles Stimulating Hormone (FSH)
Luteinising hormone (LH) in long distance athlete

43
Q

Stress and Anxiety

A

Increased cortisol and cathecolamine
Wbc count
Decrease serum Iron
Arterial Blood Gas

44
Q

Crying

A

Elevated Wbc count

45
Q

Severe anxiety

A

Acid base imbalance
Increase lactate and fatty acid

46
Q

Mild stress

A

Increase total cholesterol
Decrease HDL for 15%

47
Q

Seen in smoker

A

Carboxyhemoglobin

48
Q

Chronic smoking

A

Increase hemoglobin
Rbc and Hct, MCV and IgE
Decrease IgG IgA IgD

49
Q

Nicotine effects

A

Increase plasma cathecolamine
Cortisol, WBC except Eosinophils, glucose BUN cholesterol TAG
Decrease Eosinophils

50
Q

Altitude

A

Increase Rbc,Hgb and Hct

51
Q

Pregnant

A

Increase plasma volume
Lower RBC count , protein, alkaline Phosphate estradiol, free fatty acid, iron values

52
Q

Low levels in Morning

A

Eosinophil count
Creatinine
Glucose
TAG
Phosphate

53
Q

Cortisol peak

54
Q

Cortisol lowest

55
Q

Patient taking medication in impaired renal function

A

Elevated BUN

56
Q

Patients taking corticosteroids, estrogens or diuretics can develop

A

Pancreatitis

57
Q

Pancreatitis may cause

A

Elevated Serum amylase and lipase

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