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UA > T2 > Flashcards

T2 Flashcards

1
Q

In the diabetes type 2 patient which of the following lab values would be high?

A

Blood acetone

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2
Q

If you had a patient with a concern of having contracted HIV from a new partner what studies would you order to alleviate their concerns?

A

western blot

Elisa study

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3
Q

If a 60year-old male presented to your office with a PSA of 12 concomitant with back pain and blastic lesions in the sacral area on x-ray analysis you would suspect?

A

Prostate cancer

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4
Q

What would be the next test for the patient with prostate cancer?

A

Digital rectal exam

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5
Q

A 19-year-old female presents to your office with complaints of fatigue and nausea what would be the first test you would order for her?

A

HCG

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6
Q

A pregnant female expresses concern for the well-being of her unborn child and disclose this to you I didn’t know I was pregnant and consumed alcohol as well as I didn’t take any prenatal vitamins what test would you order

A

A FP

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7
Q

If the test for the patient for folic acid deficiency what would you expect

A

A neural tube defect

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8
Q

A 42-year-old patient presents with red orange urine during your history you elicit that he had a sore throat two weeks prior for which he did not seek treatment in order to confirm your suspicion you order

A

ASO

Which is associated with strep throat

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9
Q

A patient presents with the following lab values on the CBC. WBC count 19,000 with a differential that shows: 87% neutrophils, 12% lymphocytes, and 1% basophils. In this case you would suspect?

A

A bacterial infection

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10
Q

A patient claims they have been swimming in the Chattahoochee with Dr. Amos on a date. The CBC shows a wbc count of 32,000. The differential shows 60% neutrophils, 20% lymphocytes, 8% monocytes, 12% eosinophils and normal basophils?

A

Parasite

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11
Q

If you suspected a patient with systemically lupus how would you confirm your diagnosis?

A

ANA

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12
Q

A patient presents with a WBC count of 29,000. The differential is 50% neutrophils, 45% lymphocytes, and 5% others. You would suspect?

A

Viral infection or cancer

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13
Q

If a patient bilirubin ubin was increased in the serum it would indicate?

A

Biliary obstruction

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14
Q

Vito has high cholesterol his total cholesterol is 379 which of the following values indicate the best possible scenario for Vito

A

200 LDL 179 HDL

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15
Q

If a patient will exhibit a higher than normal C-reactive protein and elevated ESR you would be able to determine the patient possibly has?

A

Infection
inflammation
chronic disease

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16
Q

A patient presents with chest pain what test would you order

A

EKG

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17
Q

If a patient presents with a constant unilateral headache exquisitely painful to touch around the temple with no oral or light sensitivity and an elevated ESR you must suspect?

A

Two of the answers are correct

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18
Q

The patient presents with fatigue and several swollen lymph nodes around her neck. She reports she had a new boyfriend with similar symptoms. Her lymphocyte count is markedly elevated. On physical exam her spleen and liver where in large. What lab test what do you expect to see elevated.

A

Lymphocytes because they’re associated with infectious mononucleosis atypical lymphocytes

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19
Q

What lab test would you order to check her liver function tests

A

ALT/AST

ALT can elevate in: congestive heart failure or infectious mononucleosis
Most increases in AL T levels are caused by liver damage such as hepatitis Cirrhosis or liver toxins

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20
Q

A patient presents with polydipsia polyphagia in polyuria. What test would you order first because it is least expensive in the quickness to yield results

A

UA urinary analysis

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21
Q

What would you suspect if a patient has glucose in the urine along with Ketone’s?

A

Diabetes Mellitus

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22
Q

If you suspect diabetes mellitus what test would you order next to confirm your suspicions?

A

GTT

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23
Q

What glucose test is the best long-term indicator for glucose in the blood stream?

A

Glycosolated hemoglobin

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24
Q

If a patient has several periodic unexplained reoccurring and residing neurological symptoms including loss of vision and Paresthesias which one of the tests would you expect to yield a positive result?

A

HLA

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25
Q

It’s in otherwise normally healthy infant begins to exhibit mental retardation what test would you order

A

PKU

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26
Q

If patient has a low hematocrit what does that mean

A

Decreased red blood cells

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27
Q

A 15-year-old girl presents with a mass in the middle of the anterior neck your physical exam findings include a nontender diffuse mass what lab test would you order to confirm your suspicions?

A

TSH

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28
Q

Small amounts of protein is a normal finding in a urine sample any person that has vigorously exercised

A

True

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29
Q

And increased MCV (mean corpuscular volume ) above 100 would be indicative of

A

Large red blood cells
immature red blood cells
vitamin B 12 deficiency
pernicious anemia

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30
Q

If you find nitrates in a urine sample you would most likely suspect

A

Normal finding

31
Q

The offending agent would most likely be

A

Nothing since it is a normal component of urine

32
Q

If a patient presents with tender swollen joints especially the big toe you would suspect

A

Low urine uric acid

high blood uric acid

33
Q

Gout is caused by

A

Purine metabolism disorder

34
Q

What additional lab test results will help you rule out the most serious possibility?

Three-year-old male petechia general malaise fever of 102.3 Fahrenheit pulse 120 per minute lethargic reflexes are normal flexion of neck causes right leg to flex towards trunk
HCT-44
Platelet 100,000

A

CSF analysis

35
Q

What would you expect the WBC differential to look like in this patient?

Three-year-old male petechia general malaise fever of 102.3 Fahrenheit pulse 120 per minute lethargic reflexes are normal flexion of neck causes right leg to flex towards trunk
HCT-44
Platelet 100,000

A

Elevated neutrophils

elevated lymphocytes

36
Q

Which of the following would you include in your differential diagnosis?

Three-year-old male petechia general malaise fever of 102.3 Fahrenheit pulse 120 per minute lethargic reflexes are normal flexion of neck causes right leg to flex towards trunk
HCT-44
Platelet 100,000

A

Bacterial or viral meningitis

37
Q

To prove your suspicion you must now order?

Three-year-old male petechia general malaise fever of 102.3 Fahrenheit pulse 120 per minute lethargic reflexes are normal flexion of neck causes right leg to flex towards trunk
HCT-44
Platelet 100,000

A

Blood culture

38
Q

Alkaline phosphatase levels would be elevated in?

A

Long bones
a growing child
and artificial hip

39
Q

If a patient has recurrent chronic and recurrent gastrointestinal disorders what screening test would you ordered to rule out ulcer

A

H pylori

40
Q

A patient presents with the WBC count of 4300. This is most likely means?

A

Normal account

41
Q

A patient with a specific gravity of 1.015 and no Ketones in the urine will need to screen for

A

Nothing this is normal

42
Q

An African-American male presents to your office with joint pain and fatigue which levels would you expect to be high

A

Hemoglobin S

43
Q

What would be the most likely exam finding upon examination of the abdomen for someone with sickle cell anemia

A

Donis on the right side of the abdomen below T6 on percussion of the abdomen

44
Q

Rheumatoid factor tests are sensitive and specific

A

False

45
Q

Rheumatoid arthritis is the only condition that will provide a positive test for rheumatoid factor

A

False

46
Q

Which of the following blood tests would test the intrinsic clotting pathway

A

PTT

47
Q

Blood urea nitrogen is found in the urine due to

A

Breakdown of polypeptides

48
Q

Which of the following blood test will test the extrinsic clotting pathway?

A

PT

49
Q

High levels of ANA along with anti-DS DNA anti-bodies are typical for which of the following disorders

A

systemic lupus erythematosus

Rheumatoid arthritis

50
Q

Which of the following disorders is not associated with neutrophilia

A

Iron deficiency anemia

51
Q

NeutroPhilia

A

Over 70% infection of a bacterial or fungal nature trauma
inflammatory diseases
or stress

52
Q

If a patient had a decrease the amount of credit and decreased MCV on CBC you would suspect ?

A

Iron deficient anemia

53
Q

Which of the following tests is highly accurate for diagnosis for HIV for babies

A

PCR

54
Q

High level of ALP with normal level of GG TP could indicate

A

Healing of a bone fracture

55
Q

A patient presents with a WBC count of 29,000. The differential is 50% of neutrophils 45% of lymphocytes and 5% of others you would suspect

A

Herpes zoster

56
Q

A patient presents with three weeks of the fatigue swollen neck lymph nodes. She reports she had painful throat on exam her tonsillar and submandibular lymph nodes were enlarged elastic and painful red color of posterior wall throat what lab test would you expect to see elevated

A

ASO, CBC, left shift

57
Q

Which of the following blood tests would test the intrinsic clotting pathway

A

Partial thromboplastin time

58
Q

Which of the following blood test will test the extrinsic pathway

A

Prothrombin time

59
Q

Myoglobin studies would be useful in

A

Identification of myocardial infarction
inflammation of skeletal muscles
Duchesses muscular dystrophy

60
Q

Which values of MCH would you expect in the case of chronic bleeding

A

Decreased

61
Q

Plasma thrombin time is prolonged in

A

Liver cirrhosis

62
Q

A patient presents with white blood cell count 5800 what dos this most likely mean

A

Normal count

63
Q

A patient presents with constant dull retrosternal chest pain which test would you order

A

Myoglobin

64
Q

If a patient with exhibit a higher than normal see reactive proteins and elevated ESR you would be able to determine the patient possibly has

A

Rheumatoid arthritis

65
Q

Which statement is correct for urine toxicology test

A

It is qualitative test

66
Q

Which of the following is the iron storage protein

A

Ferritin

67
Q

Eosinophilia is typically found in?

A

Worm invasion

68
Q

Presence of small size normal size large sized RBCs and one sample of what is known as

A

Anisocytosis

69
Q

Deficiency of which of the following can cause a neural tube defect

A

Folic acid B9

70
Q

What is better indicator of iron deficient anemia

A

Blood ferritin

71
Q

Hypouricosuria could result from?

A

Kidney failure

72
Q

Bence Jones protein urine test is used for diagnosis of

A

Multiple myeloma

73
Q

Decreased level of hemoglobin could be found in which disease

A

Renal failure

74
Q

Alpha-fetoprotein is synthesized in?

A

Baby’s liver

UA (13 decks)

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