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28 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Which blood product would best replace fibrinogen in this patient? (case J)
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fresh frozen plasma
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all of the following are considered risk factors for the development of this condition EXCEPT (case J)
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a) uterine fibroids
b) sepsis c) leukemia d) transfusion reactions |
FOR DIC
A! |
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case g: a pt presents with a history of muscular dystrophy and acute chest pain. which test would help to differentiate a cardiac from non cardiac cause of the chest pain?
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1) AST/ALT ratio
2) total CK 3) total LDH d) CK-MB relative index |
CK-MB relative index!
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which of the following ssx are also associated with this pts condition? (addison's and chronic thyroiditis)
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1) polydipsia
2) easy bruising 3) hirsutism 4) abdominal pain |
abdominal pain
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which of the following cardiac markers stays elevated the longest in a pt with a MI?
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1) troponin
2) CK-MB 3) myoglobin 4) total CK |
troponin
(LDH also lasts a long time!) |
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which of the following hormones acts similarly to melanocyte stimulating factor? what condition?
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1) aldosterone
2) cortisol 3) acth 4) crh primary adrenal insufficiency |
3) acth
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which of the following would you AVOID in the treatment plan for this pt?
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a) bowel rest
b) discontinue any alcohol intake c) pain management with morphine d) iv FLUIDS |
c!!
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epigastric pain woman: why is the elevated ggt PARTICUARLY important to know for this patient?
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a) it would help to differentiate the cause of the elevated alp
b) alcohol is one of the top 2 causes of pancreatitis c) it is helpful to explain the pt's elevated glucose level d) it has a high PPV for the dx of pancreatitis |
B! knowing their GGT gives us an indirect idea of whether or not they drink a lot of alcohol!
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50 m, burn, bleeding
-which of the following lab test results would you expect in this pt? |
1) d-dimer positive
2) increased fibrinogen 3) normal RBC on peripheral smear 4) increased platelet count |
d-dimer positive!!
(coag and platelets get consumed, therefore decreased platelet count!) |
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40 epigastric pain:
which test is sensitive and specific in making the dx for this pt? |
lipase!!
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not: total bilirubin, wbc count, ALT
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if the pt suffered a mi WITHIN THE last 2 hours, which test should be elevated?
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a) troponin
b) LDH c) ck-mb d) myoglobin |
MYOGLOBIN!!
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which of the following lab test results would you expect in this pt?
CASE i |
1) decreased 24 hr urine for free cortisol
2) increased 5 am serum cortisol 3) increased serum acth 4) elevated serum glucose |
DECREASED 24 HOUR URINE FOR FREE CORTISOL
PT might have hypoglycemia, since pt has derease in corticoids |
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case I:
what electrolyte changes would you expect to find i this pt? |
hyponatremia and hyperkalemia**
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case g: how often should you repeat cardiac enzyme testing when evaulating a pt for a possible myocardial infarct?
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every 8 hours x 3
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most likely dx for this pt - case j
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DIC
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which blood tube for coag?
for cbc = |
blue top
cbc = lavender |
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which of the following is the most metabolically active thyroid hormone?
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free T3
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a pt presents in the ED with symptoms of vomiting, jaundice, and abomdinal pain. which of the following test results would affirm your thoughts of some type of hepatobiliary obstruction as the cause?
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increased serum direct bilirubin levels
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which of the following PE findings would you expect to see in a pt with an extremely elevated serum triglyceride level?
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xanthomas
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cervical fat pad?
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cushing's
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hyperpigmentation?
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addisons
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accd to the NCEP ATP III guidelines, a pt with no risk factors for atherosclerosis should set this as a the LDL goal?
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<160
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which of the following test results would you expect in a pt with a hx of nephrotic syndrome?
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elevated T3RU
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which of the following is a federal law that prohibits group or individual health insurance companies from using genetic information to determine eligibility or premiums?
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GINA - genetic information nondiscrimination act of 2008
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allergic rxns are caused by a lack of adequate suppresion of the following immunoglobulin?
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igm - biggest
ige - ALLERGIC REACTIONS! |
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which of the following test is used a as a screen for several connective tissue autoimmune disorders?
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antinuclear antibody titer
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where would you find thyroid stimulating anitbodies?
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reye's disease
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describe the graphic below
1) fish demonstrating a chromosomal translocation 2) g banding karyotype 47, XY, + 21, 3) comparative genomic hybridization 4) spectral karyotyping |
g banding karyotype 47, XY, +21
(we see an extra number 21) fish = black background and colored markers to see deletions comparative genomic hybridization = if lots of a particular gene lots on one side, and less on the other side spectral karyotyping = all the chromosomes have a different color |
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