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81 Cards in this Set
- Front
- Back
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CBC measures what 3 things?
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hemoglobin
hematocrit white blood count |
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Hemoglobin
part of the ____test Normal value m f new kid Increased... decreased... |
CBC
m - 14-18 f - 12-16 new - 16-19 kid 11-16 incr - polycythemia decr - anemia |
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Hematocrit
part of the ____test normal m - f- new - kid - incr? decr? |
CBC
m - 40-54 f - 37-47 new - 49-54 kid - 35-49 incr - polycyc decr - anemia |
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WBC count
part of the ___test normal - incr? decr? |
CBC
5-10,000 incr - bact infection,tissue destruction, decr - aplastic anemia, drug induced myelo supression, virus, overwhelming bcat sepsis |
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Differential white cell count measures
(5 things) |
neutrophil
lymphocytes monocytes eosinophils basophils |
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neutrophil level
part of hte _____ test normal - (% increased? - decreased? |
diff white cell count
50-70% incr - bact,steroid therapy, after subacute hemorrhage decr - aplastic anemia, cyclic neutropenia, cancer chemo, viral infection |
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Lymphocyte count
part of the _____ % - increased? |
diff white cell count
30-40% MONO |
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monocytes
% - part of the _____test incr? |
diff white cell count
3-7% TB, Endocarditis, typhoid |
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Eosinophils/basophil count
part of the ____test % - Incr in... |
diff white cell count
eosino - 0-5 baso - 0-1 incr in allergic, hodgkin, parasite, AUTOIMMUNE SKIN |
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match these....
eosino baso monocyte neutrophil lymphocytes with normal % 50-70 30-40 0-1 0-5 3-7 |
neutro - 50-70
mono - 3-7 lympho - 30-40 eosino - 0-5 baso - 0-1 |
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match these...
hemoglobin... Male female kid newborn with these.... 14-18 16-19 11-16 12-16 |
male - 14-18
female - 12-16 kid - 11-16 new - 16-19 |
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match these
male female new kid with hematocrit level 40-54 49-54 35-49 37-47 |
male - 40-54
female - 37-47 new - 49-54 jkid - 49-54 |
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Bleeding disorder tests
4 times |
platelet count
bleeding time prothrombin time partial thromboplastin time |
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platelet count normal value
reduction = |
150-400,000
thrombocytopenia |
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bleeding time normal value
increased in.... (2 things) |
<4; 3-9
thrombocytopenia, qual platelet disorders (too much asprin or von-willbrand) |
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Prothrombin time normal value
measures intrinic or extrinsic path? Prolonged means....(7things) |
11 is normal
extrinsic prolong if deficient in factor 1,2,6,7,10 anticoag therapy, liver disease |
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partial thromboplastin time
normal - intrinsic or extrinsic? deficiency? (5) |
35
intrinsic decreased if def. in factors 8,10,11,12 increased heparin therapy |
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Other hematologic tests
5 tests |
RBC count
sedimentation rate mean corpuscular volume mean corpuscular hgb mean corpuscular hgb |
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RBC
normal count reduction? increase? |
4-5mill
reduce - anemias increase - polycy |
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Sedimentation rate
normal time? - increased? |
male <10, fmeale <20
increased - tissue destructive disorder |
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patient has...
HBsAg - neg Anti-HBC - neg Anti HBs - neg |
doesn't have hep B, is susceptible
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patient has...
HBsAg - neg Anti-HBC - pos Anti HBs - pos |
had it, and is now immune
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patient has...
HBsAg - neg Anti-HBC - neg Anti HBs - pos |
immune due to vaccine
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patient has...
HBsAg - pos Anti-HBC - pos Anti HBs - neg IgM anti-HBC - pos |
active/acute infection
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patient has...
HBsAg - pos Anti-HBC - pos Anti HBs - neg IgM anti-HBC - neg |
active chronic infection
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what has PT test been replaced by? what does it measure?
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INR
factors 2,5,6,10(extrinisc) and fibrinogen determins blood coag |
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what has INR replaced?
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PT
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NORMAL INR value?
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2-3
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What blood test measures intrinsic pathways?
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PTT
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What blood test measures the qualitative properties of platelets?
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bleeding time
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Mean corpuscular vaolume (MCV)
what does it test? normal value? reduced if increased if |
volume of RBC
82-98 microcytic anemia macrocytic anemia (increased) |
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Mean corpuscular hemoglobin (MCH)
tests? norma value? reduced in... increased in.... |
Hgb contenet of individual RBCs
30 microcytic - red macrocytic - incr |
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Mean corpuscular hemoglobin conc
tests? normal? reduced? |
avg amnt of Hgb/100 ml cells
35 red in spherocytosis/microcytic anemia |
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Normal blood glucose level?
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80-120
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normal 2 hr postprandial glucose? what is normal?
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return to normal 2hr after meal
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glucose tolerance test? taken 2 hrs after load
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shouldn't exceed 2x fasting level,
should return to normal w/in 2 hrs |
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Normal calcium level
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8.5-10.5
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normal phosph level?
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2.5-4.5
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alkaline phosph normal value
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1.5-4.5
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if pt has hyperPTH, what would be elev in blood?
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calcium, alk phosph
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if pt has hypoPTHism, what would be elev in blood?
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phosphorous
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serum glutamic oxaloacetic transaminase (SGOT) normal value?
what causes increase? |
10-150
tissue destruction from MI or Hep |
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Serum glutamic pyruvic transaminase (SGPT) normal value?
when increased? |
6-36
increased in liver disease |
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lactate dehydrogenase (LDH)
normal? when increaed? |
90-200
tissue destruction |
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bilirubin normal value
when increased? |
.8
liver disease |
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amylase normal?
when increased? |
60-150
pancreatic/salivary gland disease |
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creatinine normal level
when increased? |
.7-1.4
kidney failure |
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BUN
normal value increased when? |
10-20
renal failure |
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creatinine phosphokinase (CPK)
normal? when high? |
5-50
MI |
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Direct testing for Treponema pallidum by darkfield microscopy tests for what?
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syphillis, 1 and 2 stages
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VDRL flocculation tests test for what?
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syphillis
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what 2 tests for syphillis
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dark field microscopy
VDRL |
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Specific gravity of urine normally...
increased in....(2) decreased in (2) |
normal value 1.003-1.030
incr in DM or dehydration Reduced in DI or over-hydration |
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pH of urine normally
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4.8-7.5
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protein level of urine normally
consistent high level? transient high level? |
2-8
problem - renal failure, UT hemorrhage not a prob - stress, fever, excercise, pregnancy |
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GLUCOSE threshold of urine
normal value when is it higher? |
180/100ml
DM, cushing, increased intracranial pressure, too much intake |
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Ketone urine level
normally what does it tell you if it's higher than normal? |
should be 0
DM/ketoacidosis - incomplete carb combustion |
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Hemoglobin level of urine
normal? when is it higher than normal |
none
hemolytic anemia renal failure, Glu-6-P-dehydrog deficiency |
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Normal bilirubin in urine?
if more? |
none
liver disease |
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bence jones protein of urine
normally? if higher? |
none
multiple myeloma (light chains) |
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WBC more than 0-5 in urine?
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UTI
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RBC more than 0-1 in urine?
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renal disease
trauma |
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Epith cells from kidney in urine?
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renal damage
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epith cells from transitional origin in urine?
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lower UT damage
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what are casts from in the urine?
why would they be in urine? |
material of renal tubules
if pt has renal/cardiac disease |
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Normal total WBC count?
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4500 to 11000
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neutrophil count
normal band value = (%) normal seg value (% |
2-3% band value
56% seg value |
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lymphocytes normal value (%)
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34%
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monocytes normal %
eosinophils normal % basophils normal % |
4%
2.7% 0.3% |
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RBC normal value
male female |
m - 4.6-6.2 mil
f - 4.2-5.4 mil |
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Hct levels (%)
m f |
40-54%
38-47% |
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Hgb
M - F - |
13.5 to 18
12-16 |
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MCV
normal normocytic anemia microcytic anemia macrocytic anemia match with.... 95-100 82-92 82-92 50-80 |
normal - 82-92
normo anemia - 82-92 micro - 50-80 macro 95-100 |
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normal HbA1c
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less than 5.7%
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pre-diabetes HbA1c?
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5.7-6.4%
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diabetes HbA1c?
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6.5% or more
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prehypertension?
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120/80
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stage 1 hypertension?
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140/90
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stage 2 hypertension?
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160/100
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uncontrolled/severe hypertension?
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180/110
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what is the last level of HTN that you should proceed with dental care?
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stage 2 htn, should monitor during appt though
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