Sdm Principles Of Med Mid Term - Lab Values

Front 1

RBC for:
1. Male
2. Female
3. High RBC = ?
4. Low RBC = ?

Back 1

1. 4.7-6.6 x 10^6/mm^3
2. 4.2-5.4 x 10^6/mm^3
3. High = Polycythemia vera
4. Low = anemia

Front 2

Hemoglobin (Hgb)
1. M
2. F
3. High
4 Low

Back 2

1. M = 14-18 gm/dl
2. F = 12-16 gm/dl
3. High = Polycythemia vera
4. Low = anemia

Front 3

Hematocrit -
1. Volume measurement obtained?
2. Values
3. High
4. Low

Back 3

1. RBC/100 cc (mL)
2. M = 42-54%
F = 37-47%
3. High = Polycythemia vera
4. Low = anemia

Front 4

Mean Corpuscular Volume (MCV)
1. What does it mean
2. How is it calculated
3. Value
4. High
5. Low

Back 4

1. Average volume of RBCs
2. Ratio of hematocrit to RBC count
3. 83-97 ul or 90 +/- 7 mm^3 (ul=mm^3)
4. Macrocytosis
5. Microcytosis

Front 5

Mean Corpuscular Hemoglobin (MCH)
1. What does it mean?
2. How is it calculated
3. Value
4. High
5. Low

Back 5

1. Average wt of Hemoglobin contained in an RBC
2. Hgb/RBC
3. 27-31 or 29 +/- 2 pg
4. Hyperchromia
5. Hypochromia

Front 6

Mean Corpuscular Hemoglobin Concentration (MCHC)
1. What does it mean?
2. How is it calculated?
3. Values?
4. High =?
5. Low = ?

Back 6

1. Average concentration of Hgb in a given volume (100 cc) of RBC
2. Hgb/Hct
3. 32-36 g/dl or 34 +/- 2 g/dl
4. High = Hereditary spherocytosis
5. Low = Hypochromic anemia

Front 7

Red Blood Cell Distribution Width (RDW)
1. What does it mean?
2. Value
3. What does it cause if its increased?

Back 7

1.Description of regularity of red cell diameters
2. 11.8 - 14.1%
3. Increased --> anemia

Front 8

ESR
1. What does it measure?
2. Value
3. If its increased what does it mean?

Back 8

1. Rate at which anticoagulated blood forms Rouleaux
2. 20 mm/hr
3. Increased in Disease and inflammation

Front 9

Anisocytosis

Back 9

Excessive inequality in the size

Front 10

Poikilocytosis

Back 10

unusually high (greater than 10%) population of abnormally
shaped RBC’s in peripheral blood.

Front 11

Spherocytosis

Back 11

Red cells are smaller, rounder, and more fragile than normal

Front 12

Schistocytosis

Back 12

Fragmentation of a red blood cell

Front 13

1. Howell-Jolly bodies
2. When are they seen

Back 13

1. spherical blue-black inclusions of red blood cells seen on Wright- stained smears
2. Seen in hemolytic anemias and people with dysfunctional spleens and patients with splenectomy

Front 14

Platelet Count (Plt)
1. Range
2. High
3. Low

Back 14

1. 150,000 - 400,000 cell/mm^3
2. High in: inflammatory rxns, blood disorders, cancer, splenectomy
3. Low in: Immune/idiopathic, viral disease, SLE, drug-induced

Front 15

White Blood cells count
1. Range

Back 15

1. 4500 - 11000/mm^3

Front 16

Leukocytosis
1. Physiologic conditions
2. Pathologic conditions (ITALIC)

Back 16

1. Extreme temperature, Muscular activity, pregnancy
2. Infection, Tissue death, Allergy, Leukemia, Inflammation, Cancer

Front 17

WBC Diff
1. Neutrophils
2. Band Cells

Back 17

1. 50-70% or 3000 - 7000 cells
2. 3-5%

Front 18

WBC Diff
3. Lymphocytes

Back 18

3. 20-40% or 1000-3000 cells

Front 19

WBC Diff
4. Monocytes

Back 19

4. 0-7% or 0-700 cells

Front 20

WBC Diff
5. Eosinophils

Back 20

5. 0-5% or 0-500 cells

Front 21

WBC Diff
6. Basophils

Back 21

6. 0-1% or 0-100

Front 22

Whats in a chem 7 panel

Back 22

1. Sodium and potassium
2. Chloride and CO2
3. BUN and Creatinine
4. Glucose

Front 23

Whats in an inorganic ions panel?

Back 23

1. calcium, magnesium, phosphorus

Front 24

Sodium
1. range
2. High
3. Low

Back 24

1. 134-145 mEq/L
2. hypernatremia - excess water loss, n/v
3. hyponatremia - CHF, adrenal insufficiency, diuretics

Front 25

Potassium
1. range
2. High
3. Low

Back 25

1. 3.5 - 5.0 mEq/L
2. Hyperkalemia - renal failure, acidosis, injuries
3. Hypokalemia - poor intake, vomiting, diarrhea

Front 26

Chloride
1. range
2. High
3. Low

Back 26

1. 98 - 106 mEq/L
2. follows sodium
3. low = vomiting

Front 27

Carbon Dioxide
1. range
2. High
3. Low

Back 27

1. 21-30 mEq/L
2. Metabolic alkylosis; Respiratory acidosis
3. Metabolic acidosis; Respiratory alkylosis

Front 28

Blood Urea Nitrogen (BUN)
1. range
2. High
3. Low

Back 28

1. 10-20 mg/dL
2. azotemia, decreased GFR, renal failure
3. ESLD (end stage liver disease, NOT english as a second language disease), malnutrition

Front 29

Creatinine
1. range
2. High
3. Low

Back 29

1. 0.5-1.5 mg/dL
2. High = renal impairment, severe muscle disease
3. low = n/a

Front 30

Glucose
1. range
2. High
3. Low

Back 30

1. 70-110 mg/dL
2. High - major DM indicator

Front 31

Calcium
1. range
2. High
3. Low

Back 31

1. 9-10.5 mg/dL
2. high = Vitamin K excess, lytic/metastatic bone tumors, hyperparathyroidism, sarcoid, TB
3. hypoparathyroidism, Vitamin D deficiency (rickets/osteomalacia), renal failure, diseases that affect Ca++ absorption

Front 32

Magnesium
1. Range
2. High
3. Low

Back 32

1. 1.3-2.1 mEq/L
2. High = renal failure, excess antiacid
3. low = alcoholism, malabsorption, diabetic acidosis

Front 33

Phosphorus
1. Range
2. High
3. Low

Back 33

1. 3.4-5.0 mg/dL
2. high = renal disease, hypoparathyroidism, healing bone fractures, increased growth hormone
3. hyperparathyroidism, increased carbohydrate metabolism

Front 34

INR
1. What does it measure
2. For what anti-coagulant is this useful
3. What test does it standardize
4. Normal range
5. range of treating A-fib, venous thrombosis, hip/knee prostheses
6. Range used to treat prosthetic heart valve

Back 34

1. Extrinsic pathway
2. Coumadin/warfarin
3. Standardizes PT prothrombin time test
4. 0.8-1.0
5. 2.0-3.0
6. 2.5-3.5

Front 35

PT
1. What factor deficiencies does it test for?
2. What does increased time mean?
3. Mean normal value?

Back 35

1. Extrinsic pathway factors: V, VII, X, prothrombin, & fibrinogen
2. - Liver disease
- Vitamin K deficiency
- Disseminated intravascular coagulation
- Nephrotic Syndrome
- Treatment with certain antibiotics, chemotherapeutics, or antithrombotic drugs
3. 10-13 secs

Front 36

PTT or aPTT
1. What factor deficiencies does it test for?
2. What does increased time mean?
3. Normal range

Back 36

1. Intrinsic pathway factors - IX, VIII, XI; SLE anticoagulants
2. Factor Deficiency
Factor Inhibitor
Anticoagulation with heparin
3. 25-39 secs

Front 37

Skin Bleeding time (SBT)
1. Normal Range
2. Screening test for?
3. ________ predictor of clinical bleeding

Back 37

1. 0-7 mins
2. Screens for von Willebrand's Dz
3. Poor predictor

Front 38

Red Vacutainer

Back 38

Chemistry, type and cross, serology

Front 39

Blue Vacutainer

Back 39

Coag

Front 40

Purple Vacutainer

Back 40

Hematology

Front 41

Green Vacutainer

Back 41

Cortisol, Ammonia, Calcium

Front 42

Gray Vacutainer

Back 42

Lactic Acid

Front 43

Normal TSH

Back 43

0.7-5.3 mIU/ml

Front 44

Normal Ft4

Back 44

60-150 mmol/l

Front 45

Normal FT3

Back 45

0-3 mmol/l

Front 46

creatnine clearance

Back 46

male - 97-140 ml/min
Female - 85-125 ml/min

Front 47

GFR

Back 47

100-150 ml/min