Zaman 10-15-07 Lab Medicine Intro

Front 1

3 key elements of lab (3)

Back 1

1- workplace
2- staff and
3- tasks

Front 2

A _____ lab is the area where rapid high volume testing
can be performed most effectively by merging hematology
and chemistry functions together.

Back 2

core

Front 3

_________ is consolidation of lab functions on a much
larger scale than core labs.
In this model, 2 or more hospitals merge resources and
create a central core lab as well as separate services for
esoteric tests.

Back 3

Regionalization

Front 4

Automated systems with a computerized specimen
delivery track and processing system has been shown
to improve productivity by 66%, allow for greater
volume capacity, decrease TAT by HOW MUCH?, and reduce the
number of FTEs

Back 4

2/3

Front 5

_______(AGVs) and conveyor
ms have been used to transportwork stations which reduces cost.

Back 5

Automated guided vehicles

Front 6

(AGVs):
It costs about $_____/min to operate a Robocart compared
to courier at about $0.28/min.

Back 6

0.03

Front 7

Those reports that provide actual diagnosis are retained for at least ___ y.

Back 7

20

Front 8

Cytogenetic reports are kept for __ years.

Back 8

25

Front 9

The CAP recommends that blood smears be retained
or only seven days, yet it is the practice of some
laboratories to retain all blood smears for __ y(s).

Back 9

1

Front 10

Bone marrow, cytology slides, and other pathology
slides must be retained for ___ years.

Back 10

20

Front 11

Paraffin tissue blocks are to be kept at least _____ (time)

Back 11

5 y;20 y

Front 12

Sera and plasma for chemistry and immunology
eterminations should be retained with proper storage
for _____ and whole blood for hematology for ______

Back 12

1 week


1 day.

Front 13

Diurnal variation may be encountered when testing for
ol, serum iron, or _____ counts.

Back 13

neutrophil

Front 14

Exercise: transient effects on labs

Back 14

may an initial decrease followed by an increase in free fattyacids by as much as 180% in alanine and 300% in lactate.

elevated creatine phosphokinase (CK), aspartate
ransferase (AST), and lactate dehydrogenase (LD), and
activate coagulation, fibrinolysis, and platelets.

Front 15

Exercise: Long-term effects on labs

Back 15

increase CK, aldolase, AST, and LD values.
Plasma testosterone, androstenedione, and luteinizing hormone.

Front 16

48 hours of fasting:

serum bilirubin concentrations may
increase or decrease?.

Back 16

increase

Front 17

72 h of fasting decreased plasma glucose levels in healthy
women to 45 mg/dL (2.5 mmol/L), while a study in men
showed an increase in plasma triglycerides, glycerol, and
free fatty acids, with no significant change in plasma
________.

Back 17

cholesterol

Front 18

When determining blood constituents such as glucose,
triglycerides, cholesterol, and electrolytes, collection
should be in the _____ state.

Back 18

basal

Front 19

Eating a meal,
depending on fat content, may elevate plasma potassium,triglycerides, and _________ (AP).

Back 19

alkaline phosphatase

Front 20

Blood type O or B positive, Lewis-positive secretors may yield
especially high levels of ___ after eating a meal.

Back 20

AP

Front 21

A high-meat or other protein-rich diet may increase
serum urea, ammonia, and ____ levels.

Back 21

urate

Front 22

Food with high unsaturated to saturated fatty acids ratio
show decreased serum cholesterol, while a diet rich
in purines will show an increased _____ value.

Back 22

urate

Front 23

Foods such as _________are rich in serotonin.

Back 23

bananas, pineapples, tomatoes, and avocadoes

Front 24

comment on
Urine excretion when eating
bananas, pineapples, tomatoes, and
avocadoes

Back 24

elevated urine excretion of 5-hydroxyindoleacetic acid may be observed.

Front 25

Beverages rich in _______ will elevate plasma free fatty
nd cause release of catecholamines from the
adrenal medulla and from brain tissue.

Back 25

caffeine

Front 26

_____ will increase plasma lactate, urate, and
triglyceride concentrations.

Back 26

Ethanol

Front 27

Elevated high-density lipoprotein (HDL) cholesterol, _________ (GGT), urate, and mean corpuscular
volume (MCV) have been associated with chronic alcohol
abuse.

Back 27

y-glutamyl transferase

Front 28

______(who) have high blood carboxyhemoglobin levels,
plasma catecholamines, and serum cortisol.

Back 28

Tobacco smokers

Front 29

Smokers have decreased numbers
______, while neutrophils, monocytes, and plasma fatty
free acids increase.

Back 29

eosinophils

Front 30

Chronic effects of smoking lead to increased hemoglobinconcentration, RBCs, MCV, and increased ___ count.

Back 30

WBC

Front 31

serum albumin has been used as a predictor of
surgical outcomes.
Decreased serum albumin = incr or decr mortality/morbidity

Back 31

increased

Front 32

Drug interferences are of two types:

Back 32

physiologic in vivo

in vitro

Front 33

Albumin and calcium levels ________ as one changes
position from supine to upright.

Back 33

increase

Front 34

Elements that are affected by postural changes are

Back 34

albumin,
total protein,
enzymes,
calcium,
bilirubin,
cholesterol
triglycerides,
and drugs bound to proteins.
Hb, hct, and WBC levels may also rise.

Front 35

Using a tourniquet to collect blood to determine lactate
concentration may result in falsely _______ values.

Back 35

increased

Front 36

Prolonged tourniquet application may also increase
enzymes, proteins and protein-bound substances including
cholesterol, calcium and ______.

Back 36

triglycerides

Front 37

Stress, anxiety, and hyperventilation may affect
hormone secretions and acid-base balance, and elevate leukocyte counts, serum lactate, or ____

Back 37

free fatty acids.

Front 38

Ideally, the patient should go to bed at the usual time and
rise no later than __ hour before anticipated specimen
collection.

Back 38

one

Front 39

Lavender tube additive

Back 39

EDTA

Front 40

Green green tube additive

Back 40

Heparin

Front 41

Blue tube additive

Back 41

buffered citrate