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41 Cards in this Set

  • Front
  • Back
What are the 4 types of hormone testing?
Pregnancy testing
Female testing
Male fertility
Menopause
Describe days 1-12 of the female reproductive cycle
Levels of estrogen and progesterone are low. Secretion of GnRH leads to release of FSH and LH
Describe what happens during them midcycle
Increased levels of LH lead to a mature follicle. An LH surge ruptures the follicle and an ovum is released
Describe what happens in days 16-28
The corpus luteum secretes progesterone and estrogen inhibiting the secretion of FSH and LH
What hormone spikes if fertilization occurs?
Chorionic Gonadotropic hormone
What two medications can cause a false positive on a pregnancy test?
Pregnyl
Novarel
How does a false negative result?
By testing too early (before missed period) and refrigerated urine
When should you refer to a PCP following a pregnancy test?
Positive - follow up right away
Negative - follow up if 7 or more days after missed period
If a woman comes into the pharmacy looking to buy a home pregnancy test, what 3 things should be asked?
When was your last menstrual period?
When do you expect your next menstrual period?
What medications are you taking?
What three types of ovulation tests are there?
Basal Body Temperature (BBT)
Urine tests
Saliva tests
What 3 things may affect the results of an basal body temperature ovulation test?
Emotions
Movement
Stress
When is the best time to take this test?
Before getting out of bed
How does a Urinary Hormone ovulation test work?
Uses monoclonal antibodies to detect LH levels in the urine
Describe the proper technique in administering a urinary hormone test
Start 2-3 days prior to expected ovulation
Midstream for 5-7 seconds
First void of the day
Wait 3-5 minutes to read results
What 3 things can cause a false positive?
Medications thats promote ovulation (menotropins)
Menopause
PCOS
When would you refer someone to their PCP?
If conception has not occurred after 3 months of proper use.
In administering a sperm concentration fertility test, how far apart must the two tests be?
3-7 days
How does a sperm motility, male fertility test work?
Mimics cervical fluid and determines how fast the sperm swim towards the fluid.
How does do menopause tests work?
Uses monoclonal antibodies to detect FSH levels in the urine
What is a positive result?
25 IU/ml or more
What are 2 disadvantages of menopause tests?
Must test twice
Does not differentiate between perimenopause and menopause
What are the 3 infection detection tests?
UTI
HIV
Hep C
What two things are tested for in the urine in a UTI detection kit?
Nitrites
Leukocyte esterase
What are the presence of nitrites indicative of?
The presence of gram negative bacteria
What is leukocyte esterase indicative of?
The presence of WBCs
What does a UTI Home Screening Test detect?
The presence of nitrites and protein
What do AZO strips detect?
Nitrites and leukocyte esterase
When would you refer someone using a home UTI kit to a PCP?
Positive test result
Symptomatic with negative test result
Mixed results
What 4 things can cause a false negative in a UTI test?
Medications
Diet
Organisms that do not break down nitrates
Dilute urine
What 3 things can cause a false positive in a UTI test?
Dyes in the urine
Blood in the urine
Alkaline urine
How do home HIV tests work?
They detect antibodies for HIV-1
Antibodies take 3-6 months to develop
They are then sent to confirmatory lab
How does a Hep C test work?
Detects antibodies for Hep C
Takes about 6 months to develop antibodies
Sent to a confirmatory laboratory
How does a home drug test work?
Positive results are sent away for confirmation
Gas chromatography and mass spec are used
What does the "First check home 12 drug test" detect?
5 prescription drugs
7 illicit drugs - PCP, ecstasy
What does a "at home drug test" detect?
5 illicit drugs- no PCP or ecstasy
What can cause a false negative in a home drug screening?
Diluted urine
Tampering
What can cause a false positive in a home drug screening?
Medications - cough syrup, decongestants, poppy seeds
Before taking blood pressure, wait 30 min if you have done these 4 things
Eaten
Drank caffeine
Smoked
Exercised

***Sit quietly for a few minutes
Feet flat on the floor
Automatic blood pressure monitors may not be suitable for these people
Those with irregular heartbeats
What 2 things can produce a falsely low reading?
Eating within 30 minutes
Bathing within 10-15 minutes
These two things can produce falsely elevated readings
Caffeine, smoking, exercising within 30 minutes
Certain medications - pseudoephrine