What Affects Test Results?
Suprise!
Testing Proteins
Kidney Tests
Clinical Reasoning
100

Which sample problem occurs when red blood cells rupture and release their contents into the sample?

What is hemolysis?

100

Which organ produces most plasma proteins, including albumin?

What is the liver?

100

Which two common methods are used to measure or estimate total protein in serum or plasma?

What are the refractometer and biuret methods?

100

Name one routine blood chemistry measurement used to evaluate kidney function that reflects nitrogen waste.

What is BUN or creatinine?

100

A dehydrated animal has an increased total protein concentration. What is one likely explanation?

What is hemoconcentration due to fluid loss?

200

What is the term for a sample that appears yellow because of increased bilirubin?

What is icterus?

200

Which protein helps maintain oncotic pressure and transports substances through the blood?

What is albumin?

200

How is the routine globulin value calculated?

What is total protein minus albumin?

200

Which kidney marker may increase earlier than creatinine as kidney function declines?

What is SDMA?

200

Why might creatinine be lower in an animal with reduced muscle mass?

Because less muscle mass can result in less creatinine production.

300

What sample interference makes serum or plasma appear cloudy or turbid because of excess lipids?

What is lipemia?

300

What condition describes an increased concentration of nitrogen-containing waste products in the blood?

What is azotemia?

300

Which protein fraction is produced primarily by the liver and helps keep fluid inside blood vessels?

What is albumin?

300

What does glomerular filtration rate (GFR) evaluate?

What is the rate at which fluid is filtered through the glomeruli?

300

A patient has low albumin. What fluid-related problem can develop because oncotic pressure decreases?

What is edema or fluid accumulation in body cavities?

400

What can happen to BUN when an animal is dehydrated?

What is an increase in BUN?

400

Which substance is present in plasma but removed during clot formation, so it is not normally present in serum?

What is fibrinogen?

400

Which sample generally has a higher total protein value because it retains fibrinogen?

What is plasma?

400

What specialized test evaluates an animal's ability to concentrate urine after water is withheld under controlled conditions?

What is the water deprivation test?

400

A blood sample is hemolyzed, and the measured potassium is unexpectedly high. What may explain this result?

What is the release of intracellular potassium from ruptured red blood cells?

500

Why should chemistry results be interpreted using the correct species- and method-specific reference interval?

What are reference intervals by species and other patient factors, as well as by testing method or analyzer.

500

What is the calculated relationship between albumin and globulin called?

What is the albumin-to-globulin (A/G) ratio?

500

What condition describes fluid accumulation in the abdomen that may be associated with low albumin?

What is ascites?

500

What does creatinine clearance help estimate?

What is glomerular filtration rate (GFR)?

500

A patient has increased BUN, but the veterinarian also suspects dehydration. Why shouldn't the BUN result alone be used to diagnose kidney disease?

Because dehydration can increase BUN, so the result must be interpreted with other laboratory findings and the patient's clinical picture.

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