I drink pretty much all day, everyday. My doctor is concerned tells me I should stop because I am damaging an internal organ. Do you know what organ that is?
What is the liver
100
What is the normal range for BUN and Creatinine?
What is BUN 8-20
What is Cr 0.6-1.5
100
I had my labs drawn and my total cholesterol was 220, LDL was 150, and my HDL was 35. Are these normal?
What is no. Desirable cholesterol <200. LDL should be <130. Optimal HDL >40.
100
A patient presents to ER with crushing CP, pain 10/10, and diaphoresis. What labs do you expect to draw?
What is myoglobin and troponin
100
A patient needs to collect a urine sample, when is the best time for the patient to collect the specimen?
What is the first void of the day
200
Newborns are screened for a breakdown of aged RBCs soon after birth. What is this lab called and what are the normal ranges?
What is bilirubin.
What is 0.3-1.2
200
The doctor said my BUN was high. What would my level be?
What is >20 [normal range 8-20]
200
If my lipid panel is abnormal, what does that put me at risk for?
What is cardiac disease (CAD)
200
My patient just came in with chest pain, and had several cardiac labs drawn. Which lab is the best indicator of cardiac injury/myocardial infarction?
What is troponin.
200
Your patient's urinalysis came back with the following:
Color: Yellow
Appearance: cloudy
Specific Gravity: 1.025
Glucose: 100
Ketones: Positive
Identify the abnormals.
What is cloudy appearance, glucose, ketones
300
If my liver is unable to breakdown proteins, what symptoms may I start to have?
What is jaundice, coagulation abnormalities, encephalopathy, mental status changes.
300
A patient with kidney disease has an elevated BUN and Creatinine (Cr). Which lab is an early indicator and which lab is more renal specific?
What is BUN is early and Cr is more specific. Even more specific than Cr is the GFR. GFR is calculated based on the creatinine clearance and is used to stage kidney disease. GFR is looked at if a patient needs a radiology study with contrast. If that GFR is too low, then the patient will not be able to excrete the contrast normally and could worsen their renal problems.
300
A patient presents to the ER with n/v, EKG shows A-fib, and the patients says everything looks yellow. What medication could the patient be taking for A-fib? What is the cause of their symptoms?
What is Digoxin.
What is Digoxin toxicity.
Normal (0.8-2)
300
My doctor told me my troponin lab was elevated. What does this mean?
What is cardiac injury//death or myocardial infarction.
300
A 2 yr old female was brought to your clinic with fever, vomiting, and decreased appetite. You collect a urine, what are two indicators that she is dehydrated?
What is elevated specific gravity and positive ketones
400
Your patient has a history of alcoholism. What labs would you expect to be ordered?
What is total protein, AST, ALT, Ammonia, Total Bilirubin, Alkaline Phosphatase
400
A patient arrives in the ER with signs of severe emaciation and malnutrition. What lab(s) would you expect to be abnormal? High or low?
What is albumin. Low. Normal (3.5-5)
What is total protein. Low. Normal (6.4-8.3)
400
A BNP level >100 is usually indicative of what diagnosis?
What is CHF
400
What else can elevate your myoglobin?
What is intense work-outs, burns, Rhabdomyolysis (rapid breakdown of skeletal muscle)
400
The physician just ordered a 24 hour urine on one of your patients. What will you need to educate your patient regarding a 24 hour urine collection?
What is you will discard the first void, then collect all urine after for the next 24 hours. You will include the last void of the next day on the hour you started. Urine must be kept on ice or refrigerated.
500
A patient arrives to the ER with altered mental status, jaundice, distended abdomen (ascites), and bruising. The physician ordered an ammonia level. Do you expect this level to be high, low, or normal?
What is high?
Normal (15-45)
500
What is BUN an early indicator for?
What is kidney disease (but not most specific lab)
500
Your patient has digoxin toxicity. What do you expect to give the patient?
What is Digibind or DigiFab.
500
A patient is being seen 5 days after cardiac stent placement. His troponin is 0.62. Is this normal? Why?
What is yes. Troponin levels can remain elevated for up to 7 days after injury/damage.
500
What is the purpose of a 24 hour urine collection?
What is they are used to determine a patient's creatinine clearance.