clin chem lab final

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1.

any lab procedure that uses radioactive C-14

for detection would fall into what analytical
category

isotopic

16.

[case #s-01; page 3] with this case (mrs.

archer) what parameters was the most
significant indicator for her final diagnosis

epithelial cells

2.

(case #A-4, page66) in the compartment

model for drug breakdown (T1/2) which
compartments would have the most
influence on a water soluble drug; when the
drug is measured for its concentration in the
blood

storage

17.

[case #s-02] in this case, one of the

diagnostic tests involved a serology for
ASO titer, if this were positive which
organism is likely involved

streptococcus

18.

renal tubular
cells

case #b-1 (pg 22) in this particular case

which lab procedure would also provide
valuable qualitative information to support
the current diagnosis

bacteria

[case #s-03] with mrs. martin, which

measurement would be definitive for her
final diagnosis

19.

[case #s-04] allyson has a clear presentation

of cystitis; in this case, which is most
strongly associated with "pyuria"

WBCs

4.

case #b-2 (pg 24) what other test would be

wise to conduct given the history of this
particular patient

urea

20.

[case #s-04] what number of organisms/ml

is the threshold, above which you would
treat with antibiotics

100,000/ml

5.

case #b-3 (pg 26) in addition to the tests

already completed, what other test might
be a good "cautionary" test, given the
pregnancy

blood
(sepsis)

21.

if one of our patients had a UTI and there

was little time for a culture to be taken
which compound in a urine sample would
give us a non quantitative measure

casts

6.

[case #h-03] in the case of Ms. Lu, which may

be low as a direct result of her underlying
condition

Hct

22.

casts

7.

[case #h-04] given the background of this

case which test are called for before surgery
is done

PT

if one of our patients had declining kidney

function and treatment called for a toxic
compound, what compound would be
worth monitoring as an indicator for
treatment concentration adjustments

23.

[case #h-05] in this case (wallenberg) which

could also be a specific indicator for a
possible viral infection

lymphocytes

if the half life of a drug is 10 hour for a

normal person-about how much of 220mg
would be left after 40 hours

14mg

8.

24.

[case #h-06] what parameters most strongly

indicates the final diagnosis for this
homeless man

bands

if the objective of the microscope you

were using to look at a sample was 40X
than the total magnification would be

400X

9.

25.

[case #h-08] what other test may be needed

to rule out an underlying pathology-in
addition to current diagnosis

microbiology

in a typical case of uncomplicated UTI

what microorganism would you generally
expect to isolate from the urine sample

pseudomonas

10.

26.

11.

[case #h-09] if you conducted a PT and/or an

APTT test with this patient, would you
expect them to be

prolonged
time

in case [#A-4] (page 66) etta jones, single

mother with HIV, we needed to conduct a
T1/2 on her medications to make sure we
avoided liver and kidney damage.

cut the
second dose

12.

[case #h-11] part of the diagnosis for this

patient includes a non-blood borne
infection; what is the causative agent of this
infection

virus

13.

[case #h-012] what test would be very

specific for the final diagnosis of this woman

ANA

14.

[case #hem-01; page 11] in this case- 1 day

old baby - which parameter is likely elevated
because the trauma of birth

RBCs

in case [#A-4] (page 66) etta jones, single

mother with HIV, we needed to conduct a
T1/2 on her medications to make sure we
avoided liver and kidney damage.

[case #hem-02] when evaluating this case,

what would change most as an indicator of
possible internal bleeding

Hg

if she had a retentive kidney; how would

you correct for this

3.

15.

if she had a retentive kidney and poor liver

performance; how would you correct for
this?
27.

cut the
second dose

28.

in case [#A-4] (page 66) etta jones,

single mother with HIV, we needed to
conduct a T1/2 on her medications to
make sure we avoided liver and
kidney damage.

move the second

dose further to the
left

if she had a retentive leaky kidney,

how would you correct for this?
29.

30.

31.

32.

33.

34.

35.

in case #s-01, the infection was

considered to be an endogenous
organism causing the UTI; based on
this observation, which
microorganism is the most likely
cause

E Coli

in one of our cases a urine sample had

been collected and diluted (to ten to
the minus seven), the one tenth of a
ml was plated into the petri disk of
agar. when the colonies were counted
(28 colonies) the original urine sample
would have had what bacterial count

28 times 10 to the
sixth

in one of our cases, a woman with

polycystic renal dz had a urine culture
taken and the results showed 1600
cells/ml of endogenous grambacteria, of what type

E Coli

in one of our derivative cases [case #b1] the patient made less than 900 ml of
urine in a day, had an elevated specific
gravity, elevated urine protein and
excess cystine. the patient had
hydronephrosis caused by

crystal
formation/blockage

in one of our derivative cases D-1

(page 185) the patient died after 36
hours as an in patient-her hematology
was suppressed from toxic drug
treatment. she dies of sepsis (proteus
infection) what depressed blood
measurement best illustrated this
condition

RBCs

in the case we solved in which the

woman had a gram+ bacterial
infection associated with her kidney
complications; which lab test we
discussed involved looking for the
presence of a microbial antigen

antibiotic sensitivity

in what lab procedure did we discuss

the use of electrophoresis for the lab
analysis of a human sample

genetic analysis

36.

one of our cases indicated that the patient

had sepsis; in addition to testing for tha
pathogen which one test could also provide
valuable information before treatment is
selected

differential
blood
count

37.

T/F: in antibiotic sensitivity testing - the

general conclusion to draw is the following
"the most sensitive antibiotic to the pathogen
is the one that permits the bacteria to grow
the closest to the disc (antibiotic disc) on the
nutrient agar plate"

true

38.

T/F: in case #1-a (page 16) the woman with

polycystic renal dz, an IV urogram showed
perfectly normal organ features

false

39.

T/F: in the genetics test for lab #8, the

"molecular ladders" represent the DNA
fragments within that particular sample from
the victim or suspect

true

40.

T/F: in the urine sample for (case #1-a) the

presence of 3-5 WBCs would be consistent
with a hypothesis supporting a UTI

false

41.

T/F: when calculating a T1/2 for a drug in the

blood stream, the value of N (as in N, N/2, etc)
represents the concentration of the drug
found in the blood

true

42.

T/F: when we discussed the accuracy of the

genetics test we said that increasing the
accuracy could be done by adding additional
base pair enzymes to generate more fragments
for analysis

true

43.

when discussing the genetics testing for lab #8

we used a testing system that made DNA
fragments using what type of enzyme

restriction
enzyme

44.

when using a historical case model to assist

you in the diagnosis of a new case in front of
you, the term used to describe this

analogical
reasoning

45.

when using a microscope for viewing a sample

of bacteria that does not stain very well; what
type of scope would be the best to use

dark field

46.

when we discussed human samples for lab

procedures, what sample could have best
used a phase contrast microscope for the
most accurate results

sediment
in the
urine