Deck 16: Interpretation of Clinical Laboratory Data
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Deck 16: Interpretation of Clinical Laboratory Data
1
What term is used to describe a white blood cell (WBC) count that is above normal values?
A)leukocytosis
B)leukopenia
C)neutropenia
D)polycythemia
A)leukocytosis
B)leukopenia
C)neutropenia
D)polycythemia
A
2
What term is used to describe a potassium concentration that is below normal in the blood serum?
A)hypokalemia
B)hyponatremia
C)hypocalcemia
D)hypochloremia
A)hypokalemia
B)hyponatremia
C)hypocalcemia
D)hypochloremia
A
3
Which of the following is NOT one of the formed elements in the blood?
A)leukocytes
B)erythrocytes
C)thrombocytes
D)electrolytes
A)leukocytes
B)erythrocytes
C)thrombocytes
D)electrolytes
D
4
What term is used to describe a platelet count below normal?
A)anemia
B)leukopenia
C)thrombocytopenia
D)neutropenia
A)anemia
B)leukopenia
C)thrombocytopenia
D)neutropenia
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5
In which of the following clinical settings would hyperkalemia be a significant problem?
A)during weaning from mechanical ventilation
B)in a patient with pleural effusion
C)in a patient with kyphoscoliosis
D)during spirometry testing
A)during weaning from mechanical ventilation
B)in a patient with pleural effusion
C)in a patient with kyphoscoliosis
D)during spirometry testing
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6
What term is used to describe a white blood cell (WBC) count that is below normal values?
A)anemia
B)thrombocytopenia
C)leukopenia
D)hyponatremia
A)anemia
B)thrombocytopenia
C)leukopenia
D)hyponatremia
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7
The mean cell hemoglobin concentration of your patient is reduced. What type of anemia is this?
A)microcytic
B)macrocytic
C)hypochromic
D)hypotrophic
A)microcytic
B)macrocytic
C)hypochromic
D)hypotrophic
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8
What test is useful for evaluating the blood-clotting ability of your patient?
A)red blood cell count
B)platelet count
C)neutrophil count
D)hematocrit
A)red blood cell count
B)platelet count
C)neutrophil count
D)hematocrit
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9
What term is used to describe a red blood cell (RBC) count that is above normal values?
A)leukocytosis
B)leukopenia
C)anemia
D)polycythemia
A)leukocytosis
B)leukopenia
C)anemia
D)polycythemia
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10
The total carbon dioxide (CO2) value is linked to what electrolyte in the blood serum?
A)sodium
B)potassium
C)bicarbonate (HCO3-)
D)chloride
A)sodium
B)potassium
C)bicarbonate (HCO3-)
D)chloride
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11
What type of white blood cell increases in response to viral infections?
A)neutrophils
B)eosinophils
C)lymphocytes
D)monocytes
A)neutrophils
B)eosinophils
C)lymphocytes
D)monocytes
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12
What abnormality in the complete blood count is often seen in a patient with chronic lung disease that causes significant hypoxemia?
A)leukocytosis
B)anemia
C)polycythemia
D)leukopenia
A)leukocytosis
B)anemia
C)polycythemia
D)leukopenia
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13
What term is used to describe a red blood cell (RBC) count that is below normal values?
A)leukocytosis
B)leukopenia
C)anemia
D)polycythemia
A)leukocytosis
B)leukopenia
C)anemia
D)polycythemia
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14
What is the name used for immature neutrophils?
A)segs
B)bands
C)polys
D)monos
A)segs
B)bands
C)polys
D)monos
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15
Which of the following is NOT a cause of leukopenia?
A)chemotherapy
B)bone marrow disease
C)radiation therapy
D)antibiotics
A)chemotherapy
B)bone marrow disease
C)radiation therapy
D)antibiotics
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16
Which of the following values represents a normal serum potassium level?
A)137 to 147 mEq/L
B)98 to 105 mEq/L
C)7 to 20 mEq/L
D)3.5 to 4.8 mEq/L
A)137 to 147 mEq/L
B)98 to 105 mEq/L
C)7 to 20 mEq/L
D)3.5 to 4.8 mEq/L
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17
The sweat chloride level is used to diagnose which of the following disorders?
A)asthma
B)cystic fibrosis
C)hyperthyroidism
D)hepatitis
A)asthma
B)cystic fibrosis
C)hyperthyroidism
D)hepatitis
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18
What term is used to describe a sodium concentration that is below normal in the blood serum?
A)hypokalemia
B)hyponatremia
C)hypocalcemia
D)hypochloremia
A)hypokalemia
B)hyponatremia
C)hypocalcemia
D)hypochloremia
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19
What type of white blood cell increases in response to allergic reactions?
A)neutrophils
B)eosinophils
C)lymphocytes
D)monocytes
A)neutrophils
B)eosinophils
C)lymphocytes
D)monocytes
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20
What term is used to describe the increase in neutrophils due to recruitment of marginated cells back into the circulating blood?
A)acute neutropenia
B)pseudoneutrophilia
C)thrombocytopenia
D)an acute left shift
A)acute neutropenia
B)pseudoneutrophilia
C)thrombocytopenia
D)an acute left shift
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21
Which of the following tests is used to evaluate renal function?
A)creatinine
B)protein level
C)serum enzymes
D)sweat chloride
A)creatinine
B)protein level
C)serum enzymes
D)sweat chloride
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22
Which of the following symptoms is least often associated with hypoglycemia?
A)shortness of breath
B)weakness
C)increase sweating
D)lethargy
A)shortness of breath
B)weakness
C)increase sweating
D)lethargy
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23
What is indicated by an elevation of the anion gap?
A)respiratory failure
B)metabolic alkalosis
C)metabolic acidosis
D)renal failure
A)respiratory failure
B)metabolic alkalosis
C)metabolic acidosis
D)renal failure
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24
Which of the following statements is NOT true about type 1 and type 2 diabetes?
A)Type 1 often occurs initially in childhood.
B)Type 2 is much more common than type 1.
C)Type 1 is most often due to increased caloric intake.
D)Genetics may play a role in both type 1 and type 2.
A)Type 1 often occurs initially in childhood.
B)Type 2 is much more common than type 1.
C)Type 1 is most often due to increased caloric intake.
D)Genetics may play a role in both type 1 and type 2.
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25
Your patient has an elevated creatine kinase level. What two organs are most likely diseased?
A)heart and skeletal muscle
B)liver and heart
C)kidney and heart
D)brain and liver
A)heart and skeletal muscle
B)liver and heart
C)kidney and heart
D)brain and liver
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26
What should be done in response to a sputum sample that has many epithelial cells in it?
A)repeat Gram stain
B)sputum culture
C)sputum sensitivity
D)obtain new sputum sample
A)repeat Gram stain
B)sputum culture
C)sputum sensitivity
D)obtain new sputum sample
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27
Your patient has an elevated aspartate aminotransferase (AST). What two organs are most likely diseased?
A)heart and brain
B)liver and kidney
C)brain and kidney
D)heart and liver
A)heart and brain
B)liver and kidney
C)brain and kidney
D)heart and liver
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28
What is the normal anion gap?
A)5 to 10 mEq/L
B)8 to 16 mEq/L
C)25 to 32 mEq/L
D)35 to 45 mEq/L
A)5 to 10 mEq/L
B)8 to 16 mEq/L
C)25 to 32 mEq/L
D)35 to 45 mEq/L
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29
Which of the following Gram stain results suggests the most legitimate sputum sample in a patient with pneumonia?
A)many epithelial cells and many pus cells
B)few pus cells and many epithelial cells
C)few pus cells and few epithelial cells
D)few epithelial cells and many pus cells
A)many epithelial cells and many pus cells
B)few pus cells and many epithelial cells
C)few pus cells and few epithelial cells
D)few epithelial cells and many pus cells
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30
What is the upper limit of normal for the fasting blood glucose level?
A)50 mg/dl
B)85 mg/dl
C)105 mg/dl
D)140 mg/dl
A)50 mg/dl
B)85 mg/dl
C)105 mg/dl
D)140 mg/dl
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