Quiz
Unit 12-HA Basic Lab Interpretation
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Perguntas do quiz (48)
1T or F. Before ordering labs, the NP should consider if the outcome of the labs will change their treatment plan.
- AVerdadeiro
- BFalso
2The sensitivity of a lab test is the ability of the test to:
- ACorrectly identify who has the disease
- BSee how emotional the lab test is
3The specificity of a lab test will help to:
- ACorrectly identify who doe NOT have the disease
- BTell if you the test is detailed oriented
4T or F. The positive predictive value of a test , is the portion of the tests that are really positive, the precision rate.
- AVerdadeiro
- BFalso
5Providers want to select the lab test that is:
- AThe most sensitive and most predicative
- BThe cheapest and easiest, accuracy be damned!
6T or F. WBC count is sensitive yet non-specific, esssentially something is wrong somewhere but this value does not tell you where.
- AVerdadeiro
- BFalso
7A provider should order a WBC with differentials when:
- AThe WBC's are elevated
- BThey have nothing better to bill the insurer for
8T or F. Basophils are the least common of the WBC's and they increase in response to the same conditions which cause increased eosinophils.
- AVerdadeiro
- BFalso
9Eosinophils are (select all that apply):
- ADefend against parasitic infection
- BAre involved in allergic response
- COften found in the sputum of patients with asthma
- DAre an exotic vegetable on sale at Kroger BOGO
10Neutrophils:
- AAre the most numerous WBC's but the most short-lived
- BAre increased during acute stress like trauma, infection and studying for finals
- CAre comprised of bands which are immature and segs with are mature neutrophils
11T or F. A "shift to the left" is an increased number of bands (neutrophils) indicating an acute infection.
- AVerdadeiro
- BFalso
12Monocytes:
- AAre produced by bone marrow
- BIngest cellular debris
- CCirculate 5-8 days
- DNot common in circulating blood
13Lymphocytes:
- AAre the second most numerous WBC's
- BMain function is immune response
- CComprised of T and B cells
- DGlucocorticoids and immunosuppresants decrease lymphocytes
14T or F. Lymphocytes are elevated in mono, TB, Pertussis and Influenza.
- AVerdadeiro
- BFalso
15T or F. Lymphocytes are depressed in AIDS, Aplastic Anemia, MS, GBS, and when patient's take steroids.
- AVerdadeiro
- BFalso
16The percentage of neutrophils indicates the:
- ASeverity of the infection
- BThe hair color of the patient
17T or F. THe total WBC count reflects the quality of the immune system.
- AVerdadeiro
- BFalso
18Erythrocytes (check all that apply):
- AHave a lifespan of 120 days
- BAre produced in the bone marrow
- CAre decreased in anemia
- DAre increased when a paiient has an enlarged liver or spleen
19T or F. HCT is the total volume of RBC's relative to the volume of whole blood.
- AVerdadeiro
- BFalso
20T or F. HGB is 1/3 of the HCT value, and is sex-dependent and age-dependent.
- AVerdadeiro
- BFalso
21T or F. Microcytic anemia is iron deficient anemia .
- AVerdadeiro
- BFalso
22T or F. Normocytic anemia is anemia of chronic disease.
- AVerdadeiro
- BFalso
23T or F. Macrocytic anemia is B12 and Folic Acid deficiency.
- AVerdadeiro
- BFalso
24T or F. Anisocytosis is RBC of unequal sizes and are more common in older adults and patients who have had a transfusion.
- AVerdadeiro
- BFalso
25T or F. MCV measures the volume and average size of WBC's
- AVerdadeiro
- BFalso
26T or F. MCH measures how tightly a Hgb is packed in an RBC and helps to find the source of anemia.
- AVerdadeiro
- BFalso
27In Von Willebrand's disease the platelets cannot:
- AStick together
- BCome apart
28Platelets are the smallest formed elements in the blood and are important for clotting.
- AVerdadeiro
- BFalso
29A BMP is comprised of (select all that apply):
- AGlucose
- BBUN
- CCreatinine
- DCO2
- EK+, Na+, Ca+, Cl+
- FMagnesium
30T or F. A patient should have a CMP every 6 months if they are taking prescription meds, taking statins or have co-morbidities.
- AVerdadeiro
- BFalso
31A CMP is:
- AAll of the elements of a BMP
- BProtein
- CAlbumin
- DLFT's (AST,ALT, ALK PHOS, BILIRUBIN)
32T or F. SSRI's Tegretol and Depakote can cause hyponatremia.
- AVerdadeiro
- BFalso
33T or F. A patient can have hyperkalemia in ESRD (End Stage Renal Disease).
- AVerdadeiro
- BFalso
34The following conditions can cause low serum Albumin (select all that apply):
- AKidney & Liver Disease
- BUndernutrition
- CCrohn's Disease
35T or F. It is best to check a patient's T4 level because it is not affected by protein status, pregnancy or androgen therapy.
- AVerdadeiro
- BFalso
36T or F. If a patient has a normal TSH, no further testing is required. However if they have a high TSH, the provider should check their T4 level. Conversely if the TSH is low, the provider should check the T4 and T3 levels.
- AVerdadeiro
- BFalso
37An antinuclear antibody (ANA) test is used to screen for autoimmune disorders, and the pattern produced correlates to the type of illness.
- AVerdadeiro
- BFalso
38T or F. 20% of patients with RA will not have an abnormal Rheumatoid Factor test.
- AVerdadeiro
- BFalso
39T or F. An ESR is a crude measure of inflammation, and an ESR over 100 is indicative of infection or malignancy, some kind of strong underlying disease.
- AVerdadeiro
- BFalso
40T or F. A BNP is used to differentiate CHF from COPD, however many patients with COPD have CHF.
- AVerdadeiro
- BFalso
41If a UA has epithelial cells, this means the UA:
- AWas contaminated
- BWas dropped and scooped back in the cup
42T or F. A +Leukocyte Esterase is indicative of a UTI.
- AVerdadeiro
- BFalso
43T or F. The provider should look at the results from both the Urine Culture and Sensitivty and and the UA at the same time.
- AVerdadeiro
- BFalso
44T or F. When choosing an ABX for a UTI the provider wants to choose an agent that is sensitive to the organism identified.
- AVerdadeiro
- BFalso
45T or F. If a UCS shows multiple organisms, this likely means the UCS was contaminated.
- AVerdadeiro
- BFalso
46T or F. The Minimum Inhibitory Concentration tells the provider the lowest concentration and best ABX to use in treating for an organism.
- AVerdadeiro
- BFalso
47An ultrasound (check all that apply):
- AIs useful in soft tissue structures, arterial blood flow and cysts or tumors
- BIs inexpensive, noninvasive, and requires no radiation.
- CNot as effective in persons with morbid obesity
48An MRI (check all that apply):
- AIs best with soft tissue structures, tumors and joints
- BCan be done with and without contrast
- Cis Non-invasive , and there is no exposure to ionizing radiation
- DIs contraindicated in persons with implanted medical devices, history of anxiety and/or claustrophobia and the 1st trimester of pregnancy.
Informações
- Descrição
- Quiz sobre Unit 12-HA Basic Lab Interpretation, criado por Maggie Throckmorton em 11-12-2017.
- Autor
- Maggie Throckmorton
- Idioma
- English
- Visualizações
- 3
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