Biochemistry: Blood Cell and Electrolytes Quiz
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Questions and Answers

Which of the following conditions can lead to an elevated potassium level?

  • Potassium-depleting diuretic use
  • Corticosteroid use
  • Adrenal insufficiency (correct)
  • Severe vomiting
  • Which of the following conditions can cause a decrease in sodium levels?

  • Diarrhea (correct)
  • Diabetes insipidus
  • Profuse sweating (correct)
  • Cushing syndrome
  • What is the normal range for potassium levels in the blood?

  • 4500-10,000 per mm3
  • 3.5-5.3 mEq/L (correct)
  • 150-200 mg/dL
  • 135-145 mEq/L
  • Which of the following is NOT a cause of decreased white blood cell count?

    <p>Overwhelming infection (C)</p> Signup and view all the answers

    Which of the following conditions can result in an elevated sodium level?

    <p>Diuretic use (C), Renal disease (D)</p> Signup and view all the answers

    Which of the following is NOT a potential cause of an elevated white blood cell count?

    <p>Dietary deficiency (C)</p> Signup and view all the answers

    Which of the following conditions is NOT associated with a decreased sodium level?

    <p>Cushing syndrome (C)</p> Signup and view all the answers

    Which of the following is a potential cause of a decreased white blood cell count?

    <p>Immunosuppression (B)</p> Signup and view all the answers

    Study Notes

    White Blood Cell Count (WBC)

    • Normal range: 4,500-10,000 per mm3
    • Increased WBCs: Infection, inflammation, leukemia, trauma, stress, tissue necrosis, bone marrow depression, overwhelming infection, viral infection, immunosuppression, autoimmune disease, dietary deficiency
    • Decreased WBCs: Bone marrow depression, overwhelming infection, viral infections, immunosuppression, autoimmune disease, dietary deficiencies

    Potassium

    • Normal range: 3.5-5.3 mEq/L
    • Increased Potassium: Renal failure, potassium-sparing diuretic use, excessive potassium intake, adrenal insufficiency, acidosis, severe tissue trauma (burns), starvation, potassium-depleting diuretic use, corticosteroids, severe vomiting, gastric suctioning, alkalosis
    • Decreased Potassium: Potassium-depleting diuretic use, corticosteroids, severe vomiting, gastric suctioning, alkalosis

    Sodium

    • Normal range: 135-145 mEq/L
    • Increased Sodium: Impaired thirst mechanism, profuse sweating, diarrhea, diabetes insipidus, Cushing syndrome, diuretic use, renal disease, adrenal insufficiency, vomiting, diarrhea, excessive GI suctioning, heart failure, burns
    • Decreased Sodium: Impaired thirst mechanism, profuse sweating, diarrhea, diabetes insipidus, Cushing syndrome, diuretic use, renal disease, adrenal insufficiency, vomiting, diarrhea, excessive GI suctioning, heart failure, burns

    Total Cholesterol

    • Normal range: <200 mg/dL
    • High Cholesterol: Dietary high in cholesterol and fats, obesity, family history, alcoholism, diabetes/metabolic syndrome, chronic kidney disease, malnutrition, malabsorption, severe liver disease, certain cancers
    • Low Cholesterol: (No specific causes listed, only implicitly mentioned)

    Platelets

    • Normal range: 150,000-450,000/uL
    • High Platelets: Polycythemia Vera, malignant tumors, post-splenectomy
    • Low Platelets: Idiopathic thrombocytopenia purpura, Heparin-induced thrombocytopenia, alcoholism, aplastic anemia, leukemia, chemotherapy/radiation

    Prothrombin Time (PT) and International Normalized Ratio (INR)

    • Increased PT/INR: Liver disease, biliary obstruction, disseminated intravascular coagulation, poor fat absorption, vitamin K deficiency, certain antibiotics, decreased dietary intake of vitamin K
    • Decreased PT/INR: Increased dietary vitamin k intake, increased vitamin k absorption

    Partial Thromboplastin Time (PTT)

    • High PTT: Hepatic disease, deficiencies in intrinsic clotting mechanisms, vitamin K deficiency

    Glucose

    • High Glucose: Diabetes/metabolic syndrome, acute stress reaction, chronic kidney disease, severe liver disease, pancreatitis, certain medications, Cushing's syndrome, acute alcohol ingestion, hypothyroidism, starvation, Addison's disease
    • Low Glucose: Diabetes, pregnancy

    Hemoglobin A1c (HbA1c)

    • High HbA1c: Diabetes/metabolic syndrome, acute stress reaction, chronic kidney disease, severe liver disease, pancreatitis, certain medications, Cushing's syndrome, acute alcohol ingestion, hypothyroidism, starvation, Addison's disease
    • Low HbA1c: (No specific causes listed, only implicitly mentioned)

    Hemoglobin

    • High Hemoglobin: Polycythemia Vera, dehydration, COPD, heart failure
    • Low Hemoglobin: Anemia, blood loss, diseases of the bone marrow, certain cancers, chronic kidney disease

    Hematocrit

    • High Hematocrit: Dehydration, COPD, polycythemia vera, heart failure, liver disease, nutritional deficits, pregnancy
    • Low Hematocrit: Anemia, blood loss, diseases of the bone marrow, certain cancers, chronic kidney disease

    Blood Urea Nitrogen (BUN)

    • High BUN: Acute kidney injury, chronic kidney disease, dehydration, excessive protein ingestion, starvation, certain medications, inadequate dietary protein intake, malnutrition
    • Low BUN: Overhydration, severe liver disease

    Creatinine

    • High Creatinine: Acute kidney injury, chronic kidney disease, rhabdomyolysis, decreased muscle mass, inadequate dietary protein intake, severe liver disease, pregnancy
    • Low Creatinine: (No specific causes listed, only implicitly mentioned)

    Arterial Blood Gases (ABGs)

    • pH: 7.35-7.45
    • PaCO2: 35-45 mmHg
    • HCO3: 22-28 mEq/L
    • Lactate: Normal less than 2 mmol/L , greater than 4 mmol/L requires immediate intervention

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    Description

    Test your knowledge on white blood cell counts and key electrolytes like potassium and sodium. This quiz covers normal ranges, conditions causing increased or decreased levels, and their implications on health. It's perfect for students studying biochemistry or healthcare professionals refreshing their knowledge.

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