Common Laboratory Values Quiz

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Questions and Answers

What is the normal range for Aspartate aminotransferase (AST)?

  • 0-40 units/L (correct)
  • 30-70 units/L
  • 10-50 units/L
  • 0-30 units/L

Which of the following tests measures cholestasis?

  • Creatine kinase (CK)
  • Alanine aminotransferase (ALT)
  • y-Glutamyl transferase (GGT) (correct)
  • Urea nitrogen (BUN)

Which laboratory value primarily assesses kidney function?

  • Aspartate aminotransferase (AST)
  • Alkaline phosphatase (ALP)
  • y-Glutamyl transferase (GGT)
  • Glomerular filtration rate (GFR) (correct)

What implication does a 30% reduction in GFR have in elderly patients?

<p>Age-related muscle mass loss can skew creatinine results. (A)</p> Signup and view all the answers

Which of these is a measure of hepatocellular damage?

<p>Alanine aminotransferase (ALT) (A)</p> Signup and view all the answers

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Study Notes

Common Laboratory Values Overview

  • Laboratory tests help evaluate organ function and detect diseases.
  • Normal ranges for key tests typically indicate healthy organ function.

Aspartate Aminotransferase (AST)

  • Range: 0-40 units/L
  • Indicates hepatocellular damage.
  • Elevated levels may occur in:
    • Valproate therapy
    • Hepatitis
    • Cirrhosis
  • Levels may decrease in chronic alcoholic liver disease.

Alanine Aminotransferase (ALT)

  • Range: 0-40 units/L
  • Reflects hepatocellular damage similar to AST.
  • Elevated levels can arise from:
    • Valproate therapy
    • Hepatitis
    • Cirrhosis
  • May also decrease in chronic alcoholic liver disease.

Gamma-Glutamyl Transferase (GGT)

  • Range: 0-30 units/L
  • Measures cholestasis, related to bile flow issues either extrahepatic or intrahepatic.
  • Elevated levels often indicate:
    • Alcohol abuse
    • Chronic alcoholic liver disease.

Alkaline Phosphatase (ALP)

  • Range: 30-120 international units/L
  • Assesses cholestasis and bile flow disruptions.
  • Elevated levels can indicate:
    • Gallbladder disease
    • Liver disease
    • Bone injury or rapid bone growth.

Creatine Kinase (CK)

  • Normal range: >90 mL/min/1.73m²
  • Best indicator of kidney function.
  • Elderly may have decreased GFR (30% reduction) despite normal creatinine levels due to reduced muscle mass.
  • No dosage adjustment or contraindications for most psychotropics when GFR >60 mL/min/1.73m².

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