Disease Lab Values

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Questions and Answers

A patient presents with fatigue, weight loss, and hyperpigmentation. Lab results show elevated potassium and decreased sodium and glucose levels. Which condition is most likely?

  • Addison's disease (correct)
  • Hyperthyroidism
  • Diabetes mellitus
  • Cushing's disease

A patient is suspected of having an allergic reaction. Which lab value would be most helpful in confirming this suspicion?

  • IgE (correct)
  • IgG
  • IgM
  • IgA

A patient presents with joint pain, swelling, and stiffness. Lab results show elevated ESR and slightly elevated WBC count. Which condition is most likely?

  • Rheumatoid arthritis (correct)
  • Lyme disease
  • Osteoarthritis
  • Gout

A patient with a history of alcohol abuse is admitted with confusion and tremors. A lab test reveals elevated serum ammonia levels. Which condition is most likely?

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

A patient presents with frequent infections, fatigue, and bone pain. A blood test shows elevated levels of abnormal plasma cells. Which condition is most likely?

<p>Multiple myeloma (D)</p> Signup and view all the answers

In a patient experiencing acidosis, which set of blood gas values would be most consistent with respiratory acidosis?

<p>Decreased pH, elevated CO2 (B)</p> Signup and view all the answers

A child is suspected of having Reye's syndrome following a viral infection. Which set of lab results would support this diagnosis?

<p>Elevated SGOT, SGPT, prolonged PTT and PT (A)</p> Signup and view all the answers

A patient presents with symptoms of hyperthyroidism. Which lab result would be most consistent with this condition?

<p>Elevated T4 (B)</p> Signup and view all the answers

A patient is diagnosed with pernicious anemia. Which lab finding is most characteristic of this condition?

<p>Elevated LDH (C)</p> Signup and view all the answers

A patient with a history of intravenous drug use is being evaluated for possible endocarditis. Which lab value would be most indicative of this condition?

<p>Elevated ESR and WBC (C)</p> Signup and view all the answers

A patient presents with acute kidney injury. Which set of lab values would be most consistent with acute glomerulonephritis?

<p>Elevated BUN, creatinine, and ASO titer (C)</p> Signup and view all the answers

A patient is suspected of having a myocardial infarction. Which cardiac marker is most specific for myocardial damage and would remain elevated for an extended period?

<p>Troponin I and T (D)</p> Signup and view all the answers

A patient presents with frequent nosebleeds, prolonged bleeding after minor injuries, and heavy menstrual periods. Which condition is most likely?

<p>Von Willebrand disease (A)</p> Signup and view all the answers

A patient presents with joint pain and swelling. Arthrocentesis reveals uric acid crystals in the synovial fluid. Which condition is most likely?

<p>Gout (A)</p> Signup and view all the answers

A patient is diagnosed with cystic fibrosis. Which electrolyte imbalance is most commonly associated with this condition?

<p>Decreased sodium and chloride (A)</p> Signup and view all the answers

A patient undergoing treatment for prostate cancer has regular blood tests to monitor the effectiveness of the therapy. Which lab value is most commonly used to monitor the progression or regression of prostate cancer?

<p>Prostate-specific antigen (PSA) (D)</p> Signup and view all the answers

A patient with long-standing diabetes mellitus develops nephrotic syndrome. Which lab finding is most characteristic of this condition?

<p>Elevated protein in urine and cholesterol (D)</p> Signup and view all the answers

A patient presents with jaundice, abdominal pain, and fatigue. Lab results show elevated SGOT, SGPT, and positive HBsAg. Which condition is most likely?

<p>Liver cirrhosis (D)</p> Signup and view all the answers

A patient is diagnosed with polycythemia vera. Which set of lab values is most consistent with this condition?

<p>Elevated RBC, WBC, and alkaline phosphatase (D)</p> Signup and view all the answers

A child is suspected of having lead poisoning. Which lab value would be most helpful in confirming this suspicion?

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

Flashcards

Acromegaly

Elevated plasma HGH levels.

Acute glomerulonephritis

Elevated BUN, Creatinine, and ASO Titer.

Acute Lymphocytic Leukemia

Elevated WBC count.

Addison's Disease

High potassium, low sodium and glucose.

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AIDS

Positive ELISA test result.

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Allergy

Increased IgE antibody levels.

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Anemia, Folic Acid

Decreased levels of serum folate.

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Anemia, Iron Deficiency

Low Hgb and Hct levels.

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Anemia, Pernicious

Elevated LDH levels.

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Arthritis, Gout

Elevated uric acid levels.

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Arthritis, Rheumatoid

Elevated ESR, Slightly elevated WBC.

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Cancer, Prostate

Elevated serum acid phosphatase.

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Cushing's Disease

Elevated Na and glucose, decreased K.

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Cystic Fibrosis

Decreased Na and Cl.

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Diabetes Mellitus

Elevated blood glucose levels.

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Hepatic Encephalopathy

Elevated Serum Ammonia

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Nephrotic Syndrome

Elevated Protein (Urine) and Cholesterol

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Pancreatitis

Elevated Amylase

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Renal Failure

Elevated BUN, Creatinine; decreased Hgb, hct and Na

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Reye’s Syndrome

Elevated SGOT, SGPT and prolonged PTT and PT

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Study Notes

  • The following is a list of diseases and their associated lab value changes.

Acromegaly

  • Elevated plasma HGH.

Acute Glomerulonephritis

  • Elevated BUN, Creatinine, and ASO Titer.

Acute Lymphocytic Leukemia

  • Elevated WBC.

Addison’s Disease

  • Elevated K.
  • Decreased Na and glucose.

AIDS

  • Positive ELISA test.

Allergy

  • Elevated Ig E.

Anemia (Folic Acid Deficiency)

  • Decreased serum folate.

Anemia (Iron Deficiency)

  • Decreased Hgb and Hct.

Anemia (Pernicious)

  • Elevated LDH.

Anemia (Sickle Cell)

  • Decreased RBC and ESR.
  • Elevated WBC.
  • Decreased or normal Hgb.

Angina Pectoris

  • Elevated cholesterol.

Appendicitis

  • Moderately elevated WBC.

Arthritis(Gout)

  • Elevated uric acid.

Arthritis (Rheumatoid)

  • Elevated ESR.
  • Slightly elevated WBC.

Cancer (Prostate)

  • Elevated serum acid phosphatase.

Cushing’s Disease

  • Elevated Na and glucose.
  • Decreased K.

Cystic Fibrosis

  • Decreased Na and CI.

Diabetes Mellitus

  • Elevated glucose.

Diarrhea

  • Decreased K, Na, and CI.

Endocarditis

  • Elevated ESR and WBC.

Hemophilia

  • Prolonged bleeding time.

Hepatic Encephalopathy

  • Elevated serum Ammonia.

Hyperthyroidism

  • Elevated T4.

Hypoparathyroidism

  • Decreased serum Calcium.
  • Elevated Phosphorus.

Hyperparathyroidism

  • Elevated serum Calcium.
  • Decreased Phosphorus.

Hypothyroidism

  • Decreased T4.

Infectious Mononucleosis

  • Elevated WBC.

Lead Poisoning

  • Elevated lead.

Liver Cirrhosis

  • Elevated SGOT, SGPT, HBs Ag.

Lyme’s Disease

  • Elevated ESR, Ig M, and SGOT.

Metabolic Acidosis

  • Decreased Ph, decreased Bicarbonate.

Multiple Myeloma

Elevated ESR and Ca level.

Myocardial Infarction

  • Elevated CPK, LDH, SGOT, ESR, trop I and T.

Nephrotic Syndrome

  • Elevated Protein (Urine) and Cholesterol.

Pancreatitis

  • Elevated Amylase.

Polycythemia

  • Elevated RBC, WBC, Alkaline Phosphatase.

Renal Failure

  • Elevated BUN and Creatinine.
  • Decreased Hgb, hct, and Na.

Respiratory Acidosis

  • Decreased Ph and elevated CO2.

Respiratory Alkalosis

  • Elevated Ph and decreased CO2.

Reye’s Syndrome

  • Elevated SGOT, SGPT.
  • Prolonged PTT and PT.

Rheumatoid Heart Disease

  • Elevated ASO titer and WBC.
  • Decreased ESR.

Von Willebrand Disease

  • Prolonged bleeding time.

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