Medical Diagnosis Review

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Questions and Answers

What is the definition of a biomarker?

Any substance, structure, or process that can be measured in the body or its products and influence or predict the incidence of outcome or disease

Which of these are examples of molecular biomarkers?

  • Blood pressure
  • Bone mineral density
  • Grading and staging of cancers
  • Blood glucose (correct)

Which of these are examples of radiographic biomarkers?

  • Bone mineral density (correct)
  • Blood glucose
  • Blood pressure
  • Grading and staging of cancers

What type of biomarker reflects biochemical or molecular alterations in cells, tissues, or fluids?

<p>Histologic biomarker</p> Signup and view all the answers

What type of biomarker involves measurements of body processes?

<p>Physiologic biomarker</p> Signup and view all the answers

Medical imaging techniques can only produce pictures of the structures inside your body.

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

Which of these is NOT a main type of imaging used in modern medicine?

<p>Positron Emission Tomography (PET) (D)</p> Signup and view all the answers

What type of imaging uses a beam of X-rays that spins around an object to create a detailed image?

<p>Computed Tomography (CT scanning)</p> Signup and view all the answers

What type of imaging uses powerful magnets to create detailed images of the body's tissues?

<p>Magnetic Resonance Imaging (MRI)</p> Signup and view all the answers

What type of imaging uses sound waves to create images of the body's internal structures?

<p>Ultrasound</p> Signup and view all the answers

What type of imaging uses radioactive tracers to create images that show how organs and tissues are functioning?

<p>Nuclear medicine</p> Signup and view all the answers

X-ray radiography can be used to create images of soft tissues, such as skin and organs.

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

X-ray radiography works by transferring the results of the X-ray onto a film, showing the parts of the body that absorbed the waves (the bones) in black and leaving the unabsorbed materials in white.

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

What are devices used to measure the flux, spatial distribution, spectrum, and/or other properties of X-rays?

<p>X-ray detectors</p> Signup and view all the answers

MRI uses magnets to force protons in the body to align with the magnetic field, and when a radiofrequency current is pulsed through the patient, the protons are stimulated and spin out of equilibrium, straining against the pull of the magnetic field.

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

MRI sensors detect the energy released as the protons realign with the magnetic field, and the time it takes for the protons to realign with the magnetic field, as well as the amount of energy released, changes depending on the environment and the chemical nature of the molecules.

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

Ultrasound transducers can only emit ultrasound waves.

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

What are the special ceramic crystal materials called that ultrasound transducers are often made of?

<p>Piezoelectrics</p> Signup and view all the answers

Ultrasound scanners use the speed of sound and the time of each echo's return to calculate the distance from the transducer to the tissue boundary.

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

Nuclear medicine imaging uses radioactive tracers to produce images by detecting radiation from different parts of the body.

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

Nuclear medicine is mainly used to look inside the digestive or circulatory systems.

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

What type of imaging is most beneficial for creating high-resolution images of the brain or other internal tissues?

<p>MRI scanning</p> Signup and view all the answers

What type of imaging is often used to create images of bone structures to look for breakages?

<p>Radiography</p> Signup and view all the answers

What type of imaging is used to create images of fetuses in the womb and to take images of internal organs when high resolution is not necessary?

<p>Ultrasound</p> Signup and view all the answers

Molecular biomarkers are molecules that indicate normal or abnormal processes taking place in the body.

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

Which of these are examples of small molecule biomarkers?

<p>Vitamins (C), Dietary minerals (D)</p> Signup and view all the answers

Which of these are examples of nucleic acid biomarkers?

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

Which of these are examples of protein biomarkers?

<p>Proteins (D), Cytokines (E)</p> Signup and view all the answers

Which of these is NOT a main source of molecular biomarkers?

<p>Tissue (F)</p> Signup and view all the answers

What is the most popular type of immunoassay technique?

<p>Enzyme-linked Immunosorbent Assay (ELISA)</p> Signup and view all the answers

PCR is a method that amplifies a target DNA region by making millions to billions of copies.

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

The goal of PCR is to make enough of a target DNA region to be analyzed or used in some other way.

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

PCR is a two-step process that is carried out in repeated cycles.

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

In PCR, the initial step involves heating the starting material to a high temperature to separate the two strands of the DNA molecule.

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

During the annealing step of PCR, the temperature is reduced to allow primers to anneal to the DNA template.

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

The final step in PCR involves adding nucleotides onto the ends of the annealed primers, extending the DNA strands.

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

Each cycle of PCR doubles the number of DNA copies.

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

PCR is typically run for 10-15 cycles, resulting in a sufficient amount of DNA.

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

Real-time PCR monitors the amplification of a targeted DNA molecule during the PCR, not at its end.

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

In real-time PCR, the PCR products are visualized on agarose gel to determine their size and relative quantity.

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

Real-time detection in real-time PCR is enabled by the inclusion of a fluorescent reporter molecule in each reaction well.

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

The change in fluorescence over time in real-time PCR is used to calculate the amount of amplicon produced in each cycle?

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

QPCR is used to detect, characterize, and quantify nucleic acids for numerous applications.

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

In reverse transcription qPCR, RNA transcripts are quantified by first reverse transcribing them into cDNA.

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

QPCR is carried out in the same manner as standard PCR, except for the addition of fluorescent labeling.

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

The use of fluorescent labeling in qPCR enables the collection of data as PCR progresses, allowing for more detailed analysis of the amplification process.

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

ELISA is a gold standard method for detecting and measuring the presence of antibodies in the blood.

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

ELISA can be used to detect and estimate the levels of tumor markers in the blood.

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

ELISA can be used to detect and estimate hormone levels in the blood, such as pregnancy hormones.

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

QPCR is a gold standard method for detecting and quantifying bacterial and fungal pathogens in clinical microbiology.

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

QPCR has applications in oncology and gene expression studies, such as the analysis of cancer cells and neurodegenerative diseases.

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

Gold-standard diagnostic techniques, while highly sensitive and specific, can be complex, time-consuming, and expensive.

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

The complexity and cost of gold-standard diagnostic techniques can limit their widespread application, particularly in resource-poor settings.

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

Rapid tests and point-of-care diagnostic approaches have been developed to address the challenges posed by traditional gold-standard diagnostic techniques.

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

Flashcards

What is a biomarker?

Any substance, structure, or process that can be measured in the body or its products and influence or predict the incidence of outcome or disease

Why are biomarkers useful?

Objective medical signs used to measure the presence or progress of disease or the effects of treatment

What are molecular biomarkers?

They are like a snapshot of what's happening in your body at a molecular level.

What are radiographic biomarkers?

They provide information about the density and structure of bones.

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Explain histologic biomarkers.

These reflect changes in cells, tissues, or fluids, offering insights into biological processes.

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What do physiologic biomarkers show?

They are measurements of body processes, such as blood pressure.

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What is diagnostic imaging?

Non-invasive methods that use imaging technologies to look inside the body for diagnosis.

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How does X-ray radiography work?

It projects X-rays through the body, revealing dense structures like bones.

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What is Computed Tomography (CT scanning)?

It takes multiple X-ray images from different angles, creating a detailed 3D image.

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Explain how Magnetic Resonance Imaging (MRI) works.

It uses strong magnetic fields to create detailed images of soft tissues and organs.

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What does ultrasound imaging use to create images?

It uses sound waves to create images of internal organs and structures.

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How does nuclear medicine imaging work?

It uses radioactive tracers to produce images of various organs and systems.

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What are molecular biomarkers?

Molecules that indicate normal or abnormal processes taking place in the body, potentially indicating underlying conditions or diseases.

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What are small molecules?

They are molecules that are too small to be seen with the naked eye but hold important information about the body.

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What are nucleic acids?

They carry genetic code and help regulate cellular functions.

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What are proteins?

They are like messengers that carry out various functions in the body, including signaling inflammation.

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Explain what an immunoassay is?

It's a common laboratory technique that measures antigens or antibodies in a sample.

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What is an ELISA?

It's a popular type of immunoassay that uses enzymes to detect antigens or antibodies

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What is Polymerase Chain Reaction (PCR)?

A technique used to amplify a specific DNA or RNA region.

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What is real-time PCR?

PCR that monitors the amplification of DNA in real-time.

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What is Quantitative PCR (qPCR)?

It is a type of real-time PCR using fluorescence to detect the amount of DNA amplified in each cycle.

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How do antibodies recognize specific targets?

Antibodies recognize and bind to specific antigens.

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What is a sandwich ELISA?

It is a type of ELISA that uses two antibodies to sandwich the antigen for detection.

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What is a direct ELISA?

It uses a single labeled antibody to directly bind the antigen.

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What is an indirect ELISA?

It is a type of ELISA that uses two antibodies, a primary and a secondary antibody.

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What is Reverse Transcription qPCR (RT-qPCR)?

It is a technique used to quantify the amount of mRNA in a sample.

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What are some limitations of gold-standard techniques?

ELISA and qPCR are highly sensitive and specific but may not always be practical for all settings.

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What are rapid tests and point-of-care diagnostics?

They offer a fast, affordable, and less complex alternative to traditional methods.

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Study Notes

Medical Diagnosis Review

  • This review outlines methods for medical diagnosis, including biomarkers, image-based analysis, and cellular/chemical analysis.

Biomarkers

  • Biomarkers are measurable substances, structures, or processes in the body that indicate disease presence, progression, or treatment effects.
  • They are objective measures, contrasting with subjective symptoms reported by the patient.
  • Biomarkers can be categorized into molecular (e.g., blood glucose), radiographic (e.g., bone mineral density), histologic (e.g., cancer grading), and physiologic (e.g., blood pressure).
  • Biomarker monitoring aids early-stage diagnosis and personalized medicine/treatment.

Image-Based Analysis

  • This encompasses various non-invasive techniques for visualizing internal body structures and functions.
  • Key imaging methods include:
    • X-ray radiography: High-energy waves penetrate the body, with denser tissues appearing whiter on the film.
    • Magnetic Resonance Imaging (MRI): Powerful magnets align protons within tissues, allowing for detailed image creation.
    • Computed Tomography (CT scanning): X-ray beams rotate around the object, generating cross-sectional images.
    • Ultrasound: High-frequency sound waves reflect off tissue boundaries to create images.
    • Nuclear medicine: Radioactive tracers are used to produce images based on radiation detection.

Cellular and Chemical Analysis

  • This analysis focuses on identifying and measuring biological components within cells and body fluids.
  • Biomarkers like small molecules (vitamins, minerals), nucleic acids (DNA, RNA), and proteins (e.g., cytokines) are examined.
  • Key methods include:
    • Immunoassay techniques, especially ELISA (Enzyme-linked Immunosorbent Assay), which utilize antibody-antigen interactions.
    • Polymerase Chain Reaction (PCR): A highly sensitive method to replicate DNA/RNA regions, essential for detecting specific sequences or copies.
    • Quantitative real-time PCR (qPCR): A sensitive analysis method providing the measurement of amplified products during every cycle of the PCR.

Clinical Significance of Methods

  • ELISA (enzyme-linked immunosorbent assay) and qPCR (quantitative polymerase chain reaction) are gold standard methods.
  • Useful in detecting antibodies, tumor markers, and hormone levels.
  • Used in clinical microbiology for identifying pathogens (bacteria, fungi) and viral titrations.
    • Applications in oncology for gene expression analysis and cancer detection/monitoring.

Limitations of Gold-Standard Techniques

  • These advanced approaches can be:
    • Complex to operate, requiring skilled personnel.
    • Labor intensive and time-consuming.
    • Expensive to implement, hindering widespread use in resource-limited settings.

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