Final Exam: Serology and BCP Flipcards (Part 1)

____ is the main lipid associated with arteriosclerotic vascular disease

cholesterol

Elevated levels of T3 and T4 with decreased levels of TSH would suggest:

primary hyperthyroidism

Decreased levels of T3, T4 and TSH would suggest:

secondary hypothyroidism

Decreased levels of T3 and T4 with increased levels of TSH would suggest:

primary hypothyroidism

The most common cause of elevated lipase is:

acute pancreatitis

Elevated creatine phosphokinase (CPK) would suggest:

cardiac muscle injury

____ is the most sensitive and specific test for myocardial damage

cardiac troponin

Where does TSH originate from?

pituitary gland

Your patient has bilateral sacroiliitis with a negative HLA B27, normal Ca++, and elevated BUN/creatinine levels. Parathormone levels were also increased. What is the likely diagnosis?

secondary HPT or renal osteodystrophy

The total amounts of ____ equal the total amounts of _____ to maintain electroneutrality

cations ; anions

Calcium levels help evaluate ____ function

parathyroid

What are the differentials to consider for acro-osteolysis?

-HPT

-psoriatic

-thermal injuries

-leprosy

-scleroderma

-PVC exposure

Acro-osteoysis, subperiosteal resorption of the proximal and middle phalanges of digits 2 and 3, elevated Ca++ and normal BUN/creatinine levels would indicate:

primary HPT

What is the most common etiology of a Charcot arthropathy?

diabetes

What is the most common etiology of a neutrophic arthropathy?

diabetes

____ is related to metabolic function of the liver and excretory function of the kidneys

BUN

Recurrig attacks of an acute, red, tender, swollen metatarsal phalangeal articulation with an elevated uric acid level would indicate:

gout

The most common monoclonal gammopathy is:

monoclonal gammpathy of undetermined significance (MGUS)

Bilirubin measures the excretory function of the:

liver

What is azotemia?

elevated levels of BUN

What is the MC seronegative inflammatory joint disease?

AS

What do plasma cells produce?

immunoglobulins/antibodies

Are B or T cell lymphocytes involved with humoral immunity?

B cells

The highest concentrations of alkaliine phosphatase are found in the ____ and ____

liver ; bone

Elevated alkaline phosphatase, acid phosphatase and PSA would suggest:

prostate cancer with mets to bone

Gamma-glutamyl transpeptidase (GGTP) is used to detect:

liver disease

Eleevated GGTP and elevated ALP would suggest:

hepatobiliary disease

Gout of the big toe is called:

podagra

A reversed A/G ratio is classically associated with:

multiple myeloma

What are the kidney (renal) function tests?

creatinine and BUN

What is the CRAB mneumonic relative to multiple myeloma?

-calcium elevated

-renal disease/failure

-anemia

-bone lesions

What lab test would be helpful for suspected lupus?

antinuclear antibody testing (ANA)

What is meant by the term scybala?

small hard spherical masses of stool

A pasty consistency of stool might suggest:

increased fat from gallbladder disease

What is a guaiac test?

test to detect occult blood in feces (FOBT)

The higher the titer number, the more ____ the organism

virulent

What is the test of choice for suspected moist genital lesions that may be associated with syphilis?

darkfield exam

Small blood vessel calcification is noted in the feet. The patient has elevated parathormone levels and decreased calcium levels. The likely diagnosis is:

secondary HPT

An inflammatory enthesopathy of the calcaneus and a positive HLA B27 would suggest:

reactive arthritis (reiter's disease)

Your patient has abdominal discomfort, frequent red streaked bloody diarrhea. Radiographs reveal a unilateral sacroiliitis with a normal CBC, elevated ESR and an elevated HLA B27 exam. What is the likely diagnosis?

enteropathic arthritis

Primary HPT is usually due to:

benign tumor of the parathyroid glands (parathyroid adenoma)

You patient has decreased MCP joint space of digits 2 and 3, decreased DIP and PIP joints of digit 1 with mouse ears noted at the DIP articulation. This would suggest:

psoriatic arthritis